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    Exam Review

    1. A nurse is reinforcing teaching about informed consent with a newly licensed nurse. Which of the following should be included as a responsibility of the nurse in this process?
      A)
      Explain alternatives to the procedure to the client
      B)
      Inform the client about what will occur during the procedure.
      C)
      Discuss the risks of the procedure with the cent
      D)
      Confirm that the client is competent to sign for the procedure
    2. A nurse is reinforcing teaching with a client who has a prescription for home oxygen therapy. Which of the following instructions should the nurse include?
      A)
      Store oxygen tanks upright
      B)
      Use petroleum-based ointments to moisturize lips
      C)
      it’s safe to store oxygen tanks next to an electric stove
      D)
      Choose a wool blanket when using oxygen
    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 assisting with teaching a newly licensed nurse about pain. Which of the following is an example of acute pain?
      A)
      Surgical incision
      B)
      Fibromyalgia
      C)
      Peripheral neuropathy
      D)
      Rheumatoid arthritis
    Page 1 of 12

    Exam Review

    1. A nurse is collecting data from a client who requires bed rest and has developed thrombophlebitis. Which of the following findings should the nurse expect when examining the client's leg?
      A)
      Numbness
      B)
      Pallor
      C)
      Cool skin
      D)
      Edema
    2. A nurse is collecting data on a client who was recently started on 3L of oxygen and now has oxygen toxicity. Which of the following findings should the nurse expect?
      A)
      Metallic taste in mouth
      B)
      Facial flushing
      C)
      Periorbital edema
      D)
      Muscle twitching
    3. A nurse is reinforcing teaching with a newly licensed nurse about a nonrebreather mask. Which of the following statements should the nurse include?
      A)
      A nonrebreather mask should not have a reservoir bag attached.
      B)
      A nonrebreather delivers the most precise oxygen concentration with humidity added
      C)
      A nonrebreather mask delivers the highest oxygen concentration possible outside of intubation.
      D)
      A nonrebreather mask does not impact eating or drinking
    4. A nurse is caring for a client who is experiencing postoperative nausea and vomiting. The nurse should monitor the client for which of the following complications of vomiting?
      A)
      Diarrhea
      B)
      Dehydration
      C)
      Peripheral edema
      D)
      Urinary frequency
    Page 2 of 12

    Exam Review

    1. A nurse is assisting with admitting a client to the post-anesthesia care unit. Which of the following actions should the nurse take first?
      A)
      Check the breathing status
      B)
      Check the client's blood pressure.
      C)
      Check the client's level of pain
      D)
      Check the client's level of consciousness.
    2. A nurse is caring for a client who is 1 day postoperative following surgery and reports incisional pain. Which of the following actions should the nurse take first?
      A)
      Reposition the client and offer her a back rub.
      B)
      Determine the time the client last received pain medication.
      C)
      Measure the client's vital signs, including temperature.
      D)
      Ask the client to rate her pain on a scale from 0 to 10.
    3. Which of the following is a common risk factor for surgical patients?
      A)
      Young age
      B)
      Regular exercise
      C)
      Non-smoking
      D)
      Obesity
    4. Which of the following is the correct order for trach suctioning?
      A)
      Adjust the suction pressure, assess the client's response, don clean gloves, insert the suction catheter without suction, apply suction while withdrawing the catheter
      B)
      Don sterile gloves, adjust suction pressure, apply suction while inserting the suction catheter, withdraw the catheter without suction, assess the client's response
      C)
      Adjust suction pressure, don sterile gloves, test suction, insert the suction catheter without suction, apply suction while withdrawing the catheter, assess the client's response
      D)
      Don sterile gloves, assess the client's response, adjust the suction pressure, insert the suction catheter without suction, apply suction while withdrawing the catheter
    Page 3 of 12

    Exam Review

    1. A nurse is caring for a client who is postoperative day 1, has a peripheral IV, and is requesting ice chips. Which of the following actions should the nurse take?
      A)
      Check the client for bladder distention
      B)
      Lower the head of the client's bed.
      C)
      Remove the client's peripheral IV
      D)
      Check the client's gag reflex.
    2. A nurse is reinforcing preoperative teaching for a client about coughing and deep breathing, which of the following statements should the nurse make?
      A)
      "Repeat your breathing exercise every 1 to 2 hrs."
      B)
      "Inhale through your mouth."
      C)
      "Exhale through your nose."
      D)
      "Hold your breath for 15 seconds.”
    3. A nurse is caring for a client who is 8 hours postoperative following abdominal surgery. Which of the following data should the nurse report to the provider?
      A)
      Postoperative laboratory results are WBC are 8.000 (5.000-10,000)
      B)
      The client urine output has been 50 mL since surgery.
      C)
      Small amount of serosanguineous drainage noted on the abdominal dressing
      D)
      The client's pain level has decreased since the administration of morphine.
    4. What is the purpose of a surgical time out?
      A)
      To discuss post-operative care instructions with the patient
      B)
      To update the patient's medical record
      C)
      To ensure that the correct procedure is being performed on the correct patient
      D)
      To provide the surgical team with a break
    Page 4 of 12

    Exam Review

    1. A nurse is assisting with the admission of a client who is about to have elective surgery. The client tells the nurse she feels anxious. Which of the following responses should the nurse make?
      A)
      "You have nothing to worry about."
      B)
      "Tell me more about your concerns."
      C)
      "Why are you feeling so anxious?"
      D)
      "Others who have had this procedure have had great results."
    2. A nurse is collecting data on a client who is experiencing hypovolemia. Which of the following findings should the nurse expect?
      A)
      Peripheral edema
      B)
      Capillary refill that returns immediately
      C)
      Hypertension
      D)
      Oliguria
    3. A nurse is caring for an older adult client who experienced temporary disorientation following surgery. The nurse should identify that this finding as a manifestation of which of the following complications?
      A)
      Dementia
      B)
      Alzheimer's disease
      C)
      Postoperative delirium
      D)
      Postoperative cognitive dysfunction
    4. A client is about to undergo an elective surgical procedure. Which of the following is the role of the nurse providing preoperative care regarding informed consent?
      A)
      Explain the risks and benefits of the procedure.
      B)
      Obtain the client's consent
      C)
      Witness the client's signature
      D)
      Describe the consequences of forgoing treatment.
    Page 5 of 12

    Exam Review

    1. Who is the Wong-Baker Faces Pain Assessment useful for?
      A)
      Individuals with chronic pain conditions
      B)
      Healthcare providers to assess their own pain
      C)
      Children who are unable to verbally communicate their pain
      D)
      Adults who can accurately describe their pain
    2. A nurse is caring for a client who has pneumonia. Which of the following actions should the nurse take to thin the client's respiratory secretions?
      A)
      Encourage the client to ambulate more often
      B)
      Encourage coughing and deep breathing.
      C)
      Encourage the client to drink more fluids
      D)
      Encourage regular use of the incentive spirometer.
    3. A nurse is caring for a client who is postoperative. The nurse should recognize that which of the following methods is the most reliable source when determining the intensity of the client's pain?
      A)
      Visual observation for nonverbal signs of pain
      B)
      Nature of invasiveness of the surgical procedure
      C)
      Vital sign measurement
      D)
      Client's self-report of pain
    4. A nurse is caring for a client who reports abdominal pain. The nurse asks the client to describe the characteristics of what the pain feels like. The nurse is using which of the following components of the PORST mnemonic?
      A)
      Severity
      B)
      Precipitating cause
      C)
      Quality
      D)
      Region
    Page 6 of 12