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    Exam Review

    1. A nurse is assisting with the care of a client who has acute kidney injury. Which of the following findings require immediate follow-up by the nurse. (Select all that apply.)
      (SATA)
      A)
      Activity level
      B)
      Blood pressure
      C)
      BUN
      D)
      Blood glucose
      E)
      Urinary output
      F)
      Blood creatinine level
    2. A nurse is caring for a client who is 1 day postoperative following a transurethral resection of the prostate (TURP) and has a continuous bladder irrigation in place. Which of the following actions should the nurse take? (Select all that apply.)
      (SATA)
      A)
      Contact the surgeon If the client reports a continual need to void.
      B)
      Notify the surgeon if the urine is bright red or has large clots.
      C)
      Add the amount of bladder irrigation to the total output.
      D)
      Make sure the drainage tubing is patent and without obstruction.
      E)
      Use sterile technique when preparing the irrigation solution.
    3. A nurse is contributing to the plan of care for a client who has urolithiasis. Which of the following interventions should the nurse include in the plan?
      A)
      Encourage the client to drink 3 L of fluids per day.
      B)
      Provide the client a high protein diet.
      C)
      Tell the client to expect a decrease in urine output.
      D)
      Maintain the client on bed rest.
    4. A nurse is assisting in planning care for a client who has cystitis. Which of the following interventions should be included in the plan of care?
      A)
      Inform the client that taking Vitamin E supplements will decrease the incidence of cystitis.
      B)
      Instruct the client to take antibiotics until dysuria is no longer present.
      C)
      Direct the client to wash under clothing in bleach.
      D)
      Instruct the client to avoid caffeinated beverages.
    Page 1 of 15

    Exam Review

    1. A nurse manager in a health clinic is discussing complications associated with sexually transmitted infections (STIs) with a newly licensed nurse. Which of the following statements should be included in the discussion?
      A)
      "A complication of syphilis during pregnancy is low-birth-weight infants."
      B)
      "Human papillomavirus can lead to cancer of the cervix."
      C)
      "A complication of chlamydia in males is meningitis."
      D)
      "Herpes simplex virus can lead to pelvic inflammatory disease."
    2. A nurse is reinforcing teaching with a client who has a urinary tract infection (UTI). Which of the following risk factors should the nurse include in the teaching?
      A)
      Osteoporosis
      B)
      Anemia
      C)
      Diabetes mellitus
      D)
      COPD
    3. A nurse is reviewing the chart of a client who is scheduled to have radiological studies of the kidneys performed with the use of IV contrast dye. Which of the following client medications should the nurse withhold prior to the examination?
      A)
      Pantoprazole
      B)
      Valsartan
      C)
      Metformin
      D)
      Simvastatin
    4. A nurse in a health clinic is reinforcing teaching to a newly licensed nurse about vaginal yeast infections. Which of the following information should the nurse include in the teaching?
      A)
      "There is usually no itching with vaginal yeast infections as the fungus does not invade the vaginal wall."
      B)
      "Vaginal yeast infections present as a thick, white discharge."
      C)
      "The use of oral contraceptives will decrease the risk for vaginal yeast infections."
      D)
      "Treatment for vaginal yeast infections must be prescribed by the provider."
    Page 2 of 15

    Exam Review

    1. A nurse is reviewing the laboratory results for a client who has chronic kidney disease. Which of the following laboratory findings should the nurse expect?
      A)
      Decreased BUN
      B)
      Hypokalemia
      C)
      Elevated creatinine
      D)
      Decreased urine specific gravity
    2. A nurse is caring for a client receiving hemodialysis. A nurse is caring for a client who has received hemodialysis. Which of the following assessment findings require follow-up? Select all that apply.
      (SATA)
      A)
      Lung sounds
      B)
      AV fistula site assessment
      C)
      Blood glucose level
      D)
      Weight
      E)
      Vital signs
      F)
      Presence of bruit and thrill
    3. Based on a client's recent history, a nurse suspects that a client is beginning menopause. Which of the following questions should the nurse ask the client to help confirm the client is experiencing manifestations of menopause?
      A)
      "When did you begin your menses?"
      B)
      "Have you been experiencing chills?"
      C)
      "Have you experienced increased hair growth?"
      D)
      "Do you sleep well at night?"
    4. A nurse is assisting in the plan of care for a client who is scheduled to have a renal biopsy. Which of the following actions should the nurse include in the plan? (Select all that apply).
      A)
      Complete coagulation studies prior to the procedure.
      B)
      Maintain a clear liquid diet 4 hr prior to the procedure.
      C)
      Collect a urine specimen prior to the procedure.
      D)
      0btain an informed consent prior to the procedure.
      E)
      Administer diphenhydramine prior to the procedure.
    Page 3 of 15

    Exam Review

    1. A nurse is caring for a client who is receiving hemodialysis. Which of the following client measurements should the nurse compare before and after dialysis treatment to determine fluid losses?
      A)
      Blood pressure
      B)
      Neck vein distention
      C)
      Abdominal girth
      D)
      Body weight
    2. A nurse's inadvertent medication error results in a severe allergic reaction and prolongs the client's hospitalization. The client could rightfully sue the nurse for which of the following?
      A)
      Battery
      B)
      Assault
      C)
      Malpractice
      D)
      Abuse
    3. A nurse is reinforcing discharge teaching with a client about how to care for a newly created ileal conduit. Which of the following instructions should the nurse include in the teaching?
      A)
      Trim the opening of the ostomy seal to be 1/2 in. wider than the stoma.
      B)
      Apply lotion to the peristomal skin when changing the ostomy pouch.
      C)
      Empty the ostomy pouch when it is 2/3 full.
      D)
      Change the ostomy pouch daily.
    4. A nurse is collecting data from a client who reports finding a new skin lesion. Which of the following actions is the nurse's priority?
      A)
      Document the client's history of skin allergies.
      B)
      Instructing the client on the use of daily sunscreen products
      C)
      Photograph the lesion for the client's medical record.
      D)
      Identify when the client first noticed the lesion.
    Page 4 of 15

    Exam Review

    1. A public health nurse is assisting with the recruitment of Black men for a research study on coronary artery disease. Which of the following reasons explains the importance for the nurse to have knowledge of the Tuskegee Syphilis Study?
      A)
      The Tuskegee Syphilis Study demonstrated a correlation between coronary artery disease and syphilis.
      B)
      The Tuskegee Syphilis Study excluded Black men.
      C)
      The Tuskegee Syphilis Study is a source of distrust and a barrier to Black clients participating in research studies.
      D)
      The Tuskegee Syphilis Study provides guidelines for recruitment of Black and African-American research participants.
    2. A nurse is preparing a client for a kidney biopsy. Which of the following actions should the nurse take?
      A)
      Instruct the client to remain NPO 8 hr before the procedure.
      B)
      Review the coagulation studies before the procedure.
      C)
      Inform the client that the biopsy is performed while lying supine during the procedure.
      D)
      Administer a cleansing enema before the procedure.
    3. A nurse is caring for a client who is scheduled for a blood sampling for a serum creatinine level. The client asks the nurse, "What is the purpose for this test? Which of the following responses should the nurse give?
      A)
      "This test will inform your provider if you have an infection."
      B)
      "This test will inform your provider if you have a thyroid disorder."
      C)
      "This test will inform your provider if you are anemic."
      D)
      "This test will inform your provider how your kidneys are functioning."
    4. A nurse is checking the laboratory tests for a client who has glomerulonephritis. The nurse should expect to find an increase in which of the following test results?
      A)
      RBC
      B)
      BUN
      C)
      Creatinine clearance
      D)
      Specific gravity
    Page 5 of 15

    Exam Review

    1. A nurse in a provider's officer is collecting date from a client who has ovarian cancer. Which of the following manifestations should the nurse expect?
      A)
      Unexplained weight loss
      B)
      Diarrhea
      C)
      Urinary retention
      D)
      Abdominal bloating
    2. A nurse is assisting in the planning of care for a client who has acute glomerulonephritis. Which of the following interventions should the nurse recommend including in the plan of care?
      A)
      Obtain weekly weight.
      B)
      Encourage increased fluid intake.
      C)
      Encourage frequent ambulation
      D)
      Place the client on a low-sodium diet.
    3. A nurse is reinforcing discharge teaching with a client who had a total abdominal hysterectomy and a vaginal repair. Which of the following statements by the client indicates a need for further teaching?
      A)
      "I should increase my intake of protein and vitamin C."
      B)
      "I will take a tub bath instead of a shower."
      C)
      "Once I am able to resume sexual activity, I can use a water-based lubricant if I experience discomfort."
      D)
      "I will no longer have menstrual periods."
    4. A nurse is caring for a client with an allergic skin condition. The client develops wheezing, a swollen tongue, and hives. Which of the following is the nursing priority?
      A)
      Consulting an allergy specialist
      B)
      Assessing the client's neurologic status
      C)
      Administering epinephrine
      D)
      Determining the cause of the hives
    Page 6 of 15