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    Exam Review

    1. A nurse working in a community health center is speaking with a client who expresses their difficulty in finding employment. Which of the following responses should the nurse give?
      A)
      "It sounds like it has been very challenging to find a job."
      B)
      "I'm sure someone will call you next week."
      C)
      "Don't worry. There are plenty of jobs out there."
      D)
      "You need to apply for more jobs."
    2. A nurse is caring for a client who is postoperative hip arthroplasty and has a new prescription for enoxaparin 1 mg/kg/dose subcutaneous every 12 hr. The client weighs 95 lbs. How many mg should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:43.2 mg
    3. A nurse is assessing a client who has Graves' disease. Which of the following findings should the nurse expect?
      A)
      Hirsutism
      B)
      Goiter
      C)
      Polydipsia
      D)
      Polyuria
    4. A nurse in the emergency department is caring for a client who is experiencing manifestations of a myocardial infarction (MI). Which of the following laboratory tests should the nurse expect the provider to prescribe?
      A)
      Troponin
      B)
      C-reactive protein
      C)
      Brain natriuretic peptide (BNP)
      D)
      Creatinine kinase (CK)
    Page 1 of 15

    Exam Review

    1. A nurse is preparing to administer metoprolol 5 mg IV bolus to a client for heart rate control. Available is metoprolol injection 1 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:5 mL
    2. A nurse is assessing four clients on a medical-surgical unit. Which of the following clients should the nurse care for first?
      A)
      A client who has diarrhea and requests clear liquids for breakfast
      B)
      A client who has type 1 diabetes mellitus and has a fasting blood glucose level of 150
      C)
      A client who has pneumonia and has an axillary temperature of 38° C (101° F)
      D)
      A client who has a cast on the left leg and reports numbness and paresthesia
    3. A nurse is caring for client who just returned from the PACU with an IV fluid infusion and an NG tube in place following abdominal surgery. Which of the following data is the priority for the nurse to assess?
      A)
      The coping ability of the client
      B)
      The surgical dressing
      C)
      The client's bowel sounds
      D)
      The patency of the NG tube
    4. A nurse is caring for a client who has a respiratory illness that has resulted in chronic hypoxia. Which of these conditions can develop as a result of long-term hypoxia?
      A)
      Exophthalmos
      B)
      Gastric ulcerations
      C)
      Cardiac enlargement
      D)
      Urinary tract infections
    Page 2 of 15

    Exam Review

    1. A nurse in a cardiac care unit is caring for a client with acute right-sided heart failure. Which of the following findings should the nurse expect?
      A)
      Decreased specific gravity
      B)
      Increased pulmonary artery wedge pressure (PAWP).
      C)
      Elevated central venous pressure (CVP).
      D)
      Decreased brain natriuretic peptide (BNP).
    2. A nurse is triaging clients in an urgent care clinic. Which of the following clients should the nurse have the provider care for immediately?
      A)
      A middle adult male who is diaphoretic and reports epigastric pain
      B)
      An adolescent female client who is belligerent and has slurred speech
      C)
      A young adult with a painful sunburn of his face and arms
      D)
      A toddler who has a laceration on his forehead and is screaming
    3. A nurse is assessing a newly admitted client who states that they do not want to live anymore and plan to end their life. Which of the following actions should the nurse take?
      A)
      Allow the client time alone to self-reflect.
      B)
      Encourage the client to focus on the positive aspects of life.
      C)
      Ask the client about the lethality of their plan.
      D)
      Reassure the client that everything is going to work out.
    4. A nurse is caring for client who has sepsis and a prescription for vancomycin 1 g in 250 mL dextrose 5% (DSW) over 2 hr by IV intermittent bolus The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    Page 3 of 15

    Exam Review

    1. A home health nurse is interviewing a client and asks the client, "Have you or your family been exposed to any chemical liquids, fumes, lead, or unusual smells?" Which type of assessment is the nurse conducting?
      A)
      Mental status assessment
      B)
      An environmental health assessment
      C)
      Faith-based assessment
      D)
      Nutritional assessment
    2. A nurse is caring for a client who develops a ventricular fibrillation rhythm. The client is unresponsive, pulseless, and apneic. Which of the following actions is the nurse's priority?
      A)
      Defibrillation
      B)
      Epinephrine administration
      C)
      Airway management
      D)
      Amiodarone administration
    3. A nurse is triaging clients in the emergency department. Which of the following clients should the nurse ask the provider to care for first?
      A)
      An adolescent who has sickle cell disease, reports pain as 7 on a scale of 0 to 10, and requests pain medication
      B)
      A toddler who has asthma and has a pulse oximetry reading of 95% while receiving oxygen at 2 L/min
      C)
      A toddler who has otitis media. a temperature of 39.2° C (102.6° F), and purulent ear discharge
      D)
      A school-age child who has acute epiglottitis, is drooling, and has an absence of spontaneous cough
    4. A nurse is caring for a client who sustained blood loss. Which of the following is a manifestation of hypovolemia?
      A)
      Increased blood pressure
      B)
      Weak pulse
      C)
      Decreased heart rate
      D)
      Dyspnea
    Page 4 of 15

    Exam Review

    1. A client is admitted to the emergency room with a respiratory rate of 7/min. Arterial blood gases (ABG) reveal the following values. Which of the following is an appropriate analysis of the ABGs? pH 7.22 PaCO2 68 mm Hg Base excess -2 PaO2 78 mm Hg Saturation 80% Bicarbonate 26 mEq/L
      A)
      Metabolic alkalosis
      B)
      Metabolic acidosis
      C)
      Respiratory alkalosis
      D)
      Respiratory acidosis
    2. A nurse is caring for a client who experienced a femur fracture 8 hr ago and now reports sudden onset dyspnea and severe chest pain. Which of the following actions should the nurse take first?
      A)
      Provide high-flow oxygen.
      B)
      Administer an IV vasopressor medication.
      C)
      Monitor the client for headache.
      D)
      Check the client for a positive Chvostek's sign.
    3. A nurse is interviewing a client who states, "I am at a total loss and don't know what to do anymore. I feel hopeless." Which of the following responses should the nurse make?
      A)
      "You would like more information. I will get that for you right away."
      B)
      "You feel like you have no remaining options and are struggling to find a solution."
      C)
      "If you do not like your medications, would you like to try an alternative?"
      D)
      "Would you like to speak to a therapist after treatment?"
    4. A nurse is preparing to administer total parental nutrition (TPN) 1800 mL to infuse over 24 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    Page 5 of 15

    Exam Review

    1. A nurse is caring for a client who has increased intracranial pressure. Which of the following interventions should the nurse plan to include in the plan of care?(Select All that Apply.)
      A)
      Monitoring volume status
      B)
      Ensuring proper ventriculostomy transducer levels
      C)
      Managing sedation
      D)
      Completing hourly endotracheal suctioning
      E)
      Elevating the head of the bed 15°
    2. A community health nurse is providing education to a group of nurses about the functions of various government agencies. The nurse should include in the teaching that which of the following government agencies addresses food security by directly providing food to select populations?
      A)
      Office of Disease Prevention and Health Promotion (ODPHP)
      B)
      U.S. Department of Agriculture (USDA)
      C)
      U.S. Food and Drug Administration (FDA)
      D)
      U.S. Department of Health Resources and Services Administration (HRSA)
    3. A nurse is teaching a client who has flail chest about ways to prevent further respiratory complications. Which of the following statements indicates a need for further teaching?
      A)
      "I should breathe deeply."
      B)
      "I should cough frequently."
      C)
      "I should avoid pain medications as much as possible."
      D)
      "I should use an incentive spirometer regularly."
    4. A nurse is providing education about Medicaid to a client who is pregnant and cannot pay for medical insurance. The nurse should recognize that which of the following statements by the client indicates an understanding of the teaching?
      A)
      "When my baby is born, they can receive Medicaid as well."
      B)
      "Medicaid benefits are the same for everyone in the United States."
      C)
      "My income level does not impact whether or not I can receive Medicaid."
      D)
      "Medicaid is a federal-run health insurance program."
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