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    Exam Review

    1. A nurse is educating a client about the wellness-illness continuum. Which of the following statements by the client indicates an understanding of the concept?
      A)
      "The wellness-illness continuum is used to categorize individuals into distinct health categories, such as healthy or sick."
      B)
      "The wellness-illness continuum is a model that shows a person's health moving between complete wellness and complete illness in a linear fashion."
      C)
      "The continuum recognizes that health is multidimensional and includes physical, mental, and social well-being."
      D)
      "The wellness-illness continuum focuses on a person's ability to stay completely well without any variations in health status."
    2. A community health nurse is conducting a home visit to assess an adult client with a chronic illness. Which of the following actions should the nurse prioritize to effectively evaluate the client's management of their chronic condition?
      A)
      Assess the client's ability to perform activities of daily living (ADLs) and their impact on the client's overall health.
      B)
      Review the client's current medication list and check for any missed doses.
      C)
      Focus on the client's most recent laboratory results and compare them to past results.
      D)
      Conduct a detailed family history to identify any genetic predispositions to the chronic illness.
    3. A nurse is speaking to a group of newly licensed nurses about how the QSEN competencies were integrated into their nursing school curriculum. Which of the following competencies should the nurse expect the newly licensed nurses to identify as the competency they were most prepared to address as students?
      A)
      Patient-centred care
      B)
      Teamwork and collaboration
      C)
      Evidence-based practice
      D)
      Quality improvement
    4. A community health nurse is planning an educational program for a local community on the prevention of chronic diseases. Which of the following actions best reflects the nurse's role in promoting community health?
      A)
      Designing and delivering educational sessions on healthy lifestyle choices and preventive measures to the community.
      B)
      Focusing solely on treating acute health issues as they arise within the community.
      C)
      Providing one-on-one medical treatment for community members who are currently experiencing chronic disease symptoms.
      D)
      Conducting individual health screenings and providing personalized counselling for each participant.
    Page 1 of 9

    Exam Review

    1. A nurse is assessing a client who received an opioid narcotic for incisional pain. Which of the following findings is the priority?
      A)
      Level of sedation
      B)
      Pain level
      C)
      Pulse oximetry
      D)
      Blood pressure
    2. A nursing student is preparing a presentation on cultural competence for a group of fellow nursing students. Which of the following statements should the student include in their explanation to best describe cultural competence in nursing?
      A)
      "Cultural competence means that healthcare providers must follow a standardized approach to care that applies to all clients, regardless of their cultural background."
      B)
      "Cultural competence requires that nurses adopt the cultural practices of their clients to provide the best care."
      C)
      "Cultural competence is only necessary when caring for clients from cultures that are significantly different from one's own."
      D)
      "Cultural competence involves understanding and respecting diverse cultural backgrounds and incorporating this understanding into client care to improve outcomes and client satisfaction."
    3. A nurse is educating a group of clients about complementary and integrative therapies. Which of the following statements about these therapies are accurate? Select all that apply
      (SATA)
      A)
      Meditation is a complementary therapy that focuses on the use of medications to reduce stress.
      B)
      Integrative therapies are often used as a substitute for conventional medical treatments.
      C)
      Yoga can be considered a complementary therapy that combines physical postures, breathing exercises, and relaxation techniques.
      D)
      Complementary therapies are used alongside conventional treatments to improve overall well-being.
      E)
      Acupuncture is a type of complementary therapy that involves inserting fine needles into specific points on the body.
      F)
      Herbal supplements can interact with prescription medications, potentially leading to adverse effects.
    4. A nurse is preparing to communicate with a hearing-impaired client during a routine assessment. Which of the following strategies is most appropriate for ensuring effective communication with this client?
      A)
      Use written communication to supplement verbal instructions and ensure the client understands the information.
      B)
      Use gestures and non-verbal cues only, without speaking, as the client is able to read lips effectively.
      C)
      Avoid standing in front of the client while speaking,
      D)
      Speak loudly and slowly to the client to ensure they can hear you clearly.
    Page 2 of 9

    Exam Review

    1. A nurse is caring for a client who requests prescription pain medication. Which of the following actions should the nurse perform first?
      A)
      Determine the location of the pain.
      B)
      Reposition the client.
      C)
      Review the effects of the pain medication.
      D)
      Administer the medication
    2. A nurse is providing preoperative teaching to a client about pain management using a patient-controlled analgesia (PCA) system. Which of the following three statements should the nurse include in the teaching? (Select all that apply.)
      (SATA)
      A)
      "You should avoid using the PCA system if you feel that the pain is manageable without medication.
      B)
      "The PCA system is designed with safety features to prevent you from receiving too much medication.
      C)
      "The PCA system is programmed to deliver a specific dose of medication each time you press the button."
      D)
      "You will be able to administer pain medication to yourself by pressing the PCA button whenever you need it."
      E)
      “Family members should press the PCA button for you if you are unable to do so yourself."
    3. A nurse is caring for a client who is to start therapy with ibuprofen for hip pain. Which of the following information should the nurse provide about ibuprofen?
      A)
      Taking the maximum dose will offer stroke prevention.
      B)
      Take the medication with an aspirin to increase effectiveness.
      C)
      Sustained-release forms may be crushed for easier administration.
      D)
      Take the medication with food.
    4. The nurse is reviewing strategies to address health disparities in a community setting in alignment with Healthy People 2030 objectives. Which of the following actions by the nurse best demonstrates the application of Healthy People 2030 goals to reduce health disparities?
      A)
      Developing and implementing a culturally competent health education program tailored to underserved populations to improve access to preventive services.
      B)
      Prioritizing high-cost interventions for clients with advanced diseases while not addressing preventive care for at-risk populations.
      C)
      Providing standard health education materials to all clients without regard for their cultural, linguistic, or socioeconomic backgrounds.
      D)
      Focusing only on individual client care in a clinic without considering social determinants of health that may affect the client's well-being.
    Page 3 of 9

    Exam Review

    1. A nurse is preparing to administer morphine IV to a client. Which of the following medications should the nurse plan to have available?
      A)
      Flumazenil
      B)
      Protamine
      C)
      Neostigmine
      D)
      Naloxone
    2. A nurse is caring for a client who has an eating disorder. The nurse is practicing which of the following ethical concepts when the client refuses to drink a between meal protein and calorie supplement?
      A)
      Autonomy
      B)
      Fidelity
      C)
      Veracity
      D)
      Beneficence
    3. A nurse is developing a care plan for Mrs. Thompson who is in the end-of-life stage. After assessing the client, the nurse has identified several potential problems. Which of the following hypotheses should the nurse prioritize when planning care for this client?
      A)
      The client may benefit from additional laboratory tests to monitor disease progression.
      B)
      The client may experience pain and discomfort due to the progression of their illness.
      C)
      The client may need increased physical therapy sessions to maintain mobility.
      D)
      The client may have elevated blood pressure due to an acute exacerbation of their condition.
    4. A client is starting celecoxib to treat osteoarthritis. The nurse should instruct the client to watch for and report which of the following adverse effects?
      A)
      Black, tarry stools
      B)
      Dry mouth
      C)
      Bone pain
      D)
      Polyuria
    Page 4 of 9

    Exam Review

    1. A nurse is caring for a child who has been physically abused by a family member. Which of the following statements should the nurse say to the child?
      A)
      "I promise I won't tell anyone about this."
      B)
      "Your family is bad for doing this to you."
      C)
      "Let's discuss what happened with your family here."
      D)
      "It is not your fault that this happened."
    2. A 49-year-old patient who reports pain in the foot that moves up along the calf says, "My left foot feels like it is on fire." The patient reports that the pain started yesterday, and they have no prior history of injury or falls. Which components of pain assessment has the patient reported?
      A)
      Aggravating and alleviating factors.
      B)
      Exacerbation, with associated signs and symptoms.
      C)
      Intensity, temporal characteristics, and functional impact.
      D)
      Location, quality, and duration.
    3. A nurse is caring for a client who has a mental illness. Which of the following actions by the nurse demonstrates the ethical concept of autonomy?
      A)
      Encouraging client feedback about satisfaction with the facility experience.
      B)
      Explaining unit rules and policies regarding unacceptable behaviors.
      C)
      Supporting the client's wish to refuse prescribed medications.
      D)
      Making sure the client understands expectations for client participation.
    4. A community health nurse is researching social determinants of health in the differing populations they serve. The nurse should identify which of the following factors place populations at the highest risk for negative health outcomes?
      A)
      Language barriers
      B)
      Transportation access
      C)
      Poverty
      D)
      Genetics
    Page 5 of 9

    Exam Review

    1. A nurse is caring for a hospitalized client who is experiencing sensory overload due to the hospital environment. Which of the following actions should the nurse take?
      A)
      Encourage visitors throughout the day.
      B)
      Provide the client with earplugs.
      C)
      Spread client care activities throughout the shift.
      D)
      Keep the door to the client's room open.
    2. A nurse is teaching a class about the physical manifestations of grief. Which of the following manifestations should the nurse include?
      A)
      Insomnia
      B)
      Bradycardia
      C)
      Blurred vision
      D)
      Increased ability to concentrate
    3. A nurse is assessing a client's spiritual and religious needs as part of their holistic care plan. The nurse wants to ensure they understand the differences between religion and spirituality to provide appropriate support. Which of the following statements best describes the difference between religion and spirituality?
      A)
      Religion is a personal belief system, while spirituality involves organized practices and rituals.
      B)
      Religion is exclusively concerned with personal growth and self-improvement, whereas spirituality focuses on adherence to institutional doctrines.
      C)
      Religion and spirituality are synonymous and can be used interchangeably in-patient care assessments.
      D)
      Religion often includes organized practices, rituals, and community involvement, whereas spirituality is a more personal and individual experience that may or may not include organized practices.
    4. A nurse is teaching a class about spirituality in clients who are near the end of life. Which of the following information should the nurse include?
      A)
      Spirituality can increase depression.
      B)
      Spirituality can increase feelings of hopelessness.
      C)
      Spirituality can increase emotional and psychological comfort.
      D)
      Spirituality can increase the desire to hasten death.
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