Exam Review

A nurse is teaching a class about reducing the risk of medication errors. Which of the following information should the nurse include?
A)
Remove medications from automatic dispensing systems before they are reviewed by pharmacists.
B)
Provide the nurse administering medications with an identifying vest.
C)
Prepare medications for multiple clients at the same time.
D)
Walt to document medications given to clients until the end of a shift.
A charge nurse is reviewing morning laboratory reports for clients on the unit. The charge nurse should recognize that which of the following laboratory findings is the priority to report to the provider?
A)
A client who has an INR of 5.2.
B)
A client who has a BUN of 21 mg/dL.
C)
A client who has a hemoglobin of 19 g/dL.
D)
A client who has a fasting glucose level of 69 mg/dL.
A charge nurse in the emergency department is assigning acuity levels to four clients. To which of the following clients should the nurse assign an acuity level of 1?
A)
A client who has a cough and a fever of 38.4° C (101.1° F).
B)
A client who is having stroke-like symptoms that began 30 min ago.
C)
A client who twisted their ankle playing soccer.
D)
A client who has COPD and an oxygen saturation of 93%.
A nurse is assessing a client who is receiving continuous IV therapy through a peripheral IV. The catheter site is cool and taut, and there is IV fluid leaking. The nurse should identify that the client has manifestations of which of the following complications?
A)
Circulatory overload
B)
Infection
C)
Infiltration
D)
Phlebitis

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Exam Review

A nurse is teaching a client newly diagnosed with type I diabetes mellitus. A referral for a dietician has been initiated. Which of the following statements by the client indicates the purpose for the referral?
A)
"The dietician will help me with my diet due to diabetes."
B)
"The dietician will assist me in affording my medication."
C)
"The dietician will coordinate my care."
D)
"The dietician will change my treatment plan."
A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as a non-modifiable risk factor for disease?
A)
Sunbathing
B)
Unhealthy diet
C)
Smoking
D)
Genetics
A nurse opens a unit-dose of a prescribed medication prior to administering it to a client. The client refuses to take the medication. Which of the following actions should the nurse take?
A)
Fill out an incident report.
B)
Notify the facility's ethics committee.
C)
Report the incident to the provider.
D)
Return the opened medication to the medication cart.
A nurse on a medical unit is reviewing the laboratory reports for a client. Which of the following laboratory values is the priority to report to the provider?
A)
Creatinine 0.4 mg/dL
B)
BUN 9.5 mg/dL
C)
Sodium 135 mEq/L
D)
Potassium level 3 mEq/L

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Exam Review

A nurse is assessing a client's environment. Which of the following client statements indicates that a client is living in a faulty built environment?
A)
The client reports a lack of community centers in their neighborhood.
B)
The client reports there are no bike paths or running trails in their community.
C)
The client reports that there is limited public parking on their street.
D)
The client reports contaminants in their drinking water at home.
A nurse is preparing to provide discharge teaching for an adolescent who has a cognitive disorder and their parents. Which of the following actions should the nurse take?
A)
Include abstract imagery.
B)
Ensure that the television is on
C)
Use short directive statements.
D)
Include medical slang.
A nurse manager at a public health clinic is working to expand diversity of the clinic's nursing staff. The manager knows that which of the following factors is a barrier to creating a diverse workforce?
A)
Nurses of color are 8% of the national workforce.
B)
Decrease in diverse populations
C)
Male nurses are less than 10% of the national workforce.
D)
Distrust of the health care system
A nurse is preparing to delegate tasks to an assistive personnel (AP). The nurse should identify which of the following as one of the five rights of delegation?
A)
Right documentation
B)
Right time
C)
Right room
D)
Right communication

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Exam Review

A nurse is assessing a client who is receiving intermittent enteral nutrition through a nasogastric tube. Which of the following assessments is the nurse's priority?
A)
The client is reporting constipation.
B)
The client reports being thirsty.
C)
The client is experiencing abdominal cramping.
D)
The client is regurgitating the enteral formula.
A nurse is providing teaching to a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching?
A)
"I should not take my regular insulin when I am sick."
B)
"I should eat a snack half an hour before playing soccer."
C)
"My morning blood glucose should be between 90 and 130."
D)
"I can store unopened bottles of insulin in the freezer."
A nurse is preparing to admit a client who has a new diagnosis of methicillin-resistant Staphylococcus aureus (MRSA). The nurse should plan to place the client in which of the following types of transmission-based precautions?
A)
Protective
B)
Airborne
C)
Contact
D)
Droplet
A nurse in an emergency department is performing triage on a group of clients. Which of the following clients should the nurse see first?
A)
A client who reports urinary burning and a temperature of 39.2° C (102.5° F).
B)
A client who has cirrhosis of the liver and bruising on their arms.
C)
A client who has heart failure and peripheral edema.
D)
A client who has a new onset of atrial fibrillation and a heart rate of 152/min.

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Exam Review

A nurse is performing a medication reconciliation while admitting an older adult client transferred from a long-term care facility. Which of the following should the nurse identify as part of the medication reconciliation process?
A)
Medications from another facility
B)
Discontinuation of medications
C)
Recommendation for prescribed medications
D)
Medications for another pharmacy
A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as a modifiable risk factor for developing a disease?
A)
Sunbathing
B)
Age
C)
Genetics
D)
Family history
A nurse working at a community health center is caring for a client who has diabetes mellitus. The client says, "I don't want to lose my vision." Which of the following responses should the nurse make?
A)
"This happens if you fail to control your blood sugar."
B)
"It sounds like you are worried about the complications of diabetes."
C)
"There are many clients who have diabetes that don't end up losing their vision."
D)
"I have a client that recently lost their vision."
A nurse is caring for a client who has asthma and allergies. The client asks the nurse about environmental influences they should avoid. The nurse should inform the client to avoid which of the following?
A)
Hepatitis B
B)
Cockroaches
C)
Radon
D)
Mold

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Exam Review

A home health nurse cares for a neighborhood of diverse clients. Which of the following aspects of cultural diversity should the nurse remember when caring for the clients?
A)
Caring for diverse clients will require balancing differences and needs
B)
Individuals who live in the same neighborhood will accept the same care level
C)
There should be no variation in the delivery of care among diverse clients.
D)
The nurse should determine the plan of care regardless of client diversity
A nurse is providing teaching about self-administration of insulin to the parent of a school-age child who has a new of diabetes mellitus. Which of the following statements by the parent indicates a need for further teaching?
A)
"I will be sure my child aspirates before injecting the insulin."
B)
"The insulin should be injected at a 90-degree angle."
C)
"The insulin can be injected anywhere there is adipose tissue."
D)
"I will be sure my child rotates sites after 5 injections in one area."
A public health nurse has been working with other staff at the health department to complete a community health assessment for their city. As part of their core function of assessment, which of the following should be done with the information?
A)
Post the analyzed findings on the health department section of the city's website.
B)
Educate members of a vulnerable population identified in the assessment about available public health services.
C)
Prepare a plan to address a health issue in a specific area of the city.
D)
Conduct focus groups with local residents to discuss their usage of public health services.
A nurse assessing a client who has iron deficiency. Which of the following findings should the nurse expect?
A)
Goiter
B)
Fatigue
C)
Tetany
D)
Tooth decay

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