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    Exam Review

    1. A nurse in an acute care facility is caring for a toddler. For each assessment finding below, click to specify if the assessment finding is consistent with Crohn’s disease, appendicitis, or intussusception. Each finding may support more than 1 disease process.
      Crohn’s diseaseAppendicitisIntussusception
      Pain rating✓
      Vomiting✓✓
      Temperature✓
      Stool✓✓
      Abdominal findings✓
    2. Answer by using the lists of options. The client likely experienced ▾ opioid intoxication as evidenced by ▾ pupil characteristics.
      Dropdown 1:
      Option 1: Alcohol withdrawal
      Option 2: Opioid withdrawal
      Option 3: opioid intoxication
      Option 4: alcohol intoxication
      Dropdown 2:
      Option 1: pupil characteristics
      Option 2: breath sounds
      Option 3: amount of alcohol consumed
      Option 4: current temperature
    3. A nurse is caring for a school-age child in the pediatric unit. 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.
      ✓Administer oral corticosteroids.
      ✓Encourage a low-sodium diet.
      ✓Nephrotic syndrome
      ✓Abdominal girth
      ✓Urine specific gravity
      Actions to Take Choices
      ✕Administer IV antibiotics.
      ✓Administer oral corticosteroids.
      ✓Encourage a low-sodium diet.
      ✕Initiate peritoneal dialysis
      ✕Initiate contact precautions
      Potential Condition Choices
      ✓Nephrotic syndrome
      ✕Acute glomerulonephritis
      ✕Chronic kidney disease
      ✕Hemolytic uremic syndrome
      Parameters to Monitor Choices
      ✓Abdominal girth
      ✓Urine specific gravity
      ✕HbA1c
      ✕Bilirubin
      ✕Head circumference
    4. A nurse on a pediatric unit is caring for a preschooler who is postoperative following an appendectomy. Complete the following sentence by using the lists of options. The child is at risk for developing ▾ Pneumonia as evidenced by their ▾ shallow breathing and ▾ lack of incentive spirometer use.
      Dropdown 1:
      Option 1: peritonitis
      Option 2: Pneumonia
      Option 3: Post operative ileus
      Dropdown 2:
      Option 1: shallow breathing
      Option 2: absent bowel sounds
      Option 3: breath sounds
      Dropdown 3:
      Option 1: absent bowel sounds
      Option 2: lack of incentive spirometer use
      Option 3: breath sounds
    Page 1 of 41

    Exam Review

    1. A nurse is preparing to administer vancomycin IV to an adult client. The client asks the nurse if the medication can be given 2 hr earlier. Which of the following statements should the nurse make?
      A)"I can infuse the medication at a faster rate."
      B)"I can adjust the time and schedule for when it's convenient for you."
      C)"I have up to 2 hours after the usual scheduled time to give you this medication."
      D)"I can start the medication 30 minutes earlier."
      E)None
      F)None
    2. A nurse in an urgent care clinic is caring for an infant who presents with vomiting, diarrhea, and decreased oral intake. Which of the following manifestations should the nurse expect?
      A)Oliguria
      B)Bulging anterior fontanel
      C)Hypertension
      D)Decreased temperature
    3. A nurse is performing a skin assessment on a client who has dark skin. Which of the following locations on the client's body should the nurse observe to assess for cyanosis?
      A)Area of trauma
      B)Shoulders
      C)Sacrum
      D)Palms of the hands
    4. A nurse is providing teaching to the parents of a newborn about newborn genetic screening. Which of the following statements should the nurse include in the teaching?
      A)"This test should be performed after your baby is 24 hours old."
      B)"A nurse will draw blood from your baby's inner elbow."
      C)"Your baby will be given 2 ounces of water to drink prior to the test."
      D)"This test will be repeated when your baby is 2 months old."
    Page 2 of 41

    Exam Review

    1. A nurse is caring for a client who is wearing antiembolic stockings. Which of the following interventions should the nurse include in the plan of care?
      A)Fold the top of the stocking over neatly.
      B)Massage the client's legs once every 8 hr while the stockings are in place.
      C)Determine if the stockings are binding.
      D)Apply the stockings after the client is in a chair.
    2. A nurse in a PACU is transferring care of a client to a nurse on the medical-surgical unit. Which of the following statements should the nurse include in the hand-off report?
      A)"The client was intubated without complications."
      B)"The estimated blood loss was 250 milliliters."
      C)"There was a total of 10 sponges used during the procedure."
      D)"The client is a member of the board of directors."
    3. A nurse on a medical-surgical unit is planning care for assigned clients. Which of the following actions should the nurse plan to take to demonstrate effective time management?
      A)Gather supplies for a client's dressing change after removing the old dressing.
      B)Complete activities for one client before moving to the next client.
      C)Document assessment findings and interventions after providing care for a group of clients.
      D)Delay cleaning personal work area until the end of the shift.
    4. A nurse realizes that the wrong medication has been administered to a client. Which of the following actions should the nurse take first?
      A)Report the incident to the nurse manager.
      B)Measure the client's vital signs.
      C)Fill out an incident report.
      D)Notify the provider.
    Page 3 of 41

    Exam Review

    1. A nurse in a provider's office is reviewing the laboratory results of a group of clients. The nurse should identify that which of the following sexually transmitted infections is a nationally notifiable infectious disease that should be reported to the state health department?
      A)Candidiasis
      B)Chlamydia
      C)Herpes simplex virus
      D)Human papillomavirus
    2. A nurse is reviewing a client's cardiac rhythm strips and notes a constant P-R interval of 0.35 seconds. Which of the following dysrhythmias is the client displaying?
      A)Atrial fibrillation.
      B)Complete heart block
      C)First-degree atrioventricular block
      D)Premature atrial complexes
    3. A newly licensed nurse is unsure if an assigned task is within their scope of practice. Which of the following resources should the nurse consult?
      A)State Nurse Practice Act
      B)Verbal direction from the nurse manager
      C)Institutional policies and procedures
      D)Written prescription from the provider
    4. A nurse is assessing a client who has obsessive-compulsive personality disorder. Which of the following manifestations should the nurse expect?
      A)Irritability
      B)Shows perfectionism
      C)Impulsivity
      D)Takes advantage of others
    Page 4 of 41

    Exam Review

    1. A school nurse is teaching a parent about absence seizures. Which of the following information should the nurse include?
      A)"This type of seizure can be mistaken for daydreaming."
      B)"This type of seizure lasts 30 to 60 seconds,"
      C)"The child usually has an aura prior to onset."
      D)"This type of seizure has a gradual onset."
    2. A nurse is assessing a child who is being treated for bacterial pneumonia. The nurse notes an increase in the child's blood glucose. The nurse should identify this finding as an adverse effect of which of the following medications?
      A)Ondansetron
      B)Guaifenesin
      C)Amoxicillin
      D)Methylprednisolone
    3. A nurse is caring for a client who is on fall precautions. Which of the following actions should the nurse take?
      A)Silence the bed alarm when visitors are at the client's bedside.
      B)Establish an elimination schedule for the client.
      C)Allow the client to walk unassisted near the nursing station.
      D)Raise all four bed rails on the client's bed.
    4. A nurse is training a newly licensed nurse. The newly licensed nurse asks if she can delegate the task of weighing several clients to an assistive personnel (AP). Which of the following responses should the nurse make?
      A)"You can delegate this task if the AP has been trained to use our scales."
      B)"You can delegate this task to an AP for new clients before performing a nursing assessment."
      C)"You should not delegate this task because you have the capability to obtain clients' weights."
      D)"You should not delegate this task because it requires nursing judgment."
    Page 5 of 41

    Exam Review

    1. A nurse is preparing to administer a nasogastric (NG) tube feeding to a school-age child. Which of the following actions should the nurse plan to take?
      A)Warm the formula in the microwave.
      B)Position the child at a 10° to 20° angle after feeding.
      C)Measure the tubing from the nose to the distal port.
      D)Complete the feeding in 5 min.
    2. A nurse is providing an in-service about client evacuation during a fire. Which of the following clients should the nurse instruct the staff to evacuate first?
      A)A client who is bedridden and wears a hearing aid.
      B)A client who is ambulatory and receiving oxygen.
      C)A client who has a fracture and is in balance suspension traction.
      D)A client who uses a wheelchair and is confused.
    3. A nurse is caring for a client who has a fractured leg and rates their pain as 7 on a scale of 0 to 10. Which of the following medications should the nurse expect to administer?
      A)Fentanyl
      B)Hydrocodone
      C)Acetaminophen
      D)Aspirin
    4. A nurse is caring for a client who has an implanted venous access port. Which of the following should the nurse use to access the port?
      A)A 25-gauge needle
      B)A noncoring needle
      C)A butterfly needle
      D)An angiocatheter
    Page 6 of 41