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    Exam Review

    1. The nurse is interviewing a client with a suspected alcohol-use disorder. Which question would be the most helpful in determining if the client may have this disorder?

      A)
      "Do you ever feel guilty about your drinking?"
      B)
      "Do you drink wine, liquor, or beer?"
      C)
      "Do you drink with friends and family?"
      D)
      "What age did you start consuming alcohol?"

    2. The nurse is designing a care plan for a client involuntarily admitted with severe major depressive disorder. A critical aspect of this client’s plan of care is

      A)
      the participation of the client.
      B)
      a completed medication reconciliation.
      C)
      a review of previously prescribed antidepressant medications.
      D)
      the assignment of a case manager.

    3. A nurse is caring for a client who underwent extensive reconstructive surgery following a severe burn injury. The client expresses distress over their altered appearance and avoids social interactions. Which nursing intervention is most appropriate to address the client's altered body image?

      A)
      Encourage the client to avoid looking at themselves in the mirror to minimize distress.
      B)
      Provide opportunities for the client to express their feelings and concerns about their appearance.
      C)
      Advise the client to focus solely on physical recovery and disregard their emotional state.
      D)
      Suggest the client wear clothing that conceals the surgical scars to avoid drawing attention.

    4. The nurse is assisting a client with their newly prescribed insulin pump.

      ➢ The nurse understands which insulin is commonly loaded into the pump?

      A)
      Rapid acting
      B)
      Ultra long-acting insulin
      C)
      Intermediate acting
      D)
      Long acting
    Page 1 of 38

    Exam Review

    1. The nurse is planning a new parent education program about immunization schedules for infants.

      ➢ Which of the following information about immunizations should the nurse include in the teaching? Select all that apply.

      (SATA)
      A)
      "Infants from birth to 4 months should receive an influenza vaccine."
      B)
      "Infants at birth can receive the rotavirus vaccine."
      C)
      "Infants 6 months of age should receive the measles, mumps, and rubella (MMR) vaccine."
      D)
      "The pneumococcal vaccination can be administered to infants starting at 2 months."
      E)
      "Infants at 2 months of age can receive the poliovirus vaccine."
      F)
      "Infants at 12 months can receive the varicella vaccination."

    2. The nurse is preparing an educational in-service about valsartan.

      ➢ Which of the following information should the nurse include?

      A)
      “Valsartan blocks the conversion of angiotensin I to angiotensin II.”
      B)
      "Valsartan antagonizes angiotensin II receptors."
      C)
      "Valsartan stimulates alpha-2 adrenoceptors in the brainstem."
      D)
      "Valsartan blocks response to beta1- and beta2-adrenergic stimulation."

    3. The licensed practical/vocational nurse (LPN/VN) is reinforcing teaching to a client about newly prescribed iron supplementation.

      ➢ Which of the following information should the LPN/VN include?

      A)
      "To minimize an upset stomach, take the iron supplements with milk."
      B)
      “Take the iron supplement with meals to avoid stomach upset."
      C)
      "Take the iron supplement with orange juice."
      D)
      "Iron supplements may cause diarrhea, and you should eat foods low in fiber."

    4. The nurse is educating a client about their newly prescribed soft diet.

      ➢ Which of the following food choices should the nurse recommend to the client?

      A)
      chunky peanut butter
      B)
      raw carrot sticks
      C)
      applesauce
      D)
      beef jerky
    Page 2 of 38

    Exam Review

    1. The nurse is caring for a client with anorexia nervosa, binge-eating/purging subtype.

      ➢ Which action should the nurse plan to take following the client’s meals?

      A)
      Instruct the client to go for a walk after meals.
      B)
      Restrict the client from using the restroom for one hour following meals.
      C)
      Ask the client to lie down for two hours after each meal.
      D)
      Provide the client with additional liquids following each meal.

    2. The nurse receives a prescription from the primary healthcare provider (PHCP) for metoprolol 5 mL intravenous (IV) push x 1 dose.

      ➢ The nurse should take which priority action before administering the medication?

      A)
      Clarify the prescription with the primary healthcare provider (PHCP)
      B)
      Assess vital signs
      C)
      Review the prescription with the pharmacist
      D)
      Assess the client's allergies

    3. The nurse is assessing a client who reports nightmares, flashbacks to a prior event, and intrusive thoughts. The client is at highest risk of developing

      A)
      panic disorder.
      B)
      bipolar disorder.
      C)
      schizophrenia.
      D)
      post-traumatic stress disorder.

    4. The nurse is caring for an infant with viral croup syndrome (laryngotracheobronchitis).

      ➢ The nurse anticipates that the physician will prescribe

      A)
      dexamethasone.
      B)
      albuterol.
      C)
      amoxicillin.
      D)
      montelukast.
    Page 3 of 38

    Exam Review

    1. The nurse has reinforced education at a conference on intramuscular (IM) injections.

      ➢ Which of the following statements by the participant would indicate a correct understanding of the teaching?

      A)
      "Aspiration before injection of IM medications is no longer universally recommended."
      B)
      "The deltoid muscle provides slower absorption rates than gluteal sites."
      C)
      "To ease a client's anxiety, inform the client that an IM injection will not hurt."
      D)
      "The dorsogluteal muscle is recommended as a site for IM injections."

    2. The nurse has reinforced education at a conference on intramuscular (IM) injections.

      ➢ Which of the following statements by the participant would indicate a correct understanding of the teaching?

      A)
      "1 mL is the maximum volume in a single site for small children and older infants."
      B)
      "Depress the plunger as the needle is being inserted into the client's skin to minimize discomfort."
      C)
      "Insert the needle quickly using a dart-like motion at a 60-degree angle."
      D)
      "Injecting in the ventrogluteal muscle is more painful than the vastus lateralis."

    3. The nurse is reviewing the medication administration record for a client who has been taking a tricyclic antidepressant for the past 2 weeks.

      ➢ Which of the following findings should the nurse recognize as a common side effect of this medication?

      A)
      Hypertension and tinnitus
      B)
      Diarrhea and increased salivation
      C)
      Dry mouth and blurred vision
      D)
      Weight loss and insomnia

    4. The nurse is preparing to insert a peripheral vascular access device.

      ➢ Place the following actions in the order in which they need to be performed, starting from first to last.

      A)
      Apply sterile dressing over the intravenous site.
      B)
      Clean the selected area using an alcohol-based 2% chlorhexidine solution using friction for 30 seconds.
      C)
      Place the tourniquet 10 to 15 cm (4–6 inches) above the proposed site.
      D)
      Insert the intravenous catheter at a 15 to 30 degree angle.
      E)
      Advance the catheter until a flash of blood is seen, then advance the catheter into the vein while removing the needle.
      F)
      Palpate vein at intended insertion site by pressing downward.
      G)
      Reapply the tourniquet 10 to 15 cm (4–6 inches) above the anticipated insertion site.
      H)
      Release tourniquet temporarily.
      I)
      Release the tourniquet and connect the Luer-Lok end of short extension tubing to the needleless connector to the catheter hub.
    Page 4 of 38

    Exam Review

    1. The nurse is caring for a client diagnosed with Reye's syndrome. The nurse understands that this illness is caused by which medication?

      A)
      Ibuprofen
      B)
      Aspirin
      C)
      Acetaminophen
      D)
      Diphenhydramine

    2. The nurse is assessing a pregnant client who reports difficulty with mobility.

      ➢ Which pregnancy-related spinal change is likely affecting the client's mobility?

      A)
      Ankylosing spondylosis
      B)
      Lordosis
      C)
      Scoliosis
      D)
      Kyphosis

    3. The nurse has provided discharge instructions to a client who was prescribed niacin. Which of the following statements, if made by the client, would indicate effective teaching?

      A)
      "This medication may increase my blood pressure."
      B)
      "I may experience flushing while taking this medication."
      C)
      "This medication may raise my total cholesterol."
      D)
      "I may feel fatigued and tired after taking this medication."

    4. The nurse is caring for a client experiencing severe anxiety prior to an endoscopy procedure.

      ➢ Which medication does the nurse anticipate the primary healthcare provider (PHCP) will prescribe?

      A)
      oxycodone
      B)
      midazolam
      C)
      citalopram
      D)
      haloperidol
    Page 5 of 38

    Exam Review

    1. The nurse is teaching a client about isoniazid (INH). Which of the following statements should the nurse include?

      A)
      “This medication may turn your secretions reddish/orange.”
      B)
      “Yellowing of your eyes is a normal side-effect.”
      C)
      “A B-complex vitamin should be taken to help with the neuropathy.”
      D)
      “This medication will need to be taken every day for at least one week.”

    2. The nurse is teaching a client about the newly prescribed medication, epoetin alfa. Which of the following should the nurse include in the teaching?

      A)
      This medication will decrease your risk for infection.
      B)
      You may notice black tarry stools while on this medication.
      C)
      This medication may raise your blood pressure.
      D)
      Take this medication with food rich in Vitamin C.

    3. The nurse is caring for a client experiencing delirium tremens.

      ➢ The nurse should obtain a prescription for which medication from the physician?

      Clinical illustration
      A)
      diphenhydramine
      B)
      diazepam
      C)
      phenytoin
      D)
      clozapine

    4. The nurse is caring for a client who is receiving prescribed acamprosate. Which of the following statements, if made by the client, would indicate a therapeutic response?

      A)
      “I no longer hear voices.”
      B)
      “I have more motivation during the day.”
      C)
      “I am not drinking alcohol anymore.”
      D)
      “My anxiety has lessened in public.”
    Page 6 of 38