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    Exam Review

    1. A nurse is caring for a patient who is receiving a unit of packed red blood cells. Fifteen minutes following the start of the transfusion, the nurse notes that the patient is febrile, with chills and red-tinged urine. Which of the following transfusion reactions should the nurse suspect?
      A)
      Allergic
      B)
      Hemolytic
      C)
      Acute pain
      D)
      Febrile
    2. A nurse is caring for a patient who reports an increase in bruising. The nurse should expect which of the following laboratory values?
      A)
      Platelets 110,000 mm3
      B)
      WBC 8,000 mm3
      C)
      Hemoglobin 13.0 g/dL
      D)
      RBC 4.6 million/mm3
    3. A nurse is caring for a patient with Alzheimer's Disease who falls frequently. Which of the following actions should the nurse take first to keep the patient safe?
      A)
      Encourage the patient to ask for assistance.
      B)
      Keep the call light near the patient.
      C)
      Place the patient in a room close to the nurses' station.
      D)
      Remind the patient to walk with someone for support.
    4. A patient tells the nurse that he has a migraine headache which started about an hour ago. The nurse should administer the prescribed analgesic and
      A)
      suggest the visitors stay a bit longer to provide support and distraction.
      B)
      suggest the patient ambulates in the hallway to become fatigued, so they can rest.
      C)
      turn the lights and television off except for a night light.
      D)
      turn on the television to be used as a distractor for the patient.
    Page 1 of 14

    Exam Review

    1. A nurse is admitting a 56-year old male patient who has leukemia and a critically low platelet count. Which of the following precautions should the nurse initiate?
      A)
      Neutropenic
      B)
      Contact
      C)
      Droplet
      D)
      Bleeding
    2. A nurse is preparing to administer a unit of red blood cells. The nurse's responsibility is to compare and verify the information on the blood label with the patient's information. The nurse should use which of the following as the priority source of verification?
      A)
      chart
      B)
      order sheet
      C)
      medication administration record
      D)
      identification wristband
    3. A patient with diabetic ketoacidosis (DKA) has been receiving insulin for 6 hours. Laboratory finding are Na+ 131, K+ 3.7, CL- 102, HCO3 22, and glucose 170. Which action should the nurse take?
      A)
      Give potassium intravenously.
      B)
      Administer D5 NS with the insulin drip.
      C)
      Administer 3% NS at 200ml/hr
      D)
      Expect the insulin drip to be discontinued.
    4. The nurse is evaluating teaching provided to a patient with type 1 diabetes mellitus. Which patient observation indicates that medication teaching has been effective?
      A)
      Inserts the needle at a 25-degree angle prior to injecting the medication
      B)
      Provides an injection in the thigh after an abdominal injection in the morning
      C)
      Uses a 1 mL syringe to measure insulin dose
      D)
      Places a new injection an inch away from previous injection site
    Page 2 of 14

    Exam Review

    1. The nurse is evaluating care provided to a patient with type 2 diabetes mellitus. Which data indicates that the patient is managing the disease process effectively?
      A)
      Weight gain of 3 lbs. over the last 2 months
      B)
      Eye doctor appointment scheduled for the following week
      C)
      Hemoglobin A1c level 8.1%
      D)
      Reddened area noted on the sole of the left foot
    2. Which nursing intervention takes highest priority for the nurse caring for an unconscious patient?
      A)
      Inserting an indwelling urinary catheter
      B)
      Putting a nasogastric (NG) tube in place
      C)
      Maintaining a patent airway
      D)
      Administering an enema daily
    3. A nurse at a community health clinic is caring for a patient who reports a headache and stiff neck. Which of the following actions should the nurse take first?
      A)
      Check the patient's blood temperature.
      B)
      Administer an oral analgesic.
      C)
      Perform a complete blood count.
      D)
      Evaluate the patient's neurological status.
    4. A 72-year-old man with Parkinson's is admitted to the hospital for pneumonia. He is experiencing dysphagia which may result in difficultly with:
      A)
      prosopagnosia
      B)
      cognition
      C)
      communication
      D)
      swallowing
    Page 3 of 14

    Exam Review

    1. A type 1 diabetic patient is scheduled to receive their morning dose of aspart (rapid acting) insulin. Which of the following actions should the nurse take?
      A)
      Clarify the prescription because the insulin should not be administered at this time.
      B)
      Hold breakfast for one hour after the insulin administration.
      C)
      Administer insulin when breakfast arrives.
      D)
      Check the blood glucose immediately after breakfast.
    2. A nurse is developing a teaching plan for a patient who has a new diagnosis of type 2 diabetes mellitus. Which of the following actions should the nurse plan to take first?
      A)
      Give the patient access to a video about diabetes.
      B)
      Determine what the patient knows about managing diabetes.
      C)
      Establish short-term, realistic goals for the patient.
      D)
      Evaluate the effectiveness of the patient's admission teaching plan.
    3. A nurse is planning care for a patient who is to receive packed RBCs. The nurse should plan for the total infusion time to not exceed which of the following?
      A)
      8 hr
      B)
      6 hr
      C)
      4 hr
      D)
      2 hr
    4. A 22-year old patient involved in a motorcycle accident has a complete transection of the spinal cord at T-8 resulting in paraplegia. Nursing interventions includes repositioning the patient every 1-2 hours to:
      A)
      Improve venous circulation and prevent VTE formation
      B)
      Prevent flexion and contractures of the extremities
      C)
      Decrease the development of a paralytic ileus
      D)
      Prevent the development of pressure ulcers
    Page 4 of 14

    Exam Review

    1. What information will the nurse provide to the visitors of a patient who is to receive a bone marrow transplant?
      A)
      Bring fresh-cut flowers to cheer the patient up.
      B)
      Take the patient to the cafeteria for meals.
      C)
      A cover gown is not necessary when entering the patient's room.
      D)
      Do not visit if you have had a recent infection.
    2. A nurse is caring for a patient who has a T-4 spinal cord injury. Which of the following patient findings should the nurse identify as placing the at risk for developing autonomic dysreflexia?
      A)
      The patient states having nasal congestion.
      B)
      The patient's blood pressure becomes elevated.
      C)
      The patient's bladder becomes distended.
      D)
      The patient states having a severe headache.
    3. A nurse is caring for a child who has a suspected diagnosis of bacterial meningitis. Which of the following actions is the nurse's priority?
      A)
      Administer antibiotics when available.
      B)
      Reduce environmental stimuli.
      C)
      Document intake and output.
      D)
      Maintain seizure precautions.
    4. A patient with spinal cord injury has altered-mobility, which increases the risk of deep vein thrombosis (DVT). Which of the following would be included as an appropriate nursing intervention to prevent DVT formation?
      A)
      Applying a sequential compression device
      B)
      Administering an antifibrinolytic agent
      C)
      Placing the patient on a fluid restriction
      D)
      Assisting the patient with passive ROM exercises
    Page 5 of 14

    Exam Review

    1. A nurse in an emergency department is caring for a patient who has diabetic ketoacidosis (DKA) and a blood glucose level of 925 mg/dL. The nurse should anticipate which of the following prescriptions from the provider?
      A)
      Dextrose 5% in 0,45% sodium chloride IV
      B)
      Oral hypoglycemic medications
      C)
      Glucocorticoid medications
      D)
      0.9% sodium chloride IV
    2. What time of day would a nurse expect to see signs of hypoglycemia in a patient following NPH insulin (intermediate acting) given at 7:30am?
      A)
      8:00am to 11:00am
      B)
      2:00pm to 5:00pm
      C)
      2:00am to 5:00am
      D)
      10:00pm to 12:00am
    3. A nurse is caring for a patient who reports low back pain and asks the nurse for specific exercise recommendations. Which of the following activities should the nurse suggest?
      A)
      Rowing
      B)
      Tennis
      C)
      Canoeing
      D)
      Swimming
    4. A nurse is assessing a 19-year-old patient who was brought to the ED in sickle cell crisis. Which of the following findings should the nurse expect?
      A)
      High fever
      B)
      Constipation
      C)
      Bradycardia
      D)
      Pain
    Page 6 of 14