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    Exam Review

    1. A nurse is admitting a client to the hospital unit. Which one of the following elements of the client's history and physical assessment increases the risk for the development of delirium?
      A)Lack of medical insurance
      B)History of lymphoma
      C)History of drug use
      D)Female sex
    2. A nurse is caring for a client who is scheduled for abdominal surgery. Which of the following nursing interventions should the nurse include in the preoperative education?
      A)Remind the client they will return to their room after surgery.
      B)Provide instructions about how to cough and deep breathe effectively.
      C)Inform the client that the recovery nurse will instruct them how to manage postoperative pain.
      D)Notify the client that they will receive a tray in the recovery room.
    3. A nurse is providing teaching about potential complications to a client who has a spinal cord injury. Which of the following should the nurse include in the teaching as common complications of spinal cord injuries? (Select all that apply.)(SATA)
      A)Temperature sensitivity
      B)Sexual dysfunction
      C)Disc degeneration
      D)Urinary tract infections
      E)Autonomic dysreflexia
    4. A nurse is assessing clients on the medical-surgical floor for skin problems. Which of the following are most likely to become chronic wounds?
      A)Cluster of oral herpes sores
      B)Diabetic foot ulcer
      C)Abdominal surgical incision
      D)Posterior scapular wound
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    Exam Review

    1. A nurse is providing discharge instructions to a client who has epilepsy. Which of the following instructions should be included in the nurse's teaching? (Select all that apply.)(SATA)
      A)Refrain from climbing
      B)Do not go swimming without a partner
      C)Refrain from driving unless seizure-free for 3 months
      D)Avoid using power tools
      E)Place client on their back when they are recovering from a seizure
      F)Place client on their side when having a seizure
    2. A nurse is assessing a client who is receiving one unit of packed red blood cells to treat intraoperative blood loss. The client reports chills and back pain, and the client’s blood pressure is 80/64 mm Hg. Which of the following actions should the nurse take first?
      A)Stop the infusion of blood
      B)Notify the laboratory
      C)Obtain a urine specimen
      D)Inform the provider
    3. A nurse is caring for a client who reports an area of redness, warmth, tenderness, and pain in the right calf. The nurse anticipates which of the following orders from the provider based on this finding?
      A)Monitor Homan's sign
      B)Obtain a venous duplex ultrasound
      C)Obtain impedance plethysmography
      D)Apply cold therapy to the affected leg
    4. A nurse in a clinic is caring for a client who has recently begun taking warfarin. The nurse is reviewing potential drug and food interaction risks and should instruct the client to avoid which of the following?
      A)White beans
      B)Cantaloupe
      C)Green beans
      D)Spinach
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    Exam Review

    1. A nurse is teaching a group of clients about lifestyle modifications that could decrease risk factors for developing hearing loss. Which of the following risk factors should the nurse include in the teaching?
      A)Avoid smoking products
      B)Consume foods high in potassium
      C)Limit alcohol to two drinks daily
      D)Increase oral intake of water
    2. A nurse is reviewing the electronic medical record of a middle-aged client who was admitted following a stroke. Which of the following findings should the nurse identify as a modifiable risk factor for stroke?
      A)Client’s age
      B)Hypertension
      C)Parent who has cardiovascular disease
      D)History of sickle cell disease
    3. A nurse is caring for a client after a total knee replacement of the left knee. Which of the following actions are important for the nurse to include in the postoperative care? (Select all that apply.)(SATA)
      A)Monitor the neurovascular status of the left knee
      B)Check the dressing for signs of bleeding
      C)Provide support for the left knee when repositioning
      D)Maintain strict bedrest
      E)Encourage the client to stand up without use of handrails or supports
    4. A nurse in the emergency department is caring for a client who reports chest pressure and shortness of breath. Which of the following laboratory tests should the nurse anticipate the provider to prescribe?
      A)B-type natriuretic peptide (BNP)
      B)Lipase
      C)Troponin I
      D)Aspartate aminotransferase (AST)
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    Exam Review

    1. A nurse is caring for a client who has a spinal cord injury at the fourth cervical level. Which of the following mobility options should the nurse anticipate for this client?
      A)Sip-and-puff device
      B)Manual wheelchair
      C)Drive-adapted wheelchair
      D)Ultralight wheelchair
    2. A nurse is reviewing the serum laboratory findings for a client who has hypertension and is prescribed hydrochlorothiazide. Which of the following findings should the nurse report to the provider?
      A)Chloride 99 mEq/L
      B)Calcium 10 mg/dL
      C)Potassium 3.0 mEq/L
      D)Sodium 136 mEq/L
    3. A nurse is preparing a client for surgery. Which of the following is a priority when completing an assessment preoperatively?
      A)To identify possible surgical risks
      B)To establish the need for psychological support
      C)To determine understanding of the procedure
      D)To recognize resources needed postoperatively
    4. A nurse is assessing a client who has multiple sclerosis. Which of the following assessment findings should the nurse anticipate? (Select all that apply.)(SATA)
      A)Paresthesia
      B)Nausea and vomiting
      C)Dysphagia
      D)Spasticity
      E)Vertigo
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    Exam Review

    1. A nurse is teaching a client who is newly diagnosed with Alzheimer's disease and their family about newly prescribed medications for Alzheimer's disease. Which statement by the client indicates the teaching was effective?
      A)Medications for Alzheimer's disease will help to increase my energy levels.
      B)Medications for Alzheimer's disease will cure the disease.
      C)Medications for Alzheimer's disease will help me remember what I forgot.
      D)Medications for Alzheimer's disease will help slow the progression of my disease.
    2. A nurse is assessing a client who has atrial fibrillation. Which of the following pulse characteristics should the nurse expect?
      A)Not palpable
      B)Bounding
      C)Irregular
      D)Slow
    3. A nurse enters a client's room and finds him unresponsive. After notifying the rapid response team, which of the following actions should the nurse take first?
      A)Deliver two breaths
      B)Attach defibrillator pads to the client
      C)Begin chest compressions
      D)Check for a carotid pulse
    4. A nurse is assessing a client before administering a unit of packed RBCs. The nurse should identify which of the following data as most important to obtain prior to the infusion?
      A)Fluid intake
      B)Hemoglobin level
      C)Skin color
      D)Temperature
    Page 5 of 10

    Exam Review

    1. A nurse on a medical-surgical unit is caring for a client who reports pain in the jaw, back, and shoulder, and shortness of breath and nausea. Which of the following actions should the nurse take?
      A)Administer ibuprofen
      B)Maintain oxygen saturations greater than or equal to 92%
      C)Administer enteric-coated acetaminophen
      D)Obtain an EKG
    2. A nurse is providing care for a client who has delirium in the intensive care unit. Which of the following interventions should the nurse implement first to prevent client injury?
      A)Administer sedative medications as prescribed
      B)Arrange for one-on-one observation for the client
      C)Administer antipsychotic medications as prescribed
      D)Apply soft restraints to wrists and chest
    3. A nurse is providing discharge instruction to the family of a client who has Parkinson's disease and is a fall risk. Which of the following information should the nurse provide? (Select all that apply.)(SATA)
      A)Keep walking areas free of clutter
      B)Ensure adequate lighting along walking paths
      C)Install handrails in the bathroom
      D)Remove all throw rugs from the home
      E)Obtain a hospital bed and keep all four siderails up
    4. A nurse is providing postoperative education to a client who had a procedure 2 days ago. Which of the following education topics should be included?
      A)Resumption of lifestyle
      B)Inform the client that loss of appetite after surgery is normal and will go away in a week or two
      C)Inform the client that their employer will let them know when they are to return to work
      D)Medication regimen, continuing medication, and new medications
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