NursGuru

    Exam Review

    1. A nurse is assigned to care for a client with Parkinson's disease. While supervising an unlicensed assistive personnel (UAP), which action by the UAP requires intervention by the nurse?
      A)
      The unlicensed assistive personnel (UAP) sets up the client's tray and encourages the client to feed himself.
      B)
      The unlicensed assistive personnel (UAP) reminds the client not to look at his feet when he is ambulating.
      C)
      The unlicensed assistive personnel (UAP) performs the client's complete bath and oral care.
      D)
      The unlicensed assistive personnel (UAP) assists the client to ambulate to the bathroom and back to bed.
    2. A client with chronic pancreatitis is being discharged. The nurse should anticipate teaching the client about which medication to help with their nutritional needs?
      A)
      Probiotics.
      B)
      Ondansetron.
      C)
      Lactulose.
      D)
      Pancrelipase (digestive enzymes).
    3. A client diagnosed with anorexia nervosa began severely restricting their calorie intake 5 months ago and lost 25 A nurse asks, "Describe what you think about your present weight and how you look.”. Which response by the client is most consistent with the diagnosis?
      A)
      I am a few pounds overweight, but I can live with it.
      B)
      What I think about myself is my business.
      C)
      I am grossly underweight, but that is what I want.
      D)
      I am fat and ugly.
    4. A male client is diagnosed with primary syphilis. Which query by the nurse is a priority at this time?
      A)
      Are you allergic to penicillin?
      B)
      When was your last sexual encounter?
      C)
      Do you have a history of sexually transmitted infections?
      D)
      Have you been using latex condoms?

    Exam Review

    1. The office nurse is teaching a gravida 1 para 0 client at 8 weeks gestation about signs and symptoms she may experience during early pregnancy. The nurse instructs the client to call the provider for which symptoms? (Select all that apply)
      (SATA)
      A)
      Decreased fetal movement.
      B)
      Vaginal bleeding.
      C)
      Copious vaginal discharge.
      D)
      Breast tenderness.
      E)
      Low abdominal pain.
    2. A female client returned to the clinic with a yellow vaginal discharge and itchiness after being treated for a Chlamydia infection 3 weeks ago. Which statement by the client alerts the nurse to the cause of the symptoms?
      A)
      I took doxycycline two times a day for a week.
      B)
      I never told my boyfriend about the infection.
      C)
      I had 1-2 glasses of wine when taking the medication for Chlamydia.
      D)
      I did practice abstinence while taking the medication.
    3. The nurse is caring for a pregnant client during the first prenatal visit. Prior to obtaining prenatal lab work the client asks the nurse, "Why do I need a rubella screening? I was already vaccinated.”. What explanation by the nurse is most accurate?
      A)
      Screening determines if the client is a candidate for rubella immunization during pregnancy.
      B)
      Screening will determine the risk of teratogenic effects to the fetus from prior vaccination.
      C)
      Screening will determine if the client is a carrier of the rubella virus from previous exposure.
      D)
      Screening determines adequate immunity to protect the client and fetus from the virus.
    4. A nurse is caring for a client with acute pancreatitis with a nasogastric tube (NGT) set to low intermittent suction. The client asks the nurse why the NGT is necessary. What is the nurse's best response to the client about the rationale for the NGT?
      A)
      To sample gastric secretions for analysis of enzymes.
      B)
      To administer ice water to prevent hemorrhage.
      C)
      To relieve nausea and vomiting and allow the pancreas to rest.
      D)
      To administer low-fat tube feedings.

    Exam Review

    1. A nurse is teaching the family of a client with Parkinson's disease on how to assist them at home. Which statement by the family indicates further education is needed?
      A)
      Dietary fiber needs to be decreased in their diet.
      B)
      The bath bars will be installed before they come home.
      C)
      We will be teaching them posture exercises.
      D)
      They will do range of motion (ROM) exercises three times a day.
    2. A nurse is reviewing the baseline assessment and history of a client. Based on the assessment findings of lungs clear to auscultation, temperature 98.2 F, blood pressure 132/80, pulse 92, and respirations 20, which of the following would be an expected finding?
      A)
      An acute hemolytic reaction.
      B)
      Shortness of breath and crackles in the lungs.
      C)
      An increase in hemoglobin and hematocrit.
      D)
      A decrease in platelet count.
    3. The nurse assesses a client who has Parkinson disease. Which signs and symptoms would the nurse recognize as a key feature of this disease? (Select all that apply.)
      A)
      Shuffling gait.
      B)
      Bradykinesia.
      C)
      Tremors at rest.
      D)
      Aphasia.
      E)
      Muscle rigidity.
    4. A client with genital herpes has painful ulcers on her vulva. After teaching the client self-care measures related to her diagnosis, which statement indicates the need for further education?
      A)
      I may use a sitz bath as needed for comfort.
      B)
      I will wash my hands carefully after applying ointment.
      C)
      When I don't have lesions, I am not contagious to my sexual partner.
      D)
      Pouring water over my genitals will decrease the pain of urinating.

    Exam Review

    1. The nurse is reviewing the health record for several pregnant clients with Rh negative blood. Which of the following is/are an indication(s) for the nurse to administer RhoGAM? (Select all that apply.)
      A)
      Artificial rupture of membranes.
      B)
      Placenta abruption.
      C)
      Fetal scalp electrode application.
      D)
      Amniocentesis.
      E)
      Chorionic villus sampling.
    2. A prenatal nurse is providing instructions to a group of pregnant clients regarding measures to prevent toxoplasmosis. Which statement made by one of the clients indicates a need for further instruction?
      A)
      I need to cook meat thoroughly.
      B)
      I don't need to avoid cleaning my cat litter because I have been exposed to my cat's feces for years.
      C)
      I need to thoroughly wash kitchen surfaces that may have come in contact with raw meat.
      D)
      I can garden as long as I wear gloves.
    3. The nurse is caring for a primigravida client at 34 4/7 weeks gestation, who has come in for a prenatal appointment. Which of the findings would alert the nurse that this patient may be developing preeclampsia?
      A)
      Pitting edema at the end of the day.
      B)
      Urine dipstick for 300 mg or 3+ protein.
      C)
      Weight gain of 2 pounds in the past 2 weeks.
      D)
      Blood pressure (BP) increase to 138/84 mmHg.
    4. A client is 6 weeks pregnant. She had a previous spontaneous abortion at 13 weeks of gestation and a pregnancy that ended at 38 weeks with the birth of a girl. What does the nurse determine is her gravida and para?
      A)
      Gravida 2 Para 2.
      B)
      Gravida 3 Para 3.
      C)
      Gravida 3 Para 1.
      D)
      Gravida 1 Para 1.

    Exam Review

    1. A 30-year-old female client is admitted with complaints of numbness and tingling in extremities, and double vision which has occurred 2-3 times in the past month. Which query is important for the nurse to ask the client?
      A)
      Have you noticed a rash across the bridge of your nose?
      B)
      Do you get tired easily and sometimes have problems swallowing?
      C)
      Are you taking birth control pills to prevent pregnancy?
      D)
      Have you experienced any difficulty with your menstrual cycle?
    2. A female client is admitted to the emergency department complaining of severe left lower quadrant pain and vaginal bleeding. What would be the priority assessment by the nurse at this time?
      A)
      Assess the client for a fever.
      B)
      Ask the client when she last voided.
      C)
      Ask the client about the date of her last menstrual period.
      D)
      Ask the client about her last bowel movement.
    3. The nurse is assessing the client during the transfusion of O positive packed red blood cells (PRBCs) that began 15 minutes ago. The client complains of a headache and chills. Current vital signs: Blood pressure 111/58, Heart Rate 106, Respirations 22, and Temperature 100.9F. What action(s) will the nurse take at this time? (Select all that apply).
      A)
      Call the provider.
      B)
      Stop the transfusion.
      C)
      Monitor vital signs.
      D)
      Return all tubing and blood products to the Blood Bank.
      E)
      Flush the current IV tubing with 0.9
    4. The nurse is teaching a prenatal class about the effects of substance abuse during pregnancy. What potential outcome(s) will the nurse include? (Select all that apply).
      A)
      Decreased maternal weight gain.
      B)
      Intrauterine growth restricted infant.
      C)
      Increased neonatal pain tolerance.
      D)
      Placental abruption.
      E)
      Preterm delivery.

    Exam Review

    1. The nurse is planning discharge teaching for a client newly diagnosed with Parkinson's disease. Which action(s) will be included in discharge teaching? (Select all that apply).
      A)
      Motivate client to avoid rest periods throughout the day.
      B)
      Encourage client to do as much as they can independently.
      C)
      Instruct client on strategies to reduce risk for injury in the home.
      D)
      Educate client to limit fluids.
      E)
      Help client to plan a daily exercise routine that involves active range of motion.
    2. A client at 9 weeks gestation reports to the nurse that she is experiencing nausea and vomiting in pregnancy. Which pregnancy hormone is thought to cause the nausea and vomiting the client is experiencing in the first trimester of pregnancy?
      A)
      Estrogen.
      B)
      Human placental lactogen (hPL).
      C)
      Progesterone.
      D)
      Human chorionic gonadotropin (hCG).
    3. A 20-year-old client is at 18 weeks gestation. Her prenatal history reveals past drug abuse, and urine screening indicates that she has recently used cocaine. The nurse should recognize that the client is at increased risk for which condition(s)? (Select all that apply.)
      A)
      Placenta abruption.
      B)
      Erythroblastosis fetalis.
      C)
      Gestational hypertension.
      D)
      Small for gestational age newborn.
      E)
      Poor nutrition.
    4. The nurse is caring for a client recovering from acute pancreatitis that has been NPO since admission. What is the nurse's best response after the client asks when they can begin eating again?
      A)
      You will need to be NPO for at least 2 more weeks to allow the pancreas to heal.
      B)
      When you have active bowel sounds and passing flatus you can eat.
      C)
      Once your pain and serum lipase level begins to decrease you may be able to eat.
      D)
      As soon as you start to feel hungry you can begin eating.