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    Exam Review

    1. A nurse is preparing to administer amoxicillin 500 mg PO. Available is amoxicillin 250 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:2 tablets
    2. A nurse is reinforcing teaching about the prevention of deep vein thrombosis (DVT) with a group of newly licensed nurses. Which of the following interventions should the nurse include in the teaching?
      A)
      Massage lower extremities daily.
      B)
      Limit movement of the lower extremities.
      C)
      Place sequential compression devices bilaterally.
      D)
      Check for negative Homans' sign.
    3. A nurse is measuring a client for knee-high antiembolic stockings to help prevent venous stasis. Which of the following actions should the nurse take?
      A)
      Measure from the client's heel to the popliteal space.
      B)
      Measure from the client's heel to the gluteal fold.
      C)
      Measure the length of the client's feet.
      D)
      Measure the client's ankle circumference.
    4. A nurse is assisting with the care of a client in the emergency department and reports severe radiating chest pain and shortness of breath. The client appears restless, frightened, and slightly cyanotic. The provider prescribes oxygen by nasal cannula at 4 L/min stat, cardiac enzyme levels. IV fluids, and an ECG/EKG. Which of the following actions should the nurse take first?
      A)
      Insert the IV catheter.
      B)
      Obtain a blood sample.
      C)
      Attach the leads for a 12-lead ECG.
      D)
      Initiate oxygen therapy.
    Page 1 of 9

    Exam Review

    1. A nurse is assisting with the care of a client who has infective endocarditis. Which of the following manifestations should the nurse identify as a complication of this disorder?
      A)
      Fever
      B)
      A heart murmur
      C)
      Emboli
      D)
      Petechiae
    2. Following admission, a client with a vascular occlusion of the right lower extremity calls the nurse and reports difficulty sleeping because of cold feet. Which of the following nursing actions should the nurse take to promote the client's comfort?
      A)
      Obtain a pair of slipper socks for the client.
      B)
      Place a moist heating pad under the client's feet.
      C)
      Rub the client's feet briskly for several minutes.
      D)
      Increase the client's oral fluid intake.
    3. A nurse at a provider's office receives a telephone call from a client who reports nausea and has unrelieved chest pain after taking a nitroglycerin tablet 5 min ago. Which of the following is an appropriate response by the nurse?
      A)
      Advise the client to come into the office.
      B)
      Advise the client to take an antacid.
      C)
      Instruct the client to call 911.
      D)
      Tell the client to take another nitroglycerin tablet in 15 min.
    4. A nurse is reinforcing teaching with a client about following a low-cholesterol diet after coronary artery bypass grafting. Which of the following food choices reflects the client's understanding of these dietary instructions?
      A)
      Eggs
      B)
      Liver
      C)
      Beans
      D)
      Milk
    Page 2 of 9

    Exam Review

    1. A nurse is contributing to the care plan of a client who is postoperative and has an increased risk for deep vein thrombosis (DVT). Which of the following interventions should the nurse include in the plan? (Select all that apply)
      (SATA)
      A)
      Apply compression stockings
      B)
      massage calves and thighs
      C)
      measure affected limb
      D)
      Encourage fluids
      E)
      Assist with ordered exercise as needed
    2. A nurse is caring for a client has a warm, moist compress to the lower extremity. Which of the following actions should the nurse identify as a risk to the client?
      A)
      Changing the warm, moist compress frequently
      B)
      Heating the compress at 40.5° C (105° F) per facility policy
      C)
      Removing the client's robe and blankets covering compress
      D)
      Securing the moist compress with a dry towel
    3. A nurse is collecting data from a client who has mitral stenosis. Which of the following findings is a manifestation of this condition?
      A)
      Dyspnea on exertion
      B)
      Cyanosis
      C)
      S3 Heart Sound
      D)
      S4 heart sound
    4. A nurse is caring for a client scheduled for coronary artery bypass grafting who reports he is no longer certain he wants to have the procedure. Which of the following responses should the nurse make?
      A)
      "Bypass surgery must be very frightening for you."
      B)
      "Why have you changed your mind about the surgery?"
      C)
      "Your provider would not have scheduled the surgery unless you needed it."
      D)
      "I will call your doctor and have him discuss your surgery with you."
    Page 3 of 9

    Exam Review

    1. A nurse is caring for a client who is postoperative following a total knee replacement. Which of the following actions should the nurse implement to prevent deep vein thrombophlebitis?
      A)
      Encourage increased fluid intake.
      B)
      Massage the client's calf on the affected side.
      C)
      Keep the affected knee flexed.
      D)
      Promote bed rest for 5-10 days.
    2. A nurse is assisting with the care of a client in the emergency department. Exhibits
      A)
      Indigestion
      B)
      Dyspnea
      C)
      Nausea
      D)
      Eructation (Burping)
      E)
      Hoarseness
    3. A nurse is reinforcing teaching with a client following surgery who has antiembolism stockings in place. Which of the following information should the nurse include in the teaching?
      A)
      The stockings prevent venous stasis.
      B)
      The stockings replace the need for postoperative leg exercises.
      C)
      The stockings are used to reduce pain.
      D)
      The stockings prevent varicose veins.
    4. A nurse is reinforcing teaching with a client about how to prevent the onset of manifestations of Raynaud's phenomenon. Which of the following statements should the nurse identify as an indication that the client needs further teaching?
      A)
      "I will keep my house at a cool temperature."
      B)
      "I will wear gloves when removing food from the freezer."
      C)
      "I will try to anticipate and avoid stressful situations."
      D)
      "I will complete the smoking cessation program I started."
    Page 4 of 9

    Exam Review

    1. A nurse is caring for a client who has thrombophlebitis and is receiving a continuous infusion of heparin. The client asks the nurse how long it will take for the heparin to dissolve the clot. Which of the following responses should the nurse make?
      A)
      "Heparin prevents new clots from forming rather than dissolving established clots."
      B)
      "It usually takes at least 2 to 3 days for heparin to dissolve a clot."
      C)
      "The time it takes heparin to dissolve clots varies between clients."
      D)
      "The time it takes for heparin to dissolve a clot depends on the size of the clot."
    2. A nurse is assisting with the care of a client who was admitted to the telemetry unit after he experienced chest pain, dyspnea and diaphoresis. Which of the following ECG findings is a manifestation of acute myocardial infarction?
      A)
      The QRS intervals are 0.08 second.
      B)
      The PR intervals are 0.15 second.
      C)
      The ST segment is above the isoelectric line.
      D)
      The QT interval is equal to the R to R interval.
    3. A nurse is preparing to administer 0.9% sodium chloride (NaCl) 750 mL IV to infuse over 8 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    4. A nurse is caring for a client who reports an area of redness, warmth, tenderness and pain in the right calf. Which of the following actions should the nurse anticipate when notifying the provider of this finding?
      A)
      Obtain platelet aggregation studies to confirm DVT
      B)
      Schedule deep tissue massage with physical therapy.
      C)
      Monitor Homan's sign.
      D)
      Arrange for a venous duplex ultrasound.
    Page 5 of 9

    Exam Review

    1. A nurse is collecting data on a client who has infective endocarditis. The nurse should recognize which of the following findings is the priority to report to the provider?
      A)
      Fever
      B)
      Malaise
      C)
      Dyspnea
      D)
      Anorexia
    2. A nurse working in the emergency department is assisting with admitting a client. Exhibits For each of the following findings in the client's medical record, click to specify if they are consistent with angina or a myocardial infarction (MI). Each finding may support more than one disease process.
      A)
      Result of nitroglycerin therapy
      B)
      Treadmill stress test
      C)
      Provider consult
      D)
      Client's initial report of manifestations
      E)
      12-lead ECG report
    3. A nurse working in the emergency department is assisting with admitting a client. Exhibits For each of the following findings in the client's medical record, click to specify if they are consistent with angina or a myocardial infarction (MI). Each finding may support more than one disease process.
      A)
      Result of nitroglycerin therapy
      B)
      Treadmill stress test
      C)
      Provider consult
      D)
      Client's initial report of manifestations
      E)
      12-lead ECG report
    4. A nurse is assisting with the admission of a 9-year-old child who has acute rheumatic fever. When obtaining the client's history, it is appropriate for the nurse to ask the parent which of the following questions?
      A)
      "Has your son had a sore throat recently?"
      B)
      "Has your child had any injuries recently?"
      C)
      "Was your son born with this cardiac defect?"
      D)
      "Are you aware that your son will have to be in isolation?"
    Page 6 of 9