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    Exam Review

    1. A nurse is providing education to a 10-year-old child newly diagnosed with hemophilia and their parents. The parents state that they are withdrawing their child from participating in any sports or physical activities because they are worried the child will get injured. Which of the following statements made by the nurse is most appropriate?
      A)“You should not allow your child to play any sport due to the risk of injury.”
      B)“You should allow your child to play any sport they want to play.”
      C)“You should not allow your child to ride a bike or go skateboarding with their classmates.”
      D)“You should allow your child to participate in age-appropriate activities such as riding a bike using proper protective gear.”
    2. A registered nurse is educating a newly license nurse about risk factors associated with gestational diabetes mellitus (GDM) and gestational hypertension (GH). The nurse presents four possible risk factors and asks the new nurse to categorize each one correctly. Categorize each risk factor to the appropriate condition. Some risk factors may apply to only one condition, while others may not apply to either
      Gestational Diabetes MellitusGestational Hypertension
      Chronic renal disease✓
      Maternal age older than 25✓
      Maternal age older than 40✓✓
      Previous birth of an infant that was large gestational age or stillborn✓
    3. During shift report the nurse is told that there is 450 mL left in a client's IV and it has to run for 2 more hours, if the drip factor is 15 gtt/mL what is the current IV rate? (Round to a whole number) Enter text here. _______ gtts/min
    4. A newborn is delivered by vaginal birth at 40 weeks of gestation. Which of the following findings should the nurse report to the provider?
      A)Acrocyanosis and caput succedaneum
      B)Positive Babinski reflex and negative Ortolani's sign
      C)Head circumference 40cm and chest circumference 32cm
      D)Heart rate 160/min and respirations 40/min.
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    Exam Review

    1. A nurse is providing teaching to the parent of a child who has a new diagnosis of scabies. Which of the following information should the nurse include?
      A)Scabies causes clusters of nonpruritic blisters that crust within 7 days.
      B)Scabies eggs hatch 30 days after infection.
      C)Prophylactic treatment is not recommended for household members.
      D)The infection is caused by a mite underneath the skin.
    2. Which of the following sexually transmitted diseases is caused by a protozoal infection?
      A)Chlamydia
      B)Syphilis
      C)Trichomoniasis
      D)Gonorrhea
    3. A nurse is caring for four adult clients on a medical-surgical unit. Which client should the nurse assess first based on the ABCDE priority framework?
      A)A client with a temperature of 38.3°C (101°F) and flu symptoms.
      B)A client who is groggy and has slurred speech after surgery.
      C)A client with swelling in the neck and audible wheezing.
      D)A client with a color change and decreased pulses in one leg.
    4. A child weighs 36kg. What is the child's weight in pounds? (Round to the tenth place) Enter text here.. _____lbs.
    Page 2 of 14

    Exam Review

    1. A new nurse manager has observed several instances of horizontal violence between staff members on her unit, primarily verbal abuse and malicious gossip. What should she do?
      A)Confront the bullying behavior and discuss strategies for responding to it.
      B)Keep a log of observed bullying behavior to discuss during the employees' annual evaluation.
      C)Ignore it because it is not physical violence and will not hurt anyone.
      D)Model this bullying behavior so that staff can see how it affects people.
    2. Multiple casualties are expected to present to the emergency department within the next hour. The charge nurse is responsible for coordinating care for the casualties presenting to the hospital for care. What task should the nurse assign to the unlicensed assistive personnel (UAP)? To:
      A)keep family members informed about the condition of victims in the ED.
      B)call in additional staff from home.
      C)update the vital signs of victims and inform the charge nurse about any changes.
      D)assist medics with transport of victims to other facilities.
    3. A democratic nurse leader consistently works to:
      A)make little or no attempt to move the group.
      B)share leadership with the group.
      C)dampen creativity.
      D)move the group toward the leader's goals.
    4. A client is prescribed Methylprednisolone 25mg IV every 6 hours. The vial (after reconstitution) reads Methylprednisolone 80mg/mL. How many milliliters will be drawn up in the syringe? (Round to the nearest tenth). Enter text here. ______ ML
    Page 3 of 14

    Exam Review

    1. A nurse is caring for a child with spina bifida and an associated complication of hydrocephalus with neurological damage: Which of the following conditions should the nurse expect to accommodate during care?(SATA)
      A)(Select All that Apply.)
      B)Hearing loss
      C)Speech problems
      D)Frequent seizures
      E)Difficulty walking
      F)Cognitive delays
    2. A nurse is caring for a child with spina bifida and an associated complication of hydrocephalus with neurological damage: Which of the following conditions should the nurse expect to accommodate during care? (Select All that Apply.)(SATA)
      A)Hearing loss
      B)Speech problems
      C)Frequent seizures
      D)Difficulty walking
      E)Cognitive delays
    3. A nurse is caring for a group of clients diagnosed with polycystic kidney disease (PKD). While teaching about ways to slow the progression to end-stage renal disease (ESRD), which of the following topics would be most important for the nurse to include?
      A)Blood pressure control
      B)Fluid restriction
      C)Blood glucose control
      D)Pain management
    4. A client is to receive Levothyroxine 25 mcg PO daily. Levothyroxin unit dose available is 0.05 mg/ tablet. What would the nurse administer? (Round the answer to the tenth place). Enter text here. _______ tablet(s)
    Page 4 of 14

    Exam Review

    1. The nurse is teaching a community group about nerve agents. The nurse evaluates that the teaching has been effective when the participants state. "We:
      A)can use bactericidal soap and hot water at home to decontaminate ourselves."
      B)should stay indoors with the doors and windows closed until it is all clear."
      C)should not drink tap water for a while."
      D)can be poisoned by breathing in nerve agents or through the skin."
    2. A client is to receive Acyclovir 350 mg IV. You have available a 500 mg vial. Package directions tell you to reconstitute with 15 mL of sterile water. After withdrawing the required dose, further dilute in 100 mL of IV fluid to run over 1 hour. Calculate the rate to set the IV pump. (Round to the nearest tenth).
    3. A nurse is caring for a client who has named someone to serve as their health care proxy. The client states they need clarification about this part of the advance directive. Which of the following statements by the client indicates that need for clarification?
      A)"The health care proxy does not go into effect until I am incapable of making decisions."
      B)"If I become incapacitated, end-of-life choices will be made by my proxy."
      C)"I have to choose a family member as my health care proxy."
      D)"I can change who I designate as my health care proxy at any time."
    4. A nurse is caring for four clients. After administering morning medications, she realizes that the nifedipine prescribed for one client was inadvertently administered to another client. Which of the following actions should the nurse take first?
      A)Notify the client's provider.
      B)Administer the medication to the correct client.
      C)Fill out an occurrence form.
      D)Check the client's vital signs
    Page 5 of 14

    Exam Review

    1. A nurse manager is leading a quality improvement initiative to reduce the incidence of medication administration errors on a medical-surgical unit. The quality improvement (Q1) team analyzes incident reports, identifies patterns, and develops interventions to address the root causes. Which of the following actions should the nurse include as part of the quality improvement process? (Select all that apply.)(SATA)
      A)Audit medication administration practices regularly.
      B)Implement punitive measures for staff involved in errors.
      C)Remove nurses who make errors from direct patient care
      D)Conduct a root cause analysis of reported errors.
    2. A nurse is caring for a client in active labor when the fetal heart monitor indicates a sudden deceleration. Upon assessment, the nurse notes that the umbilical cord is protruding from the vaginal opening. The nurse immediately calls for assistance and uses a sterile gloved hand to lift the presenting part off of the cord. The nurse positions the client in a knee to chest position to relieve pressure on the cord. Fetal heart tones are monitored continuously. The provider is notified while preparations for an emergency cesarean birth are initiated. The nurse documents the time of cord prolapse, interventions, and the client response. Highlight the portions of the text that indicate priority nursing actions in response to a prolapsed umbilical cord. A nurse is caring for a client in active labor when the fetal heart monitor indicates a sudden deceleration. Upon assessment, the nurse notes that the umbilical cord is protruding from the vaginal opening. The nurse immediately calls for assistance and uses a sterile gloved hand to lift the presenting part off of the cord. The nurse positions the client in a knee to chest position to relieve pressure on the cord. Fetal heart tones are monitored continuously. The provider is notified while preparations for an emergency cesarean birth are initiated. The nurse documents the time of cord prolapse, interventions, and the client response.
      (Highlight — findings requiring follow-up are marked)

      A nurse is caring for a client in active labor when the fetal heart monitor indicates a sudden deceleration. Upon assessment, the nurse notes that the umbilical cord is protruding from the vaginal opening.
      The nurse immediately calls for assistance and uses a sterile gloved hand to lift the presenting part off of the cord. The nurse positions the client in a knee to chest position to relieve pressure on the cord. Fetal heart tones are monitored continuously. The provider is notified while preparations for an emergency cesarean birth are initiated. The nurse documents the time of cord prolapse, interventions, and the client response.
       

      Highlight the portions of the text that indicate priority nursing actions in response to a prolapsed umbilical cord.
      A nurse is caring for a client in active labor when the fetal heart monitor indicates a sudden deceleration. Upon assessment, the nurse notes that the umbilical cord is protruding from the vaginal opening.
      The nurse immediately calls for assistance and uses a sterile gloved hand to lift the presenting part off of the cord. The nurse positions the client in a knee to chest position to relieve pressure on the cord. Fetal heart tones are monitored continuously. The provider is notified while preparations for an emergency cesarean birth are initiated. The nurse documents the time of cord prolapse, interventions, and the client response.
       

    3. A nurse is assessing a client with cirrhosis who has become increasingly confused and irritable. the nurse notes tremors in the client's hands when arms are extended. The provider suspects hepatic encephalopathy. Highlight the portions of the passage that reflect signs, causes, and treatments of hepatic encephalopathy. Some sentences or phrases may be unrelated or incorrect. The client with cirrhosis appears disoriented and has difficulty answering simple questions. The nurse observes asterixis when the client extends their arms. Laboratory results show elevated ammonia levels. The provider prescribes lactulose to lower ammonia levels and improve mental status. the client is placed on a high protein diet to support liver regeneration. The nurse encourages the client to ambulate in the hallway to reduce the risk of acquiring pneumonia CT scan of the brain is ordered to rule out a stroke. The nurse monitors the client closely for worsening neurologic functions.
      (Highlight — findings requiring follow-up are marked)

      A nurse is assessing a client with cirrhosis who has become increasingly confused and irritable. the nurse notes tremors in the client's hands when arms are extended. The provider suspects hepatic encephalopathy.
       

      Highlight the portions of the passage that reflect signs, causes, and treatments of hepatic encephalopathy. Some sentences or phrases may be unrelated or incorrect.
       

      The client with cirrhosis appears disoriented and has difficulty answering simple questions. The nurse observes asterixis when the client extends their arms. Laboratory results show elevated ammonia levels. The provider prescribes lactulose to lower ammonia levels and improve mental status. the client is placed on a high protein diet to support liver regeneration. The nurse encourages the client to ambulate in the hallway to reduce the risk of acquiring pneumonia CT scan of the brain is ordered to rule out a stroke. The nurse monitors the client closely for worsening neurologic functions.
       

    4. A nurse is teaching a group of nursing students about viral hepatitis; the focus is on understanding the relationship between Hepatitis B virus (HBV) and Hepatitis D (HDV). Complete the following passage by dragging the correct terms into the blanks. Not all options will be used. Hepatitis D is a unique virus because it ▾ requires Hepatitis B for replication. It cannot replicate on its own and requires ▾ hepatitis Bto reproduce. When a person is infected with both Hepatitis B and Hepatitis D as the same time. it is referred to as a▾ co-infection.
      Dropdown 1:
      Option 1: transmitted through contaminated food and water
      Option 2: hepatitis B
      Option 3: requires Hepatitis B for replication
      Option 4: superinfection
      Option 5: co-infection
      Option 6: can occur independently
      Dropdown 2:
      Option 1: transmitted through contaminated food and water
      Option 2: hepatitis B
      Option 3: requires Hepatitis B for replication
      Option 4: superinfection
      Option 5: co-infection
      Option 6: can occur independently
      Dropdown 3:
      Option 1: transmitted through contaminated food and water
      Option 2: hepatitis B
      Option 3: requires Hepatitis B for replication
      Option 4: superinfection
      Option 5: co-infection
      Option 6: can occur independently
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