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    Exam Review

    1. A nurse is conversing with a client who has gout. The nurse should teach the client to avoid which of the following beverages?
      A)Whole milk.
      B)Orange juice.
      C)Cherry juice.
      D)Organic wine.
    2. A nurse is teaching a client who is experiencing a change in vision. Which of the following statements indicates that the client might be developing cataracts?
      A)My vision is blurry and objects are hazy.
      B)There are dark spots moving around in my eye.
      C)I cant see objects from the side of my eyes.
      D)I cant see anything in the middle part of my eyes.
    3. A nurse is providing education to a female client that has a diagnosis of osteoporosis. Which of the following statements by the client best indicates an understanding of the teaching?
      A)I should place a throw rug over electrical cords so I don't trip over the cord.
      B)I should use chairs without armrests so I can slide off the chair easier.
      C)It is a good idea to use the handrails in the bathroom and non-skid socks.
      D)I should get a longer cord for my telephone since it is difficult for me to stand from a sitting position.
    4. Which of the following is true regarding the Weber and Rinne tests?
      A)The Rinne test measures air and bone conduction of sound.
      B)The Weber test involves asking the client to identify when they can no longer hear a sound.
      C)The Rinne test involves placing a vibrating tuning fork on the top of the head.
      D)The Weber test measures the length of time a client can hear a sound.
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    Exam Review

    1. A nurse is teaching a client about risk factors for osteoarthritis. Which of the following factors should the nurse include in the teaching? Select all that apply.(SATA)
      A)Aging.
      B)Bacteria.
      C)Diuretics.
      D)Obesity.
    2. A client who complains of visual changes is being evaluated for glaucoma. In preparing the client, how will the nurse educate the client about the name of the test that measures intraocular pressure?
      A)Tonometry.
      B)Amsler grid.
      C)10-21 mm Hg IOP.
      D)A topical anesthetic eye drop is instilled into the inner canthus.
    3. A nurse is providing client education to a client that has been recently diagnosed with systemic lupus erythematosus (SLE). The nurse would include what important fact that is thought to be a trigger for a flare-up?
      A)Avoid foods that are rich in purines because it will trigger your lupus.
      B)Limit sun exposure, wear sunscreen, and protective clothing outdoors.
      C)Protect your finger joints by not wringing out wet washcloths or towels.
      D)Consider activity and rest periods to decrease joint pain.
    4. A nurse is caring for a client experiencing presbycusis. Which of the following nursing actions are appropriate?
      A)Communicate using sign language with the client.
      B)Talk into the unaffected ear loudly.
      C)Communicate with the client by writing everything down.
      D)Sit and face the client directly and speak in a normal clear tone.
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    Exam Review

    1. During preoperative teaching the 25 year old client receiving cochlear implants states "I will be able to fully regain my hearing with the implants.”. What is the nurse's best response to the client?
      A)The implant will be immediately effective.
      B)The implants will require minimal rehabilitation in order for you to recognize sounds.
      C)The implants will assist you to detect medium to loud environmental sound and conversation rather than normal hearing.
      D)The implants will assist you to restore normal hearing fully.
    2. The nurse has finished receiving shift report at 7:30 AM. Which client should the nurse assess first?
      A)The client diagnosed with rheumatoid arthritis who complains of morning joint stiffness.
      B)The client who needs to receive a scheduled 8 AM IV corticosteroid.
      C)The client with scleroderma who has an episode of dyspnea during the night shift.
      D)The client suspected of an acute gout attack who is scheduled for an arthrocentesis.
    3. A nurse is caring for a male older adult client who has a new diagnosis for glaucoma. Which of the following should the nurse recognize as risk factors associated with this disease? Select all that apply.(SATA)
      A)Hypertension.
      B)Sudden decrease in intraocular pressure (IOP).
      C)Genetic predisposition.
      D)Age.
      E)Diabetes Mellitus.
    4. A nurse is preparing to administer acetaminophen 320 mg PO every 4 hr PRN for pain. The amount available is acetaminophen liquid 160 mg/5 mL. How many mL should the nurse administer per dose? Round the answer to the nearest tenth and use a leading zero if it applies. Do not use a trailing zero.
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    Exam Review

    1. A nurse is conversing with a client who has a new diagnosis of gout. When the client asks the nurse how she got the disorder, the nurse should explain that gout develops when?
      A)Deposits of uric acid crystals cause inflammation, pain, and redness in the affected joints.
      B)Uric acid levels drop significantly below the normal reference range.
      C)Tophi forms in the kidneys and impairs the excretion of uric acid.
      D)Articular cartilage thins leading to splitting and fragmentation.
    2. A nurse is providing client education to a client who is taking over the counter (OTC) acetaminophen. The nurse should incorporate which of the following teaching?
      A)Measure your blood pressure prior to taking the medication.
      B)Should you notice bleeding gums and bruising contact your health provider.
      C)Observe your stool for any bright red color and/or black tarry color.
      D)Do not take more than 4g in a 24-hour period as it may lead to hepatotoxicity.
    3. A nurse is preparing to administer naproxen 500 mg PO BID for a client who has osteoarthritis. The amount available is naproxen 125 mg/5 mL oral suspension. How many mL should the nurse administer per dose? Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.
    4. A client is about to start taking an NSAID called celecoxib to treat osteoarthritis symptoms. The nurse should instruct the client to watch for and report which of the following possible indications of a serious reaction to the drug?
      A)Dry mouth.
      B)Bone pain.
      C)Polyuria.
      D)Black tarry stools.
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    Exam Review

    1. A client has been newly diagnosed with rheumatoid arthritis. The nurse recognizes that the healthcare provider will most likely order which drug classification as the first choice for treatment?
      A)Opioids.
      B)Acetaminophen.
      C)Nonsteroidal anti-inflammatory drugs (NSAIDS).
      D)Hormone replacement therapy (HRT).
    2. Which statement by the client diagnosed with viral conjunctivitis indicates that more teaching is necessary? Select all that apply.(SATA)
      A)I will use a washcloth to clean both my eyes, starting with the infected eye and moving to the uninfected eye.
      B)I will wash my hands frequently.
      C)I can share my pillow with my child.
      D)I do not have to replace my eye makeup.
      E)I can return to work after my symptoms are gone which can take 7 days.
    3. A nurse is completing discharge teaching with a client diagnosed with osteoarthritis (OA). Which of the following statements by the client indicates an understanding of the disease process? Select all that apply.(SATA)
      A)Over time you will lose height and possibly develop an abnormal curvature to your spine known as kyphosis.
      B)It is due to loss of calcium in the bones leading to fractures and increased injury.
      C)It occurs during the aging process and results in the disintegration of cartilage in the joint.
      D)OA is also known as the wear and tear disease, usually a result from the overuse of joints.
      E)It is caused by inflammation that affects both joints and other body tissues.
    4. A nurse is caring for a client who was diagnosed with scleroderma 5 days ago. The nurse plans to assess the client to document the disease's progression. In addition to skin changes, which of the following findings should the nurse expect?
      A)Thinning of the skin.
      B)Excessive salivation.
      C)Periorbital edema.
      D)Decreased range of motion.
    Page 5 of 13

    Exam Review

    1. An initial assessment of an elderly client's complaint of hearing loss would be inspection of the ear using an otoscope for the presence of impacted cerumen. Which of the following type of hearing loss is caused by impacted cerumen?
      A)Sensorineural hearing loss.
      B)Conductive hearing loss.
      C)Mixed hearing loss.
      D)Psychogenic hearing loss.
    2. A nurse is caring for a client with Meniere disease and restricts the following foods in the dietary plan. Select all that apply.(SATA)
      A)Canned split pea soup.
      B)Baked potato with cheese and bacon.
      C)Wine.
      D)Iced Coffee.
      E)Milk.
    3. A client is 1-day post-operative from cataract surgery. Which of the following comments made by the client should the nurse report to the client's healthcare provider?
      A)My eye is starting to really hurt me. I can't stand it.
      B)I am making sure I don't bend at the waist.
      C)I am avoiding scratching my eyes.
      D)I am only wearing my eye patch at night.
    4. A nurse is assessing a client with clinical manifestations associated with scleroderma. The nurse would use what tool to assist with assessment of this client?
      A)Hendrich II Fall Risk.
      B)Braden Scale.
      C)Mini-Cog.
      D)CREST.
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