NursingPlex
    Sign In
    Review ModeExam ModePractice Mode

    Exam Review

    1. A client arrives at a hurricane disaster medical area seeking treatment for diarrhea, Which source of contamination should the nurse consider when interviewing the client about exposure?
      A)Food contamination from flood waters.
      B)Close living quarters at evacuation centers.
      C)Nosocomial transmission in the medical area.
      D)Drinking water contaminated by sewage.
    2. A client with deep vein thrombosis (DVT) is receiving a continuous intravenous heparin infusion. The client now has tarry, black diarrhea and reports abdominal pain. Which actions should the nurse implement? Select all that apply.(SATA)
      A)Auscultate bowel sounds in all quadrants.
      B)Prepare to administer warfarin.
      C)Assess characteristics of pain.
      D)Monitor stools for presence of blood.
      E)Review last partial thromboplastin time results.
    3. The nurse is interviewing a client with schizophrenia. Which client behavior requires immediate intervention?
      A)Shuffling gait and stooped posture.
      B)Rocks back and forth in the chair.
      C)Muscle spasms of the back and neck.
      D)Lip smacking and frequent eye blinking.
    4. An unresponsive victim of a diving accident is brought to the emergency department where it is determined that immediate surgery is required to save the client's life. The client is accompanied by a close friend, but no family members are available. Which action should the nurse take first?
      A)Carry on with surgical preparation of the client without a signed informed consent.
      B)Notify the unit manager that an emergency court order is needed to allow surgery.
      C)Ask the client's friend to sign the informed consent since the client is unresponsive.
      D)Continue to provide life support until a thorough search for a guardian is completed.
    Page 1 of 33

    Exam Review

    1. While changing a client's postoperative dressing, the nurse observes purulent drainage at the site. Before reporting this finding to the healthcare provider, the nurse should note which of the client's laboratory values?
      A)Serum sodium level.
      B)Platelet count.
      C)Hematocrit.
      D)Neutrophil count.
    2. Two weeks after returning home from traveling, a client presents to the clinic with conjunctivitis and describes a recent loss in the ability to taste and smell. The nurse obtains a nasal swab to test for COVID 19. Which action is most important for the nurse to take?
      A)Institute droplet precautions, place client in a private room, and keep the door closed.
      B)Notify the charge nurse the client will need assignment to the COVID 19 specified area of the facility.
      C)Update the client and family regarding the COVID 19 vaccines that are available.
      D)Teach the client to wear a mask, hand wash, and social distance to prevent spreading the virus.
    3. The adult child of an older adult client who has Parkinson's disease, calls the clinic and reports that the client has been confused for the past week. What action(s) should the nurse take? Select all that apply.(SATA)
      A)Determine if the client has recently experienced a fall.
      B)Instruct the adult child to check the client's temperature.
      C)Ask if the client is experiencing any pain with urination.
      D)Encourage increased intake of high protein foods.
      E)Review the client's current food and medication allergies.
    4. A 2-year-old is brought to the emergency department (ED) with a history of several days of rhinitis and now exhibits a productive barking cough and difficulty breathing. Which additional finding should alert the nurse that the child is experiencing respiratory distress?
      A)A resting respiratory rate of 35 breaths/minute.
      B)Flaring of the nares.
      C)Diaphragmatic respirations.
      D)Bilateral bronchial breath sounds.
    Page 2 of 33

    Exam Review

    1. An older client with osteoarthritis reports increasing pain and stiffness in the right knee and asks how to reduce these symptoms. In responding to the client, the nurse recognizes what pathology as the cause of the symptoms?
      A)Destruction of joint cartilage.
      B)Loss of bone mineral density.
      C)Infectious process in the synovial fluid.
      D)Systemic inflammatory response.
    2. The nurse is caring for a client with a history of coronary artery disease who reports waking up with a sudden onset of viselike chest pressure. The client reports that the pain decreases at rest but continues to feel a constant mid-chest pressure. After obtaining the client's vital signs, which action should the nurse take next?
      A)Listen for extra heart sounds, murmurs, and rhythm with the bell of the stethoscope.
      B)Initiate dim lighting, lower alarm volumes, and control traffic in and out of the room area.
      C)Obtain a 12-lead electrocardiogram and begin continuous cardiac monitoring.
      D)Notify the unlicensed assistive personnel (UAP) to restrict family and visitors at this time.
    3. An client who weighs 160 pounds receives a prescription for gentamicin 5 mg/kg/day intravenously in divided doses every 8 hours. How many mg should the nurse administer with each dose? (Enter numerical value only. If rounding is required, round to the nearest whole number.)
    4. In caring for a client following a head injury, the nurse plans to assess for rhinorrhea so that a sample can be tested for the presence of cerebrospinal fluid (CSF). At which location should the nurse observe for this finding? (Click the chosen location. To change, click on the new location.)
      Correct Answer:"\"\\\"{\\\\\\\"xRanges\\\\\\\":[215.828125,250.828125],\\\\\\\"yRanges\\\\\\\":[93.5,128.5]}\\\"\""
    Page 3 of 33

    Exam Review

    1. The nurse is providing teaching to a client with type 2 diabetes mellitus about managing care at home. Which information verbalized by the client indicates understanding?
      A)Do not take diabetes medication when feeling sick.
      B)Obtain an A1C blood test every year to monitor glucose control.
      C)Follow the individualized meal plan and avoid high fat diets.
      D)Apply lotion to entire foot to prevent cracks in the skin.
    2. While the nurse is admitting a client with partial thickness burns to the upper extremities, chest, and abdomen, the client experiences difficulty swallowing. The client is drooling and anxious. Which intervention should the nurse implement first?
      A)Assess papillary reactions to light.
      B)Measure and record abdominal girth.
      C)Auscultate over main stem bronchus.
      D)Determine time of last oral intake.
    3. The nurse is providing dietary education to a client in end stage kidney failure who requires dialysis three times a week. Which information is important for the nurse to include about the client's daily diet?
      A)The intake of protein should be increased to assist in healing the function of the kidney's nephrons.
      B)The intake of protein should be increased to prevent malnutrition and increase energy.
      C)The intake of protein should be decreased due to the progressively failing function of the kidney.
      D)The protein intake should be decreased to prevent nitrogenous waste buildup.
    4. A client newly diagnosed with diabetes mellitus suddenly becomes confused and weak. Which intervention(s) should the nurse implement? Select all that apply.(SATA)
      A)Give the client 4 ounces (120 mL) of orange juice.
      B)Administer a PRN dose of regular insulin.
      C)Provide the client with 1/2 cup (120 mL) diet carbonated soda.
      D)Check the client's current fingerstick blood glucose.
      E)Obtain blood pressure and pulse rate.
    Page 4 of 33

    Exam Review

    1. A client who was admitted with rapid atrial flutter is receiving amiodarone 1 mg/minute via a peripheral IV infusion in the left hand. The unlicensed assistive personal (UAP) reports to the nurse that the client's heart rate is 90 beats/minute and blood pressure is 110/50 mm Hg. Which intervention should the nurse implement?
      A)Tell the UAP to turn off the amiodarone.
      B)Evaluate rhythm of client's heat rate.
      C)Determine regularity of peripheral pulses.
      D)Restart the IV infusion in another site.
    2. A client with chronic obstructive pulmonary disease (COPD) smokes two packs of cigarettes per day and is admitted to the hospital for a respiratory infection. The client reports difficulty controlling respiratory distress at home when using the rescue inhaler. Which comment from the client indicates to the nurse that the client is not using the inhaler properly
      A)"After I squeeze the inhaler and swallow, I always feel a slight wave of nausea, but it goes away."
      B)"I have a hard time inhaling and holding my breath after I squeeze the inhaler, but I do my best."
      C)"I never use the inhaler unless I am feeling really short of breath."
      D)"I always shake the inhaler several times before I start."
    3. The nurse on the medical-surgical unit is receiving a transfer report from the postanesthesia care unit (PACU) nurse for a client who had an exploratory laparotomy. The PACU nurse provides the following information: "1,000 mL 0.9% sodium chloride is infusing at 125 mL/hr into the left wrist with 600 mL remaining. Ondansetron 4 mg IV every 8 hours is prescribed for nausea. The last dose was administered at 0700. The client is currently describing pain at a level 2 on a 0 to 10 pain scale. The client has a prescription for hydromorphone 1 mg IV every 2 hours PRN for pain. The last dose was administered at 1000." Which additional information should the PACU nurse report?
      A)Peripheral pulses present with full range of motion of both legs.
      B)History of vomiting at home for 3 days prior to surgery.
      C)Soft abdomen, absent bowel sounds, no bleeding on dressing.
      D)Declining to take ice chips despite reporting of dry mouth.
    4. Which client should the charge nurse on the oncology unit assign to an RN, rather than a practical nurse (PN)?
      A)An adult client in remission after a series of chemotherapy treatments who is receiving intramuscular iron injections for anemia.
      B)A young adult client who is experiencing fatigue while undergoing a series of external beam radiation treatments for stage I cancer.
      C)An elderly female client with cancer whose children who are trying to decide whether to change to palliative care measures or continue disease control.
      D)A middle-aged male client who has just undergone an excisional biopsy and has been told that his tumor appears to be benign.
    Page 5 of 33

    Exam Review

    1. A parent brings their 2-month-old infant to the clinic to receive the recommended primary vaccines. Which instruction should the nurse provide the parent about care of the infant after the injections?
      A)Keep the infant home from daycare for the next two days.
      B)Apply a cool pack to the injection site to reduce discomfort.
      C)Any level of fever is serious and should be reported right away.
      D)Administer children's aspirin to help prevent inflammation.
    2. While caring for a client after a small bowel resection, the nurse is informed that the client has a history of methicillin-resistant Staphylococcus aureus (MRSA). To reduce the risk of recurrence of the MRSA in the postoperative wound, which intervention is most important for the nurse to implement?
      A)Report any increase the white blood cell count.
      B)Wear a face mask while performing wound care.
      C)Instruct the family to adhere to contact precautions.
      D)Change the surgical dressing readily when soiled.
    3. A client is admitted to the mental health unit for feelings of depression secondary to a positive HIV report. To provide a safe milieu for this client, which action should the nurse take?
      A)Ensure that prescribed medications are kept in a safe place in the room.
      B)Replace paper trash bags with plastic biohazard bags.
      C)Remove soft drink cans from the nurse's desk and patient lounge.
      D)Take the client's cellular telephone and provide a telephone in the room.
    4. The nurse is working on an infectious disease unit. Which client should be assigned to a room with negative airflow, while requiring personnel to use a particulate respirator mask, and requiring staff to observe airborne, as well as standard precautions?
      A)Twin siblings admitted with scarlet fever that is complicated with pneumonia.
      B)An older client with scabies who is admitted from an extended care facility.
      C)A female adolescent admitted with multiple genital Herpes simplex II lesions.
      D)A client with a positive Mantoux and sputum cultures results positive for acid-fast bacillus (AFB).
    Page 6 of 33