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Exam Review

A nurse is administering a powdered medication to a client.Which of the following actions should the nurse take first?
A)
Document that the medication was administered.
B)
Mix the medication at the client's bedside.
C)
Check the client for allergies.
D)
Determine the client's response to the medication.
A nurse is planning care for a client who requires screening for rectal cancer.Which of the following tests should the nurse anticipate in the client's care?
A)
Colonoscopy.
B)
Endoscopic retrograde cholangiopancreatography (ERCP).
C)
Upper GI series.
D)
Upper GI endoscopy.
A nurse is preparing to administer an enema to a client.Which of the following actions should the nurse plan to take?
A)
Place the client into a right lateral position.
B)
Warm the enema solution to room temperature.
C)
Use sterile technique.
D)
Lubricate the tubing with an oil-based lubricant.
A nurse is teaching a class about routes of medication administration.The nurse should include that which of the following routes has the fastest rate of absorption?
A)
Enteral.
B)
Intramuscular.
C)
Topical.
D)
Intravenous.

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Exam Review

A nurse is teaching a newly licensed nurse about the function of the large intestine.Which of the following information should the nurse include?
A)
It produces vitamin D.
B)
It prevents the reflux of food into the esophagus.
C)
It absorbs liquid to form stool.
D)
It secretes enzymes to digest food.
A nurse is assessing a client who has dehydration.Which of the following findings should the nurse expect?
A)
Cloudy urine.
B)
Urine osmolality of 200 mOsm/kg.
C)
Urine specific gravity of 1.015.
D)
Dark-colored urine.
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)
Return the opened medication to the medication cart.
B)
Report the incident to the provider.
C)
Fill out an incident report.
D)
Notify the facility's ethics committee.
A nurse is teaching a newly licensed nurse about adverse effects of medications.The nurse should include that which of the following medications can cause constipation?
(SATA)
A)
Anticholinergics/antispasmodics.
B)
Opioid narcotics.
C)
Iron supplements.
D)
Magnesium-containing antacids.

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Exam Review

A nurse is assessing a client who has had diarrhea for several days.Which of the following findings should the nurse expect?
A)
Hypothermia.
B)
Rigid abdomen.
C)
Decreased bowel sounds.
D)
Dehydration.
A nurse is teaching a newly licensed nurse about obtaining a fecal occult blood test from a client.Which of the following information should the nurse include?
A)
Collect two stool specimens from the same area of the stool.
B)
Use toilet paper to transfer the stool specimen.
C)
Apply four drops of developing solution to each stool specimen.
D)
Wait 30 seconds after applying the developing solution to obtain the results.
A nurse is teaching a client who has constipation.Which of the following statements should the nurse include?
A)
Reduce your daily activity.
B)
Try to defecate at different times of the day.
C)
Increase your daily fluid intake.
D)
Consume a low-fiber diet.
A nurse is planning to insert a female external urinary catheter for a client.Which of the following actions should the nurse plan to take?
A)
Replace the external urinary catheter once each day.
B)
Insert the catheter into the client's urethra.
C)
Apply a barrier cream to the client's perineal skin.
D)
Connect the catheter to continuous wall suction.

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Exam Review

A nurse is teaching a newly licensed nurse about adverse effects of medications.The nurse should include that which of the following medications can cause diarrhea?
A)
Aluminum-containing antacids.
B)
Magnesium-containing antacids.
C)
Antibiotics.
D)
Anticholinergics/antispasmodics.
E)
Opioid narcotics.
A nurse is teaching a client who is preoperative for a sigmoid colostomy.Which of the following statements should the nurse include?
A)
Your colostomy will not produce formed stool.
B)
The end of the stoma will be painful after this procedure.
C)
You should expect your stoma to be a purple color.
D)
You will have a stoma in your left lower abdomen.
A nurse is assessing a client who has urinary retention.Which of the following findings should the nurse expect?
A)
Blood in urine.
B)
Cloudy urine.
C)
Dark-colored urine.
D)
Leakage of urine.
A nurse is preparing to administer a metered dose inhaler (MDI) medication to a client.Which of the following actions should the nurse take?
A)
Ask the client to hold their breath for 2 seconds after inhalation.
B)
Wash the MDI canister in warm water after each use.
C)
Ask the client to inhale the medication quickly for 1 second.
D)
Shake the MDI prior to administration.

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Exam Review

A nurse is preparing to obtain a 24-hr urine collection from a client.Which of the following actions should the nurse plan to take?
A)
Include toilet paper with the collected urine.
B)
Save the first void at the start of the collection time period.
C)
Refrigerate the urine during the collection time period.
D)
Discard the client's last void at the end of the collection time period.
A nurse is caring for a client who has urinary leakage due to nerve damage following a spinal cord injury.The nurse should identify that the client is experiencing which of the following types of urinary incontinence?
A)
Reflex incontinence.
B)
Overflow incontinence.
C)
Stress incontinence.
D)
Urge incontinence.
A nurse is teaching a client who has urinary incontinence about avoiding foods and beverages that can cause bladder irritation.The nurse should include that which of the following foods and beverages is a bladder irritant?
A)
Fresh vegetables.
B)
Red meat.
C)
Dairy products.
D)
Caffeinated beverages.
A nurse is teaching a newly licensed nurse about an ileal conduit.The nurse should include which of the following information?
A)
A client has control of elimination through an ileal conduit.
B)
A client's ureters are attached to a section of the client's small intestine to form an ileal conduit.
C)
An ileal conduit is a tube that directly connects a client's kidney to an external pouch.
D)
Stool is passed through an ileal conduit located on a client's abdomen.

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Exam Review

A nurse is teaching a class about pharmacodynamics.The nurse should include that which of the following medication levels occurs when a medication is at the lowest serum concentration?
A)
Toxic.
B)
Peak.
C)
Trough.
D)
Half-life.
A nurse is preparing to administer an ophthalmic medication to a client.Which of the following actions should the nurse plan to take?
A)
Instill the ophthalmic medication directly on the client's cornea.
B)
Ask the client to tightly squeeze their eyes shut after the instillation.
C)
Clean the client's eye from the outer canthus to the inner canthus before instillation.
D)
Apply pressure to the client's nasolacrimal duct after instillation.
A nurse is teaching a newly licensed nurse about physiological changes in the digestive system that occur with aging.The nurse should include older adults might experience which of the following physiological changes?
A)
Increased muscle tone of the bowel.
B)
Increased gastric acid production.
C)
Decreased pH of the stomach.
D)
Decreased intestinal peristalsis.
A nurse is teaching a client who is preoperative for an ileostomy.Which of the following statements should the nurse include?
A)
The end of the stoma will be painful after this procedure.
B)
You should expect your stoma to be a purple color.
C)
You will have a stoma placed in your right lower abdomen.
D)
You will have solid stool pass through your stoma.

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