NursingPlex
    Sign In
    Review ModeExam ModePractice Mode

    Exam Review

    1. A patient arrives at the emergency center with a severe head injury. During assessment, the nurse observes that the patient is unresponsive, adducts the arms tightly against the thorax, and plantar flexes the feet while internally rotating them. How would the nurse document this abnormal posture?
      A)Opisthotonos
      B)Flaccid quadriplegia
      C)Decorticate rigidity
      D)Decerebrate rigidity
    2. Which area would the nurse assess for a murmur due to aortic valve stenosis?
      A)Right 5th intercostal space at the sternal border
      B)Right 2nd intercostal space at the sternal border
      C)Left 5th intercostal space at the mid-clavicular line
      D)Left 2nd intercostal space at the mid-clavicular line
    3. Of the 33 vertebrae in the spinal column, which is correct?
      A)5 lumbar
      B)12 cervical
      C)7 sacral
      D)5 thoracic
    4. The nurse notices that a patient has a solid, elevated, circumscribed lesion that is less than 1 cm in diameter. How should the nurse document this finding?
      A)Nodule
      B)Wheal
      C)Papule
      D)Pustule
    Page 1 of 17

    Exam Review

    1. What is the best time for the nurse to measure a patient's respirations?
      A)When measuring the pulse
      B)When auscultating
      C)When interviewing the patient
      D)When sleeping
    2. The provider has ordered 180 mg of Dilantin PO every 8 hours. The label of the drug reads 250 mg per 5 ml. How many milliliters will the nurse administer per dose?
      A)3.6 ml
      B)4.5 ml
      C)5 ml
      D)7 ml
    3. During an assessment of a 22-year-old woman who sustained a head injury from an automobile accident 8 hours earlier, the nurse notices the following changes: both pupils were equal, but now the right pupil is fully dilated and nonreactive, and the left pupil is 4 mm and reacts to light. What do these findings suggest?
      A)Normal findings
      B)Need to recheck findings
      C)Increased intracranial pressure
      D)Brainstem injury
    4. The nurse is reviewing the principles of pain. Which type of pain is due to an abnormal processing of the pain impulse through the peripheral or central nervous system?
      A)Referred
      B)Visceral
      C)Cutaneous
      D)Neuropathic
    Page 2 of 17

    Exam Review

    1. A patient who is visiting the clinic complains of having stomach pains for 2 weeks and describes his stools as being soft and black for approximately the last 10 days. He denies taking any medications. How should the nurse interpret these symptoms?
      A)Absent bile pigment from liver or gallbladder problems
      B)Excessive fat in the stool caused by malabsorption
      C)Increased iron intake, resulting from a change in diet
      D)Occult blood resulting from gastrointestinal bleeding
    2. During an abdominal assessment, the nurse elicits tenderness on light palpation in the right lower quadrant. The nurse recognizes this finding could indicate a problem with what structure?
      A)Appendix
      B)Spleen
      C)Gallbladder
      D)Spine
    3. A 62-year-old man states that his physician told him that he has an inguinal hernia. He asks the nurse to explain what a hernia is. How should the nurse respond?
      A)Tell him not to worry and that most men his age develop hernias
      B)Explain that a hernia is a loop of bowel protruding through a weak spot in the abdominal muscles
      C)Explain that a hernia is often the result of prenatal growth abnormalities
      D)Refer him to his physician for additional consultation because the physician made the initial diagnosis
    4. A nurse assesses a 70-year-old patient’s recent memory. Which would the nurse ask the patient to recall?
      A)Can you name the past four presidents?
      B)What are the names of your children?
      C)Please tell me your mother’s maiden name
      D)What did you have for breakfast this morning?
    Page 3 of 17

    Exam Review

    1. A patient tells the nurse that he is allergic to penicillin. What would be the nurse’s best response to this information?
      A)Are you allergic to any other drugs?
      B)How often have you received penicillin?
      C)Describe what happens to you when you take penicillin
      D)I’ll write your allergy on your chart so you won’t receive any penicillin
    2. The nurse will give Amoxicillin 25 mg/kg as ordered. How many tablet(s) of Amoxicillin is needed if the medication is supplied as 500 mg tablets and the patient weighs 10 kg?
      A)0.5 tablet
      B)0.75 tablet
      C)1.25 tablets
      D)0.25 tablet
    3. When auscultating the lungs of an adult patient, the nurse notes that low-pitched, soft breath sounds are heard over the posterior lower lobes, with inspiration being longer than expiration. How should the nurse interpret these findings?
      A)Bronchial breath sounds that are normal in that location
      B)Normal sounds auscultated over the trachea
      C)Vesicular breath sounds that are normal in that location
      D)Bronchovesicular breath sounds that are normal in that location
    4. A nurse suspects abuse when a 6-year-old child is taken to the emergency center for a traumatic injury. How should the nurse document the assessment findings?
      A)Document what the child’s physician tells the nurse
      B)Use the exact words the child has said to describe how the injury occurred
      C)Document mainly what the parent has said about how the injury occurred
      D)Focus only on photographs of the child’s injuries
    Page 4 of 17

    Exam Review

    1. Which statement concerning the areas of the brain is true?
      A)The cerebellum is the center for speech and emotions
      B)The hypothalamus controls body temperature and regulates sleep
      C)Motor pathways of the spinal cord and brainstem synapse in the thalamus
      D)The basal ganglia are responsible for controlling voluntary movements
    2. In using the ophthalmoscope to assess a patient’s eyes, the nurse notices a red glow in the patient’s pupils. Based on this finding, what should the nurse do?
      A)Check the light source of the ophthalmoscope to verify that it is functioning
      B)Consider the red glow a normal reflection of the ophthalmoscope light off the inner retina
      C)Suspect that an opacity is present in the lens or cornea
      D)Stop the ophthalmoscopic examination, and refer the patient for further evaluation
    3. Which of these specific measurements is the best index of a child’s general health?
      A)Diet and weight
      B)Temperature and pulse
      C)Height and strength
      D)Height and weight
    4. During a visit to the clinic, a patient complains that her legs feel heavy in the calf. The nurse assesses that the patient has dilated, tortuous veins apparent in her lower legs. Which condition is reflected by these findings?
      A)Deep-vein thrombophlebitis
      B)Varicose veins
      C)Peripheral artery disease
      D)Chronic lymphedema
    Page 5 of 17

    Exam Review

    1. When teaching the patient about self-examination of the male genitalia, the nurse would include which instructions in the teaching plan?
      A)Starts with palpation and then inspection
      B)Should be performed yearly
      C)Should be performed while bathing
      D)Should be restricted to adults with a prior cryptorchidism
    2. Young women should have their first Pap smear examination at which age?
      A)21
      B)16
      C)Only after they become sexually active
      D)18
    3. When the nurse assesses the Cranial Nerve VII, which would the nurse ask the patient to perform? (Select all that apply)(SATA)
      A)Smile
      B)Close eyes tightly
      C)Shrug shoulders
      D)Frown
      E)Smell a flower
    4. Which is a normal characteristic of lymph nodes in a healthy adult patient?
      A)Large and fixed to the tissue
      B)Large and non-mobile
      C)Granular texture
      D)Not palpable
    Page 6 of 17