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    Exam Review

    1. A patient who had a thyroidectomy tells the nurse, “I need to restrict my activities and not return to work for 4 weeks.” Which statement indicates a need for further teaching?
      A)
      “I can take a shower and walk around the house tomorrow.”
      B)
      “I can expect yellow drainage from the incision for a few days.”
      C)
      “I need to take it easy and not lift heavy objects for a few weeks.”
      D)
      “I should avoid extending my neck too much for a while.”
    2. Which radiographic diagnostic test is most helpful in confirming gallstones?
      A)
      Computed tomography (CT).
      B)
      Ultrasound.
      C)
      Magnetic resonance angiography (MRA).
      D)
      Abdominal x-ray.
    3. A 23-year-old college student is diagnosed with hepatitis A after returning from an international trip. During health education, the nurse explains how hepatitis A is transmitted. Which statement by the patient indicates a correct understanding of how the virus is spread?
      A)
      “I think I caught it because I have a family history of liver problems.”
      B)
      “It is likely transmitted through kissing or sexual activity.”
      C)
      “I probably got it from drinking contaminated water or eating food handled by someone who didn’t wash their hands properly.”
      D)
      “It must have been from sharing needles with my roommate.”
    4. A patient with Alzheimer’s disease (AD) who is being admitted to a hospital rehab facility has had several episodes of wandering away from home. Which action will the nurse include in the plan of care?
      A)
      Place the patient in a room close to the nurse’s station.
      B)
      Reorient the patient several times daily.
      C)
      Have the family bring in familiar items.
      D)
      Ask the patient why the wandering episodes have occurred.
    Page 1 of 5

    Exam Review

    1. What test results would indicate hyperthyroidism?
      A)
      High T4 levels.
      B)
      High TSH levels.
      C)
      Low T4 levels.
      D)
      Low TSH levels.
    2. A patient who is disoriented and reports a headache and muscle cramps is hospitalized with syndrome of inappropriate antidiuretic hormone (SIADH). Which laboratory result would the nurse expect?
      A)
      Increased serum sodium.
      B)
      Increased serum chloride.
      C)
      Increased hematocrit.
      D)
      Decreased serum sodium.
    3. Which manifestation would the nurse find when assessing a patient with Cushing syndrome? (Select all that apply)
      (SATA)
      A)
      Obesity.
      B)
      Bruising.
      C)
      Edema.
      D)
      Abdominal pain.
      E)
      Bronze skin.
    4. Which patient statement indicates to the nurse that teaching was effective about chronic syndrome of inappropriate antidiuretic hormone (SIADH)?
      A)
      “I should weigh myself daily and report sudden weight loss or gain.”
      B)
      “I should eat foods high in potassium because diuretics cause potassium loss.”
      C)
      “I need to shop for foods low in sodium and avoid adding salt to food.”
      D)
      “I need to limit my fluid intake.”
    Page 2 of 5

    Exam Review

    1. The nurse is caring for a patient who has just returned after having left carotid artery angioplasty and stenting. Which assessment information is of most concern to the nurse?
      A)
      The patient has difficulty speaking.
      B)
      There are fine crackles at the lung bases.
      C)
      The pulse rate is 102 beats/min.
      D)
      The blood pressure is 144/86 mm Hg.
    2. Mr. Frank, a 67-year-old male, is admitted to the neurology unit with difficulty walking, tremors, and muscle stiffness. He has Parkinson’s disease diagnosed 6 years ago. Which of Mr. Frank’s home medications is typically used to treat Parkinson’s? (Select all that apply)
      (SATA)
      A)
      Metoprolol 50 mg.
      B)
      Carbidopa-Levodopa 25/100 mg.
      C)
      Benztropine (Cogentin).
      D)
      Aspirin 81 mg daily.
      E)
      Lisinopril 20 mg.
      F)
      Atorvastatin 20 mg.
    3. The head computed tomography (CT) result indicates no bleeding in the brain and the neurologist diagnoses an acute ischemic stroke and orders tPA. Select the appropriate interventions for tPA administration. (Select all that apply)
      A)
      Patients must be screened for any recent history of gastrointestinal (GI) bleeding.
      B)
      tPA must be given within 8 hours of the onset of signs of ischemic stroke.
      C)
      tPA is a high-risk drug which requires a two-nurse verification.
      D)
      Patients with embolic strokes are not candidates for tPA.
      E)
      Closely monitor the patient’s vital signs and neurologic status.
    4. Which condition would the nurse suspect in a patient recovering from the removal of a brain tumor with an increase in urinary output to 450 ml of very light urine in the past hour?
      A)
      Acromegaly.
      B)
      Syndrome of inappropriate secretion of antidiuretic hormone (SIADH).
      C)
      Hypopituitarism.
      D)
      Diabetes insipidus (DI).
    Page 3 of 5

    Exam Review

    1. What is the most common complication for a patient with a seizure disorder?
      A)
      Hemorrhagic stroke.
      B)
      The effect on a patient’s lifestyle.
      C)
      Broken bones.
      D)
      Status epilepticus.
    2. A patient with a history of T3 spinal cord injury is admitted with dermal ulcers. The patient tells the nurse, “I have a pounding headache and I feel sick to my stomach.” Which action would the nurse take first?
      A)
      Give the prescribed antiemetic.
      B)
      Check for a fecal impaction.
      C)
      Assess the blood pressure (BP).
      D)
      Notify the health care provider.
    3. A patient from the emergency department will be transferred to the medical nursing unit. Which equipment should the nurse have available? (Select all that apply)
      A)
      Suction setup.
      B)
      Oxygen tank.
      C)
      Urinary catheter.
      D)
      Side rail pads.
      E)
      Tongue blade.
      F)
      Nasogastric tube.
    4. To prevent autonomic dysreflexia, which nursing action would the home health nurse include in the plan of care for a patient who has paraplegia at the T4 level?
      A)
      Assist with a prescribed bowel program.
      B)
      Support selection of a high-protein diet.
      C)
      Use quad coughing to strengthen cough efforts.
      D)
      Discuss options for sexuality and fertility.
    Page 4 of 5

    Exam Review

    1. Which effect on the central nervous system is related to symptoms of multiple sclerosis (MS)?
      A)
      Degeneration of dopamine-producing neurons.
      B)
      Demyelination of nerve fibers.
      C)
      Overproduction of acetylcholine.
      D)
      Loss of motor neurons in the spinal cord.
    2. Which intervention may help create a calm and safe environment for the patient with delirium?
      A)
      Using four-point restraints to prevent the patient from wandering off.
      B)
      Encouraging family members to stay at the bedside.
      C)
      Putting the patient in a dark, quiet room alone.
      D)
      Medicating the patient with high doses of sedatives.
    3. Which assessment finding would the nurse expect in a patient who has been diagnosed with hypoactive delirium?
      A)
      Hyperactivity and agitation.
      B)
      Hallucinations and delusions.
      C)
      Lethargy and reduced alertness.
      D)
      Combative behavior and shouting.
    Page 5 of 5