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    Exam Review

    1. A nurse is contributing to the plan of care for a client who has a gambling disorder. Which of the following nursing interventions should the nurse include in the plan of care?
      A)Administer disulfiram
      B)Encourage participation in exposure therapy.
      C)Administer memantine
      D)Recommend client join a self-help group.
    2. A nurse is reinforcing teaching with a client who is postoperative following a transurethral resection of the prostate. Which of the following statements by the client indicates an understanding of the teaching?
      A)"This surgery can cause an increase in the amount of semen."
      B)"I will talk to my partner about other ways of expressing intimacy."
      C)“I will not be able to have sexual intercourse after this surgery."
      D)“This surgery will prevent me from being able to have an erection."
    3. A nurse is assisting with the care of a client and asks the client. "Can you tell me about your day so far?" Which of the following therapeutic techniques is the nurse using?
      A)Seeking clarification
      B)Reflecting
      C)Focusing
      D)Giving broad openings
    4. A nurse is monitoring a client's lower extremity following the placement of a cast earlier in the day. Which of the following findings should the nurse identify as manifestations of compartment syndrome? (Select all that apply.)(SATA)
      A)Decreased skin turgor
      B)Sensation of tingling
      C)Diminished capillary refill
      D)Pale-colored toes
      E)Pain relieved by analgesia
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    Exam Review

    1. A nurse is assisting with the care of a client who has experienced a divorce. Which of the following priority actions should the nurse take to promote secondary prevention?
      A)Evaluate the client's coping skills.
      B)Explore the client's desired goals.
      C)Discuss available support systems with the client.
      D)Ensure the safety of the client.
    2. A nurse is reinforcing teaching for a client who has been treated for alcohol use disorder and is being discharged. Which of the following medications should the nurse anticipate the provider to prescribe for relapse prevention?
      A)Librium
      B)Clonidine
      C)Disulfiram
      D)Phenobarbital
    3. A nurse is caring for a client who has an indwelling urinary catheter and reports urinary leakage. Which of the following actions should the nurse take to verify the safe functioning of the urinary catheter?
      A)Check for seals in the drainage system.
      B)Place a waterproof pad under the client's buttocks.
      C)Clip the drainage tubing to the edge of the mattress.
      D)Position the drainage bag below the level of the client's bladder.
    4. A nurse is collecting data for a client who is postoperative and has an elevated temperature. Which of the following actions should the nurse take first?
      A)Assist the client with dangling off the side of the bed.
      B)Check the condition of the client's surgical incision.
      C)Instruct the client to breathe deeply and cough.
      D)Obtain a prescription to check the client's CBC.
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    Exam Review

    1. A nurse is caring for a client who has an injury related to partner violence. The client does not want to report the incident to the authorities or leave their home. Which of the following actions should the nurse take first?
      A)Ask the client to describe the incident.
      B)Assist the client with developing a safety plan.
      C)Provide the client with information about local shelters.
      D)Refer the client to a support group.
    2. A nurse is preparing to administer a medication and is unfamiliar with the medication. Which of the following actions should the nurse take?
      A)Search for the medication on the National Library of Medicine's MedlinePlus website.
      B)Ask the charge nurse to explain the purpose of the medication.
      C)Ask the client to state the indication for the medication.
      D)Allow the client to self-administer the prepared medication.
    3. A nurse is assisting with the care of a client in the emergency department. Exhibits Which of the following interventions should the nurse take? Select the 4 interventions the nurse should take.(SATA)
      A)Obtain blood cultures.
      B)Ask the client for a list of close contacts.
      C)Recommend ABGS be drawn.
      D)Obtain a sputum culture.
      E)Place the client in a negative-pressure room.
      F)Use airborne precautions.
      G)Request a glucocorticoid prescription from the provider.
    4. A nurse is reinforcing teaching about activities of daily living with a client who had a stroke. Which of the following statements should the nurse include?
      A)"Rest in supine position for 30 minutes after a meal."
      B)"Dress the affected side first
      C)"Use the arm on your affected side to brush your hair."
      D)"Use a straw when you drink liquids."
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    Exam Review

    1. A nurse in an eating disorders treatment center is reviewing the medical record of a newly admitted client. Which of the following findings should the nurse identify as a risk factor for anorexia nervosa?
      A)Paranoid personality disorder
      B)Schizotypal personality disorder
      C)History of attention deficit hyperactivity disorder
      D)History of obsessive-compulsive disorder
    2. A nurse is assisting in the care of a client in an outpatient substance use disorder clinic who has been taking naltrexone for the past 30 days. Which of the following client statements indicates an expected response to the treatment?
      A)"My anxiety has been getting a little easier to deal with every day."
      B)"I have not had any cravings to drink since my visit last week."
      C)"When I had one drink last week. I had extreme nausea and vomited several times."
      D)“Since I quit drinking. I have not had any hallucinations."
    3. A nurse is assisting in the care of a group of clients. Which of the following clients should the nurse identify as being at an increased risk for physical injury?
      A)A client who has narcissistic personality disorder and refuses to be alone in their room
      B)A client who has social anxiety disorder and refuses to attend group therapy
      C)A client who has bipolar disorder and exhibits impulsive behavior
      D)A client who has panic disorder and exhibits paresthesia
    4. A nurse is preparing to administer a measles, mumps, and rubella (MMR) immunization. Which of the following client characteristics is a contraindication to administration?
      A)Severe immunodeficiency
      B)Asymptomatic HIV
      C)Mild febrile illness
      D)Egg allergy
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    Exam Review

    1. A nurse is discussing issues regarding controlled substances and reporting with a newly licensed nurse in an inpatient facility. Which of the following statements made by the newly licensed nurse indicates an understanding of the teaching?
      A)"Controlled substances are kept in the bottom drawer of the medication cart."
      B)"I should verify the number of controlled substances at the end of the shift. The provider is responsible for inventory of controlled substances."
      C)"If a controlled substance requires a waste, a second nurse must witness the waste."
      D)"Computer controlled substance inventory is reported to the Drug Enforcement Administration every 10 years."
    2. A nurse is collecting data from a newborn who was born 24 hr ago. Which of the following images should the nurse identify as an indication that the newborn has erythema toxicum?
      A
      Option A
      A)A
      B)B
      C)C
    3. A nurse in a pediatric office is assisting in the care of a child. Exhibits A nurse is contributing to the plan of care for a child. Which of the following interventions should the nurse recommend? Select the 4 interventions the nurse should recommend for the child's plan of care.(SATA)
      A)Provide the caregiver with information on behavior therapy.
      B)Screen the child for depression prior to initiating the medication.
      C)Monitor liver function test results while the child is taking the medication
      D)Monitor the child for nightmares while taking the medication.
      E)Monitor the child's blood pressure at each visit.
    4. A nurse is preparing a client for surgery and discovers a large sum of money in the client's wallet. Which of the following actions should the nurse take?
      A)Contact security personnel to place the money in the designated secure location.
      B)Label the money with the client's name and leave it at the nurses' station.
      C)Place the money in an envelope in the client's medication drawer.
      D)Hold the money for the client until their return from surgery.
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    Exam Review

    1. A nurse is reviewing the purpose of advance directives with a client. Which of the following statements should the nurse make?
      A)"It expresses your wishes regarding health care when you can no longer communicate."
      B)"It specifies your choices regarding funeral arrangements."
      C)"It defines the criteria for the distribution of your assets."
      D)"It appoints a health care provider to speak for you with power of attorney for health care."
    2. A nurse is assisting in the care of a client who had a stroke and is having difficulty swallowing. The nurse should recommend a referral to which of the following members of the interprofessional team?
      A)Social worker
      B)Speech therapist
      C)Physical therapist
      D)Dentist
    3. A nurse is assisting in the care of a client who is scheduled for surgery. Which of the following steps should the nurse take prior to witnessing informed consent?
      A)Ensure the client is aware of the scheduled time for the procedure.
      B)Make sure the client has been informed about the risks of the procedure.
      C)Ensure the client receives opioid medication prior to giving consent for the procedure.
      D)Make sure the client's family agrees to the procedure.
    4. A nurse delegates a task to an assistive personnel (AP) who refuses to complete the task. Which of the following actions should the nurse take first?
      A)Plan time to complete the task.
      B)Assign the task to another AP.
      C)Notify the charge nurse immediately.
      D)Discuss the AP's concerns about the task.
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