Exam Review

A patient is experiencing chronic pain and is being treated with Transcutaneous Electrical Nerve Stimulation (TENS). How do endorphins play a role in this treatment?
A)
Endorphins block pain signals by mimicking opioid drugs.
B)
Endorphins enhance the release of serotonin, leading to pain reduction.
C)
Endorphins increase the production of norepinephrine to reduce pain.
D)
Endorphins stimulate nerve cells to increase pain sensation.
What is the most appropriate nursing action when a client with Alzheimer's disease begins confabulating during a sundowning episode?
A)
Gently redirect the conversation.
B)
Ignore the confabulation and continue with care.
C)
Dispute the client's statements to ensure reality orientation.
D)
Correct the false statements immediately.
A client reports a pain level of 8 on a 10-point scale despite receiving the prescribed analgesic. Which intervention should the nurse prioritize?
A)
Administer an additional dose of the prescribed analgesic.
B)
Recommend the client try relaxation techniques.
C)
Assess the client for any changes in pain characteristics or new symptoms.
D)
Consult with a pain management specialist immediately.
What is the first step a nurse should take when preparing for a client's transfer to another facility?
A)
Confirm that the receiving facility has a room available.
B)
Complete the transfer documentation.
C)
Ensure the client is dressed appropriately for transfer.
D)
Meet with the client's family to explain the transfer process.

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Exam Review

An adolescent complains of excessive drowsiness during school hours. As a nurse, what recommendation would you prioritize to improve their sleep quality?
A)
Limit screen time at least one hour before bed.
B)
Encourage napping in the afternoon to compensate for lost sleep.
C)
Allow sleeping in on weekends to catch up on lost sleep.
D)
Increase caffeine intake in the evening to stay awake longer.
Design a care plan for a client with Alzheimer's disease who experiences severe sundowning. Which element should be included to optimize evening care?
A)
Utilize aromatherapy with calming scents.
B)
Encourage the client to sleep in a communal area.
C)
Schedule all caregiving activities for the evening hours.
D)
Provide a bright and stimulating environment.
A client with chest pain insists on leaving the hospital against medical advice (AMA). What should the nurse do first?
A)
Prevent the client from leaving until the provider arrives.
B)
Notify the client's family about the decision.
C)
Ask the client to sign an AMA form and let them leave.
D)
Inform the provider about the client's intent to leave.
Which statement by a client indicates a misunderstanding about phantom limb pain management?
A)
Pushing my residual limb down on a soft pillow can help with the pain.
B)
Medications can help reduce the sensations of phantom limb pain.
C)
Phantom limb pain is just imaginary and will resolve on its own.
D)
I can use TENS to help manage my phantom limb pain.

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Exam Review

A patient with diabetic neuropathy describes their pain as 'burning' and 'pins and needles.' What is the most appropriate first-line pharmacological intervention?
A)
Providing acetaminophen for pain relief.
B)
Recommending a diet change to lower blood sugar levels.
C)
Administering antidepressants such as amitriptyline.
D)
Administering oral opioids for pain control.
How should a nurse handle a client's valuables during a facility transfer?
A)
Store them in the facility's safe until the client returns.
B)
Give them to a family member to hold during the transfer.
C)
Ensure they are documented and transferred with the client.
D)
Leave them in the client's room until the transfer is complete.
Which of the following is the most appropriate intervention for a client who is experiencing breakthrough pain despite being on a scheduled opioid regimen?
A)
Switching the opioid to a different medication.
B)
Providing a prescribed rescue dose of pain medication.
C)
Encouraging the client to use relaxation techniques.
D)
Administering the next scheduled dose earlier than planned.
A nurse is caring for a client with moderate Alzheimer's disease who experiences sundowning. Which intervention should the nurse prioritize to ensure the client's safety during the evening hours?
A)
Encourage the client to take a nap in the afternoon.
B)
Increase stimulation by turning on the TV.
C)
Offer caffeinated beverages in the evening.
D)
Provide a calm and quiet environment.

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Exam Review

A newborn requires frequent feedings and wakes often. How does this pattern align with their sleep cycle?
A)
Newborns spend most of their sleep in N3.
B)
Newborn sleep is characterized by frequent REM cycles.
C)
Newborns have a well-established circadian rhythm.
D)
Newborns sleep continuously without waking.
Which dietary adjustment is essential for older adults to prevent nutrient deficiencies?
A)
Reduce carbohydrate intake to less than 30%.
B)
Focus solely on vitamin supplements.
C)
Eliminate fat from the diet entirely.
D)
Increase protein intake to maintain muscle mass.
What is the primary goal of discharge planning for a client with chronic mental health issues?
A)
To establish a comprehensive plan for ongoing recovery and support
B)
To ensure the client does not return to the hospital
C)
To coordinate with all members of the healthcare team
D)
To provide the client with all necessary medical supplies
Which intervention is most appropriate for managing acute nociceptive pain resulting from a surgical incision?
A)
Using over-the-counter NSAIDs exclusively.
B)
Suggesting meditation and relaxation techniques.
C)
Administering intravenous opioids as prescribed.
D)
Applying heat therapy directly to the incision site.

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Exam Review

A patient with a history of substance misuse is experiencing withdrawal symptoms. Which nursing intervention is most appropriate to address the physiological symptoms of withdrawal?
A)
Provide educational materials about substance misuse
B)
Administer prescribed medications for withdrawal
C)
Encourage the patient to express feelings
D)
Encourage participation in group therapy
What is the priority intervention for a patient presenting with acute pain and signs of tachycardia, hypertension, and diaphoresis?
A)
Encouraging the patient to focus on deep breathing.
B)
Monitoring the patient's vital signs for the next hour.
C)
Administering prescribed pain medications promptly.
D)
Teaching the patient relaxation techniques.
An older adult client with arthritis is struggling to access healthcare. What is the best nursing intervention?
A)
Arrange transportation services for the client.
B)
Advocate for bed rest and reduced activity.
C)
Suggest the client use over-the-counter pain relievers exclusively.
D)
Recommend the client avoid seeking care to prevent strain.
Create a pain management plan for a client experiencing postoperative pain rated at 7/10. What initial intervention should be included?
A)
Apply a cold compress to the surgical site.
B)
Increase the frequency of oral analgesics.
C)
Encourage the client to use breathing exercises.
D)
Administer prescribed intravenous opioid medication.

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Exam Review

A nurse is transferring a client who had a stroke to a rehabilitation center. What should the nurse prioritize in the verbal transfer report?
A)
The client's current medication regimen and recent changes.
B)
The client's social history.
C)
The client's dietary preferences.
D)
The client's family contact information.
When planning care for a client with sundowning, which strategy should the nurse implement to enhance the client's evening routine?
A)
Provide a large meal before bedtime.
B)
Keep the lights dim throughout the day.
C)
Encourage physical activity during the day.
D)
Play loud music during the evening.
A middle-aged adult reports frequent awakenings during the night. What lifestyle change should the nurse suggest to improve the client's sleep quality?
A)
Limit alcohol intake 4 hours before bedtime.
B)
Increase fluid intake before bedtime to stay hydrated.
C)
Exercise vigorously right before going to bed.
D)
Consume a large meal right before bedtime.
During the first stage of labor, a patient reports lower abdominal pain described as crampy and dull. Which type of pain is this most consistent with?
A)
Visceral pain
B)
Neuropathic pain
C)
Somatic pain
D)
Cutaneous pain

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