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    Exam Review

    1. A nurse is reinforcing teaching with a newly licensed nurse about barriers with interprofessional collaboration among members of the health care team. Which of the following information should the nurse include?
      A)Lack of communication among team members
      B)Resolved conflict among team members
      C)Knowledgeable of scope among team members
      D)Trust in care provided among team members
    2. The nurse is assessing an older adult client who is receiving intravenous (IV) therapy. The nurse should recognize that which of the following indicates fluid volume excess. (Select all that apply.)(SATA)
      A)Distended neck veins
      B)Pitting edema in lower extremities
      C)Crackles in lungs upon auscultation
      D)Swelling at the IV site
      E)Urine specific gravity greater than 1.030
    3. A nurse is working with other members of the interprofessional team in caring for a client in the emergency department. The nurse recognizes that improved client outcomes will be achieved by which of the following?
      A)Collaboration and open communication
      B)Independent treatment
      C)Timely client discharge
      D)Frequent changes in team members
    4. A nurse is assigned to the following clients. Identify the client the nurse should see first.
      A)A client with renal failure with a hemoglobin level of 9.2 g/dL
      B)An 89-year-old diagnosed with UTI who becomes confused
      C)A client with a left upper extremity trauma awaiting transport to X-ray
      D)A 38-year-old who develops inspiratory stridor while eating
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    Exam Review

    1. A nurse is preparing to administer cefadroxil oral suspension 15 mg/kg PO to a client who weighs 98 lb. Available is cefadroxil 250 mg/5 mL. Which of the following actions should the nurse take first?
      A)Calculate the dosage in milligrams
      B)Convert the client’s weight to kilograms
      C)Round the amount to be administered to the nearest whole number
      D)Calculate the dosage in milliliters
    2. A registered nurse (RN) and experienced licensed practical nurse (LPN) are caring for a group of clients. Which of the following is inappropriate for the RN to delegate to the LPN?
      A)Administer a tap-water enema to a client who is preoperative
      B)Initiate a plan of care for a client who is postoperative from an appendectomy
      C)Catheterize a client who has not voided in 8 hours
      D)Obtain vital signs from a client who is 6 hours postoperative
    3. A nurse is planning care for a client with complex medical needs. Which of the following would be an example of interprofessional collaboration?
      A)Involving the client in decision-making for their care
      B)Including the client’s family members in their care
      C)Consulting with a physical therapist about care decisions
      D)Working with another nurse to perform a procedure
    4. The nurse is caring for a client on the medical step-down unit. Which of the following assessment data requires immediate nursing action? (Select all that apply.)(SATA)
      A)New onset of respiratory stridor
      B)Shortness of breath for 20 minutes
      C)Blood pressure of 150/84
      D)Nervousness associated with anxiety
      E)ABG results pH: 7.12, PaCO2: 28 mmHg, PaO2: 55 mmHg
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    Exam Review

    1. A patient with diabetic neuropathy reports a burning, electrical-type pain in the lower extremities that is worse at night and not responding to nonsteroidal anti-inflammatory drugs. Which medication will the nurse advocate for first?
      A)Hydromorphone
      B)Lorazepam
      C)Corticosteroids
      D)Gabapentin
    2. The client is admitted with chronic obstructive pulmonary disease and congestive heart failure. He is receiving 2 liters of oxygen via nasal cannula with an oxygen saturation of 89%. The nurse assesses the client who is watching TV and resting comfortably. Identify the nurse’s next appropriate action.
      A)Increase the oxygen level
      B)Administer PRN furosemide
      C)Deliver PRN albuterol
      D)Continue to monitor
    3. A patient received as-needed morphine, lorazepam, and cyclobenzaprine. The unlicensed assistive personnel (UAP) reports that the patient has a respiratory rate of 10 breaths/min. Which action is priority?
      A)Call the health care provider to obtain a prescription for naloxone
      B)Assess the patient’s responsiveness and respiratory status
      C)Double-check the prescription to see which drugs were prescribed
      D)Obtain a bag-valve mask and deliver breaths at 20 breaths/min
    4. A nurse is analyzing the diagnostic test results of an older adult female client who is preoperative for a knee arthroplasty. The nurse should notify the surgeon of which of the following results?
      A)Hematocrit 40%
      B)Potassium 3.8 mEq/L
      C)Creatinine 0.9 mg/dL
      D)WBC count 20,000/mm³
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    Exam Review

    1. A nurse is providing teaching to a client who has a prescription for amoxicillin 10 mL PO. How many teaspoons (tsp) should the nurse instruct the client to take?
      A)0.5 tsp
      B)1 tsp
      C)2 tsp
      D)3 tsp
    2. A nurse is reviewing ethical principles with a newly licensed nurse. The nurse should include which of the following as an ethical principle?
      A)HIPAA
      B)Duty to Warn
      C)Beneficence
      D)Autonomy
    3. A nurse is completing an assessment on a 39-year-old client that complains of epigastric abdominal pain. Inspection of the abdomen is complete. What should the nurse do next?
      A)Light palpation
      B)Auscultation
      C)Deep palpation
      D)Percussion
    4. A nurse is assigned a group of clients at the start of the shift. Which of the following clients should the nurse plan to care for first?
      A)A client who needs assistance with a bath
      B)A client requesting a referral for home health services
      C)A client asking about his PCA pump that contains morphine
      D)A client who has Question s about his new prescription
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    Exam Review

    1. A nurse assesses a client with a brain tumor. Which new assessment finding would alert the nurse to urgently communicate with the healthcare provider? (Select all that apply.)(SATA)
      A)Unintelligible speech
      B)Glasgow Coma Scale score of 9
      C)Diminished cognition
      D)Serum sodium level 135 mEq/L
      E)Decerebrate posturing
    2. A nurse on a pediatric unit is reviewing her client assignment following the shift report. Which of the following clients should the nurse plan to assess first?
      A)A toddler who has both arms in casts and needs to be fed his breakfast
      B)An infant who has pertussis and is receiving oxygen via nasal cannula
      C)A school-age child who has diabetes mellitus and requires blood glucose monitoring
      D)An adolescent who was admitted to the unit in sickle cell crisis and is ready for discharge instructions
    3. A nurse on a medical-surgical unit is preparing to contact a provider about a client's condition. The client is 6 hrs postoperative from a total hysterectomy. The nurse notes the client's postoperative oxygen saturation is 94% and her apical heart rate is 110. The nurse should include information about the client's oxygen saturation level and heart rate in which component of the SBAR report?
      A)Background
      B)Assessment
      C)Recommendation
      D)Situation
    4. The nurse is completing a comprehensive history on a client admitted with weight loss and anorexia. What serum lab would the nurse expect to be ordered to evaluate the client’s nutritional status?
      A)Glucose
      B)Creatinine
      C)Albumin
      D)Hemoglobin
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    Exam Review

    1. Identify effective strategies to use when communicating with a 75-year-old client with late-stage dementia. (Select all that apply.)(SATA)
      A)Ask one Question at a time.
      B)Frequently redirect to reality.
      C)Give one instruction at a time.
      D)Position yourself at eye level with the client.
      E)Allow time for the client to respond.
    2. A nurse is calling a provider and will use the SBAR communication tool. Which of the following statements should the nurse include in the "B" section?
      A)There are no provider's prescriptions available.
      B)The client is disoriented, and pupils are slow to respond to light.
      C)The client was found unconscious on the floor in her home.
      D)The client should be seen by a neurologist.
    3. A hospitalized client with acquired immunodeficiency syndrome has wasting syndrome. Which nursing action is appropriate to assign to an LPN/LVN when providing care to the client?
      A)Providing instructions about a high-calorie, high-protein diet.
      B)Administering oxandrolone 5 mg/day.
      C)Assessing the client for other nutritional risk factors.
      D)Developing a plan of care to improve the client's appetite.
    4. The nurse is caring for a client just admitted with pneumonia. Which assessment finding is of greatest concern to the nurse?
      A)Yellow colored sputum
      B)Bilateral rhonchi
      C)Respiratory rate of 26 breaths per minute
      D)Restlessness
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