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    Exam Review

    1. A person with a blood pH of 7.21 is considered to have which of the following?
      A)
      Alkalosis
      B)
      Normal blood pH
      C)
      Acidosis
      D)
      Hyperkalemia
    2. Myelosuppression is one of the most common effects of chemotherapy. How would the nurse assess for this condition?
      A)
      Monitor the CXR results.
      B)
      Monitor the BMP, especially the sodium, potassium, and magnesium counts.
      C)
      Monitor the CBC, especially the neutrophil, platelet, and RBC counts.
      D)
      Monitor the spinal fluid analysis.
    3. Which statement best describes the nurse’s role in medication reconciliation?
      A)
      Gather information on the patient’s current medications, including prescription drugs, over-the-counter drugs, herbal supplements, and vitamins. To ensure accuracy, nurses verify the medication list with the patient, family, caregivers, or community pharmacies and document the information in the patient’s EMR.
      B)
      Review the patient’s medication list to verify its accuracy and completeness. They also compare the list of current medications with new orders or prescriptions to detect any discrepancies or potential issues.
      C)
      Review the medication history provided by the patient and make changes in the medications based on the patient’s current health status. They communicate any medication changes to the patient and the healthcare team.
    4. A priority goal of the nursing pain assessment is to:
      A)
      Demonstrate a caring attitude to the patient and family.
      B)
      Ensure complete documentation in the EHR.
      C)
      Gather subjective and objective data in order to plan and implement appropriate pain management techniques.
      D)
      Develop a therapeutic relationship with the patient.
    Page 1 of 10

    Exam Review

    1. Which IV solution would the nurse anticipate administering to a patient with fluid deficit who requires isotonic fluid replacement?
      A)
      3% Saline
      B)
      Saline 0.45%
      C)
      Saline 0.9%
      D)
      Dextrose 10%
    2. A heating pad is ordered for a patient with a lumbar sprain. The nurse knows that the purpose of the heating pad is to:
      A)
      Promote healing by increasing the rate of the muscle remodeling process.
      B)
      Decrease pain by reducing inflammation.
      C)
      Decrease pain by increasing circulation to a painful area and relaxing tense muscles.
      D)
      Decrease pain by numbing pain signals.
    3. A patient who is just waking up after having hip replacement surgery is agitated and confused. Which action should the nurse take first?
      A)
      Apply wrist restraints to secure IV lines.
      B)
      Administer the prescribed opioid.
      C)
      Take the blood pressure and pulse.
      D)
      Check the oxygen (O2) saturation.
    4. Which infection control actions would the nurse include in the use of standard precautions?
      A)
      Masking before interviewing a patient about health history.
      B)
      Gloving before wiping pink sputum off the bedrail.
      C)
      Applying goggles before helping a patient to ambulate in the hall.
      D)
      Gowning prior to delivering a food tray to a patient.
    Page 2 of 10

    Exam Review

    1. A nurse is caring for patients with electrolyte imbalances on a medical-surgical unit. Which common causes are correctly paired with the corresponding electrolyte imbalance?
      (SATA)
      A)
      Hyponatremia - Dehydration
      B)
      Hypomagnesemia - Chronic alcoholism
      C)
      Hyperkalemia - Kidney failure
    2. Which actions included in the discharge teaching plan can the nurse delegate to assistive personnel (AP)?
      A)
      Show the caregiver how to check the patient’s temperature and blood pressure.
      B)
      Give the patient a pamphlet that reinforces teaching done by the nurse.
      C)
      Evaluate whether the patient and caregiver understand the teaching.
      D)
      Plan topics for the discharge teaching session with the patient and caregiver.
    3. Infection prevention strategies include:
      A)
      Monitor for signs and symptoms of infection.
      B)
      Provide all patients with bottled water.
      C)
      Provide education on infection prevention.
      D)
      Request an antibiotic order for a febrile patient.
      E)
      Create a clean, safe environment.
    4. IV potassium chloride (KCl) 60 mEq is prescribed for a 49-year-old female patient with severe hypokalemia. Which action should the nurse take?
      A)
      Infuse the KCl at a maximum rate of 10 mEq/hr.
      B)
      Discontinue cardiac monitoring during the infusion.
      C)
      Administer the KCl as a rapid IV bolus.
      D)
      Refuse to give the KCl through a peripheral venous line.
    Page 3 of 10

    Exam Review

    1. Which information will the nurse consider when deciding what nursing actions to delegate to a licensed practical/vocational nurse (LPN/VN) who is working on a medical-surgical unit?
      A)
      RN’s workload
      B)
      Skill and experience of the LPN/VN
      C)
      Agency policies
      D)
      Stability of the patients
      E)
      LPN/VN teaching abilities
    2. Which term would the nurse use when extracellular fluid and intracellular fluid have the same osmolality?
      A)
      Hypotonic
      B)
      Oncotic pressure
      C)
      Isotonic
      D)
      Hypertonic
    3. A patient with alkalosis can develop hyperkalemia.
      A)
      True
      B)
      False
    4. A 49-year-old female patient receives 3% NaCl solution for the correction of hyponatremia. Which assessment is most important for the nurse to monitor while the patient is receiving this infusion?
      A)
      Peripheral pulses
      B)
      Urinary output
      C)
      Peripheral edema
      D)
      Lung sounds and neurological status
    Page 4 of 10

    Exam Review

    1. Which three nursing interventions can be used to prevent the spread of infection?
      A)
      Properly cleaning all reusable equipment once each day.
      B)
      Appropriately using PPE.
      C)
      Ensuring all environmental surfaces are properly cleaned, disinfected, and maintained.
      D)
      Avoiding all invasive interventions.
      E)
      Performing hand washing or using an alcohol-based hand sanitizer before and after patient contact or procedures.
    2. Urinary tract infections are the most common healthcare-associated infection.
      A)
      True
      B)
      False
    3. Chemotherapy drugs cannot selectively distinguish between normal cells and cancer cells.
      A)
      True
      B)
      False
    4. The OR nurse gives an SBAR to the PACU nurse. This verbal report should include which four statements?
      A)
      Anesthetic agents and other drugs that were administered.
      B)
      The patient’s relevant health history.
      C)
      The name of the surgical procedure.
      D)
      Estimated blood loss during surgery.
    Page 5 of 10

    Exam Review

    1. The essential core of nursing practice is to deliver holistic, patient-centered care. This includes assessment and evaluation, providing a variety of interventions, patient and caregiver teaching, and being a member of the interprofessional healthcare team.
      A)
      True
      B)
      False
    2. The nurse is assigned to care for a newly admitted patient. Place the steps for using the nursing process in the correct order, starting with the first step.
      A)
      Collect patient information.
      B)
      Identify any clinical problems.
      C)
      Decide a plan of action.
      D)
      Carry out the plan.
      E)
      Determine whether the plan was effective.
    3. Which six factors should the nurse consider when choosing a time frame for reassessing the patient’s pain level after implementing pain management?
      A)
      Agency policy
      B)
      Type of intervention
      C)
      Pain severity
      D)
      If family members are present in the patient’s room
      E)
      The patient’s psychosocial condition
      F)
      Risks for adverse effects
      G)
      Workload of the nurse
      H)
      The patient’s physical condition
    4. A nurse assesses a postoperative patient 2 days after chest surgery. What four findings indicate that the patient has inadequate pain control?
      A)
      Bradypnea
      B)
      Irritability
      C)
      Tachycardia
      D)
      Hypoglycemia
      E)
      Poor cough effort
      F)
      Drowsiness
      G)
      Refusal to participate in physical therapy
    Page 6 of 10