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    Exam Review

    1. A nurse is performing a neurologic assessment on a client following a head injury. Which of the following findings should the nurse identify as an indication of increased intracranial pressure (ICP)?
      A)
      Increase in pulse rate.
      B)
      Decrease in level of consciousness.
      C)
      Tinnitus.
      D)
      Diplopia.
    2. A nurse is caring for a client who has tuberculosis. Which of the following interventions should the nurse implement when providing care for this client?
      A)
      Double bag the client's soiled linens.
      B)
      Stay at least 2 feet away from the client.
      C)
      Don a surgical mask before entering the client's room.
      D)
      Place the client in a negative air pressure room.
    3. A nurse is assessing a client who has endometritis. Which of the following findings should the nurse expect?
      A)
      Temperature 37.7° C (99.9° F).
      B)
      Heart rate 56/min.
      C)
      Polyuria.
      D)
      Malodorous lochia.
    4. A nurse is delegating tasks to a group of staff members. Which of the following tasks should the nurse assign to an assistive personnel?
      A)
      Determine a client's pain level.
      B)
      Irrigate a client's incision.
      C)
      Provide postmortem care.
      D)
      Insert a nasogastric tube.
    Page 1 of 14

    Exam Review

    1. A nurse is implementing seizure precautions for a newly admitted client. Which of the following equipment should the nurse place in the client's room?
      A)
      Bite block.
      B)
      Padded tongue blade.
      C)
      Vest restraint.
      D)
      Suctioning device.
    2. A nurse is providing teaching to the guardian of a child who has a new prescription for methylphenidate chewable tablet twice daily. Which of the following statements by the guardian indicates an understanding of the teaching?
      A)
      "A runny nose is an expected adverse effect of this medication.”.
      B)
      "I should give my child the second dose 2 hours before bedtime.”.
      C)
      "My child may gain weight while they are taking this medication.”.
      D)
      "My child may experience difficulty sleeping while taking this medication.”
    3. A nurse is caring for a client who is postoperative following abdominal surgery. The client reports feeling like "something opened up.”. The nurse peels back the dressing to find separation of the incision with protrusion of intestinal tissue. Which of the following actions should the nurse take?
      A)
      Monitor vital signs every 30 min.
      B)
      Place the client in Trendelenburg position.
      C)
      Cover the wound with a saline-soaked dressing.
      D)
      Reinsert the protruding intestinal tissue.
    4. A nurse is caring for a client in an emergency department who just arrived with suspected ST-elevated myocardial infarction. Following evidence-based practice, which of the following medications should the nurse expect to administer?
      (SATA)
      A)
      Digoxin.
      B)
      Clopidogrel.
      C)
      Nitroglycerin.
      D)
      Acetaminophen.
    Page 2 of 14

    Exam Review

    1. A nurse is assessing a client who received dantrolene to treat neuroleptic malignant syndrome. Which of the following findings should the nurse identify as an indication that the dantrolene has been effective?
      A)
      Tachycardia.
      B)
      Reduction in body temperature.
      C)
      Diaphoresis.
      D)
      Increase in blood pressure.
    2. A community health nurse is teaching a class about prevention of complications for clients who have diabetes mellitus. Which of the following information should the nurse include in the teaching? (Select all that apply.)
      (SATA)
      A)
      Maintain blood pressure below 140/80 mm Hg.
      B)
      Increase intake of foods containing omega-3 fatty acids.
      C)
      Have a lipid profile screening every 2 years.
      D)
      Have albumin levels checked every 2 years.
      E)
      Schedule a routine eye examination every 4 years.
    3. A nurse and a newly licensed nurse are discussing effective communication techniques for a client who has expressive aphasia. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?
      A)
      I will use an interpreter when providing client teaching.
      B)
      I will provide written instructions for the client in 8-point font.
      C)
      I will collaborate with a speech therapist about the client's plan of care.
      D)
      I will use indirect lighting in the client's room.
    4. A charge nurse is teaching about electrical equipment safety to a group of nurses. Which of the following statements by a nurse indicates an understanding of the teaching?
      A)
      I should run electrical cords along the side of the bed.
      B)
      I will pull on the cord to remove the plug from an outlet.
      C)
      I should check to make sure electrical appliances have a two-prong cord.
      D)
      I will unplug electrical devices before cleaning.
    Page 3 of 14

    Exam Review

    1. A nurse is assessing a toddler following the casting of the right arm due to a fractured humerus. Which of the following findings should the nurse identify as a manifestation of compartment syndrome?
      A)
      Bounding radial pulse.
      B)
      Heart rate 120/min.
      C)
      Respiratory rate 28/min.
      D)
      Weak hand grip.
    2. A nurse in an obstetrics clinic is assessing a client who is at 34 weeks of gestation. Which of the following findings is the nurse's priority?
      A)
      4+ patellar deep tendon reflex.
      B)
      Night-time leg cramps.
      C)
      Tingling in thumb and index finger.
      D)
      2+ nonpitting edema in ankles.
    3. A nurse is caring for a client who has been involuntarily admitted and is refusing to take a prescribed medication, stating, "The side effects might make things worse.”. Which of the following statements should the nurse make?
      A)
      You need this medication, so if you do not take it we will force you to take it.
      B)
      You will lose privileges on the unit if you do not take this medication.
      C)
      The provider ordered this medication, so you must take it.
      D)
      You do not have to take this medication if you do not want to.
    4. A nurse is teaching a newly licensed nurse about staff safety issues related to compassion fatigue. Which of the following information should the nurse include in the discussion?
      A)
      Ignore disruptive behaviors.
      B)
      Encourage a passive communication style.
      C)
      Establish a positive work-family balance.
      D)
      Publicly confront coworkers when conflict arises.
    Page 4 of 14

    Exam Review

    1. A nurse is caring for a client who is at 34 weeks of gestation and has been receiving insulin for treatment of gestational diabetes mellitus. Which of the following findings should the nurse identify as an expected response to this medication?
      A)
      Fundal height increased from 32 to 36 cm in 4 weeks.
      B)
      Fetal estimated measurements are small for gestational age.
      C)
      Less than 0.45 kg (1 lb) of weight gain since the 32-week visit.
      D)
      Reduced glycosylated hemoglobin level.
    2. A nurse is reviewing the ECG tracing strip of a client who is receiving telemetry monitoring. The nurse should locate the ST segment at which of the following locations on the electrocardiographic waveform?
      A)
      Between the end of the P wave and the beginning of the QRS complex.
      B)
      Between the end of the QRS complex and the beginning of the T wave.
      C)
      Between the peak of the R wave and the end of the T wave.
      D)
      Between the beginning of the P wave and the beginning of the QRS complex.
    3. A nurse is providing discharge teaching about self-administration of sublingual nitroglycerin tablets to a client who has angina. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      I should swallow each tablet with water.
      B)
      I should take 1 tablet upon feeling chest pain.
      C)
      I can take up to 5 tablets to relieve chest pain.
      D)
      I can take a tablet every 10 minutes.
    4. A nurse is assessing a client who is taking a monoamine oxidase inhibitor (MAOI) and is exhibiting tachycardia and hypertension. Which of the following foods should the nurse identify as a potential cause of a food-medication interaction?
      A)
      Scrambled eggs with cottage cheese.
      B)
      Spaghetti with marinara sauce.
      C)
      A bologna sandwich with Swiss cheese.
      D)
      Celery with peanut butter.
    Page 5 of 14

    Exam Review

    1. A nurse is providing discharge teaching about newborn care. Which of the following information should the nurse include in the teaching?
      A)
      Cleanse the newborn's ears with a cotton-tipped swab.
      B)
      Avoid using scented baby wipes.
      C)
      The newborn should be bathed daily.
      D)
      Wash the newborn's face with soap and water.
    2. A nurse is providing discharge teaching about home IV therapy for a client who is to receive total parenteral nutrition (TPN). Which of the following client statements indicates an understanding of the teaching?
      A)
      I should report a weight gain of 2.5 lb in a day.
      B)
      I should change the IV tubing every 3 days.
      C)
      I should keep my TPN refrigerated until it is administered.
      D)
      I should discard the TPN solution after 48 hr...
    3. A nurse is providing teaching about spironolactone to a client who has heart failure. Which of the following client statements indicates an understanding of the teaching?
      A)
      I should limit potassium-rich foods while taking this medication.
      B)
      I can expect to feel energized on this medication.
      C)
      The medication may cause my blood pressure to increase.
      D)
      I can skip a dose of medication if I am feeling well.
    4. A nurse is planning postoperative care for a client who is scheduled for a thoracotomy with chest tube placement. Which of the following pieces of equipment should the nurse plan to have at the client's bedside?
      A)
      Montgomery straps.
      B)
      Tracheostomy tray.
      C)
      Wire cutters.
      D)
      Padded clamp.
    Page 6 of 14