NursingPlex
    Sign In
    Review ModeExam ModePractice Mode

    Exam Review

    1. A nurse is planning care for a toddler who has epiglottitis. Which of the following interventions should the nurse include?
      A)Administer pancreatic enzymes with meals.
      B)Carefully suction the child's oropharynx to remove secretions.
      C)Continuously monitor the child's respiratory status
      D)Instill normal saline drops to nares before meals
    2. A nurse is caring for a client who has an acute exacerbation of chronic pain. Which of the following medications should the nurse anticipate administering for the client?
      A)Naloxone
      B)Acetaminophen
      C)Fentanyl
      D)Zolpidem
    3. A nurse is caring for a client who is receiving oxytocin and notes that the electronic fetal monitor shows persistent late decelerations. Which of the following actions should the nurse take?
      A)Increase the rate of the oxytocin infusion.
      B)Administer dinoprostone transvaginally
      C)Place the client in a lateral position.
      D)Assist the client to empty their bladder.
    4. A nurse is providing preoperative teaching to a client about the administration of morphine via a PCA pump. Which of the following statements by the client indicates an understanding of the teaching?
      A)"Using this machine increases my risk of overdose.”
      B)“I can get pain medication any time as long as I press the button”
      C)"My partner can press my pain medication button for me if I am sleeping"
      D)"I will receive a limited amount of pain medication when I press the button."
    Page 1 of 44

    Exam Review

    1. A nurse is preparing to administer a subcutaneous injection to a client. Which of the following sites should the nurse choose?
      A)Forearm
      B)Vastus lateralis
      C)Ventrogluteal
      D)Abdomen
    2. A nurse is assessing a client who has obsessive-compulsive personality disorder. Which of the following manifestations should the nurse expect?
      A)Lack of empathy
      B)Fear of abandonment
      C)Distrust of others
      D)Focus on perfectionism
    3. A nurse is planning to administer 2 units of packed RBCs to an older adult client who has anemia. Which of the following actions should the nurse plan to take? (Select all that apply.)(SATA)
      A)Prime the infusion tubing with 0.45% sodium chloride.
      B)Assess the client's lung sounds prior to the infusion.
      C)Verify with another nurse that the unit of blood is compatible with the client's blood type.
      D)Don sterile gloves to prepare the blood administration setup.
      E)Infuse the blood over 4 hr.
    4. A nurse is caring for a 2-year-old toddler. Which of the following food choices should the nurse recommend to promote independence in eating?
      A)Banana slices
      B)Popcorn
      C)Grapes
      D)Hot dog
    Page 2 of 44

    Exam Review

    1. A charge nurse delegates to an assistive personnel (AP) the task of ambulating a client. At the end of the shift, the nurse discovers the client has not been ambulated. Which of the following actions should the nurse take first?
      A)Evaluate why the client was not ambulated.
      B)Ambulate the client on behalf of the AP.
      C)Supervise the AP performing the task.
      D)Remind the AP of her assigned tasks.
    2. A nurse is caring for a client who has prescriptions for furosemide and gentamicin. For which of the following complications should the nurse monitor the client?
      A)Hyperkalemia
      B)Hypoglycemia
      C)Ototoxicity
      D)Liver toxicity
    3. A home health nurse is verifying a client's prescribed medications and notes that one medication dose was decreased by half. The client asks the nurse if they can cut the tablets in half. Which of the following actions should the nurse take?
      A)Instruct the client to discard the medication in the toilet.
      B)Manually break the tablets in half.
      C)Determine if the tablets are scored.
      D)Ask the pharmacy to create a liquid version of the medication.
    4. A nurse is reviewing the laboratory report of a client who is at 6 weeks of gestation. Which of the following laboratory results should the nurse report to the provider?
      A)WBC count 10,000/mm3 (5.000 to 10,000/mm3
      B)Fasting blood glucose 80 mg/dL (74 to 106 mg/dL)
      C)Hematocrit 30% (37% to 47%)
      D)RBC count 6 million/mm (4.2 to 6.1 million/mm)
    Page 3 of 44

    Exam Review

    1. A nurse is observing a newly licensed nurse who is administering total parenteral nutrition (TPN) to a client. Which of the following actions by the newly licensed nurse indicates a need for the nurse to intervene?
      A)Uses the TPN IV tubing to administer the client's next dose of antibiotics
      B)Plans for a check of the client's fingerstick glucose level every 6 hr
      C)Gradually increases the TPN infusion rate each hour until the prescribed rate is achieved
      D)Schedules a bag and tubing change for 24 hr after the start of the infusion
    2. A nurse is planning to delegate the fasting blood glucose testing for a client who has diabetes mellitus to an assistive personnel (AP). Which of the following actions should the nurse take?
      A)Assign the AP to ask the client if she has taken her antidiabetic medication today
      B)Determine if the AP has the skills to perform the test.
      C)Have the AP check the medical record for prior blood glucose test results.
      D)Help the AP perform the blood glucose test.
    3. A nurse is assessing a client who presents to the labor and delivery unit reporting the onset of contractions. Which of the following findings should the nurse identify as a manifestation of false labor?
      A)Contraction intensity increased by ambulation
      B)Presence of bloody show
      C)Slow change in dilation and effacement
      D)intermittent, painless contractions
    4. A nurse is caring for a 9-year-old child on the pediatric unit. Exhibits Complete the following sentence by using the lists of options. The nurse should plan to ▾ inspect the child's oropharynx followed by ▾ obtaining a set of vital signs.
      Dropdown 1:
      Option 1: place the child in a supine position
      Option 2: offer the child a red popsicle
      Option 3: inspect the child's oropharynx
      Dropdown 2:
      Option 1: encouraging the child to cough and deep breathe
      Option 2: obtaining a set of vital signs
      Option 3: requesting a prescription for codeine
    Page 4 of 44

    Exam Review

    1. A nurse is preparing to administer a medication that is available in a glass ampule. Which of the following actions should the nurse plan to take?
      A)The nurse should dispose of the ampule in the trash can
      B)The nurse should use the same needle to draw up and inject the client.
      C)The nurse should use a filter needle to withdraw the medication
      D)The nurse should break the neck of the ampule toward their body.
    2. A nurse in an emergency department is caring for a client who is experiencing a morphine overdose. Which of the following medications should the nurse anticipate administering to the client?
      A)Disulfiram
      B)Naloxone
      C)Activated charcoal
      D)Flumaren
    3. A nurse is providing teaching about foot care to a client who has diabetes mellitus. Which of the following instructions should the nurse include? (Select all that apply)(SATA)
      A)"Alternate the shoes you wear each day."
      B)"Apply synthetic fabric socks."
      C)"Wear open-toe shoes"
      D)"Wash your feet daily with warm water and soap”
      E)"Soak your feet for 1 hour each day."
    4. A nurse is caring for a 6-year-old child who is receiving radiation therapy. The child is crying because their hair is falling out. Which of the following actions should the nurse take?
      A)Provide the child with electronics to watch movies.
      B)Tell the child there's no need to cry because this is expected.
      C)Provide the child with a doll that does not have any hair.
      D)Tell the child not to worry about their hair loss because their hair will grow back.
    Page 5 of 44

    Exam Review

    1. A client requests to have a copper intrauterine device (IUD) inserted for contraception. Which of the following should the nurse recognize as a contraindication to IUD insertion?
      A)History of severe menorrhagia
      B)Desire to become pregnant in 1 to 2 years
      C)Takes antiretroviral therapy for HIV
      D)Report of unprotected sex in the past 24 hr
    2. A nurse is conducting an initial assessment of a client and notices a discrepancy between the client's current IV infusion and the information received during the shift report. Which of the following actions should the nurse take?
      A)Compare the current infusion with the prescription in the client's medication record.
      B)Submit a written warning for the nurse involved in the incident.
      C)Complete an incident report and place it in the client's medical record.
      D)Contact the charge nurse to see if the prescription was changed
    3. A nurse is caring for a client who is receiving continuous enteral feedings. Which of the following actions should the nurse take? (Select all that apply)(SATA)
      A)Check gastric residuals every 4 hr.
      B)Check placement of the feeding tube by x-ray once daily
      C)Maintain the head of the client's bed at a 30° angle or higher
      D)Change the feeding container and tubing every 24 hr.
      E)Ensure the formula is cold before administration.
    4. A nurse is teaching a group of newly licensed nurses about client advocacy. Which of the following statements by a newly licensed nurse indicates an understanding of the teaching?
      A)“I should advise a client about what I feel to be his best health care decision."
      B)"I should not advocate for a client unless he is able to ask me himself."
      C)“I will intervene if there is a conflict between a client and his provider."
      D)“I will inform a client that his family should help make his health care decisions."
    Page 6 of 44