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    Exam Review

    1. A nurse is preparing a client's body for a postmortem family viewing. Which of the following actions should the nurse take?
      A)Ask the family if they want to participate in postmortem care.
      B)Lie the head of the client's bed flat.
      C)Place medical equipment to the side of the client's bed.
      D)Remove the client's dentures to close their mouth.
    2. A nurse is assisting with a community health education program about childhood communicable diseases. Which of the following information should the nurse include in the presentation?
      A)Children who have erythema infectious (fifth disease) require short-term antibiotic therapy.
      B)Isolate children who have varicella until the vesicles have formed crusts.
      C)Administration of childhood immunizations will prevent exanthem subitem (roseola infantum).
      D)Restrict fluids for children who have pertussis.
    3. A nurse is providing care to a client who is immunocompromised. Which of the following should the nurse identify as a possible source of infection?
      A)Soiled linens are placed on the floor.
      B)Dampened cloths are used for dusting the area.
      C)Uncapped sharps are put in a puncture-resistant container.
      D)Waste containers are lined with single bags
    4. A nurse is collecting data from a child who has pertussis. Which of the following manifestations should the nurse expect?
      A)Fever
      B)Koplik spots
      C)Facial erythema
      D)Beefy, red tongue
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    Exam Review

    1. A nurse is assisting with the planning of an in-service about updates in wound care for nursing staff. Which of the following sources should the nurse identify as providing the best evidence-based information?
      A)A peer-reviewed journal article
      B)Information from a wound care product vendor
      C)First-hand experience with wound care products
      D)An entry on a nursing blog addressing wound healing
    2. A nurse overhears two assistive personnel (AP) in the nurses' station discussing a client who was recently admitted. Which of the following actions should the nurse take?
      A)Inform the client of the APs' actions.
      B)Submit an incident report to the risk manager.
      C)Tell the APS to stop the conversation.
      D)Document the event in the client's progress notes.
    3. A nurse is reinforcing teaching with a client who has a urinary tract infection. Which of the following instructions should the nurse include in the teaching?
      A)Drink orange juice daily for 3 to 4 weeks.
      B)Take the prescribed antibiotic until manifestations are gone.
      C)Restrict fluid intake to 1 L per day.
      D)Wear cotton underwear
    4. A charge nurse is making assignments for a group of clients. Which of the following clients should the nurse assign to a licensed practical nurse?
      A)A client who is postoperative following a hip arthroplasty and has a respiratory rate of 10/min
      B)A client who has a urinary output of 30 mL in the past hour
      C)A client who is newly admitted and requires an admission assessment
      D)A client who has a new diagnosis of diabetes mellitus and is awaiting teaching about meal planning
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    Exam Review

    1. A nurse is reinforcing teaching about colostrum with a new mother who is breastfeeding. The mother asks. Why is colostrum so important for my baby? Which of the following responses should the nurse make?
      A)Colostrum provides many important antibodies that the newborn lacks.
      B)Colostrum contains iron, which is important for a newborn's brain development.
      C)Colostrum provides vitamin K. which is an essential nutrient for newborns.
      D)Colostrum contains a natural diuretic that stimulates the newborn to void.
    2. A nurse is collecting data for a client who is receiving enteral tube feedings. The nurse should identify that which of the following findings is a manifestation of fluid overload?
      A)Decreased skin turgor
      B)Crackles heard in the lungs
      C)Weight loss
      D)Decreased blood pressure
    3. 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)Administer an oral contrast solution.
      B)Inform the client the procedure will take 60 min)
      C)Ensure that the client's bladder is full.
      D)Ensure that the client gave informed consent.
    4. A nurse is obtaining informed consent from a client who is scheduled for an invasive procedure. The client states, "I don't understand why this procedure is necessary." Which of the following actions should the nurse take?
      A)Notify the charge nurse about the situation.
      B)Explain to the client that the procedure will help treat his diagnosis.
      C)Ask the client to sign the consent form anyway.
      D)Remind the client about the specifics of the procedure.
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    Exam Review

    1. A nurse is helping to place a client into the prone position. The nurse should use a small pillow to relieve pressure from which of the following areas of the client's body?
      A)Heels
      B)Coccyx
      C)Occiput
      D)Breasts
    2. A nurse is reinforcing teaching with a new mother about facility security measures. Which of the following statements by the mother indicates an understanding of the teaching?
      A)I can remove my security band to give it to a family member.
      B)I will have an identification band that matches the one my baby wears.
      C)I can take my baby to the lobby to visit family.
      D)I will carry my baby to the nursery.
    3. A nurse is caring for a school-age child who has appendicitis. For which of the following findings should the nurse monitor as a manifestation of a perforated appendix and report to the provider?
      A)Elevated temperature
      B)Lethargy
      C)Decreased abdominal girth
      D)Bradycardia
    4. A nurse is contributing to the plan of care for a client who has urinary incontinence. Which of the following interventions should the nurse include in the plan?
      A)Keep the head of the client's bed elevated to 45".
      B)Limit periods of sitting in a chair to 4 hr.
      C)Use a no-rinse perineal cleanser after incontinence.
      D)Avoid the use of draw sheets for repositioning.
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    Exam Review

    1. A nurse begins to bathe a newly admitted client who reports that they have not had anything to eat that day. The nurse interrupts the bath and obtains a healthy meal for the client. This action by the nurse is an example of which of the following?
      A)Veracity
      B)Countertransference
      C)Boundary crossing
      D)Promoting trust
    2. A nurse is reinforcing discharge teaching with the caregiver of a client who has dependent personality disorder. Which of the following instructions should the nurse include in the teaching?
      A)Encourage the client to be assertive.
      B)Limit the client's social interactions.
      C)Maintain a verbal no-harm contract with the client.
      D)Assume responsibility for making the client's decisions.
    3. A nurse is assisting with the care of a client who is receiving a spinal epidural to treat a herniated disc. Which of the following findings should the nurse identify as an indicator of unrelieved pain?
      A)Urinary retention
      B)Constipation
      C)Difficulty swallowing
      D)Restlessness
    4. A nurse is assisting with the admission of a client who has varicella zoster. Which of the following interventions should the nurse plan to implement?
      A)Assign the client to a negative pressure airflow room.
      B)Administer aspirin if the client develops a fever.
      C)Initiate contact precautions for the client.
      D)Have visitors remain at least 0.91 m (3 feet) away from the client.
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    Exam Review

    1. A nurse is assisting the provider with a lumbar puncture for a client who has manifestations of meningitis. Into which of the following positions should the nurse assist the client?
      A)Head flexed to the chest and her knees pulled up to the abdomen
      B)Arms raised above her head with her legs elevated on pillows
      C)Prone with her arms at her side and her legs extended
      D)Trendelenburg with her body in Sims' position
    2. A nurse is receiving change-of-shift report on four clients. Which of the following clients should the nurse plan to see first?
      A)A client who has cirrhosis and severe pruritus
      B)A client who had a laparoscopic appendectomy 8 hr. ago and is awaiting discharge
      C)A client who has a femur fracture and reports numbness of the toes
      D)A client who had a renal biopsy 3 hr. ago and has pink-tinged urine
    3. A nurse in a provider's office is collecting data from a client who has psoriasis. Which of the following statements by the client should the nurse report to the provider?
      A)I limit my time spent out in the sunlight
      B)I do not use fabric softener when I wash my clothing.
      C)I try not to look at the scales on my body.
      D)I remove old medication on my skin before applying a new dose.
      E)None
      F)None
    4. A nurse is caring for a client who is postoperative following a subtotal thyroidectomy. The nurse should place the client in which of the following positions?
      A)Dorsal recumbent
      B)Supine
      C)Semi-Fowler's
      D)Left lateral
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