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    Exam Review

    1. The nurse has taught a client with acne self-management techniques. Which of the following statements by the client would indicate a correct understanding of the teaching? Select all that apply.

      (SATA)
      A)
      "I should wash my face daily with a mild cleanser."
      B)
      "I should style my hair so it covers my forehead."
      C)
      "I should sit in the sun more often to dry out my acne."
      D)
      "I should squeeze my acne as soon as they appear."
      E)
      "I should avoid using oil based products on my skin."
      F)
      "I should avoid sun-tanning booths and use sunscreen."

    2. The nurse cares for a client four days postoperative following an open splenectomy. The client's vital signs are T 101.1° F (38.4° C), P 92, RR 17, BP 152/86, and pulse oximetry reading 95% on oxygen at 2 L/min via nasal cannula. The surgical wound is assessed to have erythema and purulent drainage. The nurse should take which actions? Select all that apply.

      (SATA)
      A)
      Request an order for an antibiotic
      B)
      Notify the physician
      C)
      Ambulate the client to the bedside chair
      D)
      Obtain an order for blood cultures
      E)
      Increase the nasal cannula oxygen to 4 L/minute

    3. The nurse is assessing a child with newly onset congestive heart failure. Which of the following assessment findings would be expected? Select all that apply. 

      (SATA)
      A)
      bradycardia
      B)
      tachypnea
      C)
      diaphoresis
      D)
      weight loss
      E)
      fatigue

    4. While preparing to discharge a 2-year-old newly diagnosed with hypothyroidism, you include which of the following educational points in your discharge teaching?

      Select all that apply.

      (SATA)
      A)
      Take the thyroid medication at the same time each day.
      B)
      Take the thyroid medication 30 minutes after breakfast.
      C)
      Avoid taking the thyroid medication in the evening.
      D)
      No follow-up labs are necessary.
      E)
      Encourage increased fluids and fibrous foods
    Page 1 of 38

    Exam Review

    1. The occupational health nurse is teaching a group of unlicensed assistive personnel how to practice appropriate ergonomics.

      ➢ It would be appropriate for the nurse to recommend that Select all that apply. 

      (SATA)
      A)
      your feet are firmly on the floor while you are sitting in a chair.
      B)
      your feet are close together as you move or transfer a client.
      C)
      heavy objects be held far away from your body to achieve balance.
      D)
      you should squat to lift objects off of the ground.
      E)
      your neck should be extended as you look at the computer monitor.

    2. The nurse manager is performing safety rounds on the medical-surgical unit. Which observation by the nurse manager requires intervention? A nurse

      Select all that apply. 

      (SATA)
      A)
      labels the collected urine specimen outside of the client's room.
      B)
      verifies the client's identity by only looking at their armband.
      C)
      notifies the primary healthcare provider (PHCP) of a critical laboratory result after giving handoff report to another nurse.
      D)
      turns down the bedside cardiac alarm volume to allow the client to rest.
      E)
      discards an unlabeled medication found at the client's bedside.

    3. A pediatric nurse is caring for a 6-year-old child who underwent placement of a ventriculoperitoneal (VP) shunt for the management of hydrocephalus. Which of the following statements by the child's caregiver indicates an understanding of potential complications associated with the VP shunt?

      A)
      "We should expect the child to have frequent nosebleeds due to the shunt."
      B)
      "We need to monitor the child for signs of abdominal distention or discomfort."
      C)
      "The child may experience increased thirst and urination as a result of the shunt."
      D)
      "It's normal for the child to have difficulty swallowing after the shunt placement."

    4. The nurse is conducting a community health course.

      ➢ The nurse recognizes which of the following would be an example of secondary prevention?

      A)
      Sexually transmitted disease (STD) partner notification
      B)
      Human immunodeficiency virus (HIV) PrEP pre-exposure prophylaxis
      C)
      Reviewing safe food-handling practices in the home.
      D)
      Cardiac rehabilitation following a heart attack
    Page 2 of 38

    Exam Review

    1. A nurse is caring for a client diagnosed with a duodenal ulcer. Which medication facilitates healing by forming a protective lining over the client's ulcer?

      A)
      Famotidine
      B)
      Omeprazole
      C)
      Sucralfate
      D)
      Cimetidine

    2. The nurse is caring for an ovarian oncology client receiving the chemotherapy agent cisplatin for cancer. The client begins experiencing nausea and vomiting. The nurse's most important role when caring for this client is?

      A)
      Assessing the onset, frequency, and severity of the client's nausea and vomiting
      B)
      Ensuring the food is heated before the client eats
      C)
      Providing venues for relaxation or distraction
      D)
      Limiting the client's intake to a soft, bland diet

    3. The nurse is caring for a newborn with a myelomeningocele. To protect the sac, the nurse should

      A)
      irrigate the sac with a cold sodium chloride (normal saline).
      B)
      apply petroleum ointment as a protective covering for the sac.
      C)
      cover the sac with moist, saline dressing.
      D)
      apply a dry dressing over the sac.

    4. The nurse is reviewing the vital signs of a client admitted with atrial fibrillation. The client's vital signs are: T 37.5°C (99.6°F), P 92 and irregular, RR 18, BP 90/56, pulse oximetry reading 96% on room air.

      ➢ The nurse should immediately address which vital sign?

      A)
      temperature
      B)
      blood pressure
      C)
      respiratory rate
      D)
      pulse
    Page 3 of 38

    Exam Review

    1. The nurse in the clinic reviewed a child's medical record and noted several admissions for an asthma attack in the past year. When performing a teaching session on the prevention of an asthma attack, which of the following statements by the parents requires additional teaching?

      A)
      "Our child loves playing the trumpet in the grade school band."
      B)
      "Our child rakes leaves outdoors to earn extra money."
      C)
      "We recently got our child a fish tank with various fish."
      D)
      "Our child swims with his friends on the weekends."

    2. The nurse in the nursery is caring for a 24-hour-old infant. The nurse suspects the infant of having pyloric stenosis. Which of the following manifestations would support this finding?

      A)
      Melena
      B)
      Currant jelly stools
      C)
      Projectile vomiting
      D)
      Steatorrhea

    3. The new registered nurse (RN) is caring for a preschool-aged pediatric client in the pediatric ward under the supervision of a nurse educator. Which statement by the new RN indicates to the nurse educator that the new RN understands how to provide age-appropriate care to the preschooler?

      A)
      “We can convince the preschooler to cooperate with us by providing a thorough explanation of the procedure.”
      B)
      "We need to ensure that the preschooler doesn't feel threatened about being hurt during nursing care by explaining what we are doing and assessing understanding."
      C)
      "We can make the preschooler more cooperative by involving them in competitive games."
      D)
      "The preschooler should not wait to have their needs met."

    4. A school nurse is discussing poison prevention and management with a group of parents.

      ➢ Which statement by parents would indicate a need for additional teaching?

      A)
      "Containers of poisonous liquids need to be properly labeled."
      B)
      "In the event gasoline is ingested by my child, vomiting should be induced."
      C)
      "I may be able to give my child milk or water to dilute a corrosive poison while I rush them to the hospital."
      D)
      "All poisonous materials should be securely stored away from children."
    Page 4 of 38

    Exam Review

    1. The nurse has instructed a client with hyperlipidemia about self-management. Which statement by the client would require follow-up by the nurse?

      A)
      "I should replace hydrogenated vegetable oils with canola oil when cooking."
      B)
      "I should increase my intake of fish like tuna and salmon more often."
      C)
      "Increasing my fiber intake will help lower my cholesterol."
      D)
      "I am glad that I won't need to reduce red meat from my diet."

    2. An emergency department (ED) nurse just received a client exposed to inhalation anthrax. The nurse should anticipate that the ED health care provider (HCP) will prescribe which medication?

      A)
      Acyclovir
      B)
      Zidovudine
      C)
      Ciprofloxacin
      D)
      Oseltamivir

    3. The nurse is teaching a client who is scheduled for a colonoscopy.

      ➢ Which of the following information should the nurse include?

      A)
      “The day before the procedure you may have a regular diet.”
      B)
      “You will not have anything to eat or drink by mouth for 4 to 6 hours prior to the test.”
      C)
      “You may notice chalky white stools immediately after the procedure.”
      D)
      “Your abdomen will be painful and distended after the test.”

    4. The nurse is interviewing the parents of a child diagnosed with rheumatic fever. Which previous infection is linked to the development of this condition?

      A)
      Cystitis
      B)
      Influenza
      C)
      Streptococcal infection
      D)
      Whooping cough
    Page 5 of 38

    Exam Review

    1. The nurse is caring for a 21-year-old client with complaints of scrotal pain. Which of the following suspected diagnoses requires immediate intervention?

      A)
      Epididymitis
      B)
      Inguinal hernia
      C)
      Testicular torsion
      D)
      Hydrocele

    2. The nurse is caring for a female client who is to undergo a genital examination.

      ➢ What position should the nurse assist the client into?

      A)
      semi-fowler’s
      B)
      supine with the knees bent
      C)
      prone with the knees bent
      D)
      lithotomy

    3. The nurse is talking with a parent who is sobbing loudly at the bedside of their infant, who was just born with an omphalocele. The parent wails, "I cannot believe my baby was born this way! He will surely die!"

      ➢ Which of the following statements by the nurse is most appropriate?

      A)
      "Don't worry, these things happen all the time; your baby will be fine without any intervention."
      B)
      "I understand you are upset. This is certainly serious, but there is a treatment that can repair the omphalocele, and we will take excellent care of your baby."
      C)
      "I know this looks bad, but let's not jump to conclusions. We'll see how it goes."
      D)
      “I understand you must be upset. Would you like to hold your baby while he is still here?”

    4. The nurse is caring for a 1 year old client diagnosed with acute otitis media. The client is experiencing otalgia, has been febrile for 24 hours, and is pulling at his left ear. Which intervention is the priority nursing action?

      A)
      Position the child on his left side
      B)
      Administer antibiotic ear drops
      C)
      Administer acetaminophen as prescribed
      D)
      Apply a heat pack to the left ear
    Page 6 of 38