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    Exam Review

    1. A nurse is preparing to administer amoxicillin 500 mg PO. Available is amoxicillin 250 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
      Correct Answer:2 tablets
    2. A nurse is assisting with care of a client who has a prescription for 3,000 mL of intravenous fluids over the next 24 hr. The nurse should set the IV pump to deliver how many mL/hr? (Round to the nearest whole number)
      Correct Answer:125 mL/hr
    3. A nurse is caring for a client who has a cloudy, opaque area over the lens of one eye. The nurse should identify that this is a manifestation of which of the following visual impairments?
      A)
      Glaucoma
      B)
      Diabetic retinopathy
      C)
      Macular degeneration
      D)
      Cataracts
    4. A nurse is assisting with teaching a client about nail care. Which of the following information should the nurse include?
      A)
      Trim nails in a curved shape.
      B)
      Use acetone-free nail polish remover.
      C)
      Soak nails in hot water.
      D)
      Wear rubber-lined gloves to wash dishes.
    Page 1 of 22

    Exam Review

    1. A nurse is reinforcing teaching with a client about the Rinne test. Which of the following client statements indicates an understanding of the teaching?
      A)
      "A tuning fork is placed on my head."
      B)
      "A small probe is placed inside my ear."
      C)
      "I will wear earphones during this test."
      D)
      "Small electrodes are placed on my scalp."
    2. A nurse is documenting in a client's health record using the subjective, objective, assessment, and plan (SOAP) charting model. Which of the following information should be included in the subjective component?
      A)
      Client's skin is pale and diaphoretic
      B)
      Client's blood pressure is 182/98 mm Hg
      C)
      Client reports chest pain after mowing lawn this morning
      D)
      Client administered nitroglycerin 0.3 mg SL for chest pain
    3. A nurse is observing a newly licensed nurse perform hand hygiene. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?
      A)
      Washes their hands for 10 seconds
      B)
      Turns off the faucet with their hands
      C)
      Uses hot water to wash their hands
      D)
      Holds their hands below the elbows while rinsing off soap
    4. A nurse is collecting data on an older adult client. Which of the following findings should the nurse expect?
      A)
      Increased peripheral vision.
      B)
      Increase in cerumen in the ear canal.
      C)
      Increase in size of pupils.
      D)
      Increased sensitivity to touch.
    Page 2 of 22

    Exam Review

    1. A nurse enters a client's room and finds the client on the floor. After the nurse has ensured the client's safety, which of the following actions should the nurse take?
      A)
      Document the completion of an occurrence report in the client's medical record.
      B)
      Contact risk management about the occurrence.
      C)
      Notify the client's provider about the occurrence.
      D)
      Request another nurse to complete the occurrence report.
    2. A nurse is assisting with teaching a client about consuming a healthy diet to reduce stress. Which of the following instructions the nurse include?
      A)
      Limit alcohol intake to 3 drinks per day.
      B)
      Choose complex carbohydrates each day.
      C)
      Consume less than 3000 mg of sodium per day.
      D)
      Increase intake of saturated fats.
    3. A nurse is evaluating the documentation of a newly licensed nurse. The nurse should identify that which of the following entries requires intervention?
      A)
      Urine collected for UA and C & S
      B)
      12 units of regular insulin administered subcut
      C)
      Prescription received for MSO4 4.0 mg PRN pain
      D)
      Client assisted OOB, instructed to splint ABD
    4. A nurse is performing oral care for a client who is unconscious. Which of the following actions should the nurse take?
      A)
      Vigorously brush the client's teeth.
      B)
      Hold the toothbrush at a 90° angle.
      C)
      Place two fingers in the client's mouth.
      D)
      Turn the client to the side.
    Page 3 of 22

    Exam Review

    1. A nurse is caring for a client who has impaired speech. Which of the following actions should the nurse take?
      A)
      Allow extra time to communicate with the client.
      B)
      Finish sentences for the client.
      C)
      Avoid using visual aids for communication.
      D)
      Ask open-ended questions
    2. A nurse is assisting in the care of a client. Click to highlight the findings that indicate the interventions were effective. To deselect a finding, click on the finding again. T 38° C (100.4)°F, oral. BP 106/60 mm Hg, supine HR 99/min R 20/min Pulse oximetry 95% on room air
      A)
      T 38° C (100.4)°F, oral.
      B)
      BP 106/60 mm Hg, supine
      C)
      HR 99/min
      D)
      R 20/min
      E)
      Pulse oximetry 95% on room air
    3. A nurse is caring for a client who reports sneezing, productive cough, muscle aches, headache, and fever that has progressed over the last 4 days. Which of the following stages of infection is the client likely experiencing?
      A)
      Period of convalescence
      B)
      Incubation
      C)
      Prodromal
      D)
      Acute illness
    4. A nurse is assisting with teaching a class about the skeletal muscle. Which of the following should the nurse identify as the function of the skeletal muscle?
      A)
      Skeletal muscles enable the bladder to contract during voiding.
      B)
      Skeletal muscles enable a hand to contract and form a fist.
      C)
      Skeletal muscles enable the bronchioles to dilate in the lungs.
      D)
      Skeletal muscles enable the heart to contract with each heartbeat.
    Page 4 of 22

    Exam Review

    1. A nurse is providing oral care for a client who had has impaired upper extremity strength. Which of the following actions should the nurse take?
      A)
      Give the client lemon-glycerin mouth swabs.
      B)
      Give the client an alcohol-based mouth wash.
      C)
      Provide the client with an electric toothbrush.
      D)
      Provide the client with a spool of dental floss.
    2. A nurse sees smoke coming from the central supply room. Which of the following actions should the nurse take first?
      A)
      Wrap clients in blankets.
      B)
      Walk to a safe area.
      C)
      Stay close to the ground.
      D)
      Close all the doors.
    3. A nurse is assisting with teaching a client about the sleep-wake cycle. The nurse should include that which of the following factors can interfere with the sleep-wake cycle? (Select All that Apply.)
      A)
      Emotional stress
      B)
      A regular bedtime schedule
      C)
      A bright light
      D)
      Drinking caffeinated beverages in the evening
      E)
      A 20 min nap during the day
    4. A nurse is assisting with the care of a client who is placed on supplemental oxygen for hypoxia. The nurse should identify that which of the following findings indicate the intervention was effective?
      A)
      Pink mucous membranes
      B)
      Respiratory rate 28/min
      C)
      Heart rate 110/min
      D)
      Restlessness
    Page 5 of 22

    Exam Review

    1. A nurse is collecting data on a client who is nonverbal for acute pain. Which of the following findings is a manifestation of pain?
      A)
      Decreased heart rate
      B)
      Constricted pupils
      C)
      Reduced respiratory rate
      D)
      Elevated blood pressure
    2. A nurse is collecting data on a client who has opioid toxicity. Which of the following findings should the nurse expect?
      A)
      Temperature 38.2° C (100.8° F)
      B)
      Respiratory rate 10/min
      C)
      Heart rate 112/min
      D)
      Blood pressure 168/90 mm Hg
    3. A nurse is reinforcing teaching with a client about diagnostic vision tests. The nurse should include that which of the following tests is performed to diagnose macular degeneration?
      A)
      Amsler grid
      B)
      Snellen chart
      C)
      Refraction test
      D)
      Intraocular pressure
    4. A nurse is reinforcing teaching about informed consent with a newly licensed nurse. Which of the following should be included as a responsibility of the nurse in this process?
      A)
      Inform the client about what will occur during the procedure.
      B)
      Discuss the risks of the procedure with the client.
      C)
      Confirm that the client is competent to sign for the procedure.
      D)
      Explain alternatives to the procedure to the client.
    Page 6 of 22