Nokea
Which nursing action is most appropriate at this time?
- A. Postpone weighing the client until later.
- B. Confront the client about the water intake.
- C. Say nothing and weigh the client as usual.
- D. Subtract 2 lb (0.9 kg) from the client's weight.
Correct Answer: A
Rationale: Postponing weighing ensures accuracy and addresses manipulative behavior.
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Which statement regarding hospital admittance is most accurate?
- A. The client cannot be committed involuntarily unless the client is uncooperative at this time.
- B. The client cannot be committed involuntarily unless the client poses harm to self or others.
- C. The client cannot be committed involuntarily unless the client cancels office appointments.
- D. The client cannot be committed involuntarily unless the client refuses to take medications.
Correct Answer: B
Rationale: Involuntary commitment requires evidence of harm to self or others.
The nurse is aware that whenever preparing a school-age child for a procedure, test, or medical treatment, which is the most important information to convey?
- A. When the procedure will take place
- B. Who will perform the procedure
- C. Where the procedure will be performed
- D. What will happen during the procedure
Correct Answer: D
Rationale: Describing what will happen reduces fear of the unknown.
Which withdrawal symptom is the nurse most likely to note while observing the newborn of a mother who used heroin during pregnancy?
- A. Tremors
- B. Lethargy
- C. Poor feeding
- D. High-pitched cry
Correct Answer: A,C,D
Rationale: Tremors, poor feeding, and high-pitched cry are common symptoms of neonatal opioid withdrawal.
What is the most appropriate recommendation for eliminating the 2-year-old's tantrums?
- A. Give the child candy before entering the store.
- B. Ask the child to stop kicking and screaming.
- C. Explain to the child that this behavior is childish.
- D. Remind the child of how a big person acts.
Correct Answer: B
Rationale: Calmly addressing the behavior sets boundaries without reinforcing it.
Which of the following are behavioral effects of anabolic steroids?
- A. Aggression and rage
- B. Confusion and doubt
- C. Anxiety and depression
- D. Paranoia and suicidal ideation
Correct Answer: A
Rationale: Aggression and rage are well-documented effects of steroid use.