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    Exam Review

    1. A nurse is caring for a client at the clinic. Exhibits Complete the following sentence by using the lists of options. The client is at risk for ▾ spontaneous abortion as evidenced by ▾ Cervical dilation.
      Dropdown 1:
      Option 1: molar pregnancy
      Option 2: ectopic pregnancy
      Option 3: spontaneous abortion
      Dropdown 2:
      Option 1: Cervical dilation
      Option 2: Bright red vaginal bleeding
      Option 3: History of chlamydia infection
    2. A nurse is caring for a client in the emergency department. Exhibits The nurse reviews the medical record. Complete the following sentence by using the lists of options The client likely experienced ▾ opioid intoxication as evidenced by ▾ pupil characteristics.
      Dropdown 1:
      Option 1: opioid intoxication
      Option 2: alcohol intoxication
      Option 3: alcohol withdrawal
      Option 4: opioid withdrawal
      Dropdown 2:
      Option 1: amount of alcohol consumed
      Option 2: current temperature
      Option 3: breath sounds
      Option 4: pupil characteristics
    3. A nurse on a pediatric unit is caring for a preschooler who is postoperative following an appendectomy. Exhibits 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: wound infection
      Dropdown 2:
      Option 1: bowel sounds
      Option 2: shallow breathing
      Option 3: temperature
      Dropdown 3:
      Option 1: surgical dressing
      Option 2: abdominal tenderness
      Option 3: lack of incentive spirometer use
    4. A nurse is caring for an 18-month-old toddler in the emergency department. Exhibits For each potential assessment finding, click to specify if the finding is consistent with Epiglottitis, Respiratory Syncytial Virus, or Acute Streptococcal Pharyngitis, Each finding may support more than 1 disease process.
      EpiglottitisRespiratory Syncytial virusAcute Streptococcal Pharyngitis
      Drooling✓
      Hypoxia✓✓
      Fever✓✓✓
      Tachypnea✓✓
      Exudate on pharynx✓
      Wheezing upon auscultation✓
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    Exam Review

    1. Exhibits For each potential assessment finding, click to specify if the finding is consistent with Crohn’s disease, appendicitis or intussusception. Each finding may support more than 1 disease process.
      Crohn's diseaseAppendicitisIntussusception
      Temperature✓✓
      Vomiting✓✓✓
      Abdominal findings✓✓
      Stool✓✓
      Pain rating✓✓
    2. A nurse is caring for an adolescent in the outpatient dermatologist's office. Exhibits Complete the following sentence by using the lists of options. A nurse is providing education today on the newly-prescribed medication. The nurse recommends the adolescent notify the provider immediately if ▾ a change in mood or ▾ decreased night vision occurs during therapy.
      Dropdown 1:
      Option 1: the development of dry eyes
      Option 2: a change in mood
      Option 3: dry mouth
      Option 4: nausea
      Dropdown 2:
      Option 1: sunburn
      Option 2: worsening of acne
      Option 3: decreased night vision
      Option 4: engagement in sexual activity
    3. A nurse is caring for a client in active labor. Exhibits The nurse is assuming care for the client at 0305. For each nursing action, click to specify if the nursing action is essential or contraindicated for the client.
      EssentialContraindicated
      Monitor for elevated temperature✓
      Assess for urinary retention✓
      Assist the client with ambulation✓
      Inform the Client to expect drowsiness✓
      Encourage the cue to turn from side to side✓
    4. A nurse is admitting a client who is to undergo paracentesis for removal of ascitic fluid. Which of the following actions should the nurse take?
      A)Weigh the client before and after the procedure.
      B)Administer a low-volume hypertonic enema the night before the procedure.
      C)Place the client in a side-lying position for the procedure.
      D)Ensure the client has a full bladder just prior to the procedure.
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    Exam Review

    1. A charge nurse is concerned about a recent increase in facility-acquired catheter infections. Which of the following actions should the nurse take first?
      A)Identify possible precipitating factors related to the infections.
      B)Meet with providers to discuss measures to decrease the infections
      C)Schedule nursing staff training for infection control procedures
      D)Revise the current policy for catheter care.
    2. A nurse manager is planning to teach staff about critical pathways. Which of the following information should the nurse plan to include?
      A)Nurses notes are used to create the critical pathway
      B)Critical pathways should reduce health care costs
      C)Critical pathways have an unlimited timeframe for completion.
      D)Nurses should discontinue the critical pathway if variances occur
    3. A nurse is caring for a client who has a spinal cord injury. Which of the following support devices should the nurse plan to use to prevent plantar flexion contractures?
      A)Trochanter roll
      B)Footboard
      C)Sheepskin heel pad
      D)Abduction pillow
    4. A nurse is teaching a group of parents about expected development of gross motor skills during infancy. The nurse should teach that the following developmental tasks are expected to occur in what order? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
      A)Rolls from back to side1
      B)Rolls from back to abdomen2
      C)Sits steadily unsupported3
      D)Changes from prone to sitting4
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    Exam Review

    1. A nurse is developing an in-service about personality disorders. Which of the following information should the nurse include when discussing borderline personality disorder?
      A)“The client exhibits impulsive behavior."
      B)“The client is overly concerned about minor details."
      C)“The client might act seductively
      D)“The client is exceptionally clingy to others."
    2. A nurse is providing discharge teaching to a client who has cancer and a prescription for a fentanyl 25 mcg/hr transdermal patch. Which of the following instructions should the nurse include in the teaching?
      A)"Avoid high-fiber foods while taking this medication."
      B)"Apply the patch to your forearm."
      C)"Avoid hot tubs while wearing the patch."
      D)"Remove the patch for 8 hours every day to reduce the risk of tolerance"
    3. A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse include in the plan?
      A)Refer to the hallucinations as if they are real
      B)Ask the client directly what they are hearing
      C)Avoid eye contact with the client.
      D)Encourage the client to lie down in a quiet room.
    4. A nurse in an emergency department is assessing four clients. Which of the following clients should the nurse see first?
      A)A client who reports a sudden onset of dizziness when sitting up
      B)A client who has new onset urticaria and angioedema
      C)A client who has numerous rectal polyps and blood-tinged stools
      D)A client who has a subluxation of the fifth digit on the left foot
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    Exam Review

    1. A nurse is reporting a client's laboratory tests to the provider to obtain a prescription for the client's daily warfarin. Which of the following laboratory tests should the nurse plan to report to obtain the prescription for the warfarin?
      A)Fibrinogen level
      B)aPTT
      C)INR
      D)Platelet count
    2. A nurse is teaching a client about skin cancer prevention. Which of the following statements by the client indicates an understanding of the teaching?
      A)“I will apply sunscreen before and after swimming."
      B)“I will use sunblock with an SPF of 10 when I am outdoors."
      C)“I will use an indoor tanning bed instead of going outside."
      D)“I will plan to spend time tanning between 10 a.m. and 2 p.m.”
    3. A nurse is caring for a client who has a potassium level of 3.2 mEq/L (3.5 to 5 mEq/L). Which of the following foods should the nurse recommend as being the best source of potassium?
      A)1⁄2 cup apple juice
      B)½ cup steamed cauliflower
      C)cup boiled white rice
      D)1 cup cantaloupe
    4. A nurse is preparing a client for transfer to a long-term rehabilitation facility following a below-the-knee amputation of the right leg. Which of the following actions should the nurse take to protect the client's confidentiality?
      A)Email the client's health information to the facility in an unencrypted file
      B)Fax the client's name and identifiable information to the rehabilitation
      C)Discuss the client's response to the transfer with another staff nurse
      D)Provide a verbal report of the client's condition to the paramedic
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    Exam Review

    1. A nurse is reviewing admission prescriptions for a group of clients. Which of the following prescriptions should the nurse identify as complete?
      A)Nitroglycerin transdermal patch
      B)Aspirin 1 tablet daily
      C)Metoprolol 5 mg IV now
      D)Furosemide 20 mg BID
    2. A nurse is caring for a client in a clinic. Exhibits For each body system below, click to specify the adverse effect that the nurse should include in the teaching. Choose the most likely response for the dropdown(s) in the table below by choosing from the lists of options. Body System Common Adverse Effects Head, eyes, ears, nose, and throat (HEENT) ▾ Blurred vision Cardiovascular ▾ Orthostatic hypotension Genitourinary ▾ Urinary retention Gastrointestinal ▾ Constipation
      Dropdown 1:
      Option 1: Blurred vision
      Option 2: Hearing loss
      Option 3: Photophobia
      Dropdown 2:
      Option 1: Orthostatic hypotension
      Option 2: Hypertension
      Option 3: Bradycardia
      Dropdown 3:
      Option 1: Urinary retention
      Option 2: Urinary incontinence
      Option 3: Increased libido
      Dropdown 4:
      Option 1: Dry mouth
      Option 2: Diarrhea
      Option 3: Constipation
    3. A nurse is caring for a client who has preeclampsia and is experiencing a postpartum hemorrhage. The nurse should expect the provider to prescribe which of the following medications?
      A)Oxytocin
      B)Methylergonovine
      C)Carboprost
      D)Nifedipine
    4. A nurse is assessing a client prior to administering the influenza vaccine. The nurse should assess if the client has an allergy to which of the following foods?
      A)Gelatin
      B)Shellfish
      C)Egg
      D)Milk
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