Exam Review

A nurse is caring for a client brought to the Emergency Department as one of the first victims of a train accident. The nurse assesses the client, noting a respiratory rate of 38, a weak, rapid pulse, and uncontrolled bleeding. Using NATO guidelines, the nurse assigns which priority tag?
A)
Red tag
B)
Black tag
C)
Green tag
D)
Yellow tag
A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client?
A)
A negative-pressure isolation room
B)
A private room
C)
A semi-private room with a client who has pediculosis capitis
D)
A positive-pressure isolation room
A charge nurse is making a room assignment for a client who has scabies. In which of the following rooms should the nurse place the client?
A)
A negative-pressure isolation room
B)
A private room
C)
A semi-private room with a client who has pediculosis capitis
D)
A positive-pressure isolation room
A nurse is delegating tasks to the assistive personnel (AP). The nurse should direct the AP to complete which of the following tasks first?
A)
Assisting a client with a bed bath who has a history of falls.
B)
Providing a snack to a diabetic client who is feeling lightheaded.
C)
Feeding a client who has bilateral casts due to upper arm fractures.
D)
Ambulating a postoperative client for the first time.

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Exam Review

A nurse is caring for a client who was injured by a blast of high-order explosives. Medics report secondary injuries from the explosion. The nurse anticipates what type of injuries?
A)
Blunt force trauma
B)
Hollow organ damage
C)
Post-trauma stress disorder
D)
Penetrating injuries
A nurse advises a client with osteoporosis to have three servings of milk or dairy products daily. Which of the following levels of prevention is being used by the nurse?
A)
Secondary prevention
B)
Primary prevention
C)
Proactive prevention
D)
Tertiary prevention
The nurse is preparing for an initial home care visit for a client with diabetes. Which action by the nurse is appropriate? SELECT ALL THAT APPLY.
(SATA)
A)
Going automatically into the client’s bedroom.
B)
Thanking the client for arranging a home visit.
C)
Arranging mutual future visits.
D)
Asking how they are managing at home.
E)
Sitting down and discussing with the client and family members.
A nurse is caring for a client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm. Which of the following manifestations should the nurse expect?
A)
Gradual onset of headache.
B)
Changes in consciousness.
C)
Gradual onset of several hours.
D)
History of neurologic deficits lasting less than 1 hr.

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Exam Review

A nurse is teaching the family of a client who has a new diagnosis of epilepsy about actions to take if the client experiences a seizure. Which of the following instructions should the nurse include in the teaching?
A)
“Insert a padded tongue blade into the client’s mouth.”
B)
“Restrain the client.”
C)
“Move objects away from the client.”
D)
“Place the client on his back.”
Which of the following statements indicate the importance of epidemiology to the community health nurse? SELECT ALL THAT APPLY.
(SATA)
A)
Epidemiology interprets legislation in the community.
B)
Epidemiology evaluates the effectiveness of nursing interventions.
C)
Epidemiology analyzes and examines the root causes of health outcomes.
D)
Epidemiology defines the burden of disease and determinants of health.
E)
Epidemiology relates to the health status of a population.
A nurse is assessing a client who reports a severe headache and stiff neck. The nurse’s assessment reveals positive Kernig’s and Brudzinski’s signs. Which of the following actions should the nurse perform first?
A)
Decrease bright lights.
B)
Implement droplet precautions.
C)
Initiate IV access.
D)
Administer antibiotics.
A nurse is assessing a client who was brought into the emergency room following a seizure. The nurse suspects the client may have meningococcal meningitis when assessment findings include nuchal rigidity and a petechial rash. After implementing droplet precautions, which of the following actions should the nurse initiate next?
A)
Administer an antipyretic.
B)
Complete a vascular assessment.
C)
Assess the cranial nerves.
D)
Decrease environmental stimuli.

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Exam Review

A community health nurse is teaching a group of nursing students about descriptive analytics. The nurse recognizes that which of the following best describes the purpose of descriptive analytics in nursing?
A)
To predict future client’s outcomes based on historical data.
B)
To develop new treatment protocols based on client data.
C)
To summarize and interpret historical client data to identify trends and patterns.
D)
To provide real-time monitoring of client’s vital signs.
A nurse is providing care to a client with Myasthenia gravis who has lost 6 kg of weight over the past 2 months. What should the nurse suggest to improve this client’s nutritional status?
A)
Restrict drinking fluids before and during meals.
B)
Plan medication doses to occur before meals.
C)
Increase the amount of fat and carbohydrates in meals.
D)
Eat three large meals per day.
A nurse is working with a community at risk for flooding. The nurse is aware that identification of at-risk populations, education of the residents about evacuation routes, and emergency shelters is an example of what level of the National Response Framework?
A)
Security phase
B)
Mitigation phase
C)
Response phase
D)
Practice phase
A registered nurse (RN) and an experienced licensed practical nurse (LPN) are caring for a group of clients. Which of the following tasks should the RN delegate to the LPN? SELECT ALL THAT APPLY
A)
Monitoring vital signs of postoperative clients.
B)
Administering routine medications to stable clients.
C)
Performing wound care on a client with a Stage III pressure ulcer.
D)
Developing a teaching plan for a client newly diagnosed with Type II Diabetes.
E)
Providing oral care to an unconscious client.

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Exam Review

A nurse is working with the hospital disaster plan with the emergency operations committee. The nurse is aware that nursing is involved in which components of the disaster plan? SELECT ALL THAT APPLY
A)
Identification of resources to meet anticipated needs
B)
Participation in comprehensive annual drills
C)
Internal and external communications
D)
Performing duties outside the typical job description
A nurse is determining if a homebound client is eligible for Meals-on-Wheels. Which of the following is the most important factor for the nurse to consider?
A)
The client’s level of family support
B)
The client’s financial resources
C)
The client’s access to transportation
D)
The client’s ability to prepare meals
A nurse is delegating tasks to assistive personnel. Which of the following should the nurse consider when using one of the five rights of delegation?
A)
The assistive personnel’s ability to complete the task without assistance.
B)
The assistive personnel’s level of experience and competency in performing the task.
C)
The assistive personnel’s rapport with clients.
D)
The assistive personnel’s availability at the time of the delegation.
The school nurse identifies 12 students with confirmed cases of influenza A. The families of the children are advised to keep the children home for a minimum of 5 to 7 days. Which of the following is an appropriate action by the nurse?
A)
Closing the school for 6 weeks
B)
Education regarding respiratory and hand hygiene
C)
Discipline in the school setting for improper handwashing
D)
Running a mandatory flu clinic

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Exam Review

A nursing preceptor is reviewing life expectancy in the twentieth century with a new nurse. The nurse should recognize that which of the following was most responsible for the dramatic increase in life expectancy during the twentieth century?
A)
Use of antibiotics to fight infections
B)
Sanitation and other public health activities
C)
Technology increases in the field of medical laboratory research
D)
Advances in surgical techniques and procedures
A nurse is teaching a client who has a new prescription for Sumatriptan (Imitrex) tablets to treat migraine headaches. Which of the following instructions should the nurse include?
A)
“Chew tablet well before swallowing.”
B)
“If you experience chest pain, call your physician immediately.”
C)
“Take daily to prevent headaches.”
D)
“Repeat dose in 1 hour for unrelieved headache.”
A nurse is caring for a client scheduled for a functional assessment who asks, “What is the purpose of this assessment?” How should the nurse most appropriately respond to the client?
A)
“It is a test that determines which activities you feel most comfortable performing.”
B)
“It is a tool that is used to determine your maximum level of self-sufficiency.”
C)
“It is a tool that is used to assess what services you will need a home health aide to perform for you.”
D)
“It is a tool used by insurance companies to determine qualifications for medical reimbursement.”
The nurse is performing the Romberg test on a client during a neurological assessment. Which of the following best describes the rationale for conducting the Romberg test?
A)
To measure respiratory rate and depth.
B)
To evaluate coordination and fine motor skills.
C)
To test for proprioception and vestibular function.
D)
To assess cranial nerve function related to facial expression.

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