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    Exam Review

    1. A nurse is assisting with the care of a client. Exhibits Complete the following sentence by using the list of options. After notifying the provider, the nurse should first ▾ Administer sublingual nitroglycerinand then▾ Administer morphine sulfate IV
      Dropdown 1:
      Option 1: Administer sublingual nitroglycerin
      Option 2: Apply supplemental oxygen
      Option 3: Obtain a 12-lead ECG
      Option 4: Administer morphine sulfate IV
      Option 5: Monitor vital signs
      Option 6: Educate the client about smoking cessation
      Dropdown 2:
      Option 1: Administer sublingual nitroglycerin
      Option 2: Apply supplemental oxygen
      Option 3: Obtain a 12-lead ECG
      Option 4: Administer morphine sulfate IV
      Option 5: Monitor vital signs
      Option 6: Educate the client about smoking cessation
    2. A nurse is reinforcing teaching with a client who is to have a plaster cast applied to his right arm. Which of the following information should the nurse include in the teaching?
      A)The client's extremity should be elevated after the cast is applied.
      B)The client should keep the cast covered until it is dry.
      C)The client can shower with the cast after 24 hr.
      D)The client should use a hair dryer on a warm setting for relieve itching inside the cast.
    3. A nurse is caring for a client in an outpatient clinic. Exhibits Complete the following sentence by using the lists of options. The client is at highest risk for developing ▾ Rheumatoid arthritisevidenced by the client's▾ Morning stiffness lasting several hours
      Dropdown 1:
      Option 1: Rheumatoid arthritis
      Option 2: Osteoarthritis
      Option 3: Gout
      Option 4: Carpal tunnel syndrome
      Dropdown 2:
      Option 1: Positive ANA
      Option 2: Morning stiffness lasting several hours
      Option 3: Normal WBC count
      Option 4: Low blood pressure
    4. A nurse is reinforcing teaching with a client who is postoperative following a laparoscopic cholecystectomy. Which of the following statements by the client indicates an understanding of the teaching?
      A)"I should eat a high-fat diet for several weeks."
      B)"I should expect to have diarrhea until my diet changes."
      C)"I should leave my steri-strips on until they fall off."
      D)"I should expect to have nausea for several days."
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    Exam Review

    1. A nurse is assisting with the care of a client. Exhibits Select the 4 responsibilities the nurse has in relation to the client's advance directives.(SATA)
      A)Communicate advance directives status via the medical record and shift report.
      B)Provide the client with written information about advance directives.
      C)Inform the client that an advance directive discontinues further care.
      D)Instruct the client that an advance directive is a legal document and must be honored by care providers.
      E)Document that the provider discussed do-not-resuscitate status with the client.
      F)Initiate a power of attorney for health care document.
    2. A nurse is collecting data from a client who is in renal failure. The nurse should identify that which of the following findings is a manifestation of hyperkalemia?
      A)Trousseau's sign
      B)Irregular heart rate
      C)Hyperactive reflexes
      D)Dry mucous membranes
    3. A nurse is assisting with the care of a client in an outpatient provider's office Exhibits Complete the following sentence by using the list of options. The nurse should identify that the client is at risk of developing ▾ Chronic kidney diseaseand may require▾ Dialysis
      Dropdown 1:
      Option 1: Chronic kidney disease
      Option 2: Heart failure
      Option 3: Hypothyroidism
      Option 4: Anemia
      Dropdown 2:
      Option 1: Dialysis
      Option 2: Diuretic therapy
      Option 3: Thyroid replacement therapy
      Option 4: Iron supplementation
    4. 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)Asking the client to point their toes before applying the stockings
      B)Turning the stockings inside out before applying them
      C)Ensuring that creases in the stockings are on the front of the client's legs
      D)Applying the stockings before the client gets out of bed
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    Exam Review

    1. A nurse is collecting a health history from the guardian of a 4-year-old child. Which of the following statements by the guardian is the priority for the nurse to address?
      A)"My child still wets the bed at least two times per week."
      B)"My child continually asks me the same questions."
      C)"I have noticed that my child is withdrawn since we switched day care providers."
      D)"I have a difficult time getting my child to eat green vegetables."
    2. 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)Ask the provider to spell out the name of the medication.
      B)Withhold the medication until the provider signs the prescription.
      C)Record the date and time of the telephone prescription.
      D)Request that the provider confirm the read-back of the prescription.
      E)Instruct another nurse to record the prescription in the medical record.
    3. A nurse is assisting with the care of a client. Exhibits The nurse is collecting data from the client. Drag words from the choices below to fill in each blank in the following sentence. The nurse should identify that ▾ emotional liabilityand ▾ fear of abandonmentindicate manifestations of borderline personality disorder.
      Dropdown 1:
      Option 1: emotional liability
      Option 2: increased heart rate
      Option 3: fear of abandonment
      Option 4: elevated body temperature
      Option 5: tactile hallucinations
      Dropdown 2:
      Option 1: emotional liability
      Option 2: increased heart rate
      Option 3: fear of abandonment
      Option 4: elevated body temperature
      Option 5: tactile hallucinations
    4. A nurse is supervising an assistive personnel (AP) who is caring for a client who is at risk for falls. For which of the following actions by the AP should the nurse intervene?
      A)Raises all four side-rails on the client's bed
      B)Locks the wheels on the client's bed
      C)Assists the client to the bathroom every 2 hr
      D)Clears furniture from the path leading to the bathroom
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    Exam Review

    1. A nurse is participating in an interprofessional team meeting for a client. Which of the following information about the client should the nurse include?
      A)The client's next dressing change is scheduled in 4 hr.
      B)The client's vital signs are checked every 8 hr.
      C)The client has developed difficulty ambulating.
      D)The client has state-sponsored health insurance.
    2. A nurse is assisting in the care of a client. Exhibits Which of the following interventions should the nurse plan to implement? Select all that apply.(SATA)
      A)Contact children and youth services.
      B)Administer sexually transmitted infection prophylaxis.
      C)Provide resources to the client for the local Alcoholics Anonymous chapter.
      D)Maintain a safe and private environment for the client.
      E)Request a consult for case management.
      F)Provide resources for local support services.
    3. 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 can have two glasses of wine with dinner."
      B)"I will set my blood pressure goal at 130 over 84."
      C)"I should exercise for 15 minutes two times per week!"
      D)"I should decrease my salt intake to 2 grams per day."
    4. A nurse on a mental health unit is caring for a client who is in restraints. Which of the following actions should the nurse take?
      A)Obtain written consent by the client for the placement of the restraints.
      B)Release the client's restraints every 4 hr.
      C)Document the client's behavior leading to the initiation of the restraints.
      D)Check the client's status every hour.
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    Exam Review

    1. A nurse is collecting data from a client during a routine prenatal visit. The client is in their second trimester of pregnancy and reports feeling dizzy, has a racing heart, and becomes pale while lying on their back. Which of the following actions should the nurse take?
      A)Provide the client with a glass of orange juice.
      B)Check the client's temperature.
      C)Instruct the client to take a brisk walk.
      D)Position the client on their left side.
    2. A nurse is assisting a client who requests to take a tub bath. Which of the following actions should the nurse take?
      A)Drain the tub water before the client gets out.
      B)Add bath oil to the water after the client gets into the tub.
      C)Allow the client to remain in the bath for 30 min.
      D)Check on the client every 10 min during the bath.
    3. A nurse is contributing to the plan of care for a client who is experiencing a herpes simplex outbreak. Which of the following interventions should the nurse recommend?
      A)Cleanse skin eruptions with povidone-iodine.
      B)Avoid over-the-counter topical ointments.
      C)Administer an antibiotic medication.
      D)Place disposable thermometers in the client's room.
    4. A nurse is reviewing laboratory findings for three clients. Which of the following laboratory results should the nurse expect for a client who has pancreatitis?
      A)Prolonged PT/INR
      B)Elevated lipase
      C)Elevated ammonia
      D)Decreased albumin
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    Exam Review

    1. A nurse on a pediatric unit is caring for a toddler who has poor dietary intake. Which of the following actions should the nurse take first?
      A)Encourage the family to be with the child during mealtimes.
      B)Instruct the family to praise the child when they eat.
      C)Obtain the child's dietary history.
      D)Offer the child nutritious snacks between meals.
    2. A nurse is caring for a 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)Ensure that the client's bladder is full.
      D)Inform the client the procedure will take 60 min.
    3. A nurse is reinforcing teaching with a client who is postpartum about keeping her newborn safe while in the facility. Which of the following Instructions should the nurse include in the teaching?
      A)"Request that the nurses show their nursing license prior to removing your newborn from the room."
      B)"Leave your newborn in the bassinet in your room while you use the bathroom."
      C)"Alert the staff if any of your newborn's identification-bands are missing."
      D)"Carry your newborn back to the nursery in your arms when you need to rest."
    4. A nurse is obtaining a client's vital signs. Which of the following findings should the nurse report to the charge nurse?
      A)Heart rate 98/min
      B)Temperature 38.0 °C (100.4 °F)
      C)Respiratory rate 14/min
      D)Blood pressure 142/88 mm Hg
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