Exam Review

Which client would be most likely to have decreased anxiety about, and response to, pain as a result of past experiences?
A)
one who had pain but did not get relief
B)
one who has had chronic pain for years
C)
one who had pain but got adequate relief
D)
one who has had multiple pain experiences
A nurse does not assist with ambulation of a postoperative client on the first day after surgery. The client falls and fractures a hip. What charge might be brought against the nurse?
A)
battery
B)
fraud
C)
assault
D)
negligence
client scheduled for open heart surgery tells the nurse he does not want to be "saved" if he dies during surgery. What should the nurse do next?
A)
Notify the health care provider after completion of the surgical procedure.
B)
Administer the ordered oral and intravenous preoperative medications.
C)
Discuss with and document the wishes of the client and family.
D)
Verbally report the client's wishes to the operating room supervisor.
A client returning to the floor after orthopedic surgery is reporting nausea. The nurse is aware that an appropriate intervention is to:
A)
avoid oral hygiene until the nausea subsides.
B)
provide clear liquids with a straw.
C)
avoid strong-smelling foods.
D)
hold all medications.

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Exam Review

Although all of the following are factors that affect grief, which one is most likely to influence a person's expression of grief?
A)
religious influences
B)
cultural influences
C)
socioeconomic factors
D)
cause of death
A client is suing a nurse for malpractice. What is the term for the person bringing suit?
A)
Defendant
B)
Litigator
C)
Plaintiff
D)
Witness
A nurse manager is conducting an in-service education program for a group of staff nurses on developing cultural competence. The nurse manager determines that the educational program was successful based on which statement by the group?
A)
"Our personal beliefs and values have no effect on how we care for people."
B)
"It is important to see how any biases might impact our feelings about others."
C)
"Even if a treatment goes against the client's values, they have to have it."
D)
"Folk healers really can be a deterrent to a client's care."
A nurse is arrested for possession of illegal drugs. What kind of law is involved with this type of activity?
A)
Private
B)
Public
C)
Civil
D)
Criminal

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Exam Review

A nurse is educating a client about regional anesthesia. Which statement is accurate about this type of anesthesia?
A)
"You will be awake but will not be aware of the procedure."
B)
"You will be asleep but may feel some pain during the procedure."
C)
"You will be asleep and won't be aware of the procedure."
D)
"You will be awake and will not have sensation of the procedure."
A nurse working in a long-term care facility is instituting interventions to prevent falls. Which intervention is an appropriate alternative to the use of restraints for ensuring client safety and preventing falls?
A)
Keep the client sedated with tranquilizers.
B)
Allow the client to use the bathroom independently.
C)
Maintain a high bed position so the client will not attempt to get out unassisted.
D)
Involve family members in the client's care.
Which aspect of nursing would most likely be defined by legislation at the state level?
A)
Criteria that a nurse must consider when delegating tasks to unlicensed assistive personnel
B)
Criteria that clients must meet to qualify for Medicare or Medicaid
C)
Differences in scope of practice between registered nurses and licensed practical nurses
D)
The process that nurses must follow when handling and administering medications
A client expresses confidence in their traditional healer to relieve symptoms of an illness. What is the client demonstrating?
A)
faith
B)
spirituality
C)
hope
D)
charity

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Exam Review

Which client would be classified as having chronic pain?
A)
a client with pneumonia
B)
a client with controlled hypertension
C)
a client with rheumatoid arthritis
D)
a client with the flu
A client verbalizes to a mental health counselor, "My life is meaningless since my spouse divorced me and that I no longer want to live." What nursing concern, resulting from the client's spiritual distress, is appropriate for care planning?
A)
lack of power
B)
fear
C)
sexual impairment
D)
self-harm risk
The nurse is disposing of an old dressing that is saturated with a client's blood. How should the nurse dispose of the dressing?
A)
In a bag marked "biohazards"
B)
In the client's trash container
C)
In the sharps container
D)
With the double-bag technique
A nurse is preparing to administer intravenous fluids, including accessing a vein. What is the most potentially harmful risk posed for the client when accessing the vein?
A)
pain
B)
minor bleeding
C)
discomfort
D)
infection

Page 4 of 18

Exam Review

The nurse working at a long-term care facility supervises while the unlicensed assistive personnel (UAP) bathes an older adult client. The nurse determines the UAP requires intervention when the UAP:
A)
bathes the client using gentle patting motions.
B)
places a large quantity of soap on the washcloth.
C)
Inspects the feet while bathing the client.
D)
tests the water temperature prior to helping the client into the tub.
A client tells a nurse, "I do not think I can have the recommended heart surgery because transfusions are against my religion." What is the best response of the nurse in this situation?
A)
Prepare the client for a visit from the client's spiritual advisor.
B)
Obtain all the information needed for the client to make an informed decision.
C)
Tell the client that the surgery is necessary to keep them alive and is the only choice.
D)
Have the client sign a form stating refusal of the treatment.
A home care nurse is educating a client with diabetes on how to self-administer insulin. Which teaching point should the nurse include in the education plan?
A)
Insulin syringes and needles may be reused up to three times.
B)
For each injection use the same site on the body.
C)
Store insulin needles and syringes in a glass container between use.
D)
Each time you give the injection rotate the injection site.
The nurse notes that the blood glucose level of a client has increased and is planning to notify the health care provider by telephone. Which technique would be most appropriate for the nurse to use when communicating with the health care provider?
A)
EMAR
B)
SOAP
C)
ISBAR
D)
CBE

Page 5 of 18

Exam Review

Which statement accurately describes the process known as grief reaction?
A)
Reactions to grief follow all stages of the grieving process.
B)
Reactions to grief are similar for all people.
C)
Reactions to grief and dying are different.
D)
Reactions to grief may differ from client to family.
The nurse working at a long-term care facility supervises while the unlicensed assistive personnel (UAP) bathes an older adult client. The nurse determines the UAP requires intervention when the UAP:
A)
bathes the client using gentle patting motions.
B)
places a large quantity of soap on the washcloth.
C)
inspects the feet while bathing the client.
D)
tests the water temperature prior to helping the client into the tub.
The nurse determines that the student who has been instructed about lung function and smoking requires additional teaching when the student says
A)
"An older person may breathe more shallowly than a younger person.
B)
"Smoking only once in a while will not make a person addicted to smoking."
C)
"An upright position will help someone breathe with less effort."
D)
A physically fit athlete breathes more slowly than a sedentary person."
A client asks a nurse if it is possible to contract a disease by donating blood. How would the nurse respond?
A)
"Although hepatitis is possible, AIDS is not."
B)
"If I were you, I would request special handling of my blood."
C)
There is only a very small chance; I know you will be safe."
D)
"There is no way you can contract a disease by giving blood."

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