NursingPlex
    Sign In
    Review ModeExam ModePractice Mode

    Exam Review

    1. A nurse is caring for a client. Exhibits Complete the following sentence by using the list of options. After notifying the provider, the nurse should first administer ▾ administer oxygen at 2L/min via nasal cannulaand then▾ administer sublingual nitroglycerin.
      Dropdown 1:
      Option 1: administer oxygen at 2L/min via nasal cannula
      Option 2: prepare the client for cardiac catheterization
      Option 3: request a prescription for an increase in statin medication
      Dropdown 2:
      Option 1: request a prescription for a beta-blocker
      Option 2: check a STAT cardiac troponin
      Option 3: administer sublingual nitroglycerin
    2. A nurse is caring for a newborn. Exhibits Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing ▾ transient tachypnea of the newbornand▾ hypoglycemia.
      Dropdown 1:
      Option 1: hypoglycemia
      Option 2: tachycardia
      Option 3: bronchopulmonary dysplasia
      Option 4: transient tachypnea of the newborn
      Dropdown 2:
      Option 1: hypoglycemia
      Option 2: tachycardia
      Option 3: bronchopulmonary dysplasia
      Option 4: transient tachypnea of the newborn
    3. A nurse is teaching a client who has atrial fibrillation and is to start taking dabigatran. Which of the following statements by the client indicates an understanding of the teaching?
      A)"I should replace any unused medication every 6 months."
      B)"I should keep the medication in the original container."
      C)"I can crush the medication and mix with applesauce."
      D)"I can store the medication in the refrigerator."
    4. A nurse is caring for a client in a clinic. Exhibits Based on the information in the client's medical record, which of the following findings require immediate follow-up? Select the 4 findings that require follow-up.(SATA)
      A)Caregiver reporting client acting differently than usual
      B)Witnessing their family's death
      C)Attends school regularly
      D)Client experiences nightmares
      E)BP 122/80 mm Hg
      F)Smoking marijuana to clear their mind
      G)Startles easy during thunderstorm
      H)Heart rate 99/min
    Page 1 of 38

    Exam Review

    1. A nurse is preparing to insert an IV catheter for a client. Which of the following actions should the nurse plan to take?
      A)Apply a tourniquet below the venipuncture site.
      B)Select a site on the client's dominant arm.
      C)Choose a vein that is palpable and straight.
      D)Elevate the client's arm prior to insertion.
    2. A nurse is caring for a client in the medical-surgical unit. Exhibits Which of the following actions should the nurse take to decrease the risks for urinary tract infection for this client? Select all that apply.(SATA)
      A)Use soap and water to provide perineal care.
      B)Place the drainage bag on the bed when transporting the client.
      C)Encourage the client to drink 3000 mL of fluid daily,
      D)Empty the drainage bag when it is half full
      E)Revive the need for the indwelling urinary catheter daily
      F)Change the indwelling urinary catheter tubing every 3 days
    3. A nurse is caring for a client who is postoperative following a right hip arthroplasty. Exhibits For each assessment finding, click to specify if the finding is consistent with malignant hyperthermia, latex allergy, or hypovolemic shock. Each finding may support more than 1 disease process.
      Malignant hyperthermiaLatex allergyHypovolemic shock
      Hypercapnia✓
      Wheezes✓
      Tachycardia✓✓✓
      Muscle rigidity✓
      Urticaria✓
    4. A nurse is caring for a 75-year-old client who is admitted to the medical- surgical unit. Exhibits Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
      ✓Check for pedal pulses and signs of ischemia
      ✓Request a prescription for a lower extremity Doppler flow study
      ✓Deep venous thrombosis
      ✓PT/INR and platelet count
      ✓Signs of bleeding after anticoagulation initiation
      Actions to take
      ✓Check for pedal pulses and signs of ischemia
      ✓Request a prescription for a lower extremity Doppler flow study
      ✕Assess for Homan’s sign
      ✕Request a prescription for IV furosemide
      ✕Implement rest, ice, compression, elevation (RICE)
      Potential Conditions
      ✕Muscle strain
      ✕Cellulitis
      ✓Deep venous thrombosis
      ✕Heart failure
      Parameters to monitor
      ✓PT/INR and platelet count
      ✕Temperature
      ✕Brain natriuretic peptide (BNP) levels
      ✓Signs of bleeding after anticoagulation initiation
      ✕ECG changes
    Page 2 of 38

    Exam Review

    1. A nurse is providing teaching about immunizations to a client who is pregnant. Which of the following statements should the nurse include in the teaching?
      A)"You can receive the immunization for influenza at any time during your pregnancy."
      B)"You can receive the rubella immunization during the third trimester of pregnancy."
      C)"The hepatitis B immunization should not be obtained until after you finish breastfeeding."
      D)"The immunization for varicella should be given at least 1 month prior to delivery."
    2. A nurse at a community health clinic is planning care for an adolescent who recently learned that she is pregnant and is concerned about her ability to afford and care for her baby. Which of the following actions should the nurse take?
      A)Contact the adolescent's parent for assistance.
      B)Refer the adolescent to a local mental health clinic.
      C)Assist the adolescent in applying for Medicaid.
      D)Advise the adolescent to place the newborn for adoption.
    3. A nurse in a PACU is transferring care of a client to a nurse on the medical-surgical unit. Which of the following statements should the nurse include in the hand-off report?
      A)"The client is a member of the board of directors."
      B)"The estimated blood loss was 250 milliliters."
      C)"The client was intubated without complications."
      D)"There was a total of 10 sponges used during the procedure."
    4. A nurse is caring for a client who has been admitted to the antepartum unit. Exhibits The client is at risk for developing which of the following 2 complications? Select 2 complications the client is at risk for developing.(SATA)
      A)Placenta previa
      B)Preterm prelabor rupture of membranes (PROM)
      C)Seizures
      D)Sepsis
      E)Disseminated intravascular coagulation
      F)Preeclampsia
    Page 3 of 38

    Exam Review

    1. A nurse is caring for a client who has been admitted to the antepartum unit. Exhibits For each potential provider's prescription, click to specify if the potential prescription is anticipated or unanticipated for the client.
      AnticipatedUnanticipated
      Administer betamethasone✓
      Administer oxytocin✓
      Administer terbutaline✓
      Place client in supine position✓
      Maintain bed rest with bathroom privileges✓
      Limit fluid intake to 1000 mL/day✓
    2. The nurse continues to care for the client. Exhibits Which of the following actions should the nurse take? Select all that apply.(SATA)
      A)Urine culture
      B)Vaginal culture
      C)Ibuprofen 600 mg every 6 hr for mild to moderate pain
      D)Obtain provider prescription for phenazopyridine
      E)Obtain provider prescription for antibiotics
    3. The nurse continues to care for the client. Exhibits
      (Highlight — findings requiring follow-up are marked)

      The nurse continues to care for the client.

      Exhibits

      Click to highlight the findings that indicate improvement in the client's condition. To deselect a finding, click on the finding again.

      Assessment

      Findings

      Nurses' Notes

      Client rates lower back pain a 0 on a scale from 0 to 10. No reports of vaginal discharge.

      Membranes intact

      No uterine contractions noted.

      FHR baseline 138, minimal variability.

      No further reports of burning with urination.

      Laboratory Results

      WBC 12,000/mm3 (5000 to 10000/mm3)

      Platelet count 188000/mm3 (150000 to 400000/mm3)

      Vital Signs

      Temperature 37.1oC (98.7 oF)

      Blood pressure 120/78 mmHg
    4. A nurse has just received change-of-shift report for four clients. Which of the following clients should the nurse assess first?
      A)A client who was just given a glass of orange juice for a low blood glucose level
      B)A client who has 100 mL of fluid remaining in his IV bag
      C)A client who is scheduled for a procedure in 1 hr
      D)A client who received a pain medication 30 min ago for postoperative pain
    Page 4 of 38

    Exam Review

    1. A nurse is caring for a child who is postoperative following a tonsillectomy. Which of the following findings indicates that the child may be experiencing hemorrhage?
      A)Diminished breath sounds
      B)Increased drowsiness
      C)Frequent swallowing
      D)Elevated pain level
    2. A nurse is providing teaching to a client who has a depressive disorder and a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teaching?
      A)"I expect this medication to raise my blood pressure."
      B)"I know it will be a couple of weeks before the medication helps me feel better."
      C)"I can continue to take St. John's wort while taking this medication."
      D)"I should take this medication on an empty stomach."
    3. A public health nurse working in a rural area is developing a program to improve health for the local population. Which of the following actions should the nurse plan to take?
      A)Provide anticipatory guidance classes to parents through public schools.
      B)Launch a media campaign to increase awareness about industrial pollution.
      C)Encourage rural residents to focus health spending on tertiary health interventions.
      D)Have a nurse from outside the community provide health lectures at the county hospital.
    4. A nurse is planning care for a school-age child who is 4 hr postoperative following appendicitis. Which of the following actions should the nurse include in the plan of care?
      A)Offer small amounts of clear liquids 6 hr following surgery.
      B)Give cromolyn nebulized solution every 8 hr.
      C)Administer analgesics on a scheduled basis for the first 24 hr.
      D)Apply a warm compress to the operative site once daily.
    Page 5 of 38

    Exam Review

    1. A nurse is caring for a client who repeatedly refuses meals. The nurse overhears an assistive personnel (AP) telling the client, "If you don't eat, I'll put restraints on your wrists and feed you." The nurse should intervene and explain to the AP that this statement constitutes which of the following torts?
      A)Battery
      B)Negligence
      C)Assault
      D)Malpractice
    2. A nurse is teaching a client who has a new diagnosis of diabetes mellitus about foot care. Which of the following instructions should the nurse include in the teaching?
      A)Wear clean cotton socks every day.
      B)Soak feet twice daily.
      C)Use moisturizing lotion between the toes.
      D)Round the edges of toenails when trimming.
    3. A nurse is caring for a client who is experiencing expressive aphasia and right hemiparesis following a stroke. Which of the following actions by the nurse best promotes communication among staff caring for the client?
      A)Posting swallowing precautions at the head of the client's bed
      B)Noting changes in the treatment plan in the client's medical record
      C)Having interdisciplinary team meetings for the client on a regular basis
      D)Recording the client's progress in the nurses' notes
    4. A nurse is caring for a client who has acute glomerulonephritis. Which of the following findings should the nurse expect?
      A)Polyuria
      B)Hematuria
      C)Weight loss
      D)Hypotension
    Page 6 of 38