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    Exam Review

    1. A nurse is caring for a client who has severe preeclampsia and is receiving magnesium sulfate intravenously. The nurse discontinues the magnesium sulfate after the client displays toxicity. Which of the following actions should the nurse take?
      A)Prepare an IV bolus of dextrose 5% in water.
      B)Administer methylergonovine IM.
      C)Administer calcium gluconate IV.
      D)Position the client supine.
    2. A nurse is caring for an adolescent in the outpatient dermatologist's office. Exhibits Complete the following sentence by using the lists of options. A nurse is providing education today on the newly-prescribed medication. The nurse recommends the adolescent notify the provider immediately if ▾ a change in mood  or ▾ engagement in sexual activity occurs during therapy.
      Dropdown 1:
      Option 1: dry mouth
      Option 2: the development of dry eyes
      Option 3: nausea
      Option 4: a change in mood
      Dropdown 2:
      Option 1: worsening of acne
      Option 2: sunburn
      Option 3: decreased night vision
      Option 4: engagement in sexual activity
    3. A nurse in an acute care facility is caring for a toddler. Exhibits For each assessment finding below, click to specify if the assessment finding is consistent with Crohn's disease, appendicitis, or intussusception. Each finding may support more than 1 disease process.
      Crohn's diseaseAppendicitisIntussusception
      Stool✓
      Abdominal findings✓
      Pain rating✓✓✓
      Vomiting✓✓
      Temperature✓✓
    4. A nurse is assessing a group of clients at risk of developing a pressure injury. The nurse should identify that which of the following clients is at the greatest risk?
      A)A client who has dementia and is incontinent of urine
      B)A client who has had a recent myocardial infarction
      C)A client who has a T-tube following an open cholecystectomy
      D)A client who is 2 days postoperative following orthopedic surgery
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    Exam Review

    1. A nurse is initiating bladder retraining for a client who has urge urinary incontinence. Which of the following instructions should the nurse give the client?
      A)"Take your diuretic medication with your evening meal."
      B)"Limit your fluid intake to 500 milliliters per day."
      C)"Plan to urinate every 3 hours while you are awake."
      D)"Decrease your intake of cranberry juice."
    2. A nurse is caring for a postpartum client in an outpatient setting. Exhibits Complete the following sentence by using the lists of options. The client is at highest risk for developing ▾ mastitis evidenced by the client's ▾ cracked nipple.
      Dropdown 1:
      Option 1: perineal hematoma
      Option 2: mastitis
      Option 3: endometritis
      Dropdown 2:
      Option 1: large for gestational age newborn
      Option 2: group B streptococcus
      Option 3: cracked nipple
    3. A nurse is caring for a toddler in the outpatient setting. Exhibits Complete the following sentence by using the lists of options. The nurse recognizes the toddler has likely developed ▾ Reye's syndrome due to ▾ aspirin administration.
      Dropdown 1:
      Option 1: Reye's syndrome
      Option 2: gastroenteritis
      Option 3: bronchitis
      Dropdown 2:
      Option 1: oseltamivir administration
      Option 2: acetaminophen administration
      Option 3: aspirin administration
    4. A nurse is preparing to insert a peripheral intravenous line on an infant. Which of the following actions should the nurse plan to take?
      A)Monitor the IV site every 8 hours.
      B)Use gauze to cover the IV insertion site.
      C)Obtain a 24-gauge catheter.
      D)Insert the catheter into the foot.
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    Exam Review

    1. A nurse is teaching a client who has multiple sclerosis. Which of the following instructions should the nurse include in the teaching?
      A)"Schedule rest periods during the day."
      B)"Soak in a hot bath."
      C)"Perform aerobic activities three times per week."
      D)"Have your partner complete activities of daily living for you."
    2. A nurse at a community health clinic is planning care for an adolescent who recently learned that she is pregnant and is concerned about her ability to afford and care for her baby. Which of the following actions should the nurse take?
      A)Advise the adolescent to place the newborn for adoption.
      B)Refer the adolescent to a local mental health clinic.
      C)Contact the adolescent's parent for assistance.
      D)Assist the adolescent in applying for Medicaid.
    3. A nurse in an emergency department is caring for a client who has manifestations of an ischemic stroke that began 2 hr ago. Which of the following actions should the nurse take?
      A)Initiate fibrinolytic therapy.
      B)Place the client in a supine position.
      C)Prepare the client for a chest x-ray.
      D)Insert an indwelling urinary catheter.
    4. A group of nurse managers is discussing cost effectiveness with hospital administrators. Which of the following statements indicates a strategy for cost effectiveness?
      A)"Purchasing more expensive items will improve quality health outcomes."
      B)"Preventing readmissions will decrease overutilization of services."
      C)"Planning a 10-year budget will ensure cost-effective care."
      D)"Hiring travel nurses is an effective method of cost containment."
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    Exam Review

    1. A nurse is assessing a 1-month-old infant at a pediatric office. Which of the following findings requires a referral for further care?
      A)Limited hip abduction
      B)Symmetric gluteal and thigh skin folds
      C)Equal leg length
      D)Femoral head remains in the acetabulum during the Barlow maneuver
    2. A nurse is conducting a workshop on the importance of interprofessional collaboration. Which of the following is included in the tertiary prevention phase in interprofessional care?
      A)Diabetes screening
      B)Family planning
      C)Nutrition counseling
      D)Physical therapy
    3. 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
    4. A nurse is preparing to administer three medications to a client who is receiving continuous enteral feedings through an NG tube. Which of the following actions is appropriate for the nurse to take?
      A)Gently push the syringe plunger to administer medication.
      B)Dissolve the medications together.
      C)Flush the NG tube with 5 mL of cold tap water after administration.
      D)Add medication directly to the enteral feeding.
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    Exam Review

    1. A nurse is talking with the parents of a 2-month-old infant who have chosen to not immunize the infant. Which of the following responses should the nurse make?
      A)"The provider can give you a referral for your baby to see an infectious disease provider."
      B)"Your baby's immunizations should be up to date before they are able to travel with you by airplane."
      C)"You don't have to immunize your baby against diseases that are no longer common."
      D)"Let's talk about what you already know about immunizing your baby."
    2. A nurse is conducting a health promotion class about the use of oral contraceptives. Which of the following disorders is a contraindication for oral contraceptive use?
      A)Fibrocystic breast condition
      B)Hypertension
      C)Asthma
      D)Fibromyalgia
    3. A nurse is discussing antidepressants with a newly licensed nurse. Which of the following clients should the nurse identify as being a candidate for antidepressant therapy?
      A)A client who has decreased urine cortisol levels
      B)A client who has decreased interleukin-6 levels
      C)A client who has decreased C-reactive protein levels
      D)A client who has decreased serotonin levels
    4. A charge nurse is teaching newly licensed nurses about postoperative procedures following abdominal surgery. Which of the following information should the charge nurse include?
      A)"Report bleeding that saturates the client's dressing."
      B)"Ensure the client's urinary output is no less than 20 mL per hour."
      C)"Expect the client to have a palpable distended bladder following surgery."
      D)"Maintain the client in a supine position for 24 hours following surgery."
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    Exam Review

    1. A nurse is providing teaching to a client who is experiencing preterm contractions and dehydration. Which of the following statements should the nurse make?
      A)"Dehydration is caused by a decreased hemoglobin and hematocrit."
      B)"Dehydration is associated with gastroesophageal reflux."
      C)"Dehydration is treated with calcium supplements."
      D)"Dehydration can increase the risk for preterm labor."
    2. A charge nurse is supervising a newly hired nurse who is instructing a client about how to use a walker. For which of the following actions should the charge nurse intervene?
      A)The client takes multiple steps while holding the walker.
      B)The client lifts the walker as it is moved forward.
      C)The client advances the walker and takes a step towards it.
      D)The client grasps the walker by the hand grips on the upper bars.
    3. A nurse is performing a head-to-toe assessment on a newborn. Which of the following actions should the nurse take to prevent heat loss through conduction?
      A)Conduct the assessment before drying the newborn.
      B)Check the newborn's rectal temperature every hr.
      C)Place the newborn in an open crib for the initial assessment.
      D)Cover scale with warm blankets when weighing the newborn.
    4. A nurse is caring for a client who has breast cancer and is postoperative following a bilateral mastectomy. Which of the following statements indicates the client has an altered body image?
      A)"I understand that my scars will eventually fade."
      B)"I am ready to join a breast cancer support group."
      C)"I want to have reconstructive surgery as soon as I can."
      D)"I prefer to leave the lights off when I am changing my clothes."
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