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    Exam Review

    1. Which of the following is an appropriate evaluation method to assess the effectiveness of home care teaching after a client has surgery?
      A)
      Sending a follow-up survey via email to assess the client's satisfaction with the teaching provided
      B)
      Asking the client if they have any questions or concerns about their home care instructions
      C)
      Asking the client to demonstrate the proper technique for dressing their surgical incision
      D)
      Reviewing the client's vital signs to ensure they are within normal limits.
    2. The nurse is caring for a diabetic patient in renal failure who is in metabolic acidosis. Which laboratory findings are consistent with metabolic acidosis?
      A)
      pH 7.35, PaCO2 40 mm Hg, HCO3-25 mEq/L
      B)
      pH 7.32, PaCO2 47 mm Hg. HCO3-23 mEq/L
      C)
      pH 7.3, PaCO2 36 mm Hg. HCO3- 19 mEq/L
      D)
      pH 7.5, PaCO2 35 mm Hg, HCO3- 35 mEq/L
    3. A nurse is assessing a client who has COPD. Which of the following findings should the nurse expect?
      A)
      Spoon nails
      B)
      Peripheral edema
      C)
      Pleural friction rub
      D)
      Barrel chest
    4. A post-operative patient is at risk for developing a wound infection. Which of the following nursing assessments is the highest priority to prevent this complication?
      A)
      Monitoring the patient's vital signs
      B)
      Assessing the patient's pain level
      C)
      Inspecting the surgical incision site for redness, swelling
      D)
      Assessing the patient's fluid intake and output
    Page 1 of 11

    Exam Review

    1. Which of the following is a risk factor for developing thromboembolism in the post surgical setting?
      A)
      Regular ambulation
      B)
      Obesity
      C)
      Young age
      D)
      Adequate hydration
    2. A nurse is teaching a class about oxygen transport in the cardiopulmonary system. Which of the following transports oxygen in the blood?
      A)
      Lymphocytes
      B)
      Neutrophils
      C)
      Platelets
      D)
      Hemoglobin
    3. A nurse is caring for a client who is scheduled for a procedure. Which of the following actions should the nurse take during the time-out? (Select All that Apply.)
      A)
      Ask the client to read their identification bracelet.
      B)
      Ask the client to point to the surgical site.
      C)
      Use two acceptable client identifiers.
      D)
      Verify that the surgical site has been marked.
      E)
      Ask the client to state the surgery being performed.
    4. A nurse teaches a post-operative patient about preventing atelectasis. Which statement by the patient indicates an understanding?
      A)
      “Hyperventilation will open up my alveoli, preventing atelectasis."
      B)
      “It is important for me to do breathing exercises every hour to prevent atelectasis."
      C)
      "Atelectasis affects only those with chronic conditions such as emphysema. I do not have emphysema therefore I will not get this condition."
      D)
      “If develop atelectasis, I will need a chest tube to drain excess fluid."
    Page 2 of 11

    Exam Review

    1. Which of the following is a postoperative risk factor specifically associated with older adults?
      A)
      Decreased renal function
      B)
      Seasonal allergies
      C)
      Family history of cancer
      D)
      Hypertension
    2. A nurse is suctioning the endotracheal tube of a client who is on a ventilator. The client's heart rate increases from 86/min to 110/min and becomes irregular. Which of the following actions should the nurse take?
      A)
      Turn the patient's head to suction more effectively.
      B)
      Administer an antidysrhythmic medication.
      C)
      Stop suctioning, allow patient to rest and reassess the need to continue suctioning.
      D)
      Obtain a cardiology consult.
    3. A nurse is caring for a client who has nausea and is vomiting. The nurse should identify the client is at risk for which of the following acid-base imbalances?
      A)
      Metabolic Acidosis
      B)
      Respiratory acidosis
      C)
      Respiratory alkalosis
      D)
      Metabolic alkalosis
    4. A nurse is preparing to administer ampicillin 500 mg via intermittent IV bolus over 30 min. Available is 500 mg ampicillin in 50 mL dextrose 5% in water (D5W). The nurse should set the pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    Page 3 of 11

    Exam Review

    1. A nurse is caring for a client who is about to undergo an elective surgical procedure. The nurse should take which of the following actions regarding informed consent? (Select All that Apply.)
      A)
      Explain the risks and benefits of the procedure.
      B)
      Tell the client about alternatives to having the surgery.
      C)
      Make sure the surgeon obtained the client's consent
      D)
      Describe the consequences of choosing not to have the surgery.
      E)
      Witness the client's signature on the consent form.
    2. A nurse is planning care for a client who has hypernatremia. Which of the following actions should the nurse include in the plan of care?
      A)
      Increase sodium intake.
      B)
      Infuse hypotonic IV fluids.
      C)
      Administer sodium polystyrene sulfonate.
      D)
      Implement a fluid restriction.
    3. A nurse is preparing to obtain a sputum specimen for a client. Which of the following actions should the nurse plan to take?
      A)
      Rinse the client's mouth before collecting the specimen.
      B)
      Obtain the specimen from the client in the evening.
      C)
      Save the sputum specimen in a clean container.
      D)
      Collect the sputum specimen after a meal.
    4. A nurse is caring for a client who has a chest tube. Which of the following actions should the nurse take?
      A)
      Tape the connections between the chest tube and drainage tube.
      B)
      Loop the tubing of the chest tube on the client's bed.
      C)
      Place the chest tube drainage system above the level of the client's heart.
      D)
      Perform routine stripping of the client's chest tube every 2 hrs.
    Page 4 of 11

    Exam Review

    1. During new employee orientation, a nurse is explaining how to prevent IV infections. Which of the following statements by an orientee indicates understanding of the preventive strategies?
      A)
      "As long as I am working with the same client, I can use the same IV catheter for my second insertion attempt."
      B)
      “I will replace any IV catheter when I suspect contamination during insertion."
      C)
      “I will leave the IV catheter in place after the client completes the course of IV antibiotics."
      D)
      “If my client needs to use the rest room, it would be safer to disconnect their IV infusion as long as I clean the injection port thoroughly with an antiseptic swab."
    2. A nurse is assessing a client who has diarrhea. Which of the following findings is a manifestation of hypokalemia? (Select All that Apply.)
      A)
      Abdominal distension
      B)
      Tingling on lower extremities
      C)
      Changes on EKG (U-wave)
      D)
      Muscle Weakness
      E)
      Peak T Wave on EKG
    3. A nurse is teaching a client who has a prescription for home oxygen therapy. Which of the following instructions should the nurse include?
      A)
      Use petroleum-based ointments to moisturize lips.
      B)
      Choose a wool blanket when using oxygen.
      C)
      Store oxygen tanks upright.
      D)
      Keep oxygen tanks 4 feet away from an elect
      E)
      Peak T Wave on EKG
    4. A nurse is assessing a client who has respiratory acidosis. Which of the following findings should the nurse expect?
      A)
      Abdominal pain
      B)
      Lethargy
      C)
      Numbness of fingers
      D)
      Dry skin
    Page 5 of 11

    Exam Review

    1. During the preoperative period, what is the nurse's responsibility regarding informed consent?
      A)
      Administering preoperative medications to the patient
      B)
      Witnessing the patient's signature on the consent form
      C)
      Explaining the surgical procedure to the patient
      D)
      Monitoring the patient's vital signs during the procedure
    2. A nurse is preparing to administer amoxicillin 100 mg PO every 8 hr to a toddler who weighs 20 kg. The recommended dosage range is 20 to 25 mg/kg/day. Which of the following actions by the nurse is appropriate?
      A)
      The nurse determines the prescription is above the recommended dosage range.
      B)
      The nurse determines the prescription is insufficient to achieve the desired effect.
      C)
      The nurse administers the prescribed dosage.
      D)
      The nurse contacts the pharmacist to adjust the prescribed dosage.
    3. A nurse is reviewing the laboratory test results for a male client who has an elevated temperature. The nurse should identify which of the following findings is a manifestation of dehydration?
      A)
      Hct 48%
      B)
      Urine specific gravity 1.040
      C)
      Blood creatinine 0.6 mg/dL
      D)
      Blood sodium 140 mEq/L
    4. A nurse is providing discharge teaching to a client who has a new prescription for home oxygen therapy via a nasal cannula. Which of the following should the nurse include in the teaching? (Select all that apply.)
      A)
      Check the cannula position on a regular basis.
      B)
      Apply petroleum ointment to nares if they become dry and irritated.
      C)
      Check the tops of the ears for skin breakdown.
      D)
      Verify the oxygen flow rate every other day.
      E)
      Post "no smoking" signs in a prominent location in the home.
    Page 6 of 11