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    Exam Review

    1. A charge nurse is providing an in-service on documentation with a group of staff nurses. Which of the following should the nurse include as a component of an electronic health record?
      A)
      Facility policies
      B)
      Billing payments
      C)
      Demographic data
      D)
      Driver's license
    2. A nurse is caring for a client with cultural preferences affecting their personal hygiene routine. How should the nurse proceed?
      A)
      Insist the client follows the facility's hygiene protocol.
      B)
      Respect the client's preferences and adapt the hygiene routine accordingly.
      C)
      Educate the client on the facility's standard hygiene practices.
      D)
      Document the client's refusal to comply with standard practices
    3. A nurse is caring for an older adult who is alert and competent and comes to the facility with her adult son for elective cataract extraction. After the provider explains the procedure, who should the nurse have sign the consent form?
      A)
      The client and her son
      B)
      The client
      C)
      The client's health care proxy
      D)
      The client's son
    4. To prevent patient falls, which environmental modification should be prioritized when preparing a room for patient transfer?
      A)
      Removing clutter and obstacles from the path.
      B)
      Keeping the bed at its lowest position.
      C)
      Placing non-slip mats near the bed.
      D)
      Ensuring adequate lighting in the room.
    Page 1 of 24

    Exam Review

    1. A nurse in a clinic is reinforcing teaching with an older adult client about Medicare. Which of the following statements by the client indicates an understanding?
      A)
      "If I need physical therapy services, this is covered under Part A.
      B)
      "My prescriptions are covered under Part D."
      C)
      "if I need admission to a hospital, this is covered under Part B,"
      D)
      "My doctor visits are covered under Part E."
    2. A nurse is preparing to perform hand hygiene with an alcohol-based hand sanitizer. Which of the following actions should the nurse plan to take?
      A)
      Rub hand sanitizer around rings on fingers.
      B)
      Use hot water to rinse hand sanitizer off.
      C)
      Rub hands together for 20 seconds.
      D)
      Dry hands with a reusable towel.
    3. A nurse is caring for a client who reports chronic pain. Which of the following actions by the nurse uses holistic nursing?
      A)
      Encourage the client to take slow, deep breaths.
      B)
      Check the client's oxygen saturation level.
      C)
      Obtain blood work from the client.
      D)
      Request a prescription for an analgesic for the client.
    4. A client with limited mobility requires assistance with bathing. Which of the following actions should the nurse prioritize to ensure the client's safety during the bath?
      A)
      Use a washcloth instead of a sponge.
      B)
      Position the client in a semi-Fowler's position.
      C)
      Add bath oils to the water for skin hydration.
      D)
      Ensure the water temperature is appropriate.
    Page 2 of 24

    Exam Review

    1. A nurse is caring for a client who has a terminal diagnosis and a 3-month life expectancy. The client appears cheerful and states they are looking forward to a vacation next year. The nurse should identify that the client is experiencing which of the following Kubler-Ross stages of grief?
      A)
      Anger
      B)
      Bargaining
      C)
      Depression
      D)
      Denial
    2. A nurse is caring for a client who is unconscious and has a living will. The client's family asks if they can make changes to lifesaving measures now that the client is unconscious. Which of the following statements should the nurse make?
      A)
      "The Patient Self-Determination Act (PSDA) will explain your rights to change lifesaving measures."
      B)
      "The case manager can make changes to the client's living will
      C)
      "The durable power of attorney for health care can cancel the client's living will."
      D)
      "The living will state the client's wishes regarding lifesaving measures."
    3. A nurse is preparing to lift a heavy object. Which of the following actions by the nurse indicates an understanding of body mechanics?
      A)
      They keep their feet together when lifting an object.
      B)
      They bend at the hip when lifting.
      C)
      They stand close to the object being moved.
      D)
      They twist their spine when lifting.
    4. A nurse is assisting with teaching a class about herbal supplements that can decrease nausea. Which of the following supplements should the nurse include?
      A)
      Echinacea
      B)
      Garlic
      C)
      Cranberry
      D)
      Ginger
    Page 3 of 24

    Exam Review

    1. A nurse is providing a handoff report using the introduction, situation, background, assessment, recommendation, and readback (1-SBSR-R) for a client postoperative a total hip placement. Which of the following information should be included in the background component?
      A)
      Request prescription for oxygen administration
      B)
      Client reports pain a 6 on 0 to 10 pain scale
      C)
      Client broke hip 24 hr ago due to fall
      D)
      Client requests a change in prescribed diet
    2. A nurse is teaching a group of students about the chain of infection. What is the role of a portal of exit in the chain?
      A)
      It is the location where pathogens multiply.
      B)
      It is the means by which a pathogen enters a new host.
      C)
      It is the source from which a pathogen leaves the host.
      D)
      It is the method by which a pathogen is destroyed.
    3. A nurse in a provider's office is caring for a client who has tinea pedis. Which of the following findings should the nurse expect?
      A)
      Recent exposure to poison ivy
      B)
      A recent prescription for an antiseizure medication
      C)
      Circular, erythematous patches on the scalp
      D)
      Scaling and redness between the toes
    4. A nurse is discussing respite care with the caregiver of an older adult client. When the caregiver asks about the purpose of a respite care program, the nurse should reply that it provides which of the following services?
      A)
      Restorative care
      B)
      Pain management
      C)
      Palliative care
      D)
      Temporary care
    Page 4 of 24

    Exam Review

    1. A nurse is documenting in a client's health record using the subjective, objective, assessment, and plan (SOAP) charting model. Which of the following information should be included in the subjective component?
      A)
      Client reports chest pain after mowing lawn this morning
      B)
      Client's blood pressure is 182/98 mm Hg
      C)
      Client's skin is pale and diaphoretic
      D)
      Client administered nitroglycerin 0.3 mg SL for chest pain
    2. A patient with tuberculosis (TB) is admitted to the hospital. What mode of transmission should the nurse be most concerned with when implementing precautions?
      A)
      Airborne transmission through inhaled particles.
      B)
      Zoonotic transmission from animal contact.
      C)
      Contact transmission through contaminated surfaces.
      D)
      Droplet transmission from coughing or sneezing.
    3. A nurse is discussing clients' protected health information (PHI) with a newly hired nurse. Which of the following information should the nurse include in the discussion?
      A)
      PHI does not apply to the verbal transfer of health data.
      B)
      PHI can be given to other providers without the client's permission.
      C)
      PHI does not apply to past illnesses.
      D)
      PHI includes a client's payment information
    4. A nurse administers the wrong medication to a client. After collecting data from the client, the nurse contacts the provider and completes an incident report. Which of the following components of professionalism is the nurse demonstrating?
      A)
      Fairness
      B)
      Advocacy
      C)
      Confidence
      D)
      Accountability
    Page 5 of 24

    Exam Review

    1. A nurse is assessing a client's ability to perform personal hygiene tasks independently. Which factor is most important to consider?
      A)
      The client's age and gender.
      B)
      The client's length of hospital stays.
      C)
      The client's dietary preferences.
      D)
      The client's physical and cognitive abilities.
    2. A nurse is reinforcing teaching with a client who has a terminal illness and is considering palliative care services. Which of the following statements by the client indicates an understanding?
      A)
      " I will need to go to a skilled facility to receive these services."
      B)
      "This service provides my caregiver the opportunity to take time for themselves."
      C)
      "I will receive help with managing my meals with this service."
      D)
      "This service assists with making me comfortable during my illness."
    3. A nurse is measuring the blood pressure of a client and hears faint, clear tapping sounds at 110 mm Hg and then silence. What does this indicate?
      A)
      The equipment is malfunctioning.
      B)
      The systolic blood pressure is 110 mm Hg.
      C)
      The diastolic blood pressure is 110 mm Hg
      D)
      The blood pressure cuff is too loose.
    4. A nurse is caring for a client who is in the early stages of hypoxia and is receiving oxygen therapy. When collecting data from this client, the nurse should expect to find which of the following early indications of hypoxia?
      A)
      Cyanosis
      B)
      Bradypnea
      C)
      Hypertension
      D)
      Peripheral edema
    Page 6 of 24