Exam Review
- A nurse is assessing a child who is postoperative following a tonsillectomy. Which of the following findings should the nurse identify as the priority?A)Sore throatB)Blood-tinged mucusC)Frequent swallowingD)Dark brown emesis
- A community health nurse is providing education to a group of older adults about immunizations. Which of the following immunizations should the nurse recommend?A)Herpes zosterB)Diphtheria, tetanus, and acellular pertussis (DTaP)C)Human papillomavirus (HPV)D)Rotavirus
- A nurse is caring for a client who has Crohn's disease. The nurse calculates that the client's BMI is 17.2. The nurse should document the client's weight status as being within which of the following categories?A)Healthy weightB)OverweightC)UnderweightD)Obesity class 1
- A nurse in an acute mental health facility is teaching a client about the potential adverse effects of transcranial magnetic stimulation. The nurse tells the client that he might feel lightheaded, but that it should not affect his memory. The nurse is demonstrating which of the following ethical principles?A)BeneficenceB)FidelityC)AutonomyD)Veracity
Exam Review
- A charge nurse observes smoke coming from a trash receptacle in the unit's waiting room. Which of the following actions should the nurse take first?A)Close the doors and windows on the unitB)Activate the fire alarm system.C)Obtain and use a fire extinguisherD)Evacuate clients from the area.E)NoneF)None
- A nurse is preparing to insert an indwelling urinary catheter for a female client. Which of the following actions should the nurse take first?A)Lubricate the catheter with water-soluble gel.B)Attach a prefilled syringe to the indwelling catheter inflation hubC)Cleanse the client's meatus with antiseptic solution.D)Position the client with her knees flexed and legs apart.
- A nurse is caring for a client who is preoperative for cataract removal. Which of the following statements by the client indicates an understanding of the procedure?A)"I can expect my eyelids to be bruised after this procedure."B)"I know the provider will replace the lens in my eyes during this procedure."C)"I will see dark spots in my vision after this procedure."D)"I will receive general anesthesia for this procedure."
- A nurse on a medical-surgical unit is accepting a telephone prescription for a client who requires medication for insomnia. Which of the following actions should the nurse take?A)Repeat the complete prescription back to the provider.B)Have a provider who is on site sign the prescription.C)Have the unit secretary enter the prescription on the provider's order form.D)Verify the accuracy of the prescription with the pharmacist.
Exam Review
- A nurse is caring for a client who is 12 hr postoperative following a below-the-knee amputation. Which of the following interventions should the nurse implement?A)Place the client on an air mattress.B)Rewrap the bandage every 8 hr in a circular pattern.C)Turn the client every 4 hr while in bed.D)Instruct the client to use an overbed trapeze to move around in bed.
- A nurse is caring for a client who has deep-vein thrombosis and a new prescription for antiembolitic stockings. Which of the following actions should the nurse take?A)Fold the stockings at the top if they are too long.B)Remove the stockings every 24 hr.C)Massage the legs before applying the stockings.D)Measure the legs with a tape measure to determine stocking size.
- A nurse is performing a physical assessment of a newborn whose mother used cocaine throughout the pregnancy. Which of the following findings should the nurse expect?A)IrritabilityB)Increased head circumferenceC)HypotonicityD)Decreased auditory startle response
- A nurse is reviewing laboratory data for a client who has a new prescription for valproic acid. Which of the following baseline results should the nurse review prior to administering the first dose of the medication?A)Potassium levelB)Thyroid function testsC)Uric acid levelD)Liver function tests
Exam Review
- A nurse is caring for four children in an emergency department. Which of the following clients should the nurse assess first?A)A child who has acute epiglottitis and is droolingB)A child who has a urinary tract infection and bright red blood in her urineC)A child who has mononucleosis and reports severe fatigueD)A child who has Wilms' tumor and an abdominal mass
- A nurse is preparing to administer medication to a client and discovers that a nurse on the previous shift gave the client a wrong dose of the medication. Which of the following actions should the nurse take?A)Call the nurse who made the error to discuss the medication error.B)File an incident report within 24 hr.C)Notify the facility's pharmacist within 1 hr of the incident.D)Place an incident report in the client's medical record.
- A nurse is caring for a client who has a new prescription for spironolactone and reports that he forgot to tell the provider that he takes over-the- counter supplements. The nurse should instruct the client to avoid which of the following supplements?A)CalciumB)PotassiumC)IronD)Magnesium
- A nurse is assessing a client who is taking digoxin to treat chronic heart failure. Which of the following findings should indicate to the nurse that the client is developing digoxin toxicity?A)TachycardiaB)Hearing lossC)InsomniaD)Blurred vision
Exam Review
- A nurse is planning care for a client who is undergoing alcohol withdrawal and is receiving diazepam. Which of the following interventions should the nurse include in the plan?A)Administer the medication subcutaneously.B)Initiate seizure precautions.C)Administer the medication with an antacid.D)Initiate contact precautions.
- A nurse is verifying how a client who is postpartum will use a car seat for her newborn. Which of the following statements should the nurse identify as an indication that the client understands the safe use of a car seat?A)"I'll place him in the back seat facing the back seat."B)"I'll place him in the front seat facing the front of the car."C)"I’ll place him in the back seat facing the back of the front seat."D)"I’ll place him in the front seat facing the back of the car.”
- While a nurse is caring for a client who is receiving mechanical ventilation via an endotracheal tube, the high-pressure alarm on the ventilator sounds. Which of the following actions should the nurse take?A)Suction the client's airway.B)Look for a leak in the tube's cuffC)Tighten the tubing connections.D)Request insertion of a tracheostomy tube
- A nurse at a health department is providing anticipatory guidance to the parent of a 1-month-old infant. The nurse should inform the parent that the infant should receive which of the following immunizations at the age of 2 months?A)InfluenzaB)Hepatitis AC)VaricellaD)Rotavirus
Exam Review
- A nurse is assessing a client who is receiving enteral feedings via an NG tube. The client has developed hyperosmolar dehydration. Which of the following actions should the nurse take when administering the client's feedings?A)Switch to a lactose-free formula.B)Reposition the NG tube.C)Increase the rate of formula delivery.D)Add water to the formula.
- A community health nurse is planning an educational program on Lyme disease for the general public. Which of the following statements should the nurse include in the program?A)"Symptoms of Lyme disease appear 2 days after being bitten by an infected tick."B)"If bitten by a tick, testing for Lyme disease should occur within 2 weeks."C)"Use a product with DEET on your skin and clothes when you are walking in a wooded area."D)"Remove embedded ticks by squeezing the body with tweezers."
- A nurse is observing an assistive personnel (AP) measure blood pressures from the right arms of a group of clients. The nurse should instruct the AP to measure the blood pressure in the left arm of which of the following clients?A)A client who had a right hemisphere strokeB)A client who had dialysis and is using an arteriovenous shunt in the left lower forearmC)A client who had blood drawn from the right antecubital area 1 hr agoD)A client who has a right peripherally inserted central catheter
- A nurse is performing an admission assessment of a school-age child who has spina bifida. The parent states that the child is allergic to latex. The nurse should assess further for cross-sensitivity to which of the following foods?A)AlmondsB)BananasC)StrawberriesD)Hazelnuts