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    Exam Review

    1. A nurse is providing an educational community seminar about the health risks of obesity. Which of the following topics should the nurse include in the discussion? (Select all that apply.)(SATA)
      A)Type 2 diabetes mellitus
      B)Colon cancer
      C)Primary open-angle glaucoma
      D)Elevated HDL level
      E)Hypertension
    2. A nurse is caring for a group of clients. Which of the following interventions is an example of tertiary prevention?
      A)Performing hearing exams on clients working at a local industrial plant
      B)Reviewing appropriate foot care with a client who has diabetes mellitus
      C)Recommending an influenza vaccine for an older adult client
    3. A nurse manager is preparing a staff education session covering the dimensions of health. Which of the following is appropriate for the nurse to include?
      A)Identifying personal beliefs is the initial step in working toward emotional health.
      B)Finding personal satisfaction in your profession is a component of occupational health.
      C)Recognizing individual feelings is an important part of achieving intellectual health.
    4. A nurse is discussing health and wellness with an older adult client. Which of the following statements is appropriate to explore the client's emotional wellness?
      A)"Tell me how you deal with everyday problems."
      B)"Tell me about your values related to personal health."
      C)"Tell me about your workplace environment."

    Exam Review

    1. A nurse is talking with a coworker who reports difficulty sleeping on her days off. Which of the following recommendations by the nurse is appropriate to improve her coworker's ability to sleep?
      A)Take a brisk walk 30 min before going to sleep.
      B)Avoid maps during the daytime.
      C)Leave a nightlight on in the bedroom.
    2. A nurse is developing an education program about dietary supplements. Which of the following clients would benefit from a dietary supplement?
      A)A client who has a family history of heart disease
      B)A client who is at risk for osteoporosis
      C)A client who has an upper respiratory infection
    3. A nurse is providing education to a client who has insomnia. Which of the following is appropriate advice by the nurse?
      A)Take a warm bath 30 min before bedtime.
      B)Go to bed 1 hr earlier than regular bedtime.
      C)Have a glass of wine 1 hr before bedtime.
    4. A nurse is teaching a client about sleep. Which of the following statements by the client indicates a need for further teaching?
      A)"should increase the temperature of my bedroom when I sleep."
      B)"My level of motivation is improved with sleep."
      C)"I need to get about 7 hours of sleep each night."

    Exam Review

    1. A nurse is discussing preventative screenings with a group of clients. Which of the following statements by the nurse is appropriate to include in the discussion?
      A)"ME should begin receiving annual prostate exams at age 50."
      B)"Men should begin performing monthly testicular self-exams at age 35."
      C)"Men should begin regular monitoring of cholesterol levels at age 40."
    2. A nurse is caring for a group of clients and performs hand hygiene. In which of the following situations is it appropriate for the nurse to use soap and water instead of an alcohol-based hand rub?
      A)After bathing a client who has Clostridium difficile
      B)Prior to caring for a client who has neutropenia
      C)Upon completion of obtaining vital signs on a client who has pneumonia
    3. A nurse is teaching a group of older adults about nutritional needs. Which of the following contributes to the need for changes in the dietary habits of older adults?
      A)Sensitive gag reflex
      B)Increased thirst sensation
      C)Reduced metabolic rate
    4. A nurse is discussing the physiological and psychological effects of stress with a client. Which of the following should the nurse include as a psychological effect?
      A)Muscle tension
      B)Anxiety
      C)Insomnia

    Exam Review

    1. A nurse is teaching an older adult client about physical activity. Which of the following statements by the client indicates an understanding of the teaching?
      A)"I should eliminate the use of assistive devices when I am doing strengthening exercises."
      B)"I should include weight-bearing activities in my exercise plan to help prevent bone loss."
      C)"I should avoid resistance training programs which can increase my risk for falling."
    2. A nurse is performing an admission assessment for a client who is seeking treatment for alcohol use disorder. Which of the following is an expected finding?
      A)Oxygen saturation level of 92%
      B)Hemoglobin level of 10 g/dL
      C)Body mass index of 24
    3. A nurse who has recently withdrawn from friends and family meets with a counselor to develop stress management techniques. The counselor should explain that social support improves the integrity of which of the following body systems?
      A)Immune
      B)Musculoskeletal
      C)Pulmonary
    4. A nurse is caring for a client in the alarm stage of stress following a traumatic event. The nurse should know that which of the following physiological reactions will occur during this stage.
      A)Increased epinephrine
      B)Increased thyroxine
      C)Increased urinary output

    Exam Review

    1. A nurse is discussing stress relief with a client. Which of the following statements by the client indicates a need for further teaching?
      A)"I listen to music when I'm stressed."
      B)"I jog before bed when I'm stressed."
      C)"I write in my journal when I'm stressed."
    2. A nurse educator is teaching the concept of health to a group of nursing students. Which of the following statements by a nursing student indicates understanding of the teaching?
      A)"Health is the body's ability to maintain a physiological balance."
      B)"The concept of health identifies the mind and body as independent parts of the individual."
      C)"Health is a concept that includes social well-being."
    3. A nurse is caring for a client who has exercise-induced dehydration. Which of the following are findings associated with this diagnosis? (Select all that apply.)(SATA)
      A)Lethargy
      B)Tachycardia
      C)Decreased skin turgor
      D)Elevated blood pressure
      E)Polyuria
    4. A nurse at a clinic is caring for a child who is scheduled to receive the human papillomavirus (HPV) vaccine. The client's mother asks for information about this vaccine. Which of the following is an appropriate response by the nurse?
      A)"The HPV vaccine is recommended at 11-12 years of age."
      B)"The HPV vaccine reduces the risk of testicular cancer in males."
      C)"The HPV vaccine is a single dose and will not need to be repeated."

    Exam Review

    1. A nurse manager is discussing time management with a newly licensed nurse. Which of the following strategies is appropriate to recommend?
      A)Cluster client care tasks.
      B)Perform difficult tasks last.
      C)Minimize delegation of tasks.
    2. A nurse is performing a nutritional assessment on a client. Which of the following is an anthropometric measurement the nurse should evaluate?
      A)Skinfold thickness
      B)Water intake
      C)Portion sizes
    3. A nurse is caring for an older adult client who reports episodes of insomnia. The nurse should include which of the following dietary interventions in the plan of care?
      A)Provide a small cup of hot chocolate as part of the bedtime routine.
      B)Provide the client's largest meal in the evening.
      C)Provide the client with a low-carbohydrate snack at bedtime.
    4. A nurse is leaving the hospital at the end of a shift when another nurse begins making harassing remarks. Which of the following actions should the nurse take first?
      A)Inform the facility's risk management department.
      B)Report the incident to the nurse manager.
      C)File a complaint with human resources.