Exam Review

A nurse is caring for a client who was injured by a blast of high-order explosives. Medics report secondary injuries from the explosion. The nurse anticipates what type of injuries?
A)
Blunt force trauma.
B)
Hollow organ damage.
C)
Post-traumatic stress disorder.
D)
Penetrating injuries.
The nurse is preparing for an initial home care visit for a client with diabetes. Which action by the nurse is appropriate? (Select all that apply.)
(SATA)
A)
Going automatically into the client's bedroom.
B)
Thanking the client for arranging a home visit.
C)
Arranging mutual future visits.
D)
Asking how they are managing at home.
E)
Sitting down and discussing with the client and family members.
A nurse is teaching the family of a client who has a new diagnosis of epilepsy about actions to take if the client experiences a seizure. Which of the following instructions should the nurse include in the teaching?
A)
Insert a padded tongue blade into the client's mouth.
B)
Restrain the client.
C)
Move objects away from the client.
D)
Place the client on his back.
The nurse is providing education on epidemiology to a nursing student. Which of the following statements indicate the importance of epidemiology to the community health nurse?
(SATA)
A)
Epidemiology evaluates the effectiveness of nursing interventions.
B)
Epidemiology analyzes and examines the root causes of health outcomes.
C)
Epidemiology defines the burden of disease and determinants of health.
D)
Epidemiology relates to the health status of a population.

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Exam Review

A nurse is caring for a client who has had a hemorrhagic stroke following a ruptured cerebral aneurysm. Which of the following manifestations should the nurse expect?
A)
Gradual onset of headache.
B)
Changes in consciousness.
C)
Gradual onset of several hours.
D)
History of neurologic deficits lasting less than 1 hr.
A nurse is assessing a client who was brought into the emergency room following a seizure. The nurse suspects the client may have meningococcal meningitis when assessment findings include nuchal rigidity and a petechial rash. After implementing droplet precautions, which of the following actions should the nurse initiate next?
A)
Administer an antipyretic.
B)
Complete a vascular assessment.
C)
Assess the cranial nerves.
D)
Decrease environmental stimuli.
A community health nurse is teaching a group of nursing students about descriptive analytics. The nurse recognizes that which of the following best describes the purpose of descriptive analytics in nursing?
A)
To predict future client outcomes based on historical data.
B)
To develop new treatment protocols based on client data.
C)
To summarize and interpret historical client data to identify trends and patterns.
D)
To provide real-time monitoring of clients' vital signs.
A nurse is assessing a client who reports a severe headache and stiff neck. The nurse's assessment reveals positive Kernig's and Brudzinski's signs. Which of the following actions should the nurse perform first?
A)
Decrease bright lights.
B)
Implement droplet precautions.
C)
Initiate IV access.
D)
Administer antibiotics.

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Exam Review

A nurse is working with a community at risk for flooding. The nurse is aware that identification of at-risk populations, education of the residents about evacuation routes and emergency shelters is an example of what level of the National Response Framework?
A)
Security phase.
B)
Mitigation phase.
C)
Response phase.
D)
Practice phase.
A nurse is providing care to a client with Myasthenia gravis who has lost 6 kg of weight over the past 2 months. What should the nurse suggest to improve this client's nutritional status?
A)
Restrict drinking fluids before and during meals.
B)
Plan medication doses to occur before meals.
C)
Increase the amount of fat and carbohydrates in meals.
D)
Eat three large meals per day.
A nurse is working with the hospital disaster plan with the emergency operations committee. The nurse is aware that nursing is involved in which components of the disaster plan? (Select all that apply.)
A)
Identification of resources to meet anticipated needs.
B)
Participation in comprehensive annual drills.
C)
Internal and external communications.
D)
Performing duties outside the typical job description.
E)
Development of decontamination plan.
A registered nurse (RN) and an experienced licensed practical nurse (LPN) are caring for a group of clients. Which of the following tasks should the RN delegate to the LPN? (Select all that apply.)
A)
Monitoring vital signs of postoperative clients.
B)
Administering routine medications to stable clients.
C)
Performing wound care on a client with a Stage III pressure ulcer.
D)
Developing a teaching plan for a client newly diagnosed with Type II Diabetes.
E)
Providing oral care to an unconscious client.

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Exam Review

A nurse is delegating tasks to assistive personnel. Which of the following should the nurse consider when using one of the five rights of delegation?
A)
The assistive personnel's ability to complete the task without assistance.
B)
The assistive personnel's level of experience and competency in performing the task.
C)
The assistive personnel's rapport with clients.
D)
The assistive personnel's availability at the time of the delegation.
A nurse is determining if a homebound client is eligible for Meals-on-Wheels. Which of the following is the most important factor for the nurse to consider?
A)
The client's level of family support.
B)
The client's financial resources.
C)
The client's access to transportation.
D)
The client's ability to prepare meals.
A nursing preceptor is reviewing life expectancy in the twentieth century with a new nurse. The nurse should recognize that which of the following was most responsible for the dramatic increase in life expectancy during the twentieth century?
A)
Use of antibiotics to fight infections.
B)
Sanitation and other public health activities.
C)
Technological increases in the field of medical laboratory research.
D)
Advances in surgical techniques and procedures.
A nurse is teaching a client who has a new prescription for Sumatriptan (Imitrex) tablets to treat migraine headaches. Which of the following instructions should the nurse include?
A)
Chew tablet well before swallowing.
B)
If you experience chest pain, call your physician immediately.
C)
Take daily to prevent headaches.
D)
Repeat dose in 1 hour for unrelieved headache.

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Exam Review

The school nurse identifies 12 students with confirmed cases of influenza A. The families of the children are advised to keep the children home for a minimum of 5 to 7 days. Which of the following is an appropriate action by the nurse?
A)
Closing the school for 6 weeks.
B)
Education regarding respiratory and hand hygiene.
C)
Discipline in the school setting for improper handwashing.
D)
Running a mandatory flu clinic.
The nurse is performing the Romberg test on a client during a neurological assessment. Which of the following best describes the rationale for conducting the Romberg test?
A)
To measure respiratory rate and depth.
B)
To evaluate coordination and fine motor skills.
C)
To test for proprioception and vestibular function.
D)
To assess cranial nerve function related to facial expression.
A nurse is caring for a client scheduled for a functional assessment who asks, "What is the purpose of this assessment?" How should the nurse most appropriately respond to the client?
A)
It is a test that determines which activities you feel most comfortable performing.
B)
It is a tool that is used to determine your maximum level of self-sufficiency.
C)
It is a tool that is used to assess what services you will need a home health aide to perform for you.
D)
It is a tool used by insurance companies to determine qualifications for medical reimbursement.
A nurse is caring for a client who has Parkinson's disease and is starting to display bradykinesia. Which of the following is an appropriate action by the nurse?
A)
Place the client on a low-protein, low-calorie diet.
B)
Teach the client to walk more quickly when ambulating.
C)
Complete passive range-of-motion exercises daily.
D)
Give the patient extra time to perform activities.

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Exam Review

The public health nurse is assigned to the population of clients in an inner-city community. The nurse identifies which of the following as a priority intervention?
A)
Develop a survey on teen pregnancies.
B)
Hold a focus group to discuss immunizations.
C)
Perform a windshield survey.
D)
Interview the elderly at the senior's center.
A nurse is caring for a client diagnosed with Trigeminal neuralgia who is suddenly experiencing severe pain on the left side of the face. The nurse identifies which classification of medications is most effective in treating this type of pain?
A)
Analgesics.
B)
Antibiotics.
C)
Anticonvulsants.
D)
Antihistamines.
The nurse is providing education to a client who is newly diagnosed with Multiple sclerosis (MS). Which client statements indicate the need for additional teaching?
A)
I may experience urinary incontinence.
B)
I should not exercise because this may trigger an exacerbation.
C)
I need to check the water temperature before I take a bath.
D)
I may experience visual disturbances.
E)
I should alternate the eye patch every other day to help with the double vision.
A nurse is educating nursing students on the importance of client-centered community-based care. The nurse understands that which of the following principles is most essential to client-centered, community-based care in nursing?
A)
Encouraging clients to make decisions without considering their cultural or social background.
B)
Ensuring that care plans are tailored to the individual needs and preferences of clients within their community.
C)
Focusing primarily on the medical treatment of diseases within a hospital setting.
D)
Prioritizing the efficiency of healthcare delivery over patient satisfaction and outcomes.

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