Exam Review
- The nurse is collecting a medical history on a 34-year old client. The client reports: "I take oral antibiotics whenever she gets a sore throat, because she cannot afford to lose any time at work". What is the nurse's best response?A)"Most sore throats are caused by viruses that do not respond to antibiotics".B)"Please bring me your bottle of antibiotics so I can verify the label".C)"A streptococcal sore throat is more likely to occur when you do not have a fever".D)"You do not need a throat culture as long as you already have antibiotics".
- While conducting a focused neurological assessment, the nurse includes testing the function of cranial nerve XI in a client. What assessment findings indicate the nerve is intact and functioning?A)The client is able to stick out the tongue midline and side to side.B)The client follows an object with the eyes without nystagmus or strabismus.C)The client has equal strength when moving both shoulders against resistance.D)The client is able to hear normally with the whispered voice test.
- The nurse performs an admission assessment on a client admitted with chest pain. The nurse knows that using the bell of the stethoscope is appropriate to auscultate for which type of sounds?A)Heart murmurs (S3, S4)B)Breath soundsC)Normal heart (S1,S2)D)Bowel sounds
- You are examining a client with respiratory distress. Which physical assessment would best determine if the client has acute hypoxemia?A)Inspect the nailbeds for the presence of clubbing.B)Inspect the nailbeds and mucous membranes for the presence of cyanosis.C)Palpate for areas of decreased tactile fremitus.D)Auscultate for the presence of any adventitious breath sounds.
Exam Review
- A nurse is preparing to administer amoxicillin 100 mg PO every 8 hr to a toddler who weighs 20 kg. The recommended dosage range is 20 to 25 mg/kg/day. Which action by the nurse is appropriate?A)The nurse determines the prescription is insufficient to achieve the desired effect.B)The nurse determines the prescription is above the recommended dosage range.C)The nurse contacts the pharmacist to adjust the prescribed dosage.D)The nurse administers the prescribed dosage.
- What physical assessment technique would the nurse use to obtain a pulse on a client?A)Bimanual palpationB)Deep palpationC)PercussionD)Light palpation
- A nurse has been assigned four patients of which one of the patients is completely immobile. Which complication should the nurse expect as a result of immobility? (Select all that apply.)(SATA)A)Pressure ulcersB)Contractures of the extremitiesC)development of deep vein thrombosisD)Crackles in the lungsE)PolyuriaF)Diarrhea
- A nurse in the outpatient clinic is caring for a client with a serum calcium level of 7.5 mg/dL (8.5-10.2 mg/dL). What nursing intervention is most important when providing care for this client? (Select All That Apply).(SATA)A)Prepare the client for hemodialysis.B)Initiate safety precautions to protect the client from injury.C)Administer to the client prescribed calcium supplement.D)Assess the client for tetany.E)Educate the client to avoid foods that are high in calcium.
Exam Review
- The nurse in the trauma unit has received a report on a client who has multiple injuries as a result of a motor vehicle crash. Which action should the nurse plan to take first?A)Evaluate chest expansion.B)Check client's response to questions about place and time.C)Check pupillary response to light.D)Assess the capillary refill.
- The nurse is caring for a client who is admitted to the medical-surgical unit for gastrointestinal disorders. While conducting a focused assessment, the nurse prepares to lightly palpate the client's abdomen. Which part of the hand should the nurse use?A)Dorsal surface of the hand.B)Fingertips and palmer surface of the fingers.C)Palmer surface of the fingers.D)Finger pads.
- The nurse is admitting a client to the medical-surgical unit and notes the skin breakdown shown in the diagram. How should the nurse document the finding?A)Stage IIIB)unstageableC)necrotic stage ID)stage II
- A nurse in the urgent care facility is assessing a client who reports frequent vomiting and diarrhea for the past 3 days. Which objective findings should the nurse expect? (Select three options that apply.)A)Pale yellow urineB)Flat neck veinsC)HypotensionD)Poor skin turgorE)Bradycardia
Exam Review
- The nurse is caring for a client who was admitted two days ago and diagnosed with influenza and acute otitis media. Admitting diagnosis Influenza Acute otitis media Complete the sentence by using the list of options is the most effective action the nurse can teach to prevent the spread of infection.
- The nurse is preparing to assess the sinuses of an adult client using direct percussion. Which technique is the most appropriate for this assessment?A)Using the closed fist of the dominant hand.B)Using the hyperextended middle finger of the non-dominant hand.C)Using the palm of the non-dominant hand.D)Using the fingertips of the dominant hand.
- In caring for a quadriplegic client which action would the nurse implement to prevent skin breakdown?A)Reposition the client every 2 hours.B)Apply compression stockings.C)Ambulate the client at least once per shift.D)Perform hourly skin checks.
- The nurse reviews the arterial blood gas (ABG) results of a client and notes the results: pH 7.46 pH units, [normal range: 7.35-7.45] Paco2 of 30 mm Hg (30 mmol/L), [normal range: 35-45] HCO3- of 20 mEq/L (20 mmol/L). [normal range [22-26] When analyzing the client's ABG results, which condition would the nurse determine the client is experiencing?A)Metabolic acidosisB)Metabolic alkalosisC)Respiratory alkalosisD)Respiratory acidosis
Exam Review
- While checking the client's medication administration record, it was determined the client received the wrong medication. Which action should the nurse implement first?A)Complete an incident report.B)Assess the client.C)Notify the nurse manager.D)Call the client's provider.
- The nurse receives four clients in the emergency department from triage at the same time. Which client requires the nurse's immediate attention?A)Client with an acute allergic reactionB)Client with lung cancer reports ongoing coughC)Client with dyspnea on exertionD)Client with sinus infection with nasal discharge
- A client with an inability to read billboards while driving, arrives to the clinic for an eye examination. Which piece of equipment would the nurse use to evaluate the client's distant vision?A)Snellen chartB)OtoscopeC)PenlightD)Rhine test
- A nurse is preparing to administer vancomycin 15 mg/kg/day divided equally every 12 hr. The client weighs 198 lb. How many mg should the nurse administer with each dose? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
Exam Review
- The nurse is caring for a group of clients in the outpatient facility. Which clients are at risk for developing skin cancer? Select three options that place a client at risk for skin cancerA)The client who experienced numbness in the right arm that has resolved after several hours.B)The client whom is a roofer and spends a lot of time outdoors participating in sports with complaints of blistering sunburnsC)The client with fair skin complexion and blue eyesD)The client who has worked in the beauty parlor providing pedicures and manicures
- A nurse is obtaining a health history from a client that has a serum potassium level of 3.2 mEq (3.5-5.0 mEq). What statements made by the client indicate a potential cause of this clinical manifestation? Select All That Apply.A)"I take electrolyte supplements because I am on a diuretic".B)"My blood glucose has been very high lately because I have type I diabetes.C)I have been vomiting everything I ate and drank for the past 2 days".D)"At home we eat a lot of green leafy vegetables".E)"I've had diarrhea for several days".
- A client is to receive enoxaparin 30 mg subcutaneously. Available is enoxaparin 40 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
- A client is receiving the diuretic hydrochlorothiazide. When evaluating the client's response to hydrochlorothiazide, which common nontherapeutic response is important for the nurse to monitor?A)Elevated glucose levelsB)DysrhythmiasC)Elevated blood pressureD)Impaired airway