Exam Review

Which statement best explains the teach-back principle of client education?
A)
Teach-back provides time for the nurse to verbally reinforce information to the client.
B)
Teach-back provides an excellent source of feedback and reinforcement.
C)
Teach-back allows time for the client to ask the nurse Questions.
D)
Teach-back allows the client time for passive listening.
A nurse is preparing to teach a client how to use oxygen safely at home. The nurse plans to use discussion as well as a pamphlet that will reinforce the key points of safe home oxygen therapy. Which domain of learning does the nurse plan to utilize?
A)
Implementation.
B)
Cognitive.
C)
Affective.
D)
Psychomotor.
What is the primary purpose of collecting pertinent data and information relative to the client's health status?
A)
Develop a nursing care plan.
B)
Evaluate the effectiveness of treatment.
C)
Diagnose the client's condition.
D)
Administer medication.
Through Healthy People 2030, the nurse understands that health literacy is emphasized to improve which three goals?
(SATA)
A)
Increase the number of healthcare providers.
B)
Improve the health and well-being for everyone.
C)
Modernize medical technology.
D)
Reduce health disparities.
E)
Achieve health equity.

Page 1 of 15

Exam Review

When assessing a client before conducting a learning session, which behavior indicates to the nurse the client is ready to learn?
A)
The client asks about the prescribed medications.
B)
The client reports having pain after a surgical procedure.
C)
The client is drowsy after receiving pain medication.
D)
The client appears upset after receiving a cancer diagnosis.
A nurse is teaching a client with chronic pain about relaxation techniques. The client appears disinterested and says, "This won't help my pain.”. Which action by the nurse promotes affective learning?
A)
Provide written materials about the benefits of relaxation techniques.
B)
Guide the client through a relaxation exercise step-by-step.
C)
Provide a detailed explanation of how relaxation techniques work.
D)
Explore the client's past experiences with pain management.
A nurse manager reports a staff nurse to the state board of nursing (BON) for demonstrating unsafe practice. Which action can the state's BON take?
A)
Require the nurse to complete additional education or training.
B)
Ignore the incident if it is their first offense.
C)
Allow the nurse to continue practicing without consequence.
D)
Transfer the nurse to a different department.
A nurse on a pediatric unit is caring for a child and family. The child and their sister are cared for by their grandparents. This is an example of which type of family form?
A)
Alternative family.
B)
Blended family.
C)
Nuclear family.
D)
Single parent family.

Page 2 of 15

Exam Review

A nurse researches current best practices to prevent newborn injuries and presents the findings to the nursing staff. According to the American Nurses Association, the nurse is demonstrating which standard of practice?
A)
Environmental Health.
B)
Leadership.
C)
Collaboration.
D)
Scholarly Inquiry.
A nurse is caring for a client with diabetes. Which activity by the nurse reflects the assessment phase of the nursing process?
A)
Gather educational pamphlets for discharge teaching.
B)
Develop goals with client input for diabetes therapy.
C)
Educate the client on monitoring blood glucose levels.
D)
Obtain the client's current blood glucose level.
A nurse is planning care for a client who identifies as part of a cultural group that traditionally values family involvement in healthcare decisions. Which action by the nurse respects the client's cultural values?
A)
Actively includes the client's family in discussions about the care plan.
B)
Verifies the family knows when the healthcare provider will be available.
C)
Makes decisions about the client's care without consulting or involving the family.
D)
Imposes unnecessary restrictions on family visits, preventing them from being present during important moments.
An advanced practice registered nurse is working within the community to open a free clinic to improve access to healthcare. The implementation of this intervention will likely result in which goal?
A)
Increasing the number of insured community members.
B)
Improving the neighborhood.
C)
Reduction of health disparities.
D)
Decreasing community crime.

Page 3 of 15

Exam Review

A nurse is caring for a client with kidney failure. Which assessment should the nurse conduct to determine the client's learning needs about dialysis?
A)
Sources of client data.
B)
Health care needs.
C)
Goals of client needs.
D)
Health literacy.
A nurse is reviewing cultural attributes that may influence a client's health behaviors and beliefs. Which is considered a cultural attribute?
A)
Location of origin.
B)
Medication side effect.
C)
Dietary preferences.
D)
Risk for disease.
Which actions will the nurse include in the diagnosis step of the nursing process? Select all that apply.
A)
Analyze the data gathered from the client.
B)
Discuss the client's short and long-term goals.
C)
Evaluate if the client's goals were met.
D)
Assess the client for subjective data.
E)
Determine the client's actual and potential problems.
A nurse is evaluating the quality of care provided in a healthcare facility. Which indicator aligns with the Institute of Medicine's (IOM) domain of safety?
A)
Timeliness of care delivery.
B)
Rate of hospital-acquired infections.
C)
Client satisfaction scores.
D)
Number of beds in the facility.

Page 4 of 15

Exam Review

A nurse is implementing a care plan for a client with a terminal illness who requests information about palliative care options. What action should the nurse take?
A)
Suggest the client explore curative treatment options.
B)
Refrain from mentioning palliative care to avoid causing distress to the client.
C)
Share information about palliative care options.
D)
Encourage the client to consult with their health care provider for information.
Complete the following sentence by choosing from the list of options. The scope of nursing practice defines the "who" of what nurses are legally permitted to perform. This is based on the nurse's:
A)
Specialization.
B)
College education.
C)
Leadership role.
D)
Certification level.
A public health nurse refers a client for a Pap smear. After the exam, the client is diagnosed with cervical cancer. The client refuses follow-up care and states they would have never gotten cancer if the nurse had not referred them for the test. Which action should the nurse take?
A)
Make a social service referral.
B)
Encourage the client to explore traditional remedies from a local healer.
C)
Discuss the client's need for immediate treatment with their family.
D)
Explore the culture's health and illness beliefs and traditions.
The nurse understands which requirement is necessary for nursing licensure under the Nurse Practice Act (NPA)?
A)
Obtain an online master's degree in nursing.
B)
Participate in medical research.
C)
Pass a criminal background check.
D)
Successfully complete a nursing degree.

Page 5 of 15

Exam Review

The nurse is using the nursing process while caring for a client in the hospital. For each nursing action, indicate whether it is part of the analysis/diagnosis or planning phase of the nursing process.
A)
Analyze gathered data to determine actual and potential health problems.
B)
Describe identified health problems.
C)
Formulate objectives with the client.
D)
Create goals with the client.
A nurse is planning an education session for a client newly diagnosed with diabetes. Which is the most important factor the nurse should consider when helping the client select appropriate foods?
A)
Level of physical activity.
B)
Ability to cook complex recipes.
C)
Cultural patterns for food selection.
D)
Willingness to eat unpleasant foods.
A nurse is planning care for a toddler who has been physically abused at home. Which action should the nurse take to support the toddler's emotional well-being?
A)
Focus on disciplinary actions to ensure the toddler behaves.
B)
Support the toddler to talk about the abuse often.
C)
Encourage the toddler to express feelings through play.
D)
Avoid discussing the abuse to prevent distress.
A nurse is caring for a client with hypertension. Which activity by the nurse best reflects the implementation phase of the nursing process?
A)
Analyze the data and determine the client has insufficient knowledge related to the new treatment regimen.
B)
Develop goals and outcomes with client input for hypertension therapy.
C)
Educate the client about keeping a record of blood pressure readings.
D)
Record the client's history to include past illnesses and over-the-counter medications used.

Page 6 of 15