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    Exam Review

    1. A nurse is assessing a patient for early manifestations of rheumatoid arthritis (RA). Which of the following changes is an early manifestation of RA?
      A)
      Decreased hemoglobin.
      B)
      L Temporomandibular joint pain.
      C)
      Fatigue.
      D)
      Symmetric joint swelling of fingers.
    2. A nurse is caring for a client who has herpes zoster.Which of the following findings should the nurse expect?
      A)
      Dry, scaly patches on the elbows.
      B)
      Different pigmented patches in the genital area.
      C)
      Painful lesions following a nerve pathway.
      D)
      Excessive hair growth on the affected area.
    3. A nurse is teaching a group of patients about osteoarthritis.Which of the following recommendations should the nurse include in the teaching?
      A)
      Use Echinacea to manage joint pain.
      B)
      Apply ice to the joint before exercising.
      C)
      Significantly reduce the amount of purine in the diet.
      D)
      Maintain a recommended body weight.
    4. A nurse is planning care for a client who is postoperative and at risk for paralytic ileus.Which of the following interventions should the nurse plan to take to promote peristalsis?
      A)
      Decrease fluid intake.
      B)
      Offer the client the bedpan every 2 hr.
      C)
      Increase protein intake.
      D)
      Increase ambulation.
    Page 1 of 15

    Exam Review

    1. Which finding for a 77-year-old patient seen in the outpatient clinic requires further nursing assessment and intervention?
      A)
      Decreased right knee range of motion.
      B)
      Report of left hip aching when jogging.
      C)
      History of recent loss of balance and fall.
      D)
      Occasional mild constipation.
    2. A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump for postoperative pain management. The nurse enters the room to find the client asleep and his partner pressing the button to dispense another dose. Which of the following responses should the nurse make?
      A)
      "It's a good idea to help make sure your husband can sleep comfortably.”.
      B)
      "Your husband should decide when more medication is needed.”.
      C)
      "Next time you think he needs more medication, call me and I'll push the button.”.
      D)
      "Why do you think your husband needs more medication when he is asleep?"
    3. A nurse is providing education for a client who has glaucoma.Which of the following statements should the nurse include in the teaching?
      A)
      "Use of eye drops will improve vision over time.”.
      B)
      "Glaucoma is caused by inadequate production of fluid within the eye.”.
      C)
      "Double vision is a common symptom of glaucoma.”.
      D)
      "Without treatment, glaucoma can cause blindness.”.
    4. A nurse is monitoring the urinary output of an adult client who had a colon resection.Which of the following 24-hr output totals indicates oliguria?
      A)
      380 mL.
      B)
      600 mL.
      C)
      550 mL.
      D)
      720 mL.
    Page 2 of 15

    Exam Review

    1. A nurse is providing education for a client who has glaucoma.Which of the following statements should the nurse include in the teaching?
      A)
      "Without treatment, glaucoma can cause blindness.”.
      B)
      "Use of eye drops will improve vision over time.”.
      C)
      "Glaucoma is caused by inadequate production of fluid within the eye.”.
      D)
      "Double vision is a common symptom of glaucoma.”. . . .
    2. A 25-year-old patient calls the clinic complaining of diarrhea for 24 hours.Which of the following should be the nurse's first response?
      A)
      Inform the patient that laboratory testing of blood and stools will be necessary.
      B)
      Ask the patient to describe the character of the stools and any associated symptoms.
      C)
      Advise the patient to use over-the-counter loperamide (Imodium) to slow gastrointestinal (GI) motility.
      D)
      Suggest that the patient drink clear liquid fluids with electrolytes, such as Gatorade or Pedialyte.
    3. A nurse is caring for a patient who is being admitted for an acute exacerbation of ulcerative colitis.Which of the following actions should the nurse take first?
      A)
      Obtain a dietary history from the patient.
      B)
      Review the patient's electrolyte values.
      C)
      Check the patient's perianal skin integrity.
      D)
      Investigate the patient's emotional concerns.
    4. A nurse is providing teaching for a patient who has gastroesophageal reflux disease (GERD) about ways to manage their condition.Which of the following instructions should the nurse include?
      A)
      "Drink milk to soothe your stomach.”.
      B)
      "Sleep on your left side.”.
      C)
      "Wait to go to bed for 1 hr after eating.”.
      D)
      "Eat four to six small meals each day.”.
    Page 3 of 15

    Exam Review

    1. A nurse is assessing a client who reports a nevus that has increased in size and an irregularly shaped lesion that varies in color.These findings are consistent with which of the following medical diagnoses?
      A)
      Basal cell carcinoma
      B)
      Malignant melanoma
      C)
      Squamous cell carcinoma
      D)
      Kaposi's sarcoma
    2. During a routine physical examination, a nurse observes a 1-cm (0.4-in) lesion on a client's chest.The lesion is raised and flesh-colored with pearly white borders.The nurse should recognize that this finding is suggestive of which of the following types of skin cancer?
      A)
      Basal cell carcinoma
      B)
      Malignant melanoma
      C)
      Actinic keratosis
      D)
      Squamous cell carcinoma . . .
    3. A nurse in a provider's office is assessing a patient who has rheumatoid arthritis (RA). Which of the following findings is a late manifestation of this condition?
      A)
      Weight loss
      B)
      Knuckle deformity
      C)
      Low-grade fever
      D)
      Anorexia
    4. A nurse is teaching a patient who has a history of ulcerative colitis and a new diagnosis of anemia.Which of the following manifestations of colitis should the nurse identify as a contributing factor to the development of the anemia?
      A)
      Intestinal parasites.
      B)
      Chronic blood loss.
      C)
      Intestinal malabsorption syndrome.
      D)
      Dietary iron restrictions.
    Page 4 of 15

    Exam Review

    1. A nurse is teaching a patient at high risk for osteoporosis about dietary measures they can take to increase their calcium level.Which of the following foods should the nurse advise the patient to increase in their diet?
      A)
      Cabbage.
      B)
      Carrots.
      C)
      Potatoes.
      D)
      Broccoli.
    2. The nurse is caring for a patient with ulcerative colitis and severe diarrhea.Which nursing assessment is the highest priority?
      A)
      Blood pressure.
      B)
      Skin integrity.
      C)
      Abdominal percussion.
      D)
      Heart rate and rhythm.
    3. A nurse is caring for a client who has an NG tube set to low intermittent suction. The nurse irrigates the NG tube twice with 30 mL of 0.9% sodium chloride solution during their shift. At the end of the shift, the NG canister contains 475 mL. What amount of NG drainage should the nurse record?
    4. A nurse is teaching a client about strategies to manage gastroesophageal reflux disease (GERD). Which of the following statements should the nurse include?
      A)
      "Avoid snacking between meals.”.
      B)
      "Limit foods that are high in fiber.”.
      C)
      "Elevate the head of your bed by 18 inches.”.
      D)
      "Avoid eating 2 to 3 hours before bedtime.”. . . .
    Page 5 of 15

    Exam Review

    1. A nurse is teaching a group of patients about osteoarthritis.Which of the following recommendations should the nurse include in the teaching?
      A)
      Maintain a recommended body weight.
      B)
      Apply ice to the joint before exercising.
      C)
      Reduce the amount of purine in the diet.
      D)
      Use Echinacea to manage joint pain.
    2. A nurse is completing discharge teaching with a patient who has irritable bowel syndrome (IBS). Which of the following instructions should the nurse include?
      A)
      Limit fluid intake to 1L each day.
      B)
      Keep a food diary to identify triggers.
      C)
      Plan three moderate to large meals per day.
      D)
      Consume 12 to 20g of fiber daily.
    3. During a routine physical examination, a nurse observes a 1-cm (0.4-in) lesion on a client's chest.The lesion is raised and flesh-colored with pearly white borders.The nurse should recognize that this finding is suggestive of which of the following types of skin cancer?
      A)
      Basal cell carcinoma.
      B)
      Malignant melanoma.
      C)
      Actinic keratosis.
      D)
      Squamous cell carcinoma.
    4. A nurse is caring for a client who had total hip arthroplasty 1 day ago and is receiving morphine sulfate by PCA pump for pain control.The client reports nausea and vomiting.Which of the following actions should the nurse take?
      A)
      Administer an antiemetic.
      B)
      Auscultate bowel sounds.
      C)
      Encourage use of the incentive spirometer.
      D)
      Insert a nasogastric tube.
    Page 6 of 15