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    Exam Review

    1. A nurse is teaching a class of older adults about the expected physiological changes of aging. Which of the following changes should the nurse include in the discussion? (Select all that apply.)(SATA)
      A)Decreased cough reflex
      B)Decreased systolic blood pressure
      C)Decreased bladder capacity
      D)More difficulty seeing due to a greater sensitivity to glare
      E)Dehydration of intervertebral discs
    2. A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new treatment regimen of timolol and pilocarpine eye drops. Which of the following instructions should the nurse provide?
      A)It is not necessary to remove contact lenses before administering medications.
      B)Administer the medications 5 minutes apart.
      C)Administer the medications by touching the tip of the dropper to the sclera of the eye.
      D)Hold pressure on the conjunctival sac for 2 minutes following application of drops.
    3. A nurse is caring for a client who has a Jackson-Pratt (JP) drain in place after surgery for an open reduction and internal fixation. The nurse should understand that the JP drain was placed for which of the following purposes?
      A)To provide a means for medication administration
      B)To prevent fluid from accumulating in the wound
      C)To limit the amount of bleeding from the surgical site
      D)To eliminate the need for wound irrigations
    4. A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication?
      A)Analgesic
      B)Anti-inflammatory
      C)Antipyretic
      D)Antiplatelet aggregate
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    Exam Review

    1. A nurse in the emergency department is caring for a client who collapsed after playing football on a hot day. After reviewing the admission laboratory findings, the nurse recognizes that these findings are consistent with which of the following conditions? Sodium: 152 mEq/L Potassium: 3.6 mEq/L Chloride: 105 mEq/L Glucose: 102 mg/dL BUN: 18 mg/dL Creatinine: 0.7 mg/dL
      A)Dehydration
      B)Low-protein diet
      C)Syndrome of inappropriate antidiuretic hormone (SIADH)
      D)Renal failure
    2. A nurse is preparing to administer 1,000 mL of lactated Ringer’s IV over 6 hours. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round to the nearest whole number.)
      A)28 gtt/min
      B)30 gtt/min
      C)27 gtt/min
      D)29 gtt/min
    3. A nurse is caring for a client who has a traumatic head injury and is exhibiting signs of increasing intracranial pressure. Which of the following medications should the nurse plan to administer?
      A)Albumin 25%
      B)Hydroxyethyl glucose
      C)Dextran 70
      D)Mannitol 25%
    4. A nurse is completing discharge instructions with a client following an acute onset of gout. Which of the following client statements indicates an understanding of the treatment regimen?
      A)"I will limit my fluid intake to 1 liter per day."
      B)"I will closely follow a high-purine diet."
      C)"I will take one aspirin every day."
      D)"I will limit my alcohol intake."
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    Exam Review

    1. A nurse in a long-term care facility is assisting a client with eating during mealtime and recognizes another client indicating he is choking. Which of the following situations requires the nurse to perform the Heimlich maneuver?
      A)The client is coughing only.
      B)The client is not making any sounds.
      C)The client has a high-pitched inspiratory stridor.
      D)The client is able to whisper.
    2. A nurse is caring for a client who has a pulmonary embolism and has a new prescription for enoxaparin 1.5 mg/kg/dose subcutaneous every 12 hr. The client weighs 245 lbs. How many mg should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
      A)167 mg
      B)165 mg
      C)163 mg
      D)170 mg
    3. A nurse is providing teaching to a client who has a skin infection and a new prescription for gentamicin topical cream. Which of the following instructions should the nurse provide?
      A)Increase intake of fluids while using this medication.
      B)The medication might cause temporary blurred vision.
      C)Wash the affected area with soap and water before applying cream.
      D)Apply the cream to large areas around the infection.
    4. A nurse is caring for a middle adult female client who reports that her menstrual periods have become irregular and she has been having hot flashes. The nurse should expect the client to have which of the following manifestations associated with early menopause?
      A)Dryness with intercourse
      B)Decreased blood pressure
      C)Urinary retention
      D)Elevation in body temperature above 37.8°C (100°F)
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    Exam Review

    1. A nurse is providing discharge instructions to a client who has asthma and a new prescription for montelukast. The nurse should instruct the client to report which of the following adverse effects to the provider?
      A)Palpitations
      B)Constipation
      C)Depression
      D)Blurred vision
    2. A nurse is caring for a client who is receiving a unit of packed red blood cells. Fifteen minutes following the start of the transfusion, the nurse notes that the client is febrile, with chills and red-tinged urine. Which of the following transfusion reactions should the nurse suspect?
      A)Acute pain
      B)Febrile
      C)Hemolytic
      D)Allergic
    3. A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse's priority?
      A)Positive Western blot test
      B)CD4 count 180 cells/mm³
      C)Platelets 150,000/mm³
      D)WBC 5,000/mm³
    4. A nurse is caring for a client who has chemotherapy-induced peripheral neuropathy. The nurse should expect the client to have experienced which of the following symptoms?
      A)Extremities that turn blue when exposed to cold
      B)Spasms of the extremities
      C)Jerking movements of the extremities
      D)Tingling feeling in the extremities
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    Exam Review

    1. A nurse is providing discharge teaching to a female client who has neuropathy and a new prescription for gabapentin. Which of the following statements should the nurse include in the teaching?
      A)"Take this medication with an antacid to reduce gastric irritation."
      B)"You may experience drowsiness while taking this medication."
      C)"You may continue to breastfeed while taking this medication."
      D)"You should take this medication with meals."
    2. A nurse is teaching about medications to a group of clients. Which of the following statements by a client indicates a need for further teaching?
      A)"I will take propranolol to manage high blood pressure."
      B)"I will take ibuprofen for arthritis."
      C)"I will take aspirin to reduce pain from my peptic ulcer."
      D)"I will take morphine during sickle cell crisis."
    3. A nurse is reviewing discharge instructions with a client following a right cataract extraction. Which of the following instructions should the nurse include?
      A)Notify the surgeon if white drainage develops on the eyelids.
      B)Sleep on the abdomen to facilitate wound healing.
      C)Bend at the waist to pick objects up from the floor.
      D)Avoid lifting anything heavier than 4.5 kg (10 lb) for 1 week.
    4. A nurse is admitting a client who has acute pancreatitis. Which of the following provider prescriptions should the nurse anticipate?
      A)Initiate a low-residue diet.
      B)Ambulate twice daily.
      C)Pancrelipase 500 units/kg PO three times daily with meals.
      D)Pantoprazole 80 mg IV bolus twice daily.
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    Exam Review

    1. A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to promote thinning of respiratory secretions?
      A)Encourage coughing and deep breathing.
      B)Encourage the client to increase fluid intake.
      C)Encourage the client to ambulate frequently.
      D)Encourage regular use of the incentive spirometer.
    2. A nurse is caring for a client who has expressive aphasia following a cerebrovascular accident (CVA). Which of the following parameters should the nurse use first in order to assess the client's pain level?
      A)Scheduled treatments and client illness.
      B)Behavioral indicators and effect.
      C)A self-report pain rating scale.
      D)Pulse and blood pressure findings.
    3. A nurse is caring for an adolescent who has hemophilia A and is scheduled for wisdom teeth extractions. Prior to the procedure, the nurse should anticipate that the client will receive which of the following products?
      A)Recombinant factor VIII.
      B)Prophylactic antibiotics.
      C)Packed RBCs.
      D)Fresh frozen plasma.
    4. A nurse is providing teaching to a client who has breast cancer about the adverse effects of chemotherapy. Which of the following client statements indicates an understanding of the teaching?
      A)I will avoid crowds to keep from infecting others.
      B)I will take the antiemetic as soon as the chemotherapy infusion is complete.
      C)I will run my toothbrush in the dishwasher every month.
      D)I’ll call my doctor if I notice any unusual menstrual bleeding.
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