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    Exam Review

    1. A nurse is reinforcing teaching with a client who has a prescription for amoxicillin 5 mL PO. How many teaspoons (tsp) should the nurse instruct the client to take?
      A)
      5 tsp
      B)
      0.5 tsp
      C)
      2.5 tsp
      D)
      1 tsp
    2. A nurse is assisting with teaching a newly licensed nurse about wearing medical masks. Which of the following statements should the nurse include?
      A)
      "Discard your mask after each use."
      B)
      Touch the front of your mask while wearing it."
      C)
      "Position the mask on your face with the flexible metal piece at the bottom."
      D)
      "Remove your mask prior to removing your gloves.”
    3. A nurse is planning to perform perineal care for a female client. Which of the following actions should the nurse plan to take?
      A)
      Start at the client's rectum and clean to the client's perineum.
      B)
      Use the same section of washcloth for each area cleaned.
      C)
      Allow the client's perineum to air dry
      D)
      Use soap and water to clean the client's perineum.
    4. A nurse is assisting with the care of a client who had a stroke. Exhibits
      (Highlight — findings requiring follow-up are marked)

      A nurse is assisting with the care of a client who had a stroke.

      Exhibits

      Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again.

      • Mucous membranes pink, skin warm and dry.
      • Coughing and clearing throat when eating.
      • Voice hoarse after swallowing.
      • Temperature 38 °C (100.4 °F)
      • Bilateral breath sounds with wheezing heard in upper lobes.
      • Oxygen saturation 88% on room air
    Page 1 of 12

    Exam Review

    1. A charge nurse is assisting in providing an in-service to a group of nurses about benefits of an interprofessional team. Which of the following information should the nurse include?
      A)
      Decrease number of referrals needed for client
      B)
      Decrease the number of visits to client by staff
      C)
      Increase in length of stay for client
      D)
      Efficiency in client care services
    2. A nurse is assisting with teaching a class about alternative medicine. The nurse should include that which of the following practices uses diluted substances to stimulate the body to heal itself?
      A)
      Homeopathy
      B)
      Ayurveda
      C)
      Naturopathy
      D)
      Functional medicine
    3. A nurse is preparing a presentation about hospice care services. Which of the following statements should the nurse plan to make during the presentation?
      A)
      "During hospice care services, the client can receive their IV chemotherapy medications.”
      B)
      "Hospice care services keep the family updated on the client's condition.”
      C)
      “During hospice care services, the caregiver receives a break from caring for the client for personal time."
      D)
      “Hospice care services are initiated when the client has less than 2 years to five.”
    4. A nurse is assisting in the care of a light-skinned client who has an ileostomy Exhibits The nurse is reviewing the client's medical record.
      (Highlight — findings requiring follow-up are marked)

      A nurse is assisting in the care of a light-skinned client who has an ileostomy

      Exhibits

      The nurse is reviewing the client's medical record.

      Click to highlight the findings that require intervention by the nurse. To deselect a finding, click on the finding again.

      Day 1:

      Abdomen soft, nondistended.

      Ileostomy present. Stoma is red.

      Stoma draining brown liquid stool.

      Client will not look at stoma

      Client states they are not interested in learning about stoma care.

      Day 2:

      Ileostomy pouch changed. Skin surrounding stoma is reddened and has small open areas.

      Stoma with small amount of bleeding noted during cleaning.

    Page 2 of 12

    Exam Review

    1. A nurse is preparing to clean a client's dentures. Which of the following actions should the nurse plan to take?
      A)
      Rinse the client's dentures in hot water.
      B)
      Place the client's dentures on a washcloth in a sink.
      C)
      Clean the client's dentures with regular toothpaste.
      D)
      Remove the client's dentures with a moist glove.
    2. A nurse is assisting a client who has a spinal cord injury with bathing. Which of the following actions should the nurse take?
      A)
      Fill the client's bathtub with water at 48° C (118.4° F).
      B)
      Give the client a long-handled sponge.
      C)
      Offer the client bar soap.
      D)
      Provide the client with a fixed showerhead.
    3. A nurse does not take a client's apical heart rate, but documents that it was taken in the client's electronic health record (EHR). Which of the following terms describes the nurse's actions?
      A)
      Libel
      B)
      Slander
      C)
      Battery
      D)
      Falsification
    4. A nurse is assisting with teaching a newly licensed nurse about ethical principles. Which of the following is an example of beneficence?
      A)
      A nurse gives a client the choice to take a pain medication via intramuscular or oral route.
      B)
      A nurse provides nonpharmacological pain interventions to each client equally.
      C)
      A nurse fulfills a promise to a client that they will return with their pain medication.
      D)
      A nurse administers scheduled pain medication for a client who is having pain.
    Page 3 of 12

    Exam Review

    1. A nurse is assisting a client who has a spinal cord injury with bathing. Which of the following actions should the nurse take?
      A)
      Fill the client's bathtub with water at 48" (18.4" F
      B)
      Give the client a long-handled sponge.
      C)
      Offer the client bar soap.
      D)
      Provide the client with a fixed showerhead.
    2. A nurse is reinforcing teaching with a client who has diabetic neuropathy about foot care. Which of the following instructions should the nurse include?
      A)
      Apply lotion between the toes.
      B)
      Wash feet in hot water.
      C)
      Avoid walking barefoot
      D)
      Wear open-toed shoes
    3. A nurse is caring for a client who has constipation and is bearing down to have a bowel movement. The nurse should monitor the client for which of the following?
      A)
      Decreased heart rate
      B)
      Increased respirations
      C)
      Increased temperature
      D)
      Decreased exhaled carbon dioxide
    4. A nurse is assisting with teaching a class about professionalism. The nurse should include that leaving a computer terminal unattended after logging on is an example of which of the following?
      A)
      Unprofessionalism
      B)
      Defamation of character
      C)
      Negligence
      D)
      Malpractice
    Page 4 of 12

    Exam Review

    1. A nurse is receiving report on a group of clients. Using the ABCDE priority framework, which of the following clients should the nurse see first?
      A)
      A client who is postoperative and has a urine output of 50 ml for the past 3 hr.
      B)
      A client who is scheduled for discharge and has a 38.4° C (101.1° F) temperature this morning.
      C)
      A client who has pneumonia and has developed wheezing.
      D)
      A client who has early dementia and awoke confused to their location this morning.
    2. A nurse is assisting with teaching a class about converting household measurements into metric measurements. Which of the following information should the nurse include?
      A)
      1 cup equals to 240 mL
      B)
      1 tsp equals to 10 mL
      C)
      1 pint is equal to 960 mL
      D)
      2 tbsp is equal to 15 mL
    3. A nurse is reinforcing teaching with a newly licensed nurse about age-related changes to vision in older adult clients. Which of the following should the nurse include as an example of an expected age-related change?
      A)
      Reduced depth perception.
      B)
      Increased tone of eye muscles.
      C)
      Reduced thickness of the natural lens
      D)
      Increased flexibility of the lens
    4. A nurse is preparing to administer an enema to a client. Which of the following actions should the nurse plan to take?
      A)
      Warm the enema solution to room temperature.
      B)
      Use sterile technique
      C)
      Place the client into a right lateral position.
      D)
      Lubricate the tubing with an oil-based lubricant.
    Page 5 of 12

    Exam Review

    1. A nurse is ordering equipment for a medical-surgical unit. Which of the following equipment should the nurse identify as being ergonomic? (Select All that Apply.)
      A)
      IV stands that are at a fixed height
      B)
      Wrist supports for computer keyboards
      C)
      Height-adjustable beds
      D)
      Standard height toilets
      E)
      Shower chairs
    2. A nursing is preparing to give a handoff report to the oncoming nurse. In which of the following areas should the nurse provide report to the oncoming nurse?
      A)
      Conference area
      B)
      Client's bedside
      C)
      Nurse's lounge
      D)
      Outside client's room
    3. A nurse is preparing to obtain a 24-hr urine collection from a client. Which of the following actions should the nurse plan to take?
      A)
      Include toilet paper with the collected urine.
      B)
      The nurse should discard the first void to obtain accurate specimen
      C)
      Discard the client's last void at the end of the collection time period.
      D)
      Save the first word at the start of the collection time period.
    4. A nurse is assisting with teaching a client about a new medication. Which of the following actions should the nurse take?
      A)
      Begin with the least important information.
      B)
      Use technical language in the educational session.
      C)
      Turn on the television in the client's room
      D)
      Provide educational material written at a 6th grade reading level.
    Page 6 of 12