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    Exam Review

    1. A nurse on a medical-surgical unit is preparing to contact a provider about a client's condition. The nurse notes the client is post op day one with a history of sleep apnea. The nurse should include information about the client in which component of the SBAR report?
      A)
      Assessment
      B)
      Background
      C)
      Situation
      D)
      Recommendation
    2. A nurse is preparing to administer Versed 4 mg po to a client for their client. Available is Versed 2 mg per tablet. How many tablets should the nurse administer per dose? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) Enter an integer or decimal value for the answer. Commas are not allowed.2. A nurse is preparing to administer Versed 4 mg po to a client for their client. Available is Versed 2 mg per tablet. How many tablets should the nurse administer per dose? (Round to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) Enter an integer or decimal value for the answer. Commas are not allowed.
      Correct Answer:2 tablets
    3. The medical surgical nurse works with the interdisciplinary team to provide care for a stroke patient. Which of the following team members will be required for referring a physical therapist?
      A)
      Physical therapist
      B)
      The pharmacist
      C)
      The case manager
      D)
      Occupational therapist
    4. An RN has a critical client that needs constant monitoring. However, the RN also has other clients in need of care. Which tasks below could the RN delegate to the CNA to help continue the process of client care? (select all that apply) (3)
      (SATA)
      A)
      change a sterile dressing
      B)
      Ambulate a stable client to the bathroom
      C)
      take vital signs for the unit
      D)
      Provide morning care to a client
      E)
      Give the discharge instructions to a client going home
    Page 1 of 13

    Exam Review

    1. A nurse is conducting a quantitative research to examine the relationship between opioids and post-op pain management. This is known as what type of research?
      A)
      Experimental
      B)
      Descriptive
      C)
      Quasi-experimental
      D)
      Correlational
    2. A nurse is completing discharge instructions. Which of the following barriers to learning should the nurse interpret as a need to postpone the teaching?
      A)
      decreased vision but the client is wearing glasses
      B)
      Hearing loss, hearing aids are functioning well
      C)
      Language and no access to an interpreter
      D)
      The client's culture
    3. The client states the reason they have an allergy to codeine is because when she takes it, the medication makes her nauseous. It is an important role of the nurse to respond in the following manner:
      A)
      Tell the client they are wrong
      B)
      Ask the client why they think that way
      C)
      Ignore the comment and proceed with the teaching plan
      D)
      Explain to the client the difference between medication intolerance and allergy
    4. Which of the following are the five rights of supervision?
      A)
      The right task, the right circumstances, the right person, the right communication, and the right supervision
      B)
      The right competency, the right staff person, the right scope of practice, the right environment and the right client condition
      C)
      The right competency, the right education, the right scope of practice, the right environment and the right client condition
      D)
      The right task, the right circumstances, the right person, the right client condition, and the right supervision
    Page 2 of 13

    Exam Review

    1. A nurse delegates to an assistive personnel. During the delegation the nurse observes the UAP using the large cuff on a client who is overweight. The nurse is demonstrating which of the following rights of delegation?
      A)
      Right Task
      B)
      Right communication
      C)
      Right supervision
      D)
      Right circumstance
    2. A nurse is planning a community diabetes mellitus management program. Which of the following SMART goals should the nurse include for the client?
      A)
      Proper foot care will be demonstrated to clients during the program.
      B)
      A facility will be reserved for the program
      C)
      Handouts and teaching materials will be distributed.
      D)
      Clients will have a decreased incidence of foot ulcers within a month time.
    3. The nurse is preparing a teaching plan for a client who is learning to use the incentive spirometer. The nurse identifies the following action as part of the evaluation step in the teaching plan.
      A)
      Assess the clients pain level
      B)
      Ask the client to demonstrate use of the incentive spirometer
      C)
      Develop a short-term goal for the client
      D)
      Provide instructions on how to use the incentive spirometer
      E)
      Provide instructions on how to use the incentive spirometer
    4. A nurse on a medical surgical unit has received report on four clients. There is an LVN, RN, and UAP working. Which of the following clients would best to assign to the RN?
      A)
      Reinforcing teaching with a patient who is learning to walk with a quad cane
      B)
      A new admission to the unit complaining of chest pain
      C)
      Inserting an NGT for a client who is unable to eat
      D)
      Calculating intake and output for the unit
    Page 3 of 13

    Exam Review

    1. A nurse is vaccinating n child with the varicella vaccine. The nurse is implementing what level of preventative care?
      A)
      Disease prevention
      B)
      Tertiary
      C)
      Primary
      D)
      Secondary
    2. A nurse is providing education to a client. The nurse should use which of the following nonverbal communication techniques to enhance the importance of the education?
      A)
      Lean gently over the back of a chair with legs crossed
      B)
      Sit in front of the client at eye level and lean forward
      C)
      have their cell phone visible and diverting the eyes to check messages.
      D)
      Cross her arms over her chest and avoid eye contact
    3. A nurse is responding to a call light of a newly diagnosed diabetic. The client states she is ready for learning. The nurse recognizes this as which learning domain?
      A)
      Cognitive
      B)
      Psychomotor
      C)
      Affective
      D)
      Social
    4. The nurse is teaching a client about a new medication. The nurse recognizes the following as a potential barrier to learning?
      A)
      The client states that she will be staying with her daughter after discharge.
      B)
      Client states she is having pain.
      C)
      The client states she uses a pill container to divide her daily meditation.
      D)
      The client states her pharmacy also provides information on the medication.
    Page 4 of 13

    Exam Review

    1. A nurse is teaching a client who wishes to lose weight. Which of the following teaching methods use the cognitive domain of learning?
      A)
      Discuss the benefits of losing weight
      B)
      Encourage the client to share their feelings about dietary habits
      C)
      Review strategies for losing weight
      D)
      Create a diet for the client
    2. A nurse refers a stroke client to rehabilitation center. The nurse is implementing what level of prevention?
      A)
      Secondary
      B)
      Disease process
      C)
      Tertiary
      D)
      Primary
    3. A nurse is preparing a teaching plan to a client who is learning crutch walking. The nurse should identify the following actions as part of the planning step of the teaching plan.
      A)
      Show the client a video of proper crutch walking
      B)
      Assess the client’s readiness to learn
      C)
      develop short term goal for the client in the teaching plan
      D)
      Ask the client to demonstrate walking with the crutches
    4. A nurse is completing a client's history and physical examination. Which of the following information should the nurse consider objective data?
      A)
      dizziness
      B)
      facial droop
      C)
      numbness
      D)
      Fatigue
    Page 5 of 13

    Exam Review

    1. A nurse is caring for a group of clients on a medical surgical unit. For which of the following care needs should the nurse initiate a referral for a speech therapist?
      A)
      A client who has dysphagia
      B)
      A client who asks about community resources
      C)
      A client who has terminal cancer and requests hospice at home
      D)
      A client who wants a priest to visit while they are in the hospital
    2. Which client would be best assigned to an RN and not an LPN?
      A)
      A 78-year-old female with osteoporosis who needs assistance performing range of motion exercises and ambulating with a walker.
      B)
      A 78-year-old patient newly admitted with anemia requiring a blood transfusion
      C)
      A 34-year-old patient post knee arthroscopy who requires reinforced crutch walking
      D)
      A 44-year-old patient admitted yesterday with pneumonia
    3. The RN reviews therapeutic and nontherapeutic communication techniques with a group of nursing students. Which of the following demonstrates use of therapeutic communication techniques?
      A)
      "You will be okay. Your surgeon will talk to you in the morning."
      B)
      "Tell me how you care for your colostomy at home.”
      C)
      I understand how you feel the same thing happened to me last year."
      D)
      "Don't worry you are in good hands"
    4. A nurse is developing pain management goals to a post-operative client. Which of the following steps of the nursing process is the nurse performing?
      A)
      Planning
      B)
      Assessment
      C)
      Implementation
      D)
      Evaluation
    Page 6 of 13