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    Exam Review

    1. A nurse in an outpatient clinic is assessing a client who is pregnant for unsafe behaviors during pregnancy. Which of the following findings indicates a need for further evaluation?
      A)The client started working in a parking garage 3 months ago.
      B)The client is doing 30 min of moderate exercise daily.
      C)The client is drinking 2.5 L of water per day.
      D)The client last visited the dentist 4 months ago.
    2. A nurse is preparing to perform a heel stick on an infant. Which of the following actions should the nurse plan to take to reduce the infant's pain during the procedure?
      A)Apply a cool cloth to the infant's heel 5 min prior to the procedure.
      B)Promote skin-to-skin contact with the infant's guardian during the procedure.
      C)Provide the infant with a bottle of water during the procedure.
      D)Apply lidocaine/prilocaine cream 15 min prior to the procedure.
    3. A nurse is caring for a 9-year-old child on the pediatric unit. Complete the following sentence by using the lists of options. The nurse should plan to ▾ inspect the child's oropharynx followed by ▾ obtaining a set of vital signs.
      Dropdown 1:
      Option 1: offer the child a red popsicle
      Option 2: inspect the child's oropharynx
      Option 3: place the child in a supine position
      Dropdown 2:
      Option 1: encouraging the child to cough and deep breathe
      Option 2: obtaining a set of vital signs
      Option 3: requesting a prescription for codeine
    4. A nurse in an outpatient clinic is caring for a client. Select the 4 findings that indicate the client has been consuming alcohol while taking the newly prescribed medication.(SATA)
      A)Headache
      B)Vomiting
      C)Confusion
      D)Sedation
      E)Sweating
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    Exam Review

    1. A nurse is caring for a client. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should take to address that condition.
      ✓Observe the client continuously.
      ✓Ask the client if they have had thoughts of ending their lives
      ✓Major depressive disorder
      ✓Suicidal ideation
      ✓Hygiene practices
      Actions to Take Choices
      ✓Observe the client continuously.
      ✕Administer chlordiazeрохіde
      ✓Ask the client if they have had thoughts of ending their lives
      ✕Teach assertive behaviors.
      ✕Determine client's level of orientation.
      Potential Condition Choices
      ✓Major depressive disorder
      ✕Dementia
      ✕Alcohol withdrawal delirium
      ✕Dependent personality disorder
      Parameters to Monitor Choices
      ✓Suicidal ideation
      ✕Wandering at night
      ✕Autonomic hyperactivity
      ✕Fear of separation
      ✓Hygiene practices
    2. A nurse on a pediatric unit is caring for a preschooler who is postoperative following an appendectomy. Complete the following sentence by using the lists of options. The child is at risk for developing ▾ pneumonia as evidenced by their ▾ shallow breathing.
      Dropdown 1:
      Option 1: wound infection
      Option 2: pneumonia
      Option 3: peritonitis
      Dropdown 2:
      Option 1: temperature
      Option 2: bowel sounds
      Option 3: shallow breathing
    3. A nurse is reviewing a client's medical record. Which of the following findings places the client at increased risk for the development of heart failure? (Select all that apply.(SATA)
      A)Osteoarthritis
      B)Alcohol use disorder
      C)Sleep apnea
      D)Diabetes mellitus
      E)Hypotension
    4. A nurse is teaching about preventing sudden unexpected infant death (SUID) to a parent of a 1-month-old infant. Which of the following ling indicates that the parent understands how to place the infant in the crib at bedtime?
      A)A
      B)B
      C)C
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    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)Wear a lead apron when providing care.
      B)Close the door to the client's room.
      C)Place the client in a semi-private room.
      D)Limit visitors to 30 min per day.
      E)Instruct visitors who are pregnant to remain 3 feet from the client.
    2. A nurse in a surgical clinic is providing teaching to a client who is scheduled for a modified radical mastectomy. Which of the following statements by the client indicates an understanding of the teaching?
      A)"I will complete my arm exercises four times a day."
      B)“I will have my drains removed 1 hour prior to going home."
      C)“I can begin to drive 24 hours after surgery."
      D)"I can shower within 48 hours of my surgery.”
    3. A nurse in an emergency department is triaging clients following an external natural disaster. Which of the following clients should the nurse identify to receive care first?
      A)A client who has an open fracture of the tibia and reports pain as 5 on a scale of 0 to 10
      B)A client who has suspected appendicitis and reports severe lower right abdominal pain
      C)A client who has a penetrating head wound and fixed pupils
      D)A client who has flail chest and a respiratory rate of 32/min
    4. A nurse is reviewing laboratory findings for a client who is to receive a dose of enoxaparin. For which of the following laboratory values should the nurse withhold the dose and notify the provider?
      A)BUN 22 mg/dL (10 to 20 mg/dL)
      B)WBC count 15.000/mm3 (5,000 to 10,000/mm3)
      C)Urine specific gravity 1.04 (1.005 to 1.03)
      D)Platelets 80,000/mm3 (150,000 to 400.000/mm3)
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    Exam Review

    1. A nurse is preparing to administer morphine 30 mg oral suspension to a client. The amount available is morphine 100 mg/5mL oral solution. How many mi should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
    2. A nurse manager is teaching a group of nurses about bacterial meningitis. Which of the following information should the nurse include in the teaching?
      A)"Bacterial meningitis can be prevented with immunization”
      B)"Bacterial meningitis is an infection that causes inflammation of the sinus cavity."
      C)"Bacterial meningitis is spread by contaminated food or water; therefore, infection is unlikely”
      D)"Bacterial meningitis rarely occurs in young adults unless their immune system is suppressed."
    3. A nurse is teaching a group of parents about car seat safety. Which of the following statements should the nurse include in the teaching?
      A)Refrain from using a tether strap on the car seat for children under 1 year of age.
      B)Manual shoulder belts in the front seat are acceptable for school-age children over 8 years of age.
      C)Restrict using rear-facing car seats for children after 1 year of age.
      D)Booster seats with belt-positioning should be used for school-age children until 8 years of age
    4. A nurse is teaching a client about routine prenatal testing, which of the following statements should the nurse include in the teaching?
      A)"You will have a urine test for the herpes simplex virus”
      B)"You will have a rectovaginal culture to test for group B streptococcus."
      C)"You will have a urine test to check for toxoplasmosis”
      D)"You will undergo amniotic fluid sampling to test for cytomegalovirus.”
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    Exam Review

    1. A charge nurse is discussing communication techniques to use with a client who has hearing loss with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates the teaching was effective?
      A)“I will overarticulate words when speaking."
      B)“I will repeat words not heard by the client
      C)“I will speak in a loud voice when addressing the client."
      D)“I will face the client when speaking”
    2. A nurse is providing dietary teaching to a client who had an exacerbation of COPD. Which of the following information should the nurse include in the teaching?
      A)"You should eat hot foods to reduce your sense of fullness during a meal.
      B)"While eating you should drink liquids frequently."
      C)"During meals, you should eat foods with a high-calorie content first."
      D)"Lunch should be your largest meal of the day."
    3. A nurse administered 400 mg of ibuprofen to a client 2 hr ago to treat pain following a biopsy. The client is crying and states. "It really still hurts a lot. Which of the following actions should the nurse take?
      A)Ask the client to rate their pain on a scale of 0 to 10.
      B)Request a prescription for on opioid pain medication for the client
      C)Report this client finding to the provider.
      D)Administer an additional dose of ibuprofen to the client.
    4. A nurse is caring for a client who has a new prescription for clozapine. Which of the following should the nurse recognize as an adverse effect of this medication?
      A)Diarrhea
      B)Hypoglycemia
      C)Agranulocytosis
      D)Urinary frequency
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    Exam Review

    1. A nurse is reviewing laboratory results for a client who has heart failure and notes a serum potassium level of 5.2 mEq/L (3.5 to 5.0 mEq/L). Which of the following medications should the nurse withheld?
      A)Furosemide
      B)Spironolactone
      C)Metoprolol
      D)Atorvastatin
    2. A nurse is caring for a client who has a new diagnosis of terminal advanced lung cancer. Which of the following is an expected stage of grief based on the stages of dying?
      A)Denial
      B)Reorganization
      C)Numbing
      D)Reinvesting
    3. A nurse is caring for a client who has not completed their advance directives. Which of the following actions should the nurse take?
      A)Advise the family that a spiritual advisor will explain what life-sustaining measures are
      B)Intervene if the client makes a health care decision the nurse does not agree with
      C)Ensure the client has identified a health care surrogate.
      D)Inform the client that once advance directives have been agreed upon, no changes can be implemented.
    4. A nurse is caring for a client who asks for information regarding terminating their treatment against their partner's wishes. By providing this information, the nurse is acting in which of the following roles for this client?
      A)Conflict manager
      B)Advocate
      C)Social worker
      D)Negotiator
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