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    Exam Review

    1. A nurse is reinforcing teaching about disease management with a client who has GERD. Which of the following statements should the nurse make?
      A)"You should only drink 2 cups of coffee per day."
      B)"You should elevate the head of the bed while sleeping."
      C)"You should eat three large meals and two snacks per day."
      D)"You should lay down for 1 hour following a meal."
      E)None
      F)None
    2. A nurse is reinforcing dietary teaching with a client who has constipation about appropriate food choices. Which of the following food selections by the client demonstrates an understanding of the teaching?
      A)Puffed rice cereal
      B)Tomato juice
      C)Bran muffin
      D)Cottage cheese
      E)None
      F)None
    3. A nurse is reinforcing teaching with a client who has an electrolyte imbalance. Which of the following foods should the nurse include as the lowest in potassium?
      A)Cantaloupe
      B)Orange juice
      C)Sweet potato
      D)Baked chicken breast
    4. A nurse is reinforcing teaching about circumcision care with the parent of an infant who just underwent a Plastibell circumcision. Which of the following statements by the parent indicates an understanding of the teaching?
      A)"I will wipe away yellow crusts that form around the incision."
      B)"I will make sure that my baby's diaper is applied snugly."
      C)"I will apply pressure with gauze if I see bleeding."
      D)"I will apply antibiotic ointment to my baby's penis."
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    Exam Review

    1. A nurse is caring for a client who has been admitted to the mental health unit. While reinforcing teaching about the client's prescribed medications, the nurse communicates truthfully about the adverse effects of the medications. Which of the following ethical concepts is the nurse exhibiting?
      A)Autonomy
      B)Justice
      C)Veracity
      D)Beneficence
    2. A nurse is caring for a client who has lung cancer. The client tells the nurse they do not want to be resuscitated in the event of a cardiac arrest. Which of the following statements should the nurse make?
      A)"Let me explain the pros and cons of your decision."
      B)"I will support your decision and help you explain it to others."
      C)"I will send the social worker in to discuss this decision with you."
      D)"I suggest you discuss this decision with your family first."
    3. A nurse is reinforcing teaching with a client about the use of budesonide for asthma management. Which of the following statements by the adolescent indicates an understanding of the teaching?
      A)"I should use my inhaler when I have an asthma attack."
      B)"I will rinse my mouth and gargle with water after each inhaler treatment."
      C)"I will take my inhaler treatment before each meal and at bedtime."
      D)"I should use my inhaler before exercising."
    4. A nurse is applying a belt restraint to a client who has become physically aggressive. Which of the following actions should the nurse take?
      A)Place the client in a sitting position.
      B)Tie the restraint to the railing of the client's bed.
      C)Ensure the restraint is placed across the client's chest.
      D)Apply the restraint under the client's clothes.
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    Exam Review

    1. A nurse is contributing to the plan of care for a client who is experiencing a herpes simplex outbreak. Which of the following interventions should the nurse recommend?
      A)Administer an antibiotic medication.
      B)Cleanse skin eruptions with povidone-iodine.
      C)Avoid over-the-counter topical ointments.
      D)Place disposable thermometers in the client's room.
    2. A nurse is caring for a client who has end-stage kidney disease. The client has decided to stop dialysis treatment. Which of the following actions should the nurse take?
      A)Ask the facility chaplain to visit the client.
      B)Discuss alternative treatment methods with the client.
      C)Support the client's decision to stop the treatment.
      D)Tell the client she should discuss this decision with her family.
    3. A nurse is collecting data from a toddler during a well-child visit. Which of the following actions should the nurse take to prepare the toddler for a physical examination?
      A)Thoroughly explain each procedure to the toddler.
      B)Start the examination with routine immunizations.
      C)Allow the toddler to handle the equipment.
      D)Completely undress the toddler.
    4. A nurse is caring for a client who has a prescription for NPH insulin 10 units and regular insulin 15 units subcutaneously. After injecting 10 units of air into the NPH insulin vial, which of the following actions should the nurse take next?
      A)Inject 15 units of air into the regular insulin vial.
      B)Withdraw 10 units of NPH insulin.
      C)Verify the dosage with another nurse.
      D)Place the cap over the needle.
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    Exam Review

    1. A nurse is caring for a client who has a new diagnosis of diabetes mellitus and is refusing to learn how to self-administer insulin. Which of the following responses should the nurse make?
      A)"You will suffer serious health issues if you don't take your medication."
      B)"Have you considered how your decision to refuse medication will affect your family?"
      C)"I'd like to hear your thoughts about giving yourself this medication."
      D)"Why don’t you want to learn how to give yourself your medication?"
    2. A nurse is contributing to the plan of care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include?
      A)Monitor the client for 1 hr after meals.
      B)Weigh the client every 2 days.
      C)Check the client's vital signs two times per week.
      D)Allow the client 2 hr to finish meals.
    3. A nurse at a long-term care facility is reviewing the plan of care for a client who has a prescription for mitten restraints. Which of the following tasks should the nurse assign to an assistive personnel?
      A)Evaluate the need for the client to remain in mitten restraints.
      B)Determine the circulation status of the affected extremities every 2 hr.
      C)Instruct the client's family about the purpose of mitten restraints.
      D)Assist the client with range-of-motion exercises of the hands.
    4. A nurse is collecting data from a client who is 1 day postoperative following a transurethral resection of the prostate. Which of the following findings should the nurse report to the provider?
      A)Dark red urine
      B)Urine output of 300 mL over 8 hr
      C)Occasional small clots in the urine
      D)Frequent urge to urinate
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    Exam Review

    1. A nurse is caring for a client who reports he has headaches after taking chewable isosorbide dinitrate. Which of the following statements should the nurse make?
      A)"Swallow the tablet whole to minimize your headaches."
      B)"You can discontinue the medication until the headache goes away."
      C)"You should take the medication on an empty stomach to prevent a headache."
      D)"The headaches should decrease as you get used to the medication."
    2. A nurse is reinforcing teaching about car seat safety with a parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?
      A)"I should place my baby in the car seat at a 90-degree angle."
      B)"I should keep my baby rear-facing in the car seat until she is 2 years old."
      C)"I should position the car seat's retainer clip at the level of my baby's belly button."
      D)"I should enable the airbag when my baby is in the front seat of the car."
    3. A nurse is collecting data from a client who has heart failure and is taking furosemide. Which of the following findings should indicate to the nurse that the medication is effective?
      A)Increased urinary output
      B)Decreased hemoglobin level
      C)Increased weight of 0.91 kg (2 lb)
      D)Decreased BUN level
    4. A nurse is reinforcing teaching with a client about reducing dietary caffeine intake. The nurse should remind the client that 240 mL (8 oz) of which of the following beverages contains the least amount of caffeine?
      A)Brewed green tea
      B)Cola soft drink
      C)Hot cocoa
      D)Instant coffee
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    Exam Review

    1. A nurse is collecting data from a client who is in renal failure. Which of the following findings should the nurse identify as a manifestation of hyperkalemia?
      A)Dry mucous membranes
      B)Hyperactive reflexes
      C)Trousseau's sign
      D)Irregular heart rate
    2. A nurse is reinforcing teaching about newborn care with a new guardian. Which of the following statements by the guardian indicates an understanding of the teaching?
      A)"I will bathe my baby under a faucet of running water."
      B)"I will wash my baby's face with a warm, wet washcloth without soap."
      C)"I will wash my baby's head using a moist towelette."
      D)"I will give my baby a bath every day."
    3. A nurse in a provider's office is caring for a group of clients who have communicable diseases. Which of the following infections should the nurse report to the state health department?
      A)Impetigo contagiosa
      B)Neisseria gonorrhoeae
      C)Human papillomavirus
      D)Sarcoptes scabiei
    4. A nurse is collecting data from a 4-month-old infant at a well-child visit. For which of the following findings should the nurse notify the provider?
      A)Moves objects to mouth
      B)Anterior fontanel closed
      C)Rolls from back to abdomen
      D)Posterior fontanel closed
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