Exam Review

A nurse is assessing a client who is taking losartan. Which of the following findings should the nurse identify as an adverse effect of this medication?
A)
Hypertension.
B)
Double vision.
C)
Dizziness.
D)
Hyperactivity.
A nurse is teaching a client who has osteoarthritis about joint protection strategies. Which of the following instructions should the nurse include?
A)
Sit in chairs with low, soft backs.
B)
Use both hands to hold objects.
C)
Push up from the bed with your fingers.
D)
Turn doorknobs clockwise.
A nurse is providing dietary teaching to the guardian of a preschooler who has celiac disease. Which of the following foods should the nurse recommend including in the preschooler's diet?
A)
A corn tortilla with black beans.
B)
Low sodium vegetable soup with barley.
C)
Whole wheat pasta with shrimp.
D)
A bologna sandwich on rye bread.
E)
None
F)
None
A nurse is providing dietary teaching to the guardian of a preschooler who has celiac disease. Which of the following foods should the nurse recommend including in the preschooler's diet?
A)
A corn tortilla with black beans.
B)
Low sodium vegetable soup with barley.
C)
Whole wheat pasta with shrimp.
D)
A bologna sandwich on rye bread.

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Exam Review

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)
Bradycardia.
D)
Agitation.
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)
Potassium.
B)
Calcium.
C)
Iron.
D)
Magnesium.
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 12-year-old child who has cystic fibrosis and reports difficulty clearing secretions.
B)
A 3-year-old child who has an atrial septal defect and a heart rate of 120/min.
C)
A 2-year-old child who has diarrhea and reports abdominal pain.
D)
A 5-year-old child who has type 1 diabetes mellitus and a blood sugar of 150 mg/dL.
A nurse is assessing a client who is experiencing profuse vomiting. Upon admission, the client's vital signs were within the expected reference range, but now the client's blood pressure is 86/58 mm Hg, his pulse is 114/min and weak, and his respiratory rate is 27/min. The client appears restless and anxious and states that he thinks he is dying. Which of the following actions should the nurse take first?
A)
Administer a vasoconstrictor.
B)
Increase the IV infusion rate.
C)
Elevate the client's feet.
D)
Initiate oxygen therapy.

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Exam Review

A nurse is teaching a client who has a new prescription for tetracycline. Which of the following information should the nurse include in the teaching?
A)
You should take this medication with milk.
B)
You should take this medication at bedtime.
C)
Light sensitivity is an adverse effect of this medication.
D)
Constipation is an adverse effect of this medication.
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)
Encourage the child to read a book during an outdoor school activity period.
C)
Ask the child to complete homework in an area with minimal distractions.
D)
Have the child write assignments by hand instead of using a computer.
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.
A nurse is caring for a client who has schizophrenia. The client states, "The voices in my head are driving me crazy.”. Which of the following Questions should the nurse ask?
A)
What are the voices saying to you?
B)
Why are the voices talking to you?
C)
Would you like to go to your therapy session now?
D)
Have you missed your medication today?

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Exam Review

A nurse is teaching a client who has GERD about appropriate dietary choices. Which of the following food choices by the client indicates an understanding of the teaching?
A)
Tomato soup.
B)
White fish.
C)
Hot cocoa.
D)
Decaffeinated coffee.
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)
Turn the client every 4 hours while in bed.
C)
Instruct the client to use an overbed trapeze to move around in bed.
D)
Place the client on an air mattress.
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)
Tachycardia.
B)
Insomnia.
C)
Hearing loss.
D)
Blurred vision.
A nurse is teaching the parent of a newborn who underwent a circumcision using the Gomco method. Which of the following statements by the parent indicates an understanding of the teaching?
A)
I will apply petroleum to my baby's penis with each diaper change.
B)
I will wipe off the yellow drainage each time I change my baby's diaper.
C)
I will use the diaper to apply gentle pressure to the area.
D)
I will clean my baby's penis with alcohol after each diaper change.

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Exam Review

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 will wear a color-coded wristband so everyone knows I am at risk of falling.
B)
I will have to wear a restraint around my waist when I am sitting up in a chair.
C)
I should store my personal items all together on the shelf in my bathroom.
D)
I should keep the overhead lights on at all times while I am here.
A nurse is preparing to administer timolol eye drops to a client who has glaucoma. In which order should the nurse perform the following steps?
A)
Verify the clarity and color of the eye drops.
B)
Pull the client's lower lid down with the nondominant hand.
C)
Apply gentle pressure to the client's punctum.
D)
Tilt the client's head backward toward the ceiling.
E)
Administer the prescribed number of drops.
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)
Provide home care instructions to a client's family member.
C)
Suction a client's newly inserted tracheostomy.
D)
Perform rescue breathing for a client who becomes unresponsive.
A nurse in an emergency department (ED) is assessing a preschooler who has a fractured arm. For which of the following should the nurse further investigate as a warning sign of child maltreatment?
A)
The guardian states the child fell off the swing in the backyard.
B)
The child cries loudly when their arm is moved or manipulated.
C)
The guardian wants to accompany the child from the ED to the radiology department.
D)
The child was brought to the ED 2 days after the injury occurred.

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Exam Review

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)
"Avoid drinking cranberry juice.”.
B)
"Place a breath mint in the pouch.”.
C)
"Include eggs in your daily diet.”.
D)
"Chew sugar-free gum after each meal.”. *
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 will see dark spots in my vision after this procedure.”.
B)
"I can expect my eyelids to be bruised after this procedure.”.
C)
"I will receive general anesthesia for this procedure.”.
D)
"I know the provider will replace the lens in my eyes during this procedure.”. *
A nurse is assessing a client who has a sliding hiatal hernia. Which of the following findings should the nurse expect?
A)
Heartburn.
B)
Abdominal cramping.
C)
Breathlessness.
D)
Constipation.
A nurse is replacing the dressing for a client who is postoperative following thoracic surgery. When assessing the surgical wound, which of the following findings should the nurse identify as an indication of infection?
A)
Crusting along the incision line.
B)
Temperature of 37.2° C (99° F).
C)
Pink coloration of the incision line.
D)
Swelling extending 3.8 cm (1.5 in) from the incision.

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