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    Exam Review

    1. A nurse is admitting a client who is about to undergo surgery for benign prostatic hypertrophy. The client states, “I don’t know what I will do if they find I have cancer.” Which of the following responses should the nurse make?
      A)
      Why do you think you might have cancer when your diagnosis is a benign condition?
      B)
      I’m looking at your chart here and I don’t see any reason for you to worry about that.
      C)
      I’m hearing that you are concerned that it might turn out that you have cancer.
      D)
      I think that’s something you need to discuss with your provider.
    2. A nurse is reviewing discharge instructions with a client who has rheumatoid arthritis and a new prescription for prednisone. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      I should take aspirin for minor aches and pains while taking this medication.
      B)
      I can expect a sore throat for the first week after starting this medication.
      C)
      I should take my flu vaccine within one week of starting this medication.
      D)
      I should eat more bananas while taking this medication.
    3. A public health nurse is teaching a group of nurses about smallpox. Which of the following statements by one of the nurses indicates an understanding of the teaching?
      A)
      There are rare, occasional occurrences of smallpox.
      B)
      Smallpox lesions appear in various stages of healing.
      C)
      Unlike chickenpox, the vesicles of smallpox are more abundant on the face.
      D)
      Vaccination against smallpox provides lifelong immunity.
    4. A nurse on a medical unit is planning care for an older adult client who takes several medications. Which of the following prescribed medications places the client at risk for orthostatic hypotension? (Select all that apply)
      (SATA)
      A)
      Lisinopril
      B)
      Clopidogrel
      C)
      Atorvastatin
      D)
      Furosemide
      E)
      Doxazosin
    Page 1 of 32

    Exam Review

    1. A nurse is assessing a client who is admitted for elective surgery and has a history of Addison’s disease. Which of the following findings should the nurse expect?
      A)
      Intention tremors
      B)
      Purple striations
      C)
      Hirsutism
      D)
      Hyperpigmentation
    2. A nurse is presenting a class about fall prevention to a group of assisted-living residents. Which of the following statements by a resident best indicates an understanding of the teaching?
      A)
      It is a good idea to use the handrails in the bathroom.
      B)
      I should get a longer cord for my telephone.
      C)
      I should place a throw rug over electrical cords.
      D)
      I should use chairs without armrests.
    3. A nurse is providing teaching to a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching?
      A)
      I should eat a snack half an hour before playing soccer.
      B)
      My morning blood glucose should be between 90 and 130.
      C)
      I should not take my regular insulin when I am sick.
      D)
      I can store unopened bottles of insulin in the freezer.
    4. A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse plan to take?
      A)
      Aspirate for a blood return before depressing the plunger.
      B)
      Insert the needle at a 45-degree angle.
      C)
      The nurse should not expel the air bubble in the prefilled syringe.
      D)
      Administer the medication 2.54 cm (1 inch) from the umbilicus.
    Page 2 of 32

    Exam Review

    1. A volunteer assigned to the pediatric unit reports to the charge nurse for an assignment. Which of the following assignments is unsafe for the volunteer?
      A)
      Transporting a school-age client who is in traction to another department.
      B)
      Reading a book to a preschool client who has AIDS.
      C)
      Playing a computer video game with an adolescent who has sickle cell disease.
      D)
      Rocking an infant who was admitted for croup.
    2. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The pharmacy is delayed in supplying the client’s next container of TPN. Which of the following fluids should the nurse infuse until the next container arrives?
      A)
      0.9% sodium chloride
      B)
      Dextrose 5% in water
      C)
      Dextrose 10% in water
      D)
      Lactated Ringer’s solution
    3. A nurse is preparing a community health program for adults at risk for cardiovascular disease. Which of the following should the nurse include as a modifiable risk factor?
      A)
      Increasing age
      B)
      Cigarette smoking
      C)
      Family history of cardiac disease
      D)
      Diagnosis of diabetes mellitus
    4. A nurse is providing preoperative teaching for a client who is scheduled for a gastrectomy. Which of the following information regarding the prevention of postoperative complications should the nurse include in the teaching?
      A)
      Discuss the visitation policy.
      B)
      Instruct the client about the use of a sequential compression device.
      C)
      Teach the client how to use the PCA pump.
      D)
      Review the pain scale.
    Page 3 of 32

    Exam Review

    1. A nurse is providing preoperative teaching for a client who is scheduled for a gastrectomy. Which of the following information regarding the prevention of postoperative complications should the nurse include in the teaching?
      A)
      Discuss the visitation policy.
      B)
      Instruct the client about the use of a sequential compression device.
      C)
      Teach the client how to use the PCA pump.
      D)
      Review the pain scale.
    2. A charge nurse is discussing the phases of community response to disaster with nursing staff. Which of the following statements indicates an understanding of the heroic phase of disaster response?
      A)
      Normalcy begins to return to the community.
      B)
      Personnel are willing to work in dangerous conditions to provide assistance.
      C)
      Responders experience exhaustion due to extended relief efforts.
      D)
      Survivors come together and share stories of survival.
    3. A nurse is caring for a client who is receiving peritoneal dialysis. The nurse should monitor the client for which of the following manifestations of peritonitis?
      A)
      Increased urinary output
      B)
      Hyperactive bowel sounds
      C)
      Bradycardia
      D)
      Nausea and vomiting
    4. A nurse is caring for a client who has just been diagnosed with cancer of the colon. The client asks the nurse about what the provider might be planning to do. Which of the following nursing responses should the nurse make?
      A)
      Provide the client with articles from the internet that explain colon cancer stages.
      B)
      Encourage the client to write down questions to ask the provider.
      C)
      Explain the various options available for treatment based on the cancer stage.
      D)
      Assure the client that the provider will explain what has been planned.
    Page 4 of 32

    Exam Review

    1. A nurse is teaching the parent of a newborn about car seat use. Which of the following information should the nurse include?
      A)
      Place the shoulder harness straps below the level of the newborn’s armpits.
      B)
      Keep the car seat rear-facing until the newborn can sit unsupported.
      C)
      Place the retainer clip across the newborn’s abdomen.
      D)
      Position the newborn at a 45-degree angle in the car seat.
    2. A nurse is preparing to administer vancomycin 50 mg PO daily divided into four equal doses. The amount available is vancomycin 125 mg capsules. How many capsules should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    3. A nurse is assessing a client who has a suspected diagnosis of Guillain-Barré syndrome (G85). Which of the following questions should the nurse ask the client?
      A)
      Have you had a recent influenza infection?
      B)
      Have you traveled overseas recently?
      C)
      Do you have a history of chronic alcohol abuse?
      D)
      Are you taking a multivitamin?
    4. A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse?
      A)
      Sometimes my child acts bossy with his friends.
      B)
      The teacher says my child has to squint to see the board.
      C)
      My child has recently lost both front top teeth.
      D)
      My child often cheats when we play board games.
    Page 5 of 32

    Exam Review

    1. A nurse is preparing to discharge a child who has a new prescription for an oral antibiotic. Which of the following information should the nurse include in the discharge instructions? (Select all that apply)
      A)
      Using a kitchen spoon to administer the medication.
      B)
      Written information about the medication.
      C)
      The reason why the child is taking the medication.
      D)
      The adverse effects of the medication.
      E)
      Stopping the medication when the child feels better.
    2. An RN from the maternal-newborn unit is being floated to a medical-surgical unit. Which of the following clients should the charge nurse on the medical-surgical unit plan to assign to the RN?
      A)
      A client who had a stroke and is to be admitted.
      B)
      A client who is one-day postoperative following a total abdominal hysterectomy.
      C)
      A client who has acute pancreatitis.
      D)
      A client who has terminal end-stage renal disease.
    3. A nurse is caring for a newborn who has hydrocephalus. Which of the following manifestations should the nurse expect to find?
      A)
      Dilated scalp veins
      B)
      Overriding suture lines
      C)
      Hypertension
      D)
      A backward sloping appearance of the forehead
    4. A nurse is interviewing a client who has acute pancreatitis. Which of the following factors should the nurse anticipate finding in the client’s history?
      A)
      Hyperlipidemia
      B)
      Gallstones
      C)
      COPD
      D)
      Diabetes mellitus
    Page 6 of 32