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    Exam Review

    1. A nurse is assessing a client who is 6 hours postoperative following a total abdominal hysterectomy. Which of the following findings should the nurse report to the provider?
      A)The client has decreased bowel sounds in all four quadrants.
      B)The client’s total urinary output is 75 mL in the last 3 hours.
      C)The client reports a pain level of 4 on a scale of 0 to 10.
      D)The client’s dressing has a scant amount of dark red drainage.
      E)None
      F)None
    2. A nurse is assessing a client who has preeclampsia and is receiving magnesium sulfate via continuous IV infusion. For which of the following therapeutic effects should the nurse monitor the client?
      A)Urine output 20 mL/hr.
      B)Fetal heart rate 116/min.
      C)Blood pressure 150/92 mm Hg.
      D)Absence of eclampsia.
    3. A nurse is caring for a child who has a hip spica cast. Which of the following actions should the nurse take?
      A)Place the child in a semi-sitting position for meals.
      B)Maintain the child’s lower extremities in a dependent position.
      C)Provide a bedside commode for toileting.
      D)Turn the child every 2 hours.
    4. A nurse is planning care for a client during Ramadan who is a devout Muslim. Which of the following actions should the nurse include regarding the client’s diet?
      A)Ensure that pork is included in the evening meal.
      B)Avoid red meat in the client’s meals.
      C)Wait 1 hour after the client consumes dairy to serve poultry.
      D)Schedule for meals to be served after sundown.
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    Exam Review

    1. A nurse is preparing to reposition a client who had a stroke. Which of the following actions should the nurse take?
      A)Discuss the client’s preferences for determining a repositioning schedule.
      B)Evaluate the client’s ability to help with repositioning.
      C)Reposition the client without the use of assistive devices.
      D)Raise the side rails on both sides of the client’s bed during repositioning.
    2. A nurse is preparing to witness a client’s signature on a consent form for a colon resection. The nurse should recognize that which of the following information should be provided to the client by the provider before signing the form? (Select all that apply)(SATA)
      A)Potential complications.
      B)Possible alternative treatments.
      C)Explanation of the procedure.
      D)Expected outcome of the procedure.
      E)Cost of the procedure.
    3. A nurse is speaking with the caregiver of a client who has Alzheimer’s disease. The caregiver states, “Providing constant care is very stressful and is affecting all areas of my life.” Which of the following actions should the nurse take?
      A)Discuss methods of how to communicate with the client about resolving problem behaviors.
      B)Suggest that the caregiver seek a prescription for an antipsychotic medication for the client.
      C)Recommend allowing the client to have time alone in their room throughout the day.
      D)Assist the caregiver to arrange for a daycare program for the client.
    4. A nurse is caring for a client who reports a headache and has a history of a peptic ulcer. Which of the following medications should the nurse administer?
      A)Aspirin.
      B)Ibuprofen.
      C)Ketorolac.
      D)Acetaminophen.
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    Exam Review

    1. A nurse is caring for a client who has a history of depression and is experiencing a situational crisis. Which of the following actions should the nurse take first?
      A)Confirm the client’s perception of the event.
      B)Teach the client relaxation techniques.
      C)Help the client identify personal strengths.
      D)Notify the client’s support person.
    2. A nurse is planning care for a client who practices Orthodox Judaism and is observing the Passover holiday. Which of the following actions should the nurse include in the plan of care?
      A)Provide unleavened bread.
      B)Provide chicken with a cream sauce.
      C)Avoid serving fish with fins and scales.
      D)Avoid serving foods containing lamb.
    3. A nurse is caring for a client who is postoperative immediately following a cardiac catheterization with a right femoral approach. Which of the following actions should the nurse take?
      A)Elevate the head of the client’s bed to 45°.
      B)Assess the client’s peripheral pulses every 15 minutes.
      C)Change the client’s dressing 4 hours following the procedure.
      D)Instruct the client to flex the right knee every 30 minutes.
    4. A nurse is providing teaching to the parents of a newborn who has been circumcised. Which of the following instructions should the nurse include in the teaching?
      A)Wrap sterile gauze around the penis if bleeding occurs.
      B)Remove yellow exudate around the penis.
      C)Apply petroleum jelly to the glans with diaper changes.
      D)Use soap to cleanse the site.
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    Exam Review

    1. A nurse in a long-term care facility is managing the care of an older adult client who has difficulty swallowing and occasional choking during meals. The nurse should initiate a referral to which of the following members of the interprofessional care team?
      A)Speech-language pathologist.
      B)Occupational therapist.
      C)Respiratory therapist.
      D)Social worker.
    2. A nurse is caring for a client admitted for alcohol use disorder who reports using alcohol to deal with stress. Which of the following actions should the nurse take to assist the client in maintaining self-control of the behavior?
      A)Provide the client with periods of alone time for reflection on their behavior.
      B)Discuss strategies with the client to reduce alcohol consumption gradually.
      C)Have the client’s partner assume responsibility for monitoring the client’s alcohol intake.
      D)Give positive feedback to the client for using adaptive coping strategies.
      E)The correct answer is: d) Give positive feedback to the client for using adaptive coping strategies.
    3. A nurse is caring for a client who became physically aggressive and had to be placed in mechanical restraints. Which of the following actions should the nurse take while the client is in restraints?
      A)Hold a critical incident debriefing about the client.
      B)Observe the client’s range of movement.
      C)Maintain sensory stimulation for the client.
      D)Identify stressors that caused the client’s aggression.
    4. A nurse is preparing to apply a transdermal nicotine patch for a client. Which of the following actions should the nurse take?
      A)Wear gloves to apply the patch to the client’s skin.
      B)Remove the previous patch and place it in a tissue.
      C)Apply the patch within 1 hour of removing it from the protective pouch.
      D)Shave hairy areas of skin prior to application.
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    Exam Review

    1. A nurse is preparing discharge information for a client who has type 2 diabetes mellitus. Which of the following information resources should the nurse provide to the client?
      A)Personal blogs about managing the adverse effects of diabetes medications.
      B)Food label recommendations from the Institute of Medicine.
      C)Food exchange lists for meal planning from the American Diabetes Association.
      D)Diabetes medication information from the Physicians’ Desk Reference.
    2. A nurse is giving discharge instructions to the parents of a child who has a broken arm and has just been fitted with a fiberglass cast. Which of the following instructions should the nurse include?
      A)Allow your child to swim with supervision.
      B)Position your child’s casted arm in a sling at bedtime.
      C)Use a hair dryer on a cool setting to relieve your child’s itching.
      D)Make sure your child can move their fingers every 6 hours.
    3. A nurse is assessing the coping strategies of a client who has recently retired. Which of the following statements by the client indicates that the client is using compensation as a defense mechanism?
      A)I had to retire because my boss didn’t like me.
      B)I’m so glad I’ve retired because the work was making me sick and depressed.
      C)There were lay-offs at my company, so I journaled about what I accomplished during my career.
      D)Since I retired, I have entered many gardening competitions.
    4. A nurse is planning care for a client who is recovering from an acute myocardial infarction that occurred 3 days ago. Which of the following interventions should the nurse include?
      A)Place the client in a supine position while resting.
      B)Perform an ECG every 12 hours.
      C)Draw a troponin level every 4 hours.
      D)Obtain a cardiac rehabilitation consultation.
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    Exam Review

    1. A nurse is caring for a client who has a nasogastric (NG) tube in place for gastric decompression and notes that the tube is not draining. Which of the following steps should the nurse take first?
      A)Reposition the NG tube.
      B)Inject 20 mL of air and aspirate in the NG tube.
      C)Instill an irrigation solution slowly.
      D)Check the functioning of the suction equipment.
    2. A nurse is caring for a 30-month-old child. Which of the following activities should the nurse expect the child to participate in?
      A)Playing with a jump rope.
      B)Playing with a large plastic truck.
      C)Playing with an imaginary friend.
      D)Playing with dress-up clothes.
    3. A nurse is planning care for a client who is on droplet precautions. Which of the following actions should the nurse take for this client?
      A)Ensure all gloves in the client’s room are nonlatex.
      B)Equip the client’s room with a HEPA filtration system.
      C)Place a box of surgical masks outside the client’s room.
      D)Assign the client to a negative pressure room.
    4. A nurse is administering furosemide IV bolus to a client who has fluid volume excess. The nurse should recognize which of the following findings as an indication that the medication has been effective?
      A)Increased blood pressure.
      B)Decreased pain.
      C)Decreased inflammation.
      D)Weight loss.
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