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    Exam Review

    1. A nurse is collecting data from a client who is taking an oral contraceptive. Which of the following findings is a contraindication for the use of oral contraceptives?
      A)Headaches with aura
      B)Gastroesophageal reflux disease
      C)History of mononucleosis 1 year ago
      D)Irregular menstrual cycles
    2. A nurse is assisting with the care of a client. Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
      ✓Remain in the room with the client.
      ✓Assist the client to identify stressors.
      ✓Major depressive disorder
      ✓Suicidal ideation
      ✓Sleep patterns
      Action to Take Choices
      ✕Speak with the client using simple words.
      ✓Remain in the room with the client.
      ✕Encourage client to eat slowly.
      ✓Assist the client to identify stressors.
      ✕Determine client’s level of disorientation
      Potential Condition Choices
      ✕Dependent personality disorder
      ✕Schizophrenia
      ✓Major depressive disorder
      ✕Dementia
      Parameters to Monitor Choices
      ✕Panic attacks
      ✕Hallucinations
      ✕Wandering at night
      ✓Suicidal ideation
      ✓Sleep patterns
    3. 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 eat three large meals and two snacks per day."
      B)"You should elevate the head of the bed while sleeping
      C)"You should only drink 2 cups of coffee per day."
      D)"You should lay down for 1 hour following a meal."
    4. A nurse is discussing risk factors for child maltreatment with a newly licensed nurse. Which of the following examples should the nurse include?
      A)A child who was conceived by in vitro fertilization
      B)A toddler who has atopic dermatitis
      C)An only child
      D)A school-age child who has cerebral palsy
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    Exam Review

    1. A nurse in a psychiatric unit is admitting a client who has self-inflicted cuts on their forearms. Which of the following is a priority response by the nurse?
      A)"What coping methods help you when you feel bad?"
      B)"Do you have thoughts of suicide?"
      C)"Tell me why you hurt yourself."
      D)"Who can we call to support you?"
    2. A nurse is assisting with the care of a client following electroconvulsive therapy for the treatment of a depressive disorder, which of the following findings should the nurse expect 15 min following the procedure?
      A)Tonic-clonic satures
      B)Sleep apnea
      C)Paresthesias
      D)Disorientation
    3. A nurse is collecting data from a client who has a long leg cast on his left leg. Which of the following findings is the priority?
      A)Ecchymosis on the inner left thigh
      B)Diminished pulses on the affected extremity
      C)One fingerbreadth of space between the cast and the ski
      D)Client report of muscle spasms of the left leg
    4. A nurse is reinforcing discharge teaching with a client who states, "I don't feel confident driving to my follow-up appointments." The nurse should obtain a referral for which of the following members of the health care team?
      A)Occupational therapist
      B)Social worker
      C)Primary care provider
      D)Physical therapist
    Page 2 of 42

    Exam Review

    1. A nurse is assisting in planning care for a 16-year-old client in a pediatric clinic. Which of the following actions would be a breach of confidentiality?
      A)Reviewing the results of the client's complete blood count (CBC) with their parents, without the client's consent.
      B)Reviewing the results of the client's urinalysis with their parents, without the client's consent.
      C)Reviewing the results of the client's celiac screening with their parents, without the client's consent.
      D)Reviewing the results of the client's chlamydia screening with their parents, without the client's consent.
    2. A nurse on a pediatric unit is assisting with the care of a preschooler who is 1 day postoperative following an open appendectomy Exhibits Complete the following sentence by using the lists of options. The preschooler is at greatest risk for developing ▾ pneumonia as evidenced by the child's ▾ breathing effort and▾ refusal to use incentive spirometer..
      Dropdown 1:
      Option 1: pneumonia
      Option 2: peritonitis
      Option 3: wound infection
      Dropdown 2:
      Option 1: temperature
      Option 2: bowel sounds
      Option 3: breathing effort
      Dropdown 3:
      Option 1: abdominal tenderness
      Option 2: refusal to use incentive spirometer.
      Option 3: Surgical dressing
    3. A nurse is giving change-of-shift report on a group of clients. Which of the following statements should the nurse make? (Select all that apply.)(SATA)
      A)"The client in room 205 has had several visitors today."
      B)"The client in room 204 received some pain medicine earlier today."
      C)"The client in room 205 is scheduled for a dressing change at 1800
      D)"The client in room 203 will undergo surgery at 0900 tomorrow."
      E)"The client in room 204 has a new prescription for IV gentamicin”
    4. A nurse is reinforcing teaching with a new parent about bathing her newborn. Which of the following statements should the nurse include?
      A)"Perform sponge baths until the baby's umbilical cord falls off."
      B)"Use an alkaline soap to bathe the baby."
      C)"Ensure the bath water is at least 96 degrees Fahrenheit."
      D)"Apply talcum powder daily after bathing in order to prevent diaper rash."
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    Exam Review

    1. A nurse is reinforcing teaching with the parents of a child who has a new diagnosis of Wilms' tumor. Which of the following information should the nurse include in the teaching?
      A)"Your child should have surgery in 7 to 10 days to remove the tumor."
      B)"You should not palpate your child's abdomen prior to surgery."
      C)"You should give your child captopril 200 mg PO daily."
      D)"Your child will not require further treatment after removal of the tumor.”
    2. A nurse is unfamiliar with a medication they are preparing to administer to a client. Which of the following actions should the nurse take?
      A)Consult with a pharmacist about the medication
      B)Ask the client about the medication.
      C)Ask the charge nurse to administer the medication.
      D)Complete an incident report.
    3. A nurse is preparing to perform an abdominal examination for a client who has a gastrointestinal disease. Identify the order in which the nurse should use the examination techniques. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
      A)Deep palpation4
      B)Light palpation3
      C)Auscultation2
      D)Inspection1
    4. A nurse is reinforcing teaching with a client who is scheduled to undergo a hysterectomy. Which of the following statements should the nurse make?
      A)"You will need to report any temperature above 98 Fahrenheit after discharge."
      B)"'m sure you know that clients have self-esteem issues after having surgery."
      C)"Your kidneys should produce about 20 milliliters of urine each hour after surgery."
      D)"Let me know if you would you like to hear about non-sexual ways to connect with a partner after surgery."
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    Exam Review

    1. A nurse is reinforcing discharge teaching with a client who has angina and a prescription for sublingual nitroglycerin tablets. Which of the following statements by the client indicates an understanding of the teaching?
      A)“I will wait 15 minutes before taking a second tablet."
      B)"I should stop taking the medication if I get a headache.”
      C)"I should expect pain relief in 1 to 3 minutes."
      D)"I will swallow the tablet for faster absorption."
    2. A nurse is caring for a client who has an abdominal surgical incision and notes an evisceration. Which of the following actions should the nurse take?
      A)Instruct the client to lie supine with his knees flexed.
      B)Cover the wound with a dry sterile dressing
      C)Position the client in semi-Fowler's position.
      D)Cover the wound with a transparent dressing
    3. A nurse is caring for a 2-year-old child who has Clostridium difficile. Which of the following actions should the nurse take?
      A)Use an N95 respirator.
      B)Initiate contact precautions
      C)Place the child in a room that has a HEPA filtration system.
      D)Instruct the parents to avoid bringing fresh flowers into the room.
    4. A nurse is reinforcing teaching about colostrum with a new mother who is breastfeeding. The mother asks. "Why is colostrum so important for baby?" Which of the following responses should the nurse make?
      A)"Colostrum provides vitamin K which is an essential nutrient for newborns."
      B)"Colostrum provides many important antibodies that the newborn lacks."
      C)"Colostrum contains iron, which is important for a newborn's brain development."
      D)"Colostrum contains a natural diuretic that stimulates the newborn to void."
    Page 5 of 42

    Exam Review

    1. A nurse is assisting in the care of a client who is at 36 weeks of gestation and is in preterm labor. The nurse should expect a prescription for which of the following medications for the client?
      A)Oxytocin
      B)Misoprostol
      C)Magnesium sulfate
      D)Indomethacin
    2. A nurse is collecting data from a client who has a history of angina and reports having a dull chest pressure that radiates to the left side of his neck. Which of the following is the priority medication the nurse should anticipate the provider prescribing?
      A)Nifedipine
      B)Nitroglycerin
      C)Atenolol
      D)Clopidogrel
    3. A nurse is assisting in the care of a client who has schizophrenia and is being prescribed a new antipsychotic medication. The client's parent asks the nurse not to discuss the medication side effects with the client. Which of the following ethical principles does this request violate?
      A)Veracity
      B)Fidelity
      C)Autonomy
      D)Justice
    4. A nurse is caring for a client who has rheumatoid arthritis and is having difficulty with ADLs, such as cooking and eating. The nurse should ensure that the client has a referral to which of the following members of the interprofessional team?
      A)Alternative care provider
      B)Nutritionist
      C)Occupational therapist
      D)Dentist
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