The nurse is inserting a nasogastric tube in an adult client. During the procedure, the client begins to cough and has difficulty breathing. What is the most appropriate action?
A. 
Insert the tube quickly.
B. 
Notify the health care provider immediately.
C. 
Remove the tube and reinsert it when the respiratory distress subsides.
D. 
Pull back on the tube and wait until the respiratory distress subsides.
2.
The clinic nurse is preparing to explain the concepts of Kohlberg’s theory of moral development with a parent. The nurse should tell the parent that which factor motivates good and bad actions for the child at the preconventional level?
A. 
Peer pressure.
B. 
Social pressure
C. 
Parents’behavior.
D. 
Punishment and reward.
3.
The nurse is describing Piaget’s cognitive develop- mental theory to pediatric nursing staff. The nurse should tell that staff that which child behavior is characteristic of the formal operations stage?
A. 
The child has the ability to think abstractly.
B. 
The child begins to understand the environment.
C. 
The child is able to classify, order, and sort facts.
D. 
The child learns to think in terms of past, present, and future.
4.
The nurse is monitoring a client who was diag- nosed with type 1 diabetes mellitus and is being treated with NPH and regular insulin. Which manifestations would alert the nurse to the presence of a possible *hypoglycemic* reaction? Select all that apply. ( 3 correct answer)
A. 
Tremors.
B. 
Anorexia.
C. 
Irritability.
D. 
Nervousness.
E. 
Hot, dry skin
F. 
Muscle cramps.
5.
A client with a diagnosis of addisonian crisis is being admitted to the intensive care unit. Which findings will the interprofessional health care team focus on? Select all that apply. ( 2 correct answer)
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