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    Exam Review

    1. A nurse is obtaining a client's manual blood pressure and is having difficulty auscultating sounds. Which of the following actions should the nurse take?
      A)Apply the largest cuff available.
      B)Use the palpatory method to determine blood pressure.
      C)Place the arm above the level of the client's heart.
      D)Deflate the cuff quickly.
    2. A nurse is conducting health promotion education regarding contraindications to combination oral contraceptive use to a group of women. Which of the following conditions should the nurse include in the teaching?
      A)Fibromyalgia
      B)Fibrocystic breast disease
      C)Renal calculi
      D)Hypertension.
    3. A nurse is planning care for a school-age child who is 4 hr postoperative following appendicitis. Which of the following actions should the nurse include in the plan of care?
      A)Offer small amounts of clear liquids 6 hr following surgery.
      B)Administer analgesics on a scheduled basis for the first 24 hr.
      C)Apply a warm compress to the operative site once daily.
      D)Give cromolyn nebulized solution every 8 hr.
    4. A nurse is caring for a client who has acute glomerulonephritis. Which of the following findings should the nurse expect?
      A)Hypotension
      B)Hematuria
      C)Weight loss
      D)Polyuria
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    Exam Review

    1. A quality control nurse is reviewing medication prescriptions for a group of clients. Which of the following medication prescriptions should the nurse identify as being complete?
      A)Digoxin 0.25 mg PO daily
      B)Cimetidine PO twice daily
      C)Epoetin alfa 150 units/kg three times weekly
      D)Tetracycline 200 mg PO
    2. A nurse is caring for a client who has given informed consent for electroconvulsive therapy. Just before the procedure, the client tells the nurse she is considering not going forward with the treatment. Which of the following statements by the nurse is appropriate?
      A)"You don't have to go through with the treatment."
      B)"Your doctor wouldn't have ordered this treatment unless it was necessary."
      C)"It's okay to be nervous before this treatment."
      D)"Most people who have this procedure feel better following the treatment."
    3. A nurse is preparing to feed a newly admitted client who has dysphagia. Which of the following actions should the nurse plan to take?
      A)Instruct the client to lift her chin when swallowing.
      B)Sit at or below the client's eye level during feedings.
      C)Talk with the client during her feeding.
      D)Discourage the client from coughing during feedings.
    4. A nurse is admitting a client who is hesitant to create advance directives due to concerns about affording legal representation. Which of the following statements should the nurse make?
      A)"We can initiate medical care until you get legal assistance in preparing your advance directives."
      B)"A social worker will assist you to find affordable legal representation."
      C)"Advance directives can be signed without legal representation."
      D)"Advance directives can be a verbal agreement between you and your provider until legal review can be obtained."
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    Exam Review

    1. A nurse is assessing a client who has an abdominal incision. Which of the following findings should the nurse report to the provider?
      A)Crusting of exudate on the incisional line
      B)Mild swelling under the sutures near the incisional line
      C)Pink-tinged coloration on the Incisional line
      D)Partial separation of the upper part of the incisional line
    2. A nurse in an emergency department is caring for a client following a motor vehicle crash. The client's Glasgow coma scale rating is 15. Which of the following findings should the nurse expect?
      A)The client withdraws from pain.
      B)The client opens eyes to sound.
      C)The client is unable to obey commands.
      D)The client is oriented times three.
    3. A nurse on a medical-surgical unit is notified that a mass casualty event has occurred in the community. Which of the following actions should the nurse plan to take?
      A)Recommend to the provider specific acute care clients for discharge.
      B)Determine the medical needs of incoming clients through the emergency department.
      C)Act as a liaison between the facility and the media.
      D)Call in additional medical-surgical unit nursing care staff.
    4. While performing a routine assessment, a nurse notices fraying on the electrical cord of a client's continuous passive motion (CPM) device. Which of the following actions should the nurse take first?
      A)Report the defect to the equipment maintenance staff.
      B)Ensure the device inspection sticker is current.
      C)Initiate a requisition for a replacement CPM device.
      D)Remove the device from the room.
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    Exam Review

    1. A nurse is assessing a client who is experiencing hypovolemia. Which of the following manifestations should the nurse expect?
      A)Epistaxis
      B)Dizziness
      C)Shortness of breath
      D)Headache
    2. A nurse is caring for a school-age child who is postoperative and received morphine via IV bolus for pain 10 min ago. Which of the following findings is the nurse's priority?
      A)Sedation
      B)Bradypnea
      C)Euphoria
      D)Constipation
    3. A nurse is planning care for a client who is scheduled for a thoracentesis. Which of the following actions should the nurse plan to take?
      A)Instruct the client to avoid coughing during the procedure.
      B)Place the client in the prone position during the procedure.
      C)Position the client on the affected side for 4 hr following the procedure.
      D)Inform the client that he will be NPO for 6 hr prior to the procedure.
    4. A nurse in an emergency department is caring for a client who has a closed head injury. Which of the following actions should the nurse take first?
      A)Prepare the client for an MRI of the brain.
      B)Insert an indwelling urinary catheter for the client.
      C)Determine the client's Glasgow Coma Scale score.
      D)Administer mannitol IV bolus to the client.
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    Exam Review

    1. A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching?
      A)Faintness upon rising
      B)Bleeding gums
      C)Swelling of the face
      D)Urinary frequency
    2. A nurse is caring for a client who asks for information regarding organ donation. Which of the following responses should the nurse make?
      A)"Your name cannot be removed once you are listed on the organ donor list."
      B)"I cannot be a witness for your consent to donate."
      C)"Your desire to be an organ donor must be documented in writing."
      D)"You must be at least 21 years of age to become an organ donor."
    3. A nurse is caring for a client who has a vented NG tube set to low intermittent suction and has vomited. Which of the following actions should the nurse perform first?
      A)Administer an antiemetic medication.
      B)Evaluate functioning of the suction device.
      C)Replace the NG tube.
      D)Provide oral hygiene care.
    4. A nurse is caring for a female client who requests a contraceptive diaphragm. Which of the following actions should the nurse take first?
      A)Supervise return demonstration of diaphragm use.
      B)Document the client's level of understanding about potential adverse effects.
      C)Teach the client how to insert the diaphragm.
      D)Determine the client's knowledge about diaphragm use.
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    Exam Review

    1. A nurse is caring for a client who has cancer and is terminally ill. The client reports feeling depressed. Which of the following statements should the nurse make?
      A)"Do you need a prescription for an antianxiety medication?"
      B)"Do you need information on hospice care?"
      C)"Would you like to talk to a counselor about advance directives?"
      D)"Would you like to speak to a spiritual advisor?"
    2. A nurse is performing postmortem care for a recently deceased client prior to the client's family visit. Which of the following actions should the nurse plan to take?
      A)Cross the client's arms across their chest.
      B)Remove the client's dentures from their mouth.
      C)Place the client in a high-Fowler's position.
      D)Hold the client's eyes shut for a few seconds.
    3. A nurse is providing discharge teaching about home care of a surgical incision to a client who speaks a different language from the nurse. The nurse is communicating with the client using an interpreter. Which of the following actions should the nurse take?
      A)Speak slowly when talking to the interpreter.
      B)Speak directly to the client.
      C)Pause in the middle of sentences.
      D)Use gestures to convey meaning.
    4. A nurse is teaching a client who has rheumatoid arthritis about illness management. Which of the following instructions should the nurse include in the teaching?
      A)Take a hot shower in the morning to decrease stiffness.
      B)Apply cold packs directly on the skin of the affected joints.
      C)Administer biological response modifiers to prevent infection.
      D)Cluster physical activities during the day.
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