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    Exam Review

    1. A nurse is giving a report to their supervisor. Which of the following indicates a need for client care to be transferred to a registered nurse?
      A)
      The client needs routine wound care performed.
      B)
      The client is experiencing a therapeutic effect from their treatment.
      C)
      The client develops a postoperative fever.
      D)
      The client needs strict measurement of intake and output.
    2. A nurse is collecting data from a client who has pneumonia and a prescription for cefazolin. Which of the following findings should the nurse report to the provider prior to administering the initial dose? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.)
      A)
      Allergies
      B)
      Temperature
      C)
      Chest x-ray
      D)
      WBC count
    3. A nurse is assisting with the care of a client. A nurse is reviewing the client's electronic medical record. Which of the following findings on day 7 require further action? Select all that apply.
      (SATA)
      A)
      Weight
      B)
      Pedal pulses
      C)
      Temperature
      D)
      Orientation
      E)
      Potassium
      F)
      Chest x-ray
      G)
      Urine output
    4. A nurse is assisting with the care of a client in the clinic. Complete the following sentence by using the lists of options. The client is at greatest risk for developing ▾ hypoglycemiadue to use of▾ metoprolol.
      Dropdown 1:
      Option 1: bradycardia
      Option 2: hypoglycemia
      Option 3: paresthesia
      Dropdown 2:
      Option 1: metformin
      Option 2: metoprolol
      Option 3: potassium
    Page 1 of 45

    Exam Review

    1. A nurse is caring for a client on the medical surgical unit.
      (Highlight — findings requiring follow-up are marked)

      A nurse is caring for a client on the medical surgical unit.

      Click to highlight the findings at 1630 that require immediate follow-up. To deselect a finding, click on the finding again.

      Body System

      Findings

      Cardiovascular

      S1,S2, no murmur, bradycardia

      Respiratory

      decreased respiratory effort, equal chest expansion, bilateral crackles

      Neurologic

      somnolent

      Head, Ears, Eyes, Nose, and Throat(HEENT)

      oropharynx clear, mucous membranes moist, pinpoint pupils

      Vital Signs

      Temperature 37.4°C (99.4°F)

      Heart rate 58/min

      Respiratory rate 10min

      Blood pressure 98/58 mm Hg
    2. A nurse is caring for a client who has hypertension and a prescription for a 2-gram sodium diet. Which of the following foods should the nurse recommend as having the lowest amount of sodium?
      A)
      Cheddar cheese
      B)
      Salad dressing
      C)
      Frozen fruit
      D)
      Hot dogs
    3. A nurse is caring for a client who has a new prescription for oxycodone. Which of the following medications should the nurse remind the client to take regularly to prevent a common adverse effect of oxycodone?
      A)
      Lorazepam
      B)
      Docusate sodium
      C)
      Ranitidine
      D)
      Gabapentin
    4. A nurse is assisting in the care of a client at the clinic. Complete the following sentence by using the lists of options. The client is at risk for▾ spontaneous abortion due to▾ cervical dilation.
      Dropdown 1:
      Option 1: molar pregnancy
      Option 2: spontaneous abortion
      Option 3: ectopic pregnancy
      Dropdown 2:
      Option 1: cervical dilation
      Option 2: hCG levels
      Option 3: history of chlamydia infections
    Page 2 of 45

    Exam Review

    1. A nurse is reinforcing discharge teaching with a client following a gastrectomy. Which of the following foods should the nurse instruct the client to consume to prevent dumping syndrome?
      A)
      Poached eggs
      B)
      Ice cream
      C)
      Peppermints
      D)
      Coleslaw
    2. A nurse is caring for a client who is experiencing acute alcohol withdrawal. Which of the following findings is the nurse's priority?
      A)
      Seizures
      B)
      Tachycardia
      C)
      Elevated temperature
      D)
      Cramping
    3. A nurse is assisting with the care of client in a clinic. Based on the information in the client's medical record, which of the foll owing findings require immediate follow-up? Select the 4 findings that require immediate follow-up by the nurse.
      A)
      Attends school regularly
      B)
      Friend reporting client is not themselves
      C)
      Heart rate 99/min
      D)
      Blood pressure 122/80 mmHg
      E)
      Witnessing the death of their parents and sibling
      F)
      Smoking marijuana to clear their mind
      G)
      Client experiences nightmares
      H)
      Startles easy during thunderstorm
    4. A nurse is assisting in the care of a child. Which of the following provider prescriptions is anticipated, nonessential, or contraindicated for the child? For each potential provider’s prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the child. There must be at least 1 selection in every row. There does not need to b e a selection in every column.
      A)
      Monitor the child's respiratory status frequently.
      B)
      Prepare the child for an endoscopic exam.
      C)
      Examine each stool the child passes.
      D)
      Encourage the child to consume soft foods.
      E)
      Place nasogastric tube to low-intermittent suction.
    Page 3 of 45

    Exam Review

    1. A nurse is providing a client with IV fluids and finds that the IV pump screen is malfunctioning. Which of the following actions should the nurse take?
      A)
      Discontinue use and tag the IV pump.
      B)
      Plug the IV pump's cord into a different outlet.
      C)
      Replace the IV pump's tubing
      D)
      Clear the settings and reset the IV pump.
    2. A nurse is assisting in the care of a client who has terminal cancer. Which of the following actions should the nurse take to promote the client's autonomy?
      A)
      Administer pain medication on a routine schedule.
      B)
      Follow facility protocol when performing a procedure on the client.
      C)
      Keep an agreement made with the client to administer an antiemetic medication.
      D)
      Include the client's input when setting treatment goals.
    3. A nurse is collecting data from a client who is at 20 weeks of gestation and has been taking ferrous sulfate. For which of the following findings should the nurse monitor as a common adverse effect of iron supplementation and report to the provider?
      A)
      Dry mouth
      B)
      Tinnitus
      C)
      Hematuria
      D)
      Constipation
    4. A charge nurse is reinforcing teaching with a newly licensed nurse about performing a 12-lead ECG. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
      A)
      "This test is a sonogram of the heart."
      B)
      "The client should hold their breath during the test."
      C)
      The client needs to sign an informed consent for this test."
      D)
      "The test records electrical impulses of the heart."
    Page 4 of 45

    Exam Review

    1. A nurse is caring for a client who reports having an allergy to penicillin. Which of the following manifestations indicates an allergic reaction to penicillin?
      A)
      Nausea
      B)
      Angioedema
      C)
      Insomnia
      D)
      Diarrhea
    2. A nurse is collecting data from a client who has macular degeneration. Which of the following findings should the nurse expect?
      A)
      Client reports sharp pain
      B)
      Astigmatism
      C)
      Loss of central vision
      D)
      Nystagmus
    3. A nurse on a mental health unit is collecting data from a client who has an anxiety disorder. Which of the following actions by the client should the nurse identify as the use of displacement?
      A)
      Punching the bed pillow when the staff denies the use of the telephone.
      B)
      Writing a short story depicting themselves as a superhero.
      C)
      Blaming their parent for a lack of attention received during childhood.
      D)
      Having an aggressive outburst when meal selection is unavailable.
    4. A nurse is assisting with the admission of a client who has Hodgkin's disease and is receiving chemotherapy. Because a private room is not available, the nurse should recommend that the client share a room with another client who has which of the following diagnoses?
      A)
      Community-acquired pneumonia
      B)
      Paget's disease
      C)
      Herpes zoster
      D)
      Clostridioides difficile colitis
    Page 5 of 45

    Exam Review

    1. A nurse is collecting data from a client who has pyelonephritis and is receiving gentamicin via IV infusion. Which of the following manifestations should the nurse identify as an adverse effect of the treatment?
      A)
      Hearing loss
      B)
      Chvostek's sign
      C)
      Constipation
      D)
      Hypertension
    2. A nurse is reinforcing discharge teaching to a client who has bronchitis, about a prescription for albuterol. Which of the following statements should the nurse make?
      A)
      "You can expect to be drowsy after taking this medication."
      B)
      "The medication will help open up your airways so you can breathe easier."
      C)
      "The medication will help thin the mucus your airways produce."
      D)
      "You must wait 10 seconds between each inhalation."
    3. A nurse is caring for a client who has right-sided hemiplegia following a stroke. Which of the following actions should the nurse take to assist the client from the bed to a wheelchair?
      A)
      Ask the client to reach around the nurse's neck for support.
      B)
      Place the wheelchair on the left side of the client.
      C)
      Pivot the client on the foot closest to the chair.
      D)
      Reach under the client's arms to pull them up.
    4. A nurse is caring for a client who has dehydration. Which of the following findings should the nurse expect?
      A)
      Bradycardia
      B)
      Postural hypotension
      C)
      Peripheral edema
      D)
      Distended neck veins
    Page 6 of 45