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    Exam Review

    1. A nurse is reviewing ethical principles with a nursing colleague. Which of the following statements by the nursing colleague indicates an understanding of ethical principles?
      A)
      “Justice refers to our clients’ loyalty to their nurse.”
      B)
      “Veracity is the ability of our clients to provide us with truthful information.”
      C)
      “Nonmaleficence is our nursing obligation to do no harm to our clients.”
      D)
      “Beneficence is our duty to provide care to our clients that causes an intentional outcome.”
    2. A nurse is caring for a client who has reported experiencing abuse at home. Which of the following actions should be a priority for the nurse?
      A)
      Refer the client to a community support group.
      B)
      Instruct the client on how to leave the relationship.
      C)
      Implement the safety plan.
      D)
      Assess for risk of immediate harm to patient or children.
      E)
      The correct answer is: D)
    3. A nurse is caring for a client who has been admitted for a psychiatric evaluation after displaying aggressive behavior towards their partner and 2-year-old child. Which of the following client statements should the nurse identify as potentially contributing to aggression?
      (SATA)
      A)
      "My parent used their fists to strike me as a child."
      B)
      "I drink a glass of wine occasionally with dinner."
      C)
      "My parent was physically abusive as a child."
      D)
      "A family member took me fishing several times when I was a toddler."
    4. A nurse in an emergency department often sees victims of intimate partner violence. Which of the following actions should the nurse take when caring for victims of violence?
      A)
      Tell the client ways to avoid making their partner angry to prevent intimate partner violence.
      B)
      Provide the client with information on resources in the community to support victims of violence.
      C)
      Provide the client with strategies for interacting with others in social situations.
      D)
      The nurse instructs the client on ways to behave to prevent making their partner angry.
    Page 1 of 10

    Exam Review

    1. A nurse is providing care to a child during a routine wellness check-up. Which of the following client statements should indicate to the nurse that the client is at a higher risk for experiencing abuse and violence?
      A)
      "I usually do well but I didn’t pass my last test."
      B)
      "I think my parent is starting a new job this month."
      C)
      "I don’t really have any role models."
      D)
      "Sometimes I am not hungry when I wake up in the morning."
    2. A nurse is collecting data from a 6-year-old child who has experienced violence at school. Which of the following data collection strategies should the nurse use?
      (SATA)
      A)
      Focus on the physical domain of health.
      B)
      Have toys or drawing materials available for the child.
      C)
      Have the child carefully repeat the events of the trauma.
      D)
      Interview the child without caregiver present.
    3. A nurse in the emergency department is caring for a client who reports having experienced sexual abuse. The nurse should identify that which of the following findings are consistent with the client's report?
      (SATA)
      A)
      The client has a scar on their inner thigh.
      B)
      The client complains of pelvic soreness.
      C)
      The client has bruising around the breasts.
      D)
      The client has anal bleeding.
      E)
      The client's underwear is bloody.
    4. A nurse is assisting a sexual assault nurse examiner (SANE) with the care of a client who has experienced sexual assault. The nurse should identify which of the following as the role of the SANE?
      A)
      Request the police to gather evidence of the incident.
      B)
      Require the client to call the police.
      C)
      Protect the client from further harm.
      D)
      Provide legal testimony on behalf of the client.
    Page 2 of 10

    Exam Review

    1. People in abusive relationships often remain in those relationships as a result of faulty or incorrect beliefs, which belief is valid?
      A)
      If they tried to leave, they would be at increased risk for violence.
      B)
      If they did a better job of meeting their abusive partner's needs, the violence would stop.
      C)
      They often do things that provoke violent episodes.
      D)
      No one else would put up with their dependent clinging behavior.
    2. A nurse is caring for a 9-year-old child in a pediatric clinic. The client’s parent shares that they left an abusive partner a year ago and is in a safe place. Which of the following should the nurse identify as a sign the impact violence may have had on the child?
      A)
      The child is doing well in school.
      B)
      The child talks about best friends at school.
      C)
      The child reports abdominal pain at night when going to bed.
      D)
      The child participates in school activities.
    3. A nurse is preparing to administer imipramine to a client who has depression. The provider prescribes 100 mg PO every 12 hr. Available is imipramine hydrochloride 25 mg tablets. How many tablets should the nurse plan to administer with each dose? (Round your answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    4. A nurse is conducting a home health visit for an older adult client who lives with family members. The nurse notices that the client has multiple unusual bruises, and based on several other factors, the nurse suspects that the client has been physically abused. Which of the following actions should the nurse take first?
      A)
      Check the bruises at the next visit to the client’s home.
      B)
      Follow the agency’s guidelines for reporting suspected abuse.
      C)
      Arrange referral for family therapy to deal with home stressors.
      D)
      Institute more frequent visits to the client’s home.
    Page 3 of 10

    Exam Review

    1. A nurse is caring for a client who is having trouble managing anger and is upset because they feel their personal property is being disrespected. Which of the following client statements should the nurse recognize as being the cause of the client’s anger and frustration?
      A)
      “My neighbor goes out to get the mail right after I go out to get mine.”
      B)
      “My neighbor has not been coming to the neighborhood block meetings.”
      C)
      “My neighbor has been letting their dog come into my yard every day to dig holes, bury bones, and go to the bathroom.”
      D)
      “My neighbor watches all the neighborhood traffic from their front window.”
    2. A nurse is assisting with the care of a client who is scheduled for an elective surgery. The client informs the nurse that they no longer wish to proceed with surgery. Which of the following ethical principles should the nurse uphold for the client?
      A)
      Justice
      B)
      Autonomy
      C)
      Beneficence
      D)
      Nonmaleficence
    3. A nurse is talking to a client who is explaining about her home situation and the intimate partner violence she recently experienced. Which of the following responses should the nurse make?
      A)
      "Let’s talk about what is going on at work."
      B)
      "Now that you have come for help you will feel much better."
      C)
      "Why do you think your partner is angry with you?"
      D)
      "I’d like to hear more about how you are feeling."
    4. A nurse is reinforcing teaching with a newly licensed nurse who is caring for a client undergoing cognitive behavioral therapy for the treatment of aggression. Which of the following statements by the newly licensed nurse about aggressive behaviors indicates an understanding of the teaching? (Select All that Apply.)
      A)
      Clients who live in areas of high pollution are at an increased risk for developing anger and aggression.
      B)
      Smoking during pregnancy can place the child at an increased risk for developing anger and aggression.
      C)
      Families who live in low-income housing are at an increased risk for developing anger and aggression.
      D)
      Families who have financial hardships are at an increased risk for developing anger and aggression.
      E)
      Clients who live in suburban areas are at an increased risk for developing anger and aggression.
      F)
      Clients who live in areas of high crime are at an increased risk for developing anger and aggression.
    Page 4 of 10

    Exam Review

    1. A hospice nurse tells another nurse that they are feeling overwhelmed after caring for multiple clients who are dying and reports having difficulty feeling sympathy for their clients. The nurse has manifestations of which of the following conditions?
      A)
      Adventitious stress
      B)
      Prolonged grief disorder
      C)
      Compassion fatigue
      D)
      Post-traumatic stress disorder (PTSD)
    2. A nurse is collecting the medical history of a client. The client reports that they have experienced violence in the past with a previous partner. What is an immediate concern of the nurse?
      A)
      The client reports that they are currently going to counseling.
      B)
      The client reports that they have no social support system, but has an appointment with a case worker in two weeks.
      C)
      The client reports that they are currently living in a safe place.
      D)
      The client reports that they are experiencing frequent gastrointestinal issues.
    3. A nurse on a mental health unit is preparing to document an incident that occurred involving a client. Which of the following considerations by the nurse will ensure competency in the documentation?
      A)
      The nurse describes what happened by providing general and broad details.
      B)
      The nurse includes the opinions of other team members.
      C)
      The nurse describes what happened subjectively.
      D)
      The nurse includes the client’s own words when describing what happened.
    4. The nurse is in a maternal/child unit and is caring for a new parent. The new parent expresses concern about their safety in the home. The nurse provides the client with an intimate partner violence crisis center number. Which of the following is a way the nurse can evaluate the client’s response to the safety plan?
      A)
      The client puts the number of the crisis center into their phone.
      B)
      The client explains they are not planning to leave their home.
      C)
      The client thanks the nurse for the information.
      D)
      The client thinks their home will be safer now that there is a baby in the house.
    Page 5 of 10

    Exam Review

    1. A nurse is precepting a newly hired nurse. The newly hired nurse asks, "Why is it important for me to attend a training on compassion fatigue and burnout?" Which of the following responses should the precepting nurse make?
      A)
      "This is something that human resources requires. There has been a lot of patient feedback about care."
      B)
      "This is a part of orientation, and you need to complete all your required training during orientation."
      C)
      "Compassion fatigue can occur because nurses often experience trauma, we must learn to prioritize our self-care."
      D)
      "The patient experience must not cause poor nursing care."
    2. A nurse is caring for a client who is in physical restraints after demonstrating aggressive behavior. Which of the following criteria must be met before the nurse can remove the restraints?
      A)
      The client only verbalizes anger toward the staff.
      B)
      The provider who prescribed the restraints must be present to assess the client before the restraints can be removed.
      C)
      The client must be calm and cooperative.
      D)
      The client must verbalize remorse for their behavior.
    3. A nurse is assisting with the preparation of an in-service to review the Code of Ethics (COE) with a group of nursing colleagues. Which of the following statements should the nurse make during the in-service about the COE?
      A)
      "Student nurses are not held accountable to COE."
      B)
      "Obtaining licensure is included in the COE."
      C)
      "Professional media is not included in the COE."
      D)
      "Professional expectations are included in the COE."
    4. A client is pacing in the hallway with clenched fists and a flushed face. They are yelling and cursing loudly. Which phase of the aggression cycle is this client in?
      A)
      Triggering
      B)
      Escalation
      C)
      Crisis
      D)
      Recovery
    Page 6 of 10