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    Exam Review

    1. Which of the following interventions should the nurse include in the plan?
      A)Instruct the client to minimize douching, sprays, or powders in the genital area.
      B)Instruct the client to drink 240 mL of tomato juice each day.
      C)Instruct the client to wipe back to front after voiding.
      D)Instruct the client to take antibiotics until dysuria is no longer present.
    2. A nurse is assessing a client who has had diarrhea for several days. Which of the following findings should the nurse expect?
      A)Hypothermia.
      B)Decreased bowel sounds.
      C)Dehydration.
      D)Rigid abdomen.
    3. A nurse is providing discharge teaching to a client who has heart failure. Which of the following lifestyle modifications should the nurse include in the discharge teaching? (Select All that Apply.)(SATA)
      A)Limit sodium intake to reduce fluid retention.
      B)Follow a low-fat diet to reduce strain on the heart.
      C)Engage in regular physical activity as tolerated.
      D)Monitor weight daily and report sudden increases.
      E)Increase caffeine intake to stay alert.
      F)Consume high-sodium processed foods.
    4. A nurse is caring for an older adult who has left-sided heart failure. Which of the following assessment findings should the nurse expect?
      A)Pulmonary crackles.
      B)Jugular vein distension.
      C)Dependent edema.
      D)Nocturnal polyuria.
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    Exam Review

    1. A nurse is teaching a class about pulmonary circulation. The nurse should include that blood flows from the heart to the lungs starting from which of the following locations?
      A)Right ventricle.
      B)Left atrium.
      C)Pulmonary artery.
      D)Pulmonary veins.
    2. A nurse is preparing to administer Atenolol 25 mg PO every 12 hours. The amount available is Atenolol 50 mg/tab. How many tablet(s) should the nurse administer per dose? — . . .
    3. A nurse is caring for a client who has urinary incontinence and notes the client has a history of urinary retention as well. Upon assessment, findings include frequent involuntary leakage of small amounts of urine throughout the day and bladder distension. The nurse identifies these findings are associated with which of the following types of incontinence?
      A)Overflow incontinence.
      B)Reflex incontinence.
      C)Urge incontinence.
      D)Stress incontinence.
    4. A sexually active 23 year old woman presents with dysuria, hematuria, and frequency. What is the first step in her assessment?
      A)A pregnancy test.
      B)A history and physical examination.
      C)A urine culture.
      D)A 3-day course of antibiotics.
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    Exam Review

    1. A nurse is caring for a group of clients on a medical surgical unit. Which of the following clients is at risk for urinary retention?
      A)Clients who had recent surgery with general anesthesia.
      B)Clients who have liver failure and are at risk for acute kidney injury.
      C)The client who reported eating a diet high in calcium oxalate.
      D)Clients who have recent staphylococcal infection and are at risk for glomerulonephritis.
    2. A nurse is in a clinic caring for a client who has a prescription for digoxin (Lanoxin). Which of the following statements by the client indicates the client is experiencing digoxin (Lanoxin) toxicity?
      A)"I am starting to see white halos around objects.”.
      B)"My tongue is red and beefy.”.
      C)"I am constipated.”.
      D)"I am gaining weight.”. —
    3. A nurse is teaching a client who is about to start taking dioctyl sodium sulfosuccinate (Colace). The nurse should make sure that the client understands that this medication should result in which of the following?
      A)Decrease in frequency of diarrhea.
      B)Relief from nausea.
      C)Fewer bowel movements.
      D)Regular bowel movements.
    4. A nurse is performing discharge teaching to a client who was admitted for pyelonephritis. Which of the following instructions related to the prevention of pyelonephritis should the nurse include in the teaching? Select all that apply.(SATA)
      A)Using douches to cleanse the vaginal area.
      B)Consuming adequate fluid intake.
      C)Wiping the perineal area from front to back after voiding.
      D)Completing all the antibiotics as prescribed.
      E)Bathing at least twice a day.
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    Exam Review

    1. A nurse is preparing to administer potassium chloride 20 mEq suspension PO daily. The amount available is potassium chloride suspension 10 mEq/mL. How many mL should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) —
    2. A nurse is teaching a client about risk factors for heart disease. Which of the following risk factors is modifiable? (Select All that Apply.)(SATA)
      A)Family history.
      B)Exercise.
      C)Smoking.
      D)Diet.
      E)Age
    3. A nurse is providing patient education to a client who has a new prescription for phenazopyridine (Pyridium). The nurse should instruct the client to expect which of the following while taking this medication?
      A)Reddish orange urine.
      B)Pyuria.
      C)Visual disturbances.
      D)Dysuria.
    4. A 55 year old woman reports stress incontinence when sneezing and playing tennis. She asks what she can do to prevent this from happening. Which response would the nurse provide first?
      A)"I will ask your provider to start you on an anticholinergic medication.”.
      B)"Void immediately prior to playing tennis to decrease urine loss while playing and train the bladder.”.
      C)"Choose more supportive undergarments.”.
      D)"Restrict intake of calcium containing foods.”. — . . .
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    Exam Review

    1. A nurse is assessing an older client who has respiratory insufficiency. Which of the following findings should the nurse recognize as the first sign of hypoxia?
      A)Restlessness.
      B)Extreme combativeness.
      C)Diaphoresis.
      D)Oliguria.
    2. A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine (Procardia) prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first?
      A)Check the client's vital signs.
      B)Notify the client's provider.
      C)Administer the medication to the correct client.
      D)Fill out an occurrence form.
    3. A nurse is preparing to administer 100 mg PO of furosemide (Lasix) to an older adult returning from surgery with fluid volume overload. The tablets are labeled 40 mg/tablet. How many tablets should be administered? Do not round.
      A)3 tablets.
      B)2.5 tablets.
      C)1 tablet.
      D)1.5 tablets.
    4. The nurse is providing education to a client that has a new prescription for furosemide (Lasix). Furosemide is a diuretic used to decrease high blood pressure and manage the client's heart failure. The nurse would incorporate which statement during the teaching session?
      A)"Please increase your intake of green leafy vegetables such as spinach and kale during your meals.”.
      B)"Please increase your sodium intake by eating luncheon meat, cheese, and chips at least 3 times a week.”.
      C)"You can increase your intake of sweets because diuretics can cause low blood sugar.”.
      D)"Please make sure you increase your daily intake of water from 2000 mL to 3500 mL.”. — . . .
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    Exam Review

    1. A nurse is planning to prioritize client care after receiving report. Which of the following clients is a high priority for the nurse to see first?
      A)A client who is short of breath with a pulse oximetry reading of 92
      B)A client who received pain medication 30 minutes ago and reports pain is still a 7/10.
      C)A client who is ambulatory and going for an X-ray at 8:00 AM.
      D)A client scheduled for discharge by 11:00 AM. —
    2. A client has been prescribed an angiotensin-converting enzyme (ACE) inhibitor. The nurse alerts the client to contact the healthcare provider should the client develop which undesirable side effect?
      A)Excessive dry cough.
      B)Hypokalemia.
      C)Constipation.
      D)Nausea.
    3. A nurse's care plan goal is to maintain the skin integrity for a client who has frequent loose stools. Which of the following is the most appropriate for the nurse to include in the plan of care?
      A)Administer a soap-suds enema to cleanse the colon.
      B)Cleanse with an antimicrobial scrub and vigorously dry.
      C)Administer medications to increase peristalsis.
      D)Wipe perianal area with warm water and mild soap, dry gently, then apply barrier cream.
    4. A nurse is preparing to insert an indwelling urinary catheter for a client. Which of the following actions should the nurse plan to take?
      A)Apply an oil-based lubricant to the indwelling urinary catheter.
      B)Test the balloon on the indwelling urinary catheter before insertion.
      C)Don sterile gloves before inserting the indwelling urinary catheter.
      D)Use one cotton swab to clean the client's urinary meatus.
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