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    Exam Review

    1. The nurse leading a care team on a medical surgical unit is assigning client care to a practical nurse (PN) and an unlicensed assistive personnel Which task should the nurse assign to the PN?
      A)Determine the need for urinary catheterizations.
      B)Titrate Oxygen to prescribed parameters.
      C)Receive a postoperative client and conduct the assessment
      D)Evaluate and update plans of care for clients.
    2. A mother brings her 4-month-old son to the clinic with a quarter taped over his umbilicus, and tells the nurse the quarter is supposed to fix her child's hernia. Which explanation should the nurse provide?
      A)An abdominal binder can be worn daily to reduce the protrusion.
      B)This hernia is a normal variation that resolves without treatment.
      C)The quarter should be secured with an elastic bandage wrap.
      D)Restrictive clothing will be adequate to help the hernia go away.
    3. A male client reports to the on-call clinic nurse that he took tadalafil 10 mg by mouth two hours ago and his skin now feels flushed. He reports a history of stable angina but denies experiencing any current or recent chest pain. Which action should the nurse take?
      A)Advise the client to place one nitroglycerin tablet under his tongue as a precaution.
      B)Tell the client to have someone bring him to an emergency department immediately.
      C)Instruct the client to increase his intake of oral fluids until the skin flushing is relieved.
      D)Reassure the client that skin flushing is a common side effect of the medication.
    4. The charge nurse is planning for the shift and has a registered nurse (RN) and a practical nurse (PN) on the team. Which client should the charge nurse assign to the RN?
      A)An adolescent with multiple contusions due to a fall that occurred 2 days ago.
      B)A 75-year-old client with renal calculi who requires urine straining.
      C)A 30-year-old depressed client who admits to suicide ideation.
      D)A 64-year-old client who had a total hip replacement the previous day.
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    Exam Review

    1. A client with arthritis has been receiving treatment with naproxen and now reports ongoing stomach pain, increasing weakness, and fatigue. Which laboratory test should the nurse monitor?
      A)Osmolality
      B)Serum calcium
      C)Erythrocyte sedimentation rate
      D)Hemoglobin
    2. The nurse is caring for a group of clients with the help of a practical nurse (PN). Which nursing action(s) should the nurse assign to the PN? (Select all that apply.)(SATA)
      A)Obtain postoperative vital signs for a client one day following unilateral knee arthroplasty.
      B)Start the second blood transfusion for a client twelve hours following a below knee amputation.
      C)Initiate patient controlled analgesia (PCA pumps for two clients immediately postoperatively.
      D)Perform daily surgical dressing change for a client who had an abdominal hysterectomy.
      E)Administer a dose of insulin per sliding scale for a client with type 2 diabetes mellitus (DM).
    3. The nurse is preparing a 4-day-old infant with a serum bilirubin level of 19 mg/dl (325 Mcmol/L) for discharge from the hospital. When teaching the parents about home phototherapy, which instruction should the nurse include in the discharge teaching plan? Reference Range Total Bilirubin (Reference Range: Newborn 0.1 to 10.5 mg/dL (1.7 to 180 Mcmol/L)]
      A)Reposition the infant every 2 hours:
      B)Cover with a receiving blanket.
      C)Perform diaper changes under the light.
      D)feed the infant every 4hours
    4. A male client reports to the on-call clinic nurse that he took tadalafil 10 mg by mouth two hours ago and his skin now feels flushed. He reports a history of stable angina but denies experiencing any current or recent chest pain. Which action should the nurse take?
      A)Instruct the client to increase his intake of oral fluids until the skin flushing is relieved.
      B)Advise the client to place one nitroglycerin tablet under his tongue as a precaution.
      C)Tell the client to have someone bring him to an emergency department immediately.
      D)D Reassure the client that skin flushing is a common side effect of the medication.
    Page 2 of 28

    Exam Review

    1. The nurse is assigning care of a client with prostatitis to a practical nurse (PN). Which instruction should the nurse provide the PN regarding the care of this client?
      A)Strain all urine.
      B)Maintain contact isolation.
      C)Avoid urinary catheterization.
      D)Restrict oral fluid intake.
    2. Which assessment should the home health nurse include during a routine home visit for a client who was discharged home with a suprapubic catheter?
      A)Observe insertion site.
      B)Palpate flank area.
      C)Measure abdominal girth.
      D)Assess perineal area.
    3. A client recovering from pneumonia who has a history of severe chronic obstructive pulmonary disease (COPD and peripheral vascular disease (PVD is being discharged from a skilled nursing facility. Which action is most important for the nurse to implement?
      A)Reinforce the need for adequate hydration.
      B)Provide typed instructions for healthy diet selections.
      C)Explain a daily regimen.
      D)Demonstrate specific strengthening exercises.
    4. A client who is hypotensive is receiving dopamine, an adrenergic agonist, IV at the rate of 8 mcg/kg/min. Which intervention should the nurse implement while administering this medication?
      A)Assess pupillary response to light hourly.
      B)Initiate seizure precautions.
      C)Measure urinary output every hour.
      D)Monitor serum potassium frequently.
    Page 3 of 28

    Exam Review

    1. A client receives a prescription for norepinephrine 3 mcg/min intravenously (IV). The IV bag is contains norepinephrine 4 mg in dextrose 5% in water (D,W) 1,000 mL. How many mL/hour should the nurse program the infusion pump? (Enter numerical value only.)
    2. A client who weighs 176 pounds receives a prescription for enoxaparin sodium 1.5mg/kg/day subcutaneously. The medication is available in 120 mg/0.8 ml. prefiled syringe. How many ml. should the nurse administer? (Enter numerical value only)
    3. The nurse is teaching an older client about the prevention of osteoporosis. Which foods should the nurse recommend to the client to increase in the diet?
      A)Low-fat dairy products.
      B)Fresh fruits and vegetables.
      C)Iron-rich meals.
      D)Water and herbal teas.
    4. The nurse is providing teaching to a client with type 2 diabetes mellitus about important points for disease and symptom management. Which statement by the client indicates understanding?
      A)Inspect feet every month for ingrown nails, cuts, and calluses.
      B)Arrange the diet schedule around three regular meals a day.
      C)Get an eye examination with an ophthalmologist annually.
      D)Using salt, herbs, and spices will improve the flavor of foods.
    Page 4 of 28

    Exam Review

    1. A client is receiving continuous ambulatory peritoneal dialysis since the arterioveno (AV) graft in the right arm is no longer available to use for hemodialysis. The client has lost weight, has increasing peripheral edema, and has a serum albumin level of 1.5 g/dL (15 git). Which intervention is the priority for the nurse to implement? Reference Range Serum Albumin (Reference Range: 3.5 to 5.5 g/dL (35 to 55 g/L)
      A)Recommend the use of support stockings to enhance venous return.
      B)Ensure the client receives frequent small meals containing complete proteins.
      C)Evaluate patency of the AV graft for resumption of hemodialysis
      D)Instruct the client to continue to follow the prescribed rigid fluid restriction amounts.
    2. When is it most important for the nurse to assess a pregnant client's deep tendon reflexes (DTRs)?
      A)When the client has ankle edema.
      B)Within the first trimester of pregnancy.
      C)If the client has an elevated blood pressure.
      D)During admission to labor and delivery.
    3. The nurse is providing lifestyle change education for a client to slow the progression of coronary artery disease. Which statement(s) made by the client should the nurse recognize as needing additional education? (Select all that apply.)(SATA)
      A)Consume foods with saturated fats.
      B)Walk 30 minutes per day.
      C)Use a salt substitute.
      D)Keep a food diary.
      E)Eat more canned vegetables.
      F)Include oatmeal for breakfast.
    4. A mother brings her 4-month-old son to the clinic with a quarter taped over his umbilicus and tells the nurse the quarter is supposed to fix her child's hernia. Which explanation should the nurse provide?
      A)This hernia is a normal variation that resolves without treatment.
      B)An abdominal binder can be worn daily to reduce the protrusion.
      C)Restrictive clothing will be adequate to help the hernia go away.
      D)The quarter should be secured with an elastic bandage wrap.
    Page 5 of 28

    Exam Review

    1. A mother calls the nurse to report that at 0900 she administered an oral dose of digoxin to her 4-month-old infant, but at 0920 the baby vomited the medicine. Which instruction should the nurse provide to this mother?
      A)Administer a half dose now.
      B)Give another dose
      C)Mix the next dose with food.
      D)Withhold this dose.
    2. The nurse is providing education to a client who experiences recurrent levels of moderate anxiety to situations and perceived stress. In addition to information about prescribed medication and administration, which instruction should the nurse include in the teaching?
      A)Center attention on positive upbeat music.
      B)Find outlets for more social interaction.
      C)Practice using muscle relaxation techniques.
      D)Think about reasons the episodes occur.
    3. A 6-week-old infant with pyloric stenosis is scheduled for a pyloromyotomy. Which pre- operative nursing action has the highest priority?
      A)Mark an outline of the "olive-shaped" mass in the right epigastric area.
      B)Instruct parents regarding care of the incisional area.
      C)Monitor the amount of intake and the infant's response to feedings.
      D)Initiate a continuous infusion of IV fluids per prescription.
    4. A client who is hypotensive is receiving dopamine, an adrenergic agonist, IV at the rate of 8 mcg/kg/min. Which intervention should the nurse implement while administering this medication?
      A)Assess pupillary response to light hourly.
      B)Initiate seizure precautions.
      C)Monitor serum potassium frequently.
      D)Measure urinary output every hour.
    Page 6 of 28