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    Exam Review

    1. A nurse is reinforcing teaching with the parents of a newborn who had a circumcision. Which of the following client statements indicates understanding of the teaching?
      A)"I will keep the penis clean of yellow exudate."
      B)"I will apply petroleum jelly to the penis with each diaper change."
      C)"I will make sure my baby's diaper fits snugly."
      D)"I will use soap to wash the penis until it heals."
    2. A nurse is assessing the visual acuity of a client who wears glasses using a Snellen chart. Which of the following actions should the nurse take?
      A)Position the client 3 meters (10 feet) away from the chart
      B)Document the largest line the client can read on the chart
      C)Instruct the client to begin the assessment with both eyes open
      D)Begin by testing the client while they are wearing glasses
    3. A nurse is providing postmortem care for a client prior to the family viewing the body. Which of the following actions should the nurse take?
      A)Raise the head of the client's bed to 30 degrees.
      B)Cleanse the client's body while wearing sterile gloves
      C)Remove the client's dentures and close their mouth
      D)Apply surgical tape to the client's eyes
    4. A nurse is caring for a client who has a chronic illness. In which phase of the therapeutic relationship should the nurse help the client develop problem-solving skills?
      A)Preinteraction phase
      B)Working phase
      C)Orientation phase
      D)Termination phase
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    Exam Review

    1. A nurse is providing postmortem care for a client prior to the family viewing the body. Which of the following actions should the nurse take?
      A)Raise the head of the client's bed to 30 degrees.
      B)Cleanse the client's body while wearing sterile gloves.
      C)Remove the client's dentures and close their mouth
      D)Apply surgical tape to the client's eyes
    2. A nurse is reinforcing teaching with a parent about appropriate snacks for a toddler. Which of the following foods should the nurse include?
      A)Marshmallows
      B)Graham crackers
      C)Almonds
      D)Carrot sticks
    3. A nurse is reinforcing teaching with a client diagnosed with osteoarthritis who reports joint pain, swelling, and stiffness. Which of the following client statements indicates understanding of the teaching?
      A)"I will sleep on a soft matress."
      B)"I will apply a heating pad to make my hands feel beter."
      C)"I will take aspirin on an empty stomach."
      D)"I will exercise my joints as much as I can when they are inflamed."
    4. A nurse is reinforcing teaching with a client diagnosed with osteoarthritis who reports joint pain, swelling, and stiffness. Which of the following client statements indicates understanding of the teaching?
      A)"I will sleep on a soft mattress."
      B)"I will apply a heating pad to make my hands feel better."
      C)"I will take aspirin on an empty stomach."
      D)"I will exercise my joints as much as I can when they are inflamed."
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    Exam Review

    1. A nurse is reinforcing discharge teaching with an older adult client's family about safety precautions when administering a tap water enema to the client. Which of the following should the nurse include in the instructions?
      A)Instruct the client to bear down during rectal tube insertion.
      B)Administer a second enema if results are not clear.
      C)Assist the client to a right Sims' position
      D)Insert the rectal tube in the direction of the client's umbilicus.
    2. A nurse is collecting health history data from a client who has hemorrhoids. Which of the following findings should the nurse expect?
      A)Chronic constipation
      B)Excessive flatulence
      C)Frequent stools
      D)Fecal incontinence
    3. A nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube. Which of the following actions should the nurse take?
      A)Monitor the client's vital signs every 8 hours
      B)Reposition the endotracheal tube every 12 hours.
      C)Place the client in a supine position.
      D)Perform oral care every 2 hours
    4. A nurse is caring for a client who has major depressive disorder and is refusing their medication. The client's family suggests placing the client's medication in their food. Which of the following actions should the nurse take?
      A)Schedule the medication at meal times.
      B)Request the family talk to the provider about administering the medication by injection.
      C)Inform the family that the client has the right not to take the medication.
      D)Ask the family what foods the client likes.
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    Exam Review

    1. A nurse in a mental health unit asks a client who has schizophrenia, "How are you?" Which of the following responses should the nurse identify as the speech alteration of echolalia?
      A)"I am lovistrated."
      B)"Super, trooper, and duper."
      C)"How are you?"
      D)"Pink spots in Africa."
    2. A nurse is caring for an adolescent who has an allergy to penicillin. Which of the following prescriptions should the nurse clarify with the provider?
      A)Doxycycline
      B)b) Vibranycin
      C)Cefazolin
      D)Gentamicin
    3. A nurse is reviewing the medication record of a client who has a new prescription for fluoxetine. Which of the following medications should the nurse expect the provider to discontinue 2 weeks before starting fluoxetine treatment?
      A)Levothyroxine
      B)Acetaminophen
      C)Simvastatin
      D)Phenelzine
    4. A nurse is caring for a client who is breastfeeding their 5-day-old newborn. Which of the following should the nurse identify as an indication that the newborn is breastfeeding effectively?
      A)Falls asleep 5 minutes after starting a feeding
      B)Has 3 wet diapers each day.
      C)Has a bowel movement every other day.
      D)Makes audible swallowing sounds.
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    Exam Review

    1. A nurse is reinforcing teaching with a group of expectant parents regarding the proper use of a car seat. Which of the following statements by a parent indicates an understanding of the teaching?
      A)"I will secure the seatbelt across my newborn's lap."
      B)"I can move my child to a booster seat when she weighs 20 pounds."
      C)"I will turn the car seat forward-facing when my child is 10 months old."
      D)"I can place a rolled towel on each side of my newborn's head until he can hold his head up."
    2. A nurse is reinforcing discharge teaching with a client who had an above-the-knee amputation and has a prosthesis. Which of the following instructions should the nurse include?
      A)"Keep initial pressure dressing in place for 1 week after surgery."
      B)"Leave the prosthesis in place when going to bed."
      C)"Avoid extension of the hips when lying down."
      D)"Clean the prosthesis using a damp, soapy cloth."
    3. A nurse is caring for a client who is near death. Which of the following actions should the nurse take?
      A)Administer scheduled pain medications
      B)Provide oral care every 6 hours.
      C)c) Administer liquids using a syringe.
      D)Whisper when talking to family members.
    4. A nurse is reinforcing teaching with the guardian of a preschooler who has a new diagnosis of enterobiasis.Which of the following information should the nurse include in the teaching?
      A)a. "One dose of medication is all that will be necessary."
      B)"Everyone who lives in the home will need medication."
      C)"Allow the child to take tub baths instead of showers."
      D)"Wash all clothes and bed linens in cold water."
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    Exam Review

    1. A nurse is planning to obtain blood from a newborn via a heel stick. Which of the following actions should the nurse take?
      A)Puncture the heel to a depth of 4 mm to obtain the specimen.
      B)Withhold feeding prior to collecting the specimen.
      C)Apply a heat pack 5 to 10 minutes prior to the procedure.
      D)Elevate the newborn's foot for 15 minutes following the procedure.
    2. A nurse is reinforcing teaching about home safety with the parent of an 8-month-old infant. Which of the following statements by the parent indicates an understanding of the teaching?
      A)"I'll position the crib in front of the window."
      B)"I'll hang some toys across the crib rails."
      C)"I will keep the door to the bathroom closed."
      D)"I'll set my hot water heater at 140 degrees Fahrenheit."
    3. A nurse is planning to obtain blood from a newborn via a heel stick. Which of the following actions should the nurse take?
      A)Puncture the heel to a depth of 4 mm to obtain the specimen.
      B)Withhold feeding prior to collecting the specimen.
      C)Apply a heat pack 5 to 10 minutes prior to the procedure.
      D)Elevate the newborn's foot for 15 minutes following the procedure.
    4. A nurse is reinforcing teaching with a client about caring for a new colostomy. Which of the following statements should the nurse make?
      A)"You should scrub the skin around the colostomy when cleaning."
      B)"You can use an adhesive remover when changing the colostomy skin barrier."
      C)"You will need a device to suction stool from the colostomy bag."
      D)"You should empty the colostomy bag when it is three-fourths full."
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