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    Exam Review

    1. A nurse in a family health clinic is caring for a client who requests information regarding the correct use of condoms. Which of the following statements should the nurse make?
      A)"Ensure that the condom fits snugly over the tip of the penis."
      B)"When using implanted contraceptive methods, condoms should also be used to protect against STDs."
      C)"Condoms are equally effective for birth control with or without the use of vaginal spermicides."
      D)"Use of a petroleum-based lubricant with a condom increases the condom's effectiveness."
    2. A nurse is obtaining the temperature of a newborn. Which of the following sites should the nurse use?
      A)Tympanic
      B)Oral
      C)Axillary
      D)Rectal
    3. A nurse is obtaining care for a clieture of a newborn. Which of the following sites should the nurse use?
      A)Keep the client on NPO status.
      B)Administer a laxative to the client.
      C)Apply heat to the client's abdomen.
      D)Place the client's head of bed flat.
    4. A nurse is reviewing the medication administration record of a client. Which of the following prescriptions should the nurse clarify?
      A)Levothyroxine 75 mcg PO daily at 0600
      B)Digoxin 250 PO daily
      C)Ceftriaxone 1 g IV Q 24 hours
      D)Acetaminophen 650 mg PO Q 6 hours
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    Exam Review

    1. A nurse is inserting an indwelling urinary catheter for a male client. Which of the following actions should the nurse take?
      A)Pick up the catheter 13 cm (5 in) from its tip.
      B)Perform the cleansing procedure with a fresh swab two times.
      C)Cleanse the tip of the penis in a side-to-side motion.
      D)Lift the penis so that it is perpendicular to the client's body.
    2. A nurse in an outpatient mental health clinic is assessing an adolescent client. The nurse should expect the adolescent to be in which of the following of Erikson's stages of psychosocial development?
      A)Generativity vs self-absorption
      B)Identity vs role confusion
      C)Intimacy vs isolation
      D)Trust vs mistrust
    3. A nurse is caring for a client who is experiencing expressive aphasia and right The nurse should expect the adolescent to be in which of the nurse best promotes communication among staff caring for the client?
      A)Noting changes in the treatment plan in the client's medical record
      B)Having interdisciplinary team meetings for the client on a regular basis
      C)Recording the client's progress in the nurses' notes
      D)Posting swallowing precautions at the head of the client's bed
    4. A nurse is teaching an adolescent client who is trying to conceive. Which of the following should the nurse identify as a primary intervention to prevent neural tube defects?
      A)Calcium
      B)Iron
      C)Zinc
      D)Folate
    Page 2 of 43

    Exam Review

    1. A nurse manager is addressing reports of conflict within a nursing unit. The nurse should identify which of the following situations as an example of interpersonal conflict?
      A)A nurse experiences insulting comments directed at them by another nurse.
      B)A nurse submits a complaint about another department's handoff reporting.
      C)A nurse expresses concern that another shift works fewer holiday hours.
      D)A nurse has a personal difficulty with caring for clients who have HIV.
    2. A nurse is assessing a child who has bacterial pneumonia. Which of the following manifestations should the nurse expect?
      A)Steatorrhea
      B)Tinnitus
      C)Dysphagia
      D)Fever
    3. A nurse is teaching a client about advance directives. Which of the following statements by the client indicates an understanding of the teaching?
      A)"Advance directives outline who inherits my material possessions in the event of my death."
      B)"My provider will make my health care decisions if I complete advance directives."
      C)"My partner needs to be present as a witness when I sign a living will."
      D)"A living will is a document that includes my wishes about health care decisions."
    4. A nurse is assessing a client who has histrionic personality disorder. Which of the following manifestations should the nurse expect?
      A)Violates other's rights
      B)Self-centered behavior
      C)Callousness
      D)Suspicious of others
    Page 3 of 43

    Exam Review

    1. A nurse is caring for a male client who has a spinal cord injury. Which of the following techniques should the nurse use when providing perineal care?
      A)Use water with no soap to prevent skin irritation.
      B)Discard the washcloth after cleansing the urethral meatus.
      C)Don sterile gloves to prevent infection.
      D)Wash the penis from the scrotum to the tip using a spiral motion.
    2. A nurse is performing a neurological examination on a client as part of a complete physical assessment. The nurse should identify that cranial nerve XI is intact when the client performs which of the following actions?
      A)Identifies a sour taste
      B)Shrugs his shoulders
      C)Frowns symmetrically
      D)Sticks his tongue out
    3. A nurse is caring for a client who has an implanted venous access port. Which of the following should the nurse use to access the port?
      A)A 25-gauge needle
      B)An angiocatheter
      C)A butterfly needle
      D)A noncoring needle
    4. A nurse is creating a plan of care for a client who has paranoid personality disorder and refuses to take their medication. Which of the following interventions should the nurse include in the plan?
      A)Limit the client's opportunities to socialize with others.
      B)Speak in a neutral tone when addressing the client.
      C)Rotate staff members caring for the client.
      D)Mix the medication with the client's food items.
    Page 4 of 43

    Exam Review

    1. A nurse is preparing to administer the first dose of cefazolin via intermittent Ivrder and refuses to take their medication. Which of the following nurse take first?
      A)Assess the IV for patency.
      B)Check the compatibility of cefazolin with the client's existing IV fluids.
      C)Review the client's allergy history.
      D)Obtain the reconstituted antibiotic from the pharmacy.
    2. A nurse is assessing a 5-year-old child who has diabetes insipidus and is receiving desmopressin. Which of the following findings should the nurse identify as an indication that the medication is effective?
      A)Absence of hypoglycemic episodes
      B)Capillary refill 3 seconds
      C)Heart rate 140/min
      D)Cessation of nocturnal enuresis
    3. A nurse in an acute mental health care facility is prioritizing care for multiple clients. Which of the following clients should the nurse see first?
      A)A client who has obsessive-compulsive disorder and is upset about a change in daily routine
      B)A client who has depressive disorder and requires assistance with ADLs
      C)A client who is taking clozapine to treat schizophrenia and reports a sore throat
      D)A client who has narcissistic personality disorder and is mocking others during group therapy
    4. A nurse is caring for a client who has a stool culture that is positive for Clostridium difficile. Which of the following infection control precautions should the nurse take?
      A)Wear a face shield prior to entering the client's room.
      B)Place a mask on the client prior to transport.
      C)Use an alcohol-based hand rub following client care.
      D)Remove the protective gown while in the client's room.
    Page 5 of 43

    Exam Review

    1. A nurse is preparing to insert an IV catheter for a client. Which of the following actions should the nurse plan to take?
      A)Select a site on the client's dominant arm.
      B)Elevate the client's arm prior to insertion.
      C)Choose a vein that is palpable and straight.
      D)Apply a tourniquet below the venipuncture site.
    2. A nurse is planning care for a group of clients and is working with one licensed practical nurse (LPN) and one assistive personnel (AP). Which of the following actions should the nurse take first to manage her time effectively?
      A)Delegate tasks to the AP.
      B)Determine goals of the day.
      C)Schedule daily activities.
      D)Develop an hourly time frame for tasks.
    3. A nurse is caring for a client who is on bed rest. The nurse should recognize that which of the following findings is a complication of immobility?
      A)Increased blood pressure
      B)Decreased serum calcium levels
      C)Swollen area on calf
      D)Urinary frequency
    4. A nurse in an emergency department is assessing a client who reports ingesting thirty diazepam tablets 20 min ago. The client is lethargic and a respiratory rate of 10/min. After securing the client's airway and initiating an IV, which of the following actions should the nurse take next?
      A)Administer flumazenil to the client.
      B)Monitor the client's IV site for thrombophlebitis.
      C)Initiate seizure precautions for the client.
      D)Evaluate the client for further suicidal behavior.
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