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    Exam Review

    1. The nurse includes "The patient will demonstrate correct technique for self-injection of insulin as a goal in the patient's care plan. Which type of learning is addressed by this goal?
      A)Cognitive
      B)Perceptive
      C)Psychomotor
      D)Affective
    2. Which technique can the nurse use to facilitate assessment of the thyroid gland?
      A)Have the patient slowly turn the head from side to side.
      B)Have the patient tip the head back and cough twice.
      C)Have the patient tip the head forward to the side and swallow
      D)Gently palpate from underneath the jaw to behind the ear.
    3. A patient has acetaminophen 650 mg ordered every 4 hours per gastric tube. The acetaminophen syrup is supplied in a 160 milligram per 5-mL concentration. How many milliliters would the nurse administer with each dose? (Round to the nearest tenth)
    4. Which statement about caring for patients is true?
      A)Standard solutions exist for most patient's health care problems.
      B)Caring for patients requires very little experience.
      C)Basically all patients are the same
      D)Each patient has a unique background
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    Exam Review

    1. The nurse ensures that the patient's room is cool, quiet and dark so that the patient can rest and sleep. Which caring behavior is demonstrated by the nurse?
      A)Fulfilling affiliation needs
      B)Demonstrating an encouraging manner
      C)Providing a sense of presence
      D)Creating a healing environment
    2. Which type of reinforcement is used when the nurse gives a sticker to a pediatric patient every time the incentive spirometer is used?
      A)Social
      B)Activity
      C)Material
      D)Negative
    3. The physician gives orders to infuse unit (250 ml) of packed red blood cells over 4 hours. Calculate the flow rate in milliliters per hour.
    4. A nurse is providing preoperative education for a client who will undergo a mastectomy for cancer of the breast. Which of the following would the nurse do to facilitate learning? Select the 4 correct answers (Select All that Apply.)(SATA)
      A)Organize your teaching material and methods
      B)Provide a private, quiet, and comfortable room to conduce the teaching
      C)Schedule teaching sessions at optimal times for learning
      D)Use the psychomotor domain to educate this patient
      E)Provide age appropriate teaching material
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    Exam Review

    1. The nurse is preparing to access the carotid arteries of a client. When auscultating the carotids she should:
      A)Have the client take deep breaths when auscultating
      B)Have the client lean forward, and turn his head to the side
      C)Have the client hold his breath during auscultation
      D)Have the patient cough before each auscultation site
    2. Which nursing goal is consistent with Watson's Transpersonal Theory of Caring?
      A)The nurse will be viewed as the authority when it comes to health care issues.
      B)The nurse will develop a therapeutic relationship with the patient.
      C)The nurse will tell the patient what needs to be done to resolve health problems.
      D)The nurse will exclude the family from health discussions to protect privacy.
    3. The nurse is providing discharge instructions to a patient with memory loss after a head injury. What is the most appropriate action of the nurse?
      A)Teach the patient and a responsible family member at the same time
      B)Teach the patient using simple terminology and a louder tone of voice.
      C)Teach the patient the most important information first followed by lesser facts. b.
      D)Teach the patient immediately before discharge so the patient will remember it.
    4. The nurse educator uses manikins to teach patients how to correctly perform CPR on a victim of cardiac arrest. Which teaching technique is used by the nurse?
      A)Enunciation
      B)Simulation
      C)Role play
      D)Analogy
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    Exam Review

    1. The nurse is ordered to administer furosemide 40mg p.o." TID" How often should the nurse give this medication according to this abbreviation?
      A)Three tablets once a day
      B)Three tablets a time
      C)Three times a time
      D)Three times a day
    2. The physician orders Salagen 10 mg po twice a day for dry eyes. The medication is supplied in 5-mg tablets. How many tablets will the nurse administer?
    3. A nurse is teaching a patient about heart failure. Which environment will the nurse use?
      A)A darkened, quiet room
      B)A well-lit, ventilated room
      C)A group room for 10 to 12 patients with heart failure
      D)A private room at 85° F temperature
    4. The nurse attempts to teach the patient about wound care in a loud semiprivate room with many distractions. Which is the appropriate action of the nurse?
      A)Take the patient to a quiet private treatment room to teach the patient about how to perform wound care.
      B)Explain to the patient that all of the information about wound care is in the handout provided.
      C)Ask the distraught roommate to please be considerate of the patient while the nurse is teaching about wound care.
      D)Arrange for the home-health nurse to provide teaching about wound care after discharge from the hospital.
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    Exam Review

    1. Lucy Richards is a 20-year-old nursing student who is in her first clinical rotation. She has not had experience in any health care setting but wants to be a good nurse. She is assigned to Thelma Miller, an 88-year-old patient who is on the medical-surgical unit for treatment of congestive heart failure. Mrs. Miller is alert and oriented but has difficulty with her speech because of a stroke that she had 5 years ago. Mrs. Miller is alone and crying when Lucy walks into her room. Which of the following best demonstrates a caring practice for Lucy? CASE STUDY #1
      A)Provide presence by being attentive to Mrs. Miller by sitting down and making eye contact.
      B)Avoid touching Mrs. Miller because she doesn't know her yet.
      C)Tell Mrs. Miller that everything is alright and that she can stop crying.
      D)Pat Mrs. Miller's hand and tell her that she is busy right now but will be back later.
    2. The physician orders Lumigen 0.3% solution 2 gtts "OS BID. Where should the nurse administer this drug?
    3. The nurse is observing the MD performing an otoscopic examination on an adult. Which of these actions would the nurse determine is correct?
      A)Tilt the person's head forward during the examination.
      B)Pulling the pinna up and back before inserting the speculum.
      C)Using the smallest speculum to decrease the amount of discomfort.
      D)Once the speculum is in the ear, releasing the traction.
    4. Which statements demonstrate that the patient is at the acceptance stage of learning? Select the 2 correct answers.(Select All that Apply.)(SATA)
      A)"I want to learn how to do this myself so I do not have to go to a rehab center."
      B)1 know that I have to give myself the injections because I could get a blood clot."
      C)"I will try to do the exercises you described if you will give me a cookie afterward."
      D)"1 feel like such a failure for not consulting a podiatrist earlier about my foot."
      E)I do not have to learn how to do the dressing. My wife will do it for me."
    Page 5 of 17

    Exam Review

    1. Which patient is appropriate for the nursing diagnosis readiness for enhanced knowledge related to the prescribed treatment regimen?
      A)The patient was just diagnosed with diabetes and has no idea about how to inject insulin.
      B)The patient who asks the nurse how a pill organizer can help to ensure that all medications are taken on time
      C)The patient who insists that the blood sugar levels will never stabilize no matter how many medications are taken.
      D)The patient who believes that influenza was contracted as a result of the flu immunization last year
    2. The agency policy requires the nurse to document in the MAR. Where is the nurse going to document according to this abbreviation?
      A)Medication administration record
      B)Manual accounts record
      C)Medical Abbreviation record
    3. A patient learns that a normal adult heartbeat is 60 to 100 beats/min after a teaching session with a nurse. In which domain did learning take place?
      A)Cognitive
      B)Kinesthetic
      C)Psychomotor
      D)Affective
    4. The nurse is testing a patient's visual accommodation. How is accommodation assessed?
      A)Pupillary constriction when looking at a near object
      B)Changes in peripheral vision in response to bright light
      C)Involuntary blinking in the presence of bright light
      D)Pupillary dilation when looking at a distant object
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