Exam Review
- Which of the following is a primary source of energy for Earth's climate system?A)Solar radiationB)Geothermal energyC)Tidal energyD)Nuclear energy
- The nurse is assessing an older adult client. Which finding should cause the nurse to suspect the client has Parkinson disease (PD)? (Select all that apply)(SATA)A)The client has hand tremors at restB)The client has slurred speechC)The client's facial expression shows no emotionD)The client does not remember what he ate for breakfastE)The client's blood pressure increases when the client stands up
- The nurse is planning care for several patients in the hospital environment. Which is the highest risk factor for a patient developing hospital-acquired methicillin-resistant Staphylococcus aureus (MRSA)?A)Prolonged rehabilitation unit stayB)Recent use of antibioticsC)Recent surgical procedureD)Current intensive care unit stay
- A nurse is caring for a client who is experiencing excessive anxiety and worry in response to a variety of circumstances, and is unable to control their sense of worry. The nurse should identify that these manifestations indicate which of the following?A)Separation anxiety disorderB)AgoraphobiaC)Panic disorderD)Generalized anxiety disorder
Exam Review
- Which clinical manifestation would be required to confirm the diagnosis of Parkinson disease?A)Rigidity onlyB)Bradykinesia onlyC)Tremors at rest and bradykinesiaD)Tremor at rest and flaccidity
- A nurse is caring for a client who ingested a selective serotonin reuptake inhibitor and St. John’s Wort. Which of the following findings should the nurse identify as being consistent with serotonin syndrome?A)Dilated pupils and loss of muscle coordinationB)Tinnitus and jerking movementsC)Pill-rolling movements and droolingD)Suicidal ideations
- A nurse is caring for a client who has experienced a stroke and exhibits parkinsonian effects. The client’s cognition fluctuates. Which of the following types of dementia should the nurse expect the client to have?A)Frontotemporal lobar degenerationB)Prion diseaseC)HIV infectionD)Lewy body disease
- The nurse is caring for a patient with leukemia who is experiencing neutropenia as a result of chemotherapy. Which action should the nurse include in the plan of care for this patient?A)Restricting visitors with communicable illnessesB)Replacing hand hygiene with glovesC)Inserting an indwelling urinary catheter to prevent skin breakdownD)Restricting fluid intake
Exam Review
- The nurse provides care to a patient who is mechanically ventilated. Which nursing action is most effective in decreasing the risk for aspiration?A)Perform chest physiotherapy as prescribed by the practitionerB)Limit each suctioning event to no more than 10 secondsC)Elevate the head of the bed between 30 to 45 degreesD)Ensure an NPO status is maintained for the length of the prescribed treatment
- A nurse is speaking to a group of nurses about the difference between schizoaffective disorder and schizophrenia. Which of the following findings is associated with the active phase of schizoaffective disorder?A)Symptoms of major depression or maniaB)Absence of delusions or hallucinationsC)More severe negative symptomsD)Anosognosia is more severe
- A team of providers, nurses, social workers, and counselors work together to provide care for a client with a substance use disorder. Which of the following names describes this group of clinicians?A)Triage teamB)Tactical teamC)Collaborative teamD)Interdisciplinary team
- The nurse provides care to a patient who is recovering from facial trauma who requires high-flow oxygen therapy. Which method of oxygen delivery does the nurse recognize as best for this patient?A)Nasal cannulaB)Nonrebreather maskC)Face tentD)Venturi mask
Exam Review
- A nurse is reviewing the laboratory values of a client who has respiratory acidosis. Which of the following findings should the nurse expect?A)pH 7.45B)Potassium 3.3 mEq/LC)PaCO2 50 mmHgD)HCO3- 30 mEq/L
- A client has an order for Congentin 2 mg tablet 2x a day. The client asks the nurse for the possible side effects of this medication. (Select all that apply)A)TachycardiaB)HallucinationC)Blurred visionD)ConfusionE)Constipation
- A nurse is providing care for a postoperative client. Which of the following manifestations should the nurse identify as indicating the development of postoperative shock?A)The client has metabolic alkalosis and warm extremitiesB)The client develops bradycardia and bradypneaC)The client has hypertension and anuriaD)The client has hypotension and is confused
- A nurse is discussing the difference between mental illness and mental health with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding?A)Mental health can present at any age, whereas mental illness can only present after age 20B)Mental health and mental illness are the same conceptsC)Mental illness is when there is disruption in a person’s ability to complete activities of daily living, whereas mental health is when the person can cope with daily stressorsD)Mental illness is a condition caused by poor mental health
Exam Review
- A nurse is caring for a client. Which of the following client statements should the nurse identify as an indication of anorexia nervosa?A)I enjoy wearing form-fitting clothes to show off my bodyB)I spend lots of time searching for new recipesC)I have so much energyD)I know I am skinny
- Which statement by the nursing assistant indicates the need for further teaching regarding infection control measures for patients with Clostridioides difficile (C. diff)?A)I need to rub my hands together to remove the C. diff sporesB)It is important that I use soap and water to wash my hands when working with patients with C. diffC)I need to make sure the family members wash their hands oftenD)Alcohol-based hand sanitizers are most effective for patients with C. diff
- A nurse is assessing a client who is experiencing grief. The nurse should identify which of the following findings as an indication that the client has developed clinical depression?A)States that connecting with family is comfortingB)Loss of appetiteC)Loss of interest in pleasurable activitiesD)Has intense moments of sadness
- A nurse is caring for a female client who has bulimia nervosa and reports frequent self-induced vomiting. Which of the following findings should the nurse expect?A)HyperkalemiaB)Dental decayC)AmenorrheaD)Lower than normal expected reference range of body weight
Exam Review
- A nurse is caring for a client who presents to an outpatient treatment center seeking help for gambling. After performing an intake assessment, the nurse should identify which of the following statements by the client as a sign of a gambling addiction?A)My wife left me. I lost my job and had to file for bankruptcyB)I can’t sleep at night. I have insomniaC)I have had bipolar disorder for over 10 yearsD)My parents are my support system
- A nurse is completing an assessment of a client. Which of the following information should the nurse anticipate the provider will use in the diagnosis of a mental health disorder?A)Vaccine historyB)Surgical historyC)History of allergiesD)Psychosocial history
- A nurse is caring for a client who has been hospitalized for treatment of bipolar disorder and will be discharged with a prescription for lithium. The nurse’s discharge teaching should include information cautioning against which of the following factors that may cause lithium toxicity?A)Drinking green teaB)Exercising moderatelyC)Increasing sodium intakeD)Dehydration
- Which statement would be correct for a patient with type 2 diabetes who was admitted to the hospital with pneumonia?A)The patient must receive insulin therapy to prevent ketoacidosisB)The patient may have sufficient endogenous insulin to prevent ketoacidosis but is at risk for hyperosmolar hyperglycemic syndromeC)The patient has minimal or absent endogenous insulin secretion and requires daily insulin injectionsD)The patient has islet cell antibodies that have destroyed the pancreas’s ability to produce insulin