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    Exam Review

    1. A nurse is caring for a client who has deep-vein thrombosis and a new prescription for antiembolic stockings. Which of the following actions should the nurse take?
      A)
      Massage the legs before applying the stockings.
      B)
      Remove the stockings every 24 hr.
      C)
      Measure the legs with a tape measure to determine stocking size.
      D)
      Fold the stockings at the top if they are too long.
    2. 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)
      Reposition the NG tube.
      B)
      Add water to the formula.
      C)
      Increase the rate of formula delivery.
      D)
      Switch to a lactose-free formula.
    3. A nurse is providing teaching to a guardian of a child who has ADHD. Which of the following strategies should the nurse suggest to improve the child's ability to concentrate?
      A)
      Vary the child’s scheduled activities each day.
      B)
      Have the child write assignments by hand instead of using a computer.
      C)
      Ask the child to complete homework in an area with minimal distractions.
      D)
      Encourage the child to read a book during an outdoor school activity period.
    4. A nurse is caring for a group of clients and identifying what tasks she can delegate to an assistive personnel (AP). Which of the following tasks should the nurse delegate to an AP?
      A)
      Administer a glycerin suppository to a client.
      B)
      Perform rescue breathing for a client who becomes unresponsive.
      C)
      Provide home care instructions to a client's family member.
      D)
      Suction a client's newly inserted tracheostomy.
    Page 1 of 18

    Exam Review

    1. A nurse in a pediatric clinic is assessing a toddler at a well-child checkup. After reviewing the child's current medical record, which of the following interventions should the nurse expect the provider to prescribe?
      A)
      Iron supplementation
      B)
      Blood transfusion
      C)
      Antibiotic therapy
      D)
      Protective environment
    2. A nurse is caring for a client who has a new prescription for spironolactone and reports that they forgot to tell the provider that they take over-the-counter supplements. The nurse should instruct the client to avoid which of the following supplements?
      A)
      Magnesium
      B)
      Potassium
      C)
      Iron
      D)
      Calcium
    3. A nurse is assessing a client who is postpartum and has developed endometritis. Which of the following findings should the nurse expect?
      A)
      Chills
      B)
      Back pain
      C)
      Agitation
      D)
      Bradycardia
    4. A nurse is caring for a client who is in the latent phase of labor and reports severe back pain. The vaginal examination reveals that the cervix is dilated 2 cm, 25% effaced, and -2 station. Which of the following interventions should the nurse implement?
      A)
      Request the provider prescribe a pudendal nerve block.
      B)
      Place the client in a warm bath.
      C)
      Apply counterpressure during each contraction.
      D)
      Administer a dose of terbutaline to the client.
    Page 2 of 18

    Exam Review

    1. A nurse is caring for a client who is 12 hours postoperative following a below-the-knee amputation. Which of the following interventions should the nurse implement?
      A)
      Rewrap the bandage every 8 hours in a circular pattern.
      B)
      Instruct the client to use an overbed trapeze to move around in bed.
      C)
      Place the client on an air mattress.
      D)
      Turn the client every 4 hours while in bed.
    2. A nurse is preparing regular and NPH insulin in the same syringe for a client who has diabetes mellitus. Which of the following actions should the nurse take?
      A)
      Administer the mixture within 5 minutes of preparing it.
      B)
      Inject air into the regular insulin vial before injecting air into the NPH vial.
      C)
      Withdraw the NPH insulin before the regular insulin.
      D)
      Shake both insulin vials for 2 minutes before withdrawing the doses.
    3. A nurse is assessing a client who has a sliding hiatal hernia. Which of the following findings should the nurse expect?
      A)
      Heartburn
      B)
      Breathlessness
      C)
      Abdominal cramping
      D)
      Constipation
    4. A nurse is assessing a client who states that she becomes extremely anxious in social gatherings. She tells the nurse that she never feels "good enough" for her coworkers. The nurse should identify that these findings can indicate which of the following personality disorders?
      A)
      Borderline
      B)
      Obsessive-compulsive
      C)
      Histrionic
      D)
      Avoidant
    Page 3 of 18

    Exam Review

    1. A nurse is teaching a client who has osteoarthritis about joint protection strategies. Which of the following instructions should the nurse include?
      A)
      Push up from the bed with your fingers.
      B)
      Use both hands to hold objects.
      C)
      Sit in chairs with low, soft backs.
      D)
      Turn doorknobs clockwise.
    2. A nurse is teaching a client about using transdermal scopolamine to treat motion sickness. Which of the following instructions should the nurse include?
      A)
      "Store unused patches in the refrigerator."
      B)
      "Place the patch on your upper arm."
      C)
      "Apply the patch prior to traveling."
      D)
      "Replace a dislodged patch onto the same location."
    3. 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 know the provider will replace the lens in my eye during this procedure."
      B)
      "I will receive general anesthesia for this procedure."
      C)
      "I can expect my eyelids to be bruised after this procedure."
      D)
      "I will see dark spots in my vision after this procedure."
    4. A nurse is teaching a client who has a new colostomy about how to control odors and flatus. Which of the following instructions should the nurse include?
      A)
      "Chew sugar-free gum after each meal."
      B)
      "Include eggs in your daily diet."
      C)
      "Place a breath mint in the pouch."
      D)
      "Avoid drinking cranberry juice."
    Page 4 of 18

    Exam Review

    1. A nurse is teaching a newly licensed nurse about advance directives. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
      A)
      "A health care surrogate must be a family member."
      B)
      "The provider will choose a client's health care surrogate."
      C)
      "The provider can go against the client's wishes regarding advance directives."
      D)
      "The client can resume control of health care after a temporary loss of competency."
    2. A nurse is teaching a newly licensed nurse about caring for a client who has neutropenia. Which of the following instructions should the nurse include?
      A)
      Allow healthy children to visit.
      B)
      Use clean technique for invasive procedures.
      C)
      Make sure the client's room is cleaned every 2 days.
      D)
      Monitor the client's temperature every 4 hours.
    3. A nurse is assessing a client who has schizophrenia and is taking risperidone. Which of the following adverse effects of the medication is the priority finding for the nurse to report to the provider?
      A)
      Constipation
      B)
      Dry mouth
      C)
      Irregular pulse
      D)
      Visual disturbances
    4. A nurse at an acute care facility is teaching a client about fall risk prevention strategies for use during their stay at the facility. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "I should store my personal items all together on the shelf in my bathroom."
      B)
      "I will have to wear a restraint around my waist when I am sitting up in a chair."
      C)
      "I will wear a color-coded wristband so everyone knows I am at risk of falling."
      D)
      "I should keep the overhead lights on at all times while I am here."
    Page 5 of 18

    Exam Review

    1. A nurse is part of a task force planning to audit a facility's nursing units concerning adherence to hand-hygiene protocols. Which of the following steps should the task force take first?
      A)
      Determine the accepted standards for hand hygiene.
      B)
      Establish methods for collecting data within the facility.
      C)
      Compare the facility's data with the established criteria for hand hygiene.
      D)
      Take corrective measures to enforce hand hygiene.
    2. A nurse is reviewing the medical record of a client who has a prescription for misoprostol for induction of labor. Which of the following findings is a contraindication for administration of this medication?
      A)
      Intrauterine growth restriction
      B)
      Transverse fetal lie
      C)
      Postterm pregnancy
      D)
      Preeclampsia
    3. A nurse is teaching the guardian of a newborn about car seat safety. Which of the following statements by the guardian indicates an understanding of the teaching?
      A)
      "I will position my baby at a 45-degree angle in the car seat."
      B)
      "I will position the shoulder harness straps 3 inches above my baby's shoulders."
      C)
      "I will place the retainer clip on my baby's upper abdomen."
      D)
      "I will turn the car seat forward facing when my baby is 1 year old."
    4. A nurse is receiving information about four children during change-of-shift report. Which of the following children should the nurse assess first?
      A)
      A 2-year-old child who has diarrhea and reports abdominal pain
      B)
      A 3-year-old child who has an atrial septal defect and a heart rate of 120/min
      C)
      A 5-year-old child who has type 1 diabetes mellitus and a blood sugar of 150 mg/dL
      D)
      A 12-year-old child who has cystic fibrosis and reports difficulty clearing secretions
    Page 6 of 18