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    Exam Review

    1. A nurse is assessing a client who has had diarrhea for several days. Which of the following findings should the nurse expect?
      A)
      Dehydration
      B)
      Rigid abdomen
      C)
      Hypothermia
      D)
      Decreased bowel sounds
    2. A nurse is caring for a client who is on bedrest and is experiencing constipation. Which of the following interventions should the nurse implement?
      A)
      Place the client on a low-flber diet
      B)
      Request a prescription for a mineral oil for the client
      C)
      Encourage the client to drink cold fluids
      D)
      Increase the client's fluid intake
    3. A nurse is preparing to administer clonazepam 5 mg PO in 3 equally divided doses every 8 hr for a client who has seizures. The amount available is clonazepam 0.5 mg tablets. How many tablets should the nurse administer per dose? (Round off to the nearest tenth Use a leading zeroif it applies. Do not use a trailing zero.)
      Correct Answer:1 tablet
    4. A nurse is admitting a new client. Which of the followings steps of the nursing process is the nurse performing when formulating goals to address an identified problem?
      A)
      Planning
      B)
      Implementation
      C)
      Assessment
      D)
      Evaluation
    Page 1 of 14

    Exam Review

    1. A nurse is teaching a client how to use crutches. Which of the following interventions uses the psychomotor domain of learning?
      A)
      Describe the steps of walking with crutches for the client
      B)
      Encourage the client to ask questions about walking with crutches
      C)
      Show the client a video on walking with crutches
      D)
      Ask the client to demonstrate walking with crutches
    2. A nurse is preparing to administer a client's antihypertensive medication. When using, clinical judgment, which of the following findings indicates the nurse should further assess the client before administering medication?
      A)
      The client reports dizziness when ambulating to the bathroom
      B)
      The client reports having trouble sleeping the previous night
      C)
      The client ate 60% of their breakfast.
      D)
      The client has a urine output of 400 mL for the past 8 hr
    3. A nurse is observing a newly licensed nurse set up a sterile field. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?
      A)
      Prepares the sterile field 2 hr before it is needed
      B)
      Uses a surface that is at waist height
      C)
      Places the sterile field against a wall in the client's room
      D)
      Opens the first flap of the sterile package towards the nurse's body
    4. A nurse is teaching a client how to walk using a walker. After showing the client the procedure, the nurse asks the client to perform the skill. Which of the following types of teaching strategies is the nurse utilizing
      A)
      Role-play
      B)
      Question-and-answer
      C)
      Discussion
      D)
      Return demonstration
    Page 2 of 14

    Exam Review

    1. A nurse is caring for a client who has a Penrose drain. Which of the following actions should the nurse take?
      A)
      Clean the skin near the drain in a circular motion from the outside to the inside.
      B)
      Empty the drainage device when it is half full.
      C)
      Place a perforated gauze pad around the drain to absorb drainage.
      D)
      Connect the drain to continuous low-pressure suction
    2. A nurse is caring for client who is taking lisinopril (ACE inhibitor). Which of the following outcomes indicates a therapeutic effect of the medication?
      A)
      Improved sexual function
      B)
      Decreased blood pressure
      C)
      Increase of HDL cholesterol
      D)
      Prevention of bipolar manic episodes
    3. A nurse is obtaining an oxygen saturation on a client. Which of the following actions should the nurse take?
      A)
      wait 10 sec after placing the probe before obtaining the oxygen saturation reading
      B)
      Place the sensor probe on the same extremity as an electronic blood pressure cuff
      C)
      Relocate the sensor every 8 hrs.
      D)
      Choose a finger with a capillary refill less than 2 sec.
    4. A nurse is gathering evidence based practice on catheter associated urinary tract infections (CAUTI). Which of the following roles is the nurse performing?
      A)
      Researcher
      B)
      Nurse manager
      C)
      Case manager
      D)
      Educator
    Page 3 of 14

    Exam Review

    1. A nurse is assessing a client who has circulatory overload. Which of the following findings should the nurse expect?
      A)
      Diaphoresis
      B)
      Weight loss
      C)
      Hypotension
      D)
      Tachycardia
    2. A nurse is observing a newly licensed nurse perform hand hygiene. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?
      A)
      Holds their hands below than/bows while rinsing off soap
      B)
      Uses hot water to wash their hands
      C)
      Turns off the faucet with their hands
      D)
      Washes their hands for 10 seconds
    3. A nurse is working with a social worker and a physical therapist in preparing a discharge projection for client who is postoperative. Which of the following steps of the nursing process is the nurse engaging in?
      A)
      Assessment
      B)
      Planning
      C)
      Evaluation
      D)
      Analysis
    4. A nurse is performing passive range of motion on a client who had a stroke. The nurse should identify that passive range of motion is performed to increase which of the following?
      A)
      Muscle mass
      B)
      Bone density
      C)
      Joint flexibility
      D)
      Muscle strength
    Page 4 of 14

    Exam Review

    1. The nurse is caring for client who has had partial removal the parathyroid gland. The client reports numbness and tingling of the hands and fingers. Which lab value would the nurse expect to see?
      A)
      Chloride 112
      B)
      Calcium 7.5
      C)
      Potassium 4.0
      D)
      Calcium 12.1
    2. A nurse is assessing a client who has an oral temperature of 39 C (102.27 F). Which of the following findings should the nurse expect?
      A)
      Decreased peripheral pulses
      B)
      Heart rate 108/min
      C)
      Respiratory rate 10 breathes/min
      D)
      Dilated pupils
    3. A nurse is teaching a client who has a new prescription for zolpidem. The nurse should instruct the client that which of the following is an adverse effect of zolpidem?
      A)
      Memory loss
      B)
      Dry mouth
      C)
      Hypertension
      D)
      Urinary retention
    4. A nurse is caring for a client with a scheduled procedure. While preparing the client for the transport they appear anxious and ask the nurse where they should hide their cellphone during the procedure. The nurse offers to lock the item in a secure area. Which category of Maslow's hierarchy of needs is the nurse addressing?
      A)
      Safety needs
      B)
      Esteem needs
      C)
      Love and belonging needs
      D)
      Physiological needs
    Page 5 of 14

    Exam Review

    1. A nurse is documenting client care including only unexpected findings related to the client's condition. Which of the following documentation methods the nurse utilizing?
      A)
      SOAP documentation
      B)
      Focus charting (DAR)
      C)
      Charting by exception (CBE)
      D)
      Problem-oriented medical record (POMR)
    2. A nurse is receiving report on a group of clients. Using the ABCDE priority framework which f the following clients should the nurse see first?
      A)
      A client who has early dementia and awoke confused to their location this morning
      B)
      A client who is scheduled for discharge and has a 38.4 C (101.1 F) temperature this morning
      C)
      A client who has pneumonia and has developed wheezing
      D)
      A client who is postoperative and has a urine output of 50 mL for the past 3 h
    3. A nurse is caring for a client who has a terminal diagnosis and states, ‘’I am ready to update my will. " The nurse should identify that the client is experiencing which of the following Kubler-Ross stages of grief?
      A)
      Denial
      B)
      Acceptance
      C)
      Anger
      D)
      Bargaining
    4. A nurse is teaching a client about the Rinne test. Which of the following client statements indicates an understanding of the teaching?
      A)
      I will wear earphones during this test."
      B)
      "A small probe is placed inside my ear."
      C)
      A tuning fork is placed on my head"
      D)
      "Small electrodes are placed on my scalp
    Page 6 of 14