NursingPlex
    Sign In
    Review ModeExam ModePractice Mode

    Exam Review

    1. A nurse is preparing to administer eye drops to a school-age child. Identify the actions the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
      A)Apply pressure to the lacrimal punctum.4
      B)Place the child in a sitting position.1
      C)Instill the drops of medication.3
      D)Pull the lower eyelid downward.2
    2. A nurse is caring for a client who is scheduled for surgery. The client states, "I have decided not to have the surgery." Which of the following responses should the nurse make to the client?
      A)"I don't think you understand the risks to your health."
      B)"You should talk with your family about it first."
      C)"I will notify your provider regarding this decision."
      D)"Let me remind you of the benefits of the surgery."
    3. A nurse is planning care for a client during Ramadan who is a devout Muslim. Which of the following actions should the nurse include regarding the client's diet?
      A)Ensure that pork is included in the evening meal.
      B)Schedule for meals to be served after sundown.
      C)Avoid red meat in the client's meals.
      D)Wait 1 hr after the client consumes dairy to serve poultry.
    4. A nurse is assessing a client who is experiencing a hypertensive crisis. Which of the following manifestations should the nurse expect?
      A)Skin cool to touch
      B)Jugular vein distention
      C)Headache
      D)Weak peripheral pulses
    Page 1 of 37

    Exam Review

    1. A nurse is administering a scheduled medication to a client. The client reports that the medication appears different than what they take at home. Which of the following responses should the nurse make?
      A)"I recommend that you take this medication as prescribed."
      B)"I will call the pharmacist now to check on this medication."
      C)"Did the doctor discuss with you that there was a change in this medication?"
      D)"Do you know why this medication is being prescribed for you?"
    2. A nurse is assessing a client who is receiving peritoneal dialysis for manifestations of peritonitis. Which of the following findings should the nurse identify as the first indication of peritonitis?
      A)Abdominal pain
      B)Cloudy effluent
      C)Nausea
      D)Fever
    3. A nurse is teaching a newly licensed nurse about workplace bullying. Which of the following should the nurse include in the discussion as an example of workplace bullying?
      A)A colleague who uses assertive communication
      B)A colleague who is mindful of the personal space of other colleagues
      C)A colleague who negotiates with others for a win-win situation
      D)A colleague who finds fault with other colleagues
    4. A nurse is reviewing laboratory data from a client who has chronic kidney disease. Which of the following findings should the nurse expect?
      A)Increased creatinine
      B)Increased calcium
      C)Increased bicarbonate
      D)Increased hemoglobin
    Page 2 of 37

    Exam Review

    1. A nurse is implementing seizure precautions for a client who has had a tonic-clonic seizure. Which of the following interventions should the nurse include in the plan of care?
      A)Provide a tracheostomy tray at the bedside.
      B)Place the client in supine position.
      C)Place a plastic tongue depressor at the client's bedside.
      D)Insert an IV saline lock.
    2. A nurse and a newly licensed nurse are discussing effective communication techniques for a client who has expressive aphasia. Which of the following statements by the newly licensed nurse indicate understanding of the teaching?
      A)"I will use an interpreter when providing client teaching."
      B)"I will use a communication board to assess the client's needs."
      C)"I will provide written instructions for the client in 8-point font."
      D)"I will use indirect lighting in the client's room."
    3. A nurse manager is conducting a performance appraisal of a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates effective time management?
      A)"I allow myself 10 minutes to finish each client's dressing change."
      B)"I try to be working on at least three tasks at once so I can finish on time."
      C)"I do not document my interventions in the electronic medical records until the end of each shift."
      D)"I perform stat and time-critical care as soon as I receive the provider's prescriptions."
    4. A nurse is caring for a client who has a new tracheostomy. Which of the following actions should the nurse take when suctioning the client's tracheostomy?
      A)Set the suction source at 220 mm Hg.
      B)Repeat suctioning as needed up to five times.
      C)Hyperventilate the client with 100% oxygen before suctioning.
      D)Suction for 20 seconds with each pass.
    Page 3 of 37

    Exam Review

    1. A nurse is caring for a client who has lung cancer and has a sealed radiation implant. Which of the following actions should the nurse take? (Select all that apply.)(SATA)
      A)Limit visitors to 30 min per day.
      B)Place the client in a semi-private room.
      C)Instruct visitors who are pregnant to remain 3 feet from the client.
      D)Wear a lead apron when providing care
      E)Close the door to the client's room
    2. A nurse is teaching a group of newly licensed nurses about caring for a client who has a Clostridium difficile infection. Which of the following Instructions should the nurse include in the teaching?
      A)Wear a gown while providing personal hygiene.
      B)Place the client in a room with negative airflow,
      C)Apply a mask when providing care.
      D)Wipe the stethoscope with alcohol after leaving the client's room.
    3. A nurse in a mental health clinic receives a request from a client who is undergoing psychotherapy to obtain a copy of the therapist's notes. Which of the following responses should the nurse make?
      A)"I don't think you will benefit from reviewing your therapist's notes right now."
      B)"Are you not happy with your treatment?"
      C)"Why are you interested in seeing your therapist's notes?"
      D)"We can provide a copy of your records, but the therapist's notes are not included."
    4. A nurse is using an IV pump for a newly admitted client. Which of the following actions should the nurse take?
      A)Check the cords of the IV pump for fraying.
      B)Remove the safety inspection sticker before plugging in the IV pump.
      C)Ensure that the electric outlet has two prongs for the IV pump.
      D)Grasp the IV pump cord when unplugging it from the electrical outlet.
    Page 4 of 37

    Exam Review

    1. A nurse is assessing a preschooler who has recently experienced an unexpected death in the family. Which of the following should the nurse recognize as an expected finding?
      A)The child believes the person will return.
      B)The child focuses on his own mortality.
      C)The child refuses to talk about the death.
      D)The child expresses curiosity about the death process
    2. A nurse is providing teaching to a client who will undergo a magnetic resonance imaging (MRI) scan. Which of the following statements is appropriate to include in the teaching?
      A)"The nurse will ask you to remove any transdermal patches prior to the procedure."
      B)"The nurse will ask you to wear protective eyewear during this procedure."
      C)"You should not have this procedure if you are allergic to iodine."
      D)"You should not have this procedure if you have a tattoo."
    3. A home health nurse is preparing to make an initial visit to a family following a referral from a local provider. Identify the sequence of steps the nurse should take when conducting a home visit. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)
      A)Record information about the home visit according to agency policy.5
      B)Contact the family to determine availability and readiness to make an appointment.2
      C)Discuss plans for future visits with the family.4
      D)Clarify the reason for the referral with the provider's office.1
      E)Identify family needs and interventions using the nursing process.3
    4. 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)Trust vs mistrust
      C)Identity vs role confusion
      D)Intimacy vs isolation
    Page 5 of 37

    Exam Review

    1. A nurse manager is reviewing the steps of the progressive discipline process prior to counseling a staff member who exhibits unprofessional behavior. Identify the sequence of steps the nurse manager should plan to take in response to the staff member's conduct. (Move the steps into the box on the right, placing them in order of performance. Use all the steps.)
      A)Verbally remind the staff member of the expected behaviour changes.2
      B)Suspend the staff member from work for several days.4
      C)Give the staff member a written warning about the behavior.3
      D)Dismiss the staff member from employment at the facility.5
      E)Set up a meeting to speak with the staff member about the behavior.1
    2. A nurse is preparing to reposition a client who had a stroke. Which of the following actions should the nurse take?
      A)Discuss the client's preferences for determining a repositioning schedule.
      B)Evaluate the client's ability to help with repositioning
      C)Raise the side rails of the clients bed during repositioning.
      D)Reposition the client with the assistive devices
    3. A nurse is preparing to administer a nasogastric (NG) tube feeding to a school-age child. Which of the following actions should the nurse plan to take?
      A)Position the child at a 10° to 20° angle after feeding.
      B)Measure the tubing from the nose to the distal port.
      C)Warm the formula in the microwave.
      D)Complete the feeding in 5 min.
    4. A nurse on a medical-surgical unit is caring for a client who states that she plans to leave the facility against medical advice. For which of the following actions by the nurse should the charge nurse intervene?
      A)Asks the client what her plans are for follow-up care
      B)Asks the client to sign a form releasing the hospital from legal responsibility
      C)Shows the client her abnormal laboratory results
      D)Asks security to detain the client until the provider is notified
      E)None
      F)None
    Page 6 of 37