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    Exam Review

    1. 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)Ketorolac
      B)Acetaminophen
      C)Aspirin
      D)Ibuprofen
    2. A nurse is providing teaching to a client who is undergoing radiation therapy and has stomatitis. Which of the following responses by the client indicates an understanding of the teaching?
      A)"I should use a soft-bristle toothbrush to clean my teeth after meals."
      B)"I should limit my intake of dairy products to prevent nausea."
      C)"I should gargle with an alcohol-based mouthwash to kill germs."
      D)"I should moisten my lips with lemon-glycerin swabs."
    3. A nurse is planning care for a client who is scheduled to have a paracentesis. Which of the following actions should the nurse include in the plan of care?
      A)Administer 1 L dextrose 5% in water IV bolus prior to the procedure.
      B)Initiate NPO status 4 hr prior to the procedure.
      C)Position the client over an overbed table prior to the procedure.
      D)Instruct the client to empty her bladder prior to the procedure.
    4. A nurse is teaching a client who has a new prescription for an MAOI. Which of the following foods is contraindicated with this medication?
      A)Potatoes
      B)Grapefruit
      C)Cheese
      D)Eggs
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    Exam Review

    1. A nurse is providing information for a client who has a new prescription for simvastatin. For which of the following should the nurse instruct the client to monitor and report to the provider?
      A)Edema
      B)Weight loss
      C)Muscle weakness
      D)Fever
    2. A nurse is building a therapeutic relationship with a newly admitted client. Which of the following actions should the nurse plan to take during the orientation phase of the relationship?
      A)Assist the client in expressing alternative behaviors.
      B)Establish the responsibilities of the nurse and client.
      C)Facilitate the client's problem-solving skills.
      D)Determine previous coping skills used by the client.
    3. A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan?
      A)Encourage the client to spend time in the dayroom.
      B)Place the client in seclusion when he exhibits signs of anxiety.
      C)Encourage the client to take frequent rest periods.
      D)Withdraw the client's TV privileges if he does not attend group therapy.
    4. A nurse is completing an admission assessment for a client who has narcissistic personality disorder. Which of the following findings should the nurse expect?
      A)Preoccupied with aging
      B)Suspicious of others
      C)Exhibits separation anxiety
      D)Ritualistic behavior
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    Exam Review

    1. A nurse is developing an in-service about personality disorders. Which of the following information should the nurse include when discussing borderline personality disorder?
      A)"The client is exceptionally clingy to others."
      B)"The client exhibits impulsive behavior."
      C)"The client is overly concerned about minor details."
      D)"The client might act seductively."
    2. A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse include in the plan?
      A)Avoid eye contact with the client.
      B)Encourage the client to lie down in a quiet room.
      C)Ask the client directly what he is hearing
      D)Refer to the hallucinations as if they are real.
    3. A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse include?
      A)Perform exercises prior to bedtime.
      B)Stay in bed at least 1 hr if unable to fall asleep.
      C)Eat a light snack before bedtime.
      D)Take a 1-hr nap during the day.
    4. A nurse is providing dietary teaching to a client who has a new diagnosis of irritable bowel syndrome. Which of the following recommendations should the nurse include?
      A)Increase intake of milk products.
      B)Sweeten foods with fructose corn syrup.
      C)Increase intake of foods high in gluten.
      D)Consume foods high in fiber.
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    Exam Review

    1. A nurse is discussing weight loss with a client who is concerned about losing 6.8 kg (15 lb) from an original weight of 90.7 kg (200 lb). The nurse should identify the weight loss as which of the following total percentages?
      A)15%
      B)8.1%
      C)7.5%
      D)13.3%
    2. A nurse is assessing the peripheral catheter insertion site of a client who is receiving an infusion. The nurse notices redness and warmth to the touch around the insertion site. The nurse should document the finding as which of the following complications?
      A)Phlebitis
      B)Extravasation
      C)Infiltration
      D)Circulatory overload
    3. A nurse is caring for a client who refuses a blood transfusion. Which of the following actions should the nurse take?
      A)Inform the client that the transfusion is mandatory.
      B)Document the client's refusal in the medical record.
      C)Notify risk management about the client's refusal.
      D)Suggest that the client explore alternative therapies.
    4. 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)Urinary frequency
      B)Faintness upon rising
      C)Swelling of the face
      D)Bleeding gums
    Page 4 of 36

    Exam Review

    1. A nurse in the emergency department is receiving report on a group of clients. Which of the following clients should the nurse assess first?
      A)A client who has orthostatic hypotension and 4+ pitting edema in the lower extremities
      B)A client who has Clostridium difficile and a temperature of 38.6° C (101.5° F)
      C)A client who has left shoulder pain and S-T elevation on a 12-lead ECG
      D)A client who has a complete femur fracture and reports a pain level of 7 on a scale from 0 to 10
    2. A nurse is caring for a client who has Graves' disease and is experiencing a thyroid storm. Which of the following actions is the nurse's priority?
      A)Administer 0.9% sodium chloride IV.
      B)Provide a cooling blanket.
      C)Obtain the client's blood glucose.
      D)Monitor the client's cardiac rhythm.
    3. A nurse is assessing the fontanels of an 8-month-old infant. Which of the following findings should the nurse recognize as an expected finding?
      A)The anterior fontanel is open.
      B)Both fontanels show molding.
      C)Both fontanels are the same size.
      D)The posterior fontanel is open.
    4. A nurse is teaching a client about bladder retraining for incontinence. Which of the following instructions should the nurse include in the teaching?
      A)"Practice pelvic-floor exercises regularly."
      B)"Wear a pair of disposable briefs at bedtime."
      C)"Limit oral fluid intake to 1,000 milliliters per day."
      D)"Drink 8 ounces of citrus juice per day."
    Page 5 of 36

    Exam Review

    1. A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse manager include?
      A)Document the client's condition every 15 min.
      B)Attach the restraint to the bed's side rails.
      C)Remove the client's restraint every 4 hr.
      D)Request a PRN restraint prescription for clients who are aggressive.
    2. A nurse is caring for a client who has diarrhea and is receiving intermittent enteral feedings. Which of the following actions should the nurse take?
      A)Provide chilled formula.
      B)Administer feedings at a slower rate.
      C)Discard the open can of formula after 36 hr.
      D)Flush the tube with 10 mL of water after feedings.
    3. A nurse is observing a newly licensed nurse who is administering total parenteral nutrition (TPN) to a client. Which of the following actions by the newly licensed nurse indicates a need for the nurse to intervene?
      A)Plans for a check of the client's fingerstick glucose level every 6 hr
      B)Schedules a bag and tubing change for 24 hr after the start of the infusion
      C)Uses the TPN IV tubing to administer the client's next dose of antibiotics
      D)Gradually increases the TPN infusion rate each hour until the prescribed rate is achieved
    4. A nurse is teaching the parents of a school-age child who is newly diagnosed with juvenile idiopathic arthritis. Which of the following interventions should the nurse include in the teaching?
      A)Have the child take a tub bath each morning.
      B)Encourage the child to take naps during the day.
      C)Apply splints to the child's extremities during the day.
      D)Keep the child on bedrest as long as pain persists.
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