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    Exam Review

    1. A nurse is taking care of a client undergoing cerebral angiography.

      ➢ Which statement by the client would require immediate follow-up?

      A)
      "I feel like I'm going to vomit."
      B)
      "I hope my results are okay."
      C)
      "It's getting a bit hot in here."
      D)
      "My throat is getting a bit itchy, and my eyes are getting watery."

    2. The nurse is caring for a client seven hours postoperative following a subtotal thyroidectomy. The client reports peripheral numbness and tingling, muscle twitching, and spasms.The nurse anticipates a prescription for

      A)
      levothyroxine.
      B)
      hydrocortisone.
      C)
      thiamine.
      D)
      calcium gluconate.

    3. The nurse is assessing a client with suspected respiratory syncytial virus (RSV).

      ➢ Which of the following findings would support a diagnosis of RSV? Select all that apply.

      (SATA)
      A)
      Nasal secretions
      B)
      Fever
      C)
      Bradypnea
      D)
      Coughing
      E)
      Epistaxis
      F)
      Drooling

    4. Which statement below relating to pain and pain perception is accurate?

      A)
      Allodynia is the pathophysiological absence of pain when a painful stimulus is applied.
      B)
      Scientific evidence does not support the presence of pain during neonatal circumcision.
      C)
      Hyperalgesia is the opposite of hyperpathia, both of which are abnormal pain responses.
      D)
      The perception of pain and its impact on clients vary greatly among individuals.
    Page 1 of 38

    Exam Review

    1. The nurse is performing a cardiovascular assessment on a client.

      ➢ Which cardiovascular mechanism is primarily responsible for generating the first heart sound (S1)?

      A)
      Opening of the mitral and tricuspid valves
      B)
      Closure of the mitral and tricuspid valves
      C)
      Opening of the aortic and pulmonic valves
      D)
      Closure of the aortic and pulmonic valves

    2. The nurse is preparing to insert a nasogastric tube (NGT) for a client with abdominal distention. The nurse should place the client in which position for this procedure?

      A)
      Supine with the head of the bed elevated at 30 degrees
      B)
      Supine with the head of the bed 90 degrees
      C)
      Left-lateral position with the knees bent
      D)
      Right-lateral position with the knees bent

    3. Before administering a nasogastric feeding to a preterm infant, the nurse prepares to aspirate the residual fluid from the stomach.

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

      (SATA)
      A)
      Begin the prescribed nasogastric feeding.
      B)
      Aspirate gastric contents.
      C)
      Return the aspirate.
      D)
      Measure the aspirate.
      E)
      Position the patient with the head slightly elevated.

    4. The nurse is preparing to prime a new line of IV tubing. The nurse understands that priming intravenous tubing is crucial because it prevents which treatment complication?

      A)
      Medication toxicity
      B)
      Infiltration
      C)
      Air embolism
      D)
      Extravasation
    Page 2 of 38

    Exam Review

    1. The nurse working in a pediatric unit is assessing the vital signs of a one-year-old client.

      ➢Which of the following findings requires follow-up?

      A)
      A respiratory rate of 30 breaths per minute
      B)
      An axillary temperature of 99.0 degrees Fahrenheit (37.2 degrees Celsius)
      C)
      Blood pressure of 126/90 mmHg
      D)
      Heart rate of 120 beats per minute

    2. The nurse is caring for a child with varicella zoster. The nurse should implement which transmission-based precautions?

      A)
      Droplet precautions
      B)
      Airborne and contact precautions
      C)
      Contact and droplet precautions
      D)
      Contact precautions

    3. The nurse is caring for a client following a bedside thoracentesis. Which action should the nurse take immediately following the procedure?

      A)
      Instruct the client to take slow, shallow breaths
      B)
      Assess the client's respiratory status
      C)
      Label the lab specimen for culture
      D)
      Call the radiology department to arrange for a postprocedure chest radiograph (x-ray)

    4. The nurse is caring for a client with advanced dementia. Which assessment findings suggest to the nurse that the client is experiencing pain?

      A)
      Rubbing a body part
      B)
      Wandering
      C)
      Inexpressive facial expression
      D)
      Unlabored respirations
    Page 3 of 38

    Exam Review

    1. The nurse is supervising a student nurse performing an abdominal assessment on a client with gastroenteritis.

      ➢ It would indicate effective technique if the student performs the assessment in which order?

      A)
      Auscultation, inspection, palpation, percussion
      B)
      Inspection, palpation, percussion, auscultation
      C)
      Palpation, percussion, inspection, auscultation
      D)
      Inspection, auscultation, percussion, palpation

    2. The nurse is caring for a client who has sustained a myocardial infarction.

      ➢ Which laboratory test would be most sensitive to myocardial damage?

      A)
      Creatine phosphokinase-MB
      B)
      Troponin I
      C)
      Creatine kinase (CK)
      D)
      Myoglobin

    3. You are reinforcing counseling for two parents who are preparing for the birth of their first child. The father has sickle cell anemia, and the mother is a carrier. You tell them that their baby has what chance of having sickle cell anemia?

      A)
      25%
      B)
      50%
      C)
      75%
      D)
      100%

    4. The nurse has attended a staff education program about caring for clients with acute osteomyelitis.

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

      A)
      “IV antibiotic therapy is typically given for seven to fourteen days.”
      B)
      “The most common cause of acute osteomyelitis is a virus.”
      C)
      “A significant fever is present with typically greater than 101°F (38.3°C)."
      D)
      “Petechiae on the affected extremity is a common finding.”
    Page 4 of 38

    Exam Review

    1. The nurse is precepting a new graduate who will be caring for a client with bacterial cystitis.

      ➢ Which of the following statements by the new graduate requires follow-up?

      A)
      “The client should be counseled to increase their fluid intake.”
      B)
      “A 24-hour urine sample will be needed to confirm the diagnosis.”
      C)
      “Risk factors include frequent intercourse and douching.”
      D)
      “Fever and chills could be a sign that the infection is spreading."

    2. The nurse is performing a physical assessment on an adult client. The nurse should assess for tactile fremitus by

      A)
      placing the thumbs on the client's spine at the level of the ninth ribs.
      B)
      asking the client to breathe slowly and deeply through an open mouth while auscultating lung sounds.
      C)
      asking the client to say “ninety-nine” while palpating the intercoastal spaces beginning at the lung apex.
      D)
      tapping the chest over the distal interphalangeal joint with the middle finger of the opposite hand.

    3. The nurse is caring for a client two days post-op total knee replacement with a continuous passive motion (CPM) device at the bedside. The nurse would recognize that the primary purpose of this machine is to:

      A)
      Stabilize the knee joint during ambulation
      B)
      Promote knee flexion
      C)
      Reduce post-surgical swelling
      D)
      Prevent blood clots

    4. The nurse is caring for a client receiving assist-control (AC) via mechanical ventilation. The nurse understands that this setting is used to do which of the following?

      A)
      Allow spontaneous breaths at the client’s tidal volume.
      B)
      Deliver additional pressure at the end of exhalation.
      C)
      Deliver a preset tidal volume during spontaneous breaths.
      D)
      Provide inspiratory pressure during ventilations.
    Page 5 of 38

    Exam Review

    1. The nurse enters a client's room who is found on the ground. The nurse should perform which initial action?

      A)
      Assess the client’s level of consciousness
      B)
      Examine the client for injuries
      C)
      Call the rapid response team (RRT)
      D)
      Palpate the client’s carotid pulse

    2. The nurse is counseling parents concerned about their child experiencing frequent nocturnal enuresis. The nurse should recommend the parents to do which of the following?

      A)
      Establish and maintain a voiding diary for the child.
      B)
      Discipline the child after each bedwetting episode.
      C)
      Apply diapers or pull-ups routinely at night.
      D)
      Have the child go to bed with a full bladder.

    3. The nurse is developing a plan of care for a client admitted P. aeruginosa pneumonia. Which of the following should the nurse include in the client’s plan of care?

      A)
      Instruct the client to wear an N95 mask when ambulating in the hall.
      B)
      Initiate a vascular access device and encourage by-mouth fluids.
      C)
      Obtain daily weights every morning using the same scale.
      D)
      Administer prescribed oseltamivir within 48 hours of symptom onset.

    4. The nurse is caring for a client with type 1 diabetes mellitus who develops hyperglycemia between 5:00 and 6:00 AM as a result of the nighttime release of growth hormone. The nurse should recognize that this condition is consistent with

      A)
      dawn phenomenon.
      B)
      Somogyi effect.
      C)
      hyperosmolar hyperglycemic syndrome (HHS).
      D)
      diabetic ketoacidosis (DKA).
    Page 6 of 38