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    Exam Review

    1. A nurse is caring for a client who has HIV and is neutropenic. Which of the following findings should the nurse identify as increasing the risk for the client to develop an infection?
      A)The client's meal tray includes ice cream with fresh fruit.
      B)The client is assigned to a room with negative airflow.
      C)The client has artificial flowers in the room.
      D)The client's meal tray contains hard boiled eggs.
    2. A nurse is caring for a client who has a prescription for levothyroxine. Which of the following laboratory tests should the nurse monitor?
      A)Arterial blood gases
      B)Thyroid stimulating hormone
      C)Prothrombin time
      D)Blood urea nitrogen
    3. A nurse is reinforcing teaching with client who has diabetes mellitus and is taking insulin lispro and insulin glargine. Which the following instructions should the nurse include in the teaching?
      A)"Draw up the insulin lispro and insulin glargine in separate syringes.
      B)"Take an extra dose of insulin lispro prior to aerobic exercise."
      C)‘’Expect insulin glargine to be cloudy."
      D)"Anticipate that the insulin glargine will peak in 3 hours."
    4. A charge nurse is reinforcing teaching with a newly licensed nurse about infection control measures. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
      A)"For a client who has Clostridium difficile. I will cleanse my hands with an alcohol based rub.
      B)‘’Droplet precautions require that I wear a gown and gloves when providing client care."
      C)‘’Following a blood spill, I should use a bleach solution with a ratio of 1 to 20.
      D)"Soiled dressings should be placed in a biohazard trash receptacle."
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    Exam Review

    1. A nurse is collecting data from a client who is 2 days postpartum. The client tells the nurse she cannot afford to pay for baby formula. The nurse should refer the client to which of the following members of the interprofessional team?
      A)Nutritionist
      B)Case manager
      C)Primary care provider
      D)Pediatric nurse practitioner
    2. A nurse is supervising an assistive personnel (AP) who is applying antiembolic stockings for a client. Which of the following actions by the AP requires intervention by the nurse?
      A)Ensuring that creases in the stockings on the front of the client's legs
      B)Applying the stockings before the client gets out of bed
      C)Asking the client to point their toes before applying the stockings
      D)Turning the stockings inside out before applying them
    3. A nurse is reinforcing teaching with a parent of a child who has asthma about the administration of montelukast. Which of the following statements by the parent indicates an understanding of the teaching?
      A)‘’It takes 2 months of scheduled use before this medication is effective."
      B)‘’I will give this medication t my child every 2 hours if he is wheezing."
      C)‘’I will give this medication to my child once daily in the evening."
      D)‘’I can stop giving my child this medication if he is taking steroids."
    4. A nurse is reinforcing teaching about healthy lifestyle changes with a female client who has mild hypertension. Which of the following statements by the client indicates an understanding of the teaching?
      A)"I should decrease my salt intake to 2 grams per day."
      B)‘’I can have two glasses of wine with dinner."
      C)"I should exercise for 5 minutes two times per week."
      D)"I will set my blood pressure goal at 130 over 84."
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    Exam Review

    1. A nurse is discussing home care concerns with the son of a client who has Alzheimer's disease. The son states, "I am so tired all the time, but Mom needs me." Which of the following responses should nurse make?
      A)"You owe it to your mother to take care of her now that she needs you."
      B)You should think about placing your mother in a long-term care facility."
      C)"Let me give you some information about respite care for your mother."
      D)think you should find other family members who could help your mother."
    2. A nurse is caring for a child who has terminal cancer. Which of the following responses by the child's school-age brother should the nurse expect?
      A)Regresses to an earlier developmental level
      B)Alienates himself from his peers
      C)Believes that his brother's death will be reversible
      D)Believes his bad behavior is causing his brother's death
    3. A nurse is reinforcing teaching with the guardian of a 2-month-old infant about immunizations. Which of the following statements by a guardian indicates an understanding of the teaching?
      A)"My baby will receive the rotavirus immunization orally."
      B)should expect my baby to have a high fever for 24 hours after an immunization."
      C)"I should not feed my baby anything for hours prior to an immunization."
      D)"My baby will receive three doses of the meningococcal immunization before kindergarten."
    4. A nurse is reinforcing teaching with new parents about car seat safety. Which of the following instructions should the nurse include?
      A)Put small cushion under the newborn's head for support.
      B)Position the car seat at a 90° angle.
      C)Place the shoulder harnesses at the level of the infant's shoulders.
      D)Keep the airbag on if the car seat is in the front seat.
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    Exam Review

    1. A nurse is collecting data from a client who has pyelonephritis and receiving gentamicin via IV infusion. Which of the following manifestation should the nurse identify as an adverse effect of the treatment?
      A)Slurred speech
      B)Constipation
      C)Hypotension
      D)New onset of hearing loss
    2. A nurse in an acute care setting is assisting in collecting client information to include in a referral for physical therapist. Which of the following information should the nurse plan to include?
      A)Medical health insurance claims
      B)Physical assessment findings
      C)Medications taken prior to admission CO
      D)Family medical history
    3. A nurse is reinforcing teaching with the partner of a client who is receiving hospice care about music therapy for pain management. Which of the following statements by the partner indicates an understanding of the teaching?
      A)"My husband won't need medication for breakthrough pain while using music therapy."
      B)‘’Playing music will increase my husband's alertness.’’
      C)"I will discontinue music therapy when my husband is no longer responsive.’’
      D)"Music will distract my husband's awareness of the pain.’’
    4. A nurse is reviewing laboratory findings for three clients. Which of the following laboratory results should the nurse expect for a client has pancreatitis?
      A)Prolonged PT/INR
      B)Elevated lipase
      C)Decreased albumin
      D)Elevated ammonia
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    Exam Review

    1. A nurse is assisting with the care of a client who is receiving a spinal epidural to treat a herniated disc. Which of the following findings should the nurse identify as an indicator of unrelieved pain?
      A)Clenched teeth
      B)Constipation
      C)Difficulty swallowing
      D)Urinary retention
    2. A nurse is caring for a client who is 2 days postoperative following an above-the-knee amputation. Which of the following actions should the nurse take to promote progression toward independence and mobility for the client?
      A)Encourage the client to use overbed trapeze.
      B)Maintain abduction of the client's residual limb with a pillow.
      C)Caution the client to avoid a prone position while bed.
      D)Keep a loose, absorbent dressing over the client's surgical site.
    3. A nurse is receiving a telephone prescription from a client's provider. Which of the following actions should the nurse take? Select all that apply(SATA)
      A)Instruct another nurse to record the prescription in the medical record.
      B)Withhold the medication until the provider signs the prescription.
      C)Ask the provider to spell out the name of the medication.
      D)Record the date and time of the telephone prescription.
      E)Request that the provider confirm the read-back of the prescription.
    4. A nurse is reinforcing teaching with the parents of a child who has ADHD and is taking methylphenidate. Which of the following statements by the parents indicates that the medication is effective?
      A)"Our child has a better grasp of reality."
      B)"Our child has lost some weight since his last appointment."
      C)"Our child has increased his daily caloric intake."
      D)"Our child is able to complete his homework on time."
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    Exam Review

    1. A nurse is collecting data from a child who has pertussis. Which of the following manifestations should the nurse expect?
      A)Facial erythema
      B)Peeling of the hands and feet
      C)Fever
      D)Beefy, red tongue
    2. A nurse is reinforcing teaching with a client who has a new prescription for epinephrine auto-injector PRN. The nurse should reinforce with the client that the medication can help treat which of the following manifestations?
      A)Nausea
      B)Hyperglycemia
      C)Hand tremors
      D)Shortness of breath
    3. A nurse is collecting data from a client who has placenta previa. Which of the following findings should the nurse expect?
      A)Rigid abdomen
      B)Bright red vaginal bleeding
      C)Persistent uterine contractions
      D)Increased fetal movement
    4. A nurse is caring client who has peptic ulcer disease and is scheduled to undergo an esophagogastroduodenoscopy. Which of the following actions should the nurse take prior to the procedure?
      A)Ensure that the client gave informed consent
      B)Administer an oral contrast solution.
      C)Inform the client the procedure will take 60 min.
      D)Ensure that the client's bladder is full.
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