Exam Review
When assessing a client’s nose, the normal expected findings should be documented as:
A)Nose symmetrical and midlineB)Nose symmetrical with yellow drainageC)Nose asymmetrical with clear drainageD)Nose asymmetrical and proportional to facial featuresThe nurse is counseling a client considering scheduling a pap smear. The nurse recommends this test because it screens for
A)ovarian cancer.B)endometrial cancer.C)cervical cancer.D)vaginal cancer.Which stage of cognitive development does the nurse expect her 6-month-old patient to be in?
A)SensorimotorB)PreoperationalC)Concrete operationalD)Formal operationalThe nurse observes a parent swaddling their infant with an unrepaired omphalocele. Which of the following statements would be appropriate?
A)"Stop! You will kill your baby."B)"That is a nice, tight swaddle. It will help soothe your new baby."C)"May I help you? We must be careful with the baby's intestines since we do not want the swaddle to push them back inside."D)"Swaddling is not allowed for these babies; please stop."
Exam Review
The nurse is caring for a one-day-old newborn who has not yet had a bowel movement. Which of the following terms refers to the first stool passed by a newborn infant?
A)MelenaB)MeconiumC)DiarrheaD)HematemesisThe nurse is caring for a family who just found out that their newborn baby has tetralogy of Fallot. The parents state, "We can't believe our baby is going to die!" Which of the following statements by the nurse is most appropriate?
A)“Yes, that is so sad. What can I do to help you?”B)“Your baby will be fine! This is not so serious.”C)“Tetralogy of Fallot can be surgically repaired. Let’s talk more about what you can expect.”D)“Well, at least you get to spend time with your baby now. Some people don’t even get that.”The nurse is caring for a client with peripheral neuropathy of the lower extremities.
➢ Which intervention would be appropriate to prevent injury to the client's feet?
A)perform Semmes-Weinstein monofilament testB)review the client's most recent blood glucose levelC)obtain a prescription for gabapentinD)teach the client about appropriate footwearThe nurse is caring for a client newly diagnosed with Cushing’s disease. Which of the following client statements requires follow-up?
A)“I will need to eat more potassium-rich foods.”B)“I will need more steroids during periods of stress.”C)"I will be at a higher risk for an infection.”D)“I should do weight-bearing exercises.”
Exam Review
The nurse is caring for assigned clients and is reviewing laboratory data.
➢ Which laboratory data requires follow-up? A client with a
A)serum total cholesterol 180 mg/dl (4.65 mmol/L) [﹤ 200 mg/dl, 3.5–5.2 mmol/L]B)glycosylated hemoglobin (A1C) 7.5% [﹤ 7% if a client has DM].C)serum calcium 9.2 mg/dl (2.30 mmol/L) [9-10.5 mg/dL, 2.12–2.52 mmol/L]D)serum creatinine 1.0 mg/dL (88.4 µmol/L) [0.6-1.2 mg/dL, 53-106 µmol/L].The nurse cares for a client with a double-lumen peripherally inserted central catheter (PICC).
➢ Which of the following actions would be appropriate for the nurse to take?
A)Assign the client to a private room.B)Change the dressing daily using sterile technique.C)Flush heparin prior to discontinuation.D)Aspirate each lumen for blood return and then flush.The nurse is assessing a client who is newly diagnosed with irritable bowel syndrome (IBS). Which of the following findings is consistent with this diagnosis?
A)Unexplained weight lossB)Epigastric pain and nauseaC)Alternating constipation and diarrheaD)Low-grade fever and fatigueThe nurse assesses a client with damage to cranial nerve III. Which finding would be expected?
A)PtosisB)AnosmiaC)Uvula deviationD)Asymmetric facial movement
Exam Review
The nurse is assessing a client who has Raynaud’s phenomenon. Which of the following would be an expected finding?
A)Digit color changesB)Flapping hand tremorC)Painless skin ulcersD)Janeway lesionsThe nurse at a health fair is talking about female contraceptive options.
➢ Which information should the nurse include?
A)“Intrauterine devices (IUDs) may be safely continued during pregnancy.”B)“Contraceptive rings may be rinsed with rubbing alcohol if they are expelled.”C)“Combined estrogen-progestin contraception may lower your blood pressure.”D)“Hormonal implants that are placed subdermally need to be removed after 3 years.”The nurse instructed a client discharged with crutches on how to use the stairs.
➢ Which statement by the client indicates a correct understanding of the teaching?
A)"I should hold the handrail for support with one hand."B)"When going up the stairs, I should lead with my crutches and weaker leg."C)"When going down the stairs, I should lead with my crutches and strong leg."D)"I should remove the rubber tip when going up and down the stairs."The nurse is caring for a child experiencing a celiac crisis. The nurse should anticipate which prescription from the primary healthcare provider (PHCP)?
A)Tap water enemaB)Intravenous (IV) fluidsC)Fluid restrictionsD)Nasogastric tube (NGT) insertion
Exam Review
The nurse preceptor supervises a new nurse caring for a child with epiglottitis.
➢ Which action by the new nurse would require the nurse preceptor to intervene? The new nurse
A)obtains a throat culture.B)positions the client high-Fowlers.C)initiates peripheral vascular access.D)places a bag-valve mask at the bedside.The nurse is caring for a client with Buerger’s disease who reports increased discomfort in the hands and feet after exposure to cold and using tobacco products.
➢ The nurse plans on suggesting that the client receive a referral for:
A)occupational therapy.B)speech therapy.C)smoking cessation.D)group psychotherapy.A 27-year-old nulliparous female presented to the clinic stating that she took an over-the-counter urine pregnancy test, which was positive. She states that she is two weeks late for her menstrual period. Her symptoms include nausea, fatigue, increased urinary frequency, vaginal discharge that is malodorous, burning with urination, and breast tenderness. She is not in a committed relationship and uses no contraceptive methods. She reports having multiple sexual partners. She has a negative gynecological and medical history.
- Ceftriaxone 500 mg intramuscular (IM) single dose
- Azithromycin 1-gram oral single dose
- Human immunodeficiency (HIV) Testing
➢ Which two (2) client findings in the history and physical require further investigation?
A)NauseaB)Breast tendernessC)FatigueD)Burning with urinationE)Vaginal dischargeF)AmenorrheaA 27-year-old nulliparous female presented to the clinic stating that she took an over-the-counter urine pregnancy test, which was positive. She states that she is two weeks late for her menstrual period. Her symptoms include nausea, fatigue, increased urinary frequency, vaginal discharge that is malodorous, burning with urination, and breast tenderness. She is not in a committed relationship and uses no contraceptive methods. She reports having multiple sexual partners. She has a negative gynecological and medical history.
- Ceftriaxone 500 mg intramuscular (IM) single dose
- Azithromycin 1-gram oral single dose
- Human immunodeficiency (HIV) Testing
➢ For each client finding, click to specify if the finding is consistent with pregnancy, gonorrhea, or cystitis. Each client finding may support more than one (1) condition or disease process. Each row must have at least one, but may have more than one, response option selected.
- A. Malodorous vaginal discharge
- B. Malodorous vaginal discharge
- C. Malodorous vaginal discharge
- D. Malodorous vaginal discharge
- E. Increased urinary frequency
- F. Increased urinary frequency
- G. Increased urinary frequency
- H. Increased urinary frequency
- I. Breast tenderness
- J. Breast tenderness
- K. Breast tenderness
- L. Breast tenderness
- M. Burning with urination
- N. Burning with urination
- O. Burning with urination
- P. Burning with urination
- Q. Cessation of menses
- R. Cessation of menses
- S. Cessation of menses
- T. Cessation of menses
Exam Review
A 27-year-old nulliparous female presented to the clinic stating that she took an over-the-counter urine pregnancy test, which was positive. She states that she is two weeks late for her menstrual period. Her symptoms include nausea, fatigue, increased urinary frequency, vaginal discharge that is malodorous, burning with urination, and breast tenderness. She is not in a committed relationship and uses no contraceptive methods. She reports having multiple sexual partners. She has a negative gynecological and medical history.
- Ceftriaxone 500 mg intramuscular (IM) single dose
- Azithromycin 1-gram oral single dose
- Human immunodeficiency (HIV) Testing
The nurse reviews the client's laboratory results
➢ The nurse understands that the client is most likely experiencing which condition? Select all that apply
A)PyelonephritisB)ChlamydiaC)CystitisD)GonorrheaE)Pre-eclampsiaA 27-year-old nulliparous female presented to the clinic stating that she took an over-the-counter urine pregnancy test, which was positive. She states that she is two weeks late for her menstrual period. Her symptoms include nausea, fatigue, increased urinary frequency, vaginal discharge that is malodorous, burning with urination, and breast tenderness. She is not in a committed relationship and uses no contraceptive methods. She reports having multiple sexual partners. She has a negative gynecological and medical history.
- Ceftriaxone 500 mg intramuscular (IM) single dose
- Azithromycin 1-gram oral single dose
- Human immunodeficiency (HIV) Testing
➢ Click to specify whether the planned intervention is appropriate or not appropriate
- A. Antivirals for infection
- B. Antivirals for infection
- C. Antivirals for infection
- D. Screen for syphilis and HIV
- E. Screen for syphilis and HIV
- F. Screen for syphilis and HIV
- G. Transvaginal ultrasound
- H. Transvaginal ultrasound
- I. Transvaginal ultrasound
- J. Review current medications
- K. Review current medications
- L. Review current medications
A 27-year-old nulliparous female presented to the clinic stating that she took an over-the-counter urine pregnancy test, which was positive. She states that she is two weeks late for her menstrual period. Her symptoms include nausea, fatigue, increased urinary frequency, vaginal discharge that is malodorous, burning with urination, and breast tenderness. She is not in a committed relationship and uses no contraceptive methods. She reports having multiple sexual partners. She has a negative gynecological and medical history.
- Ceftriaxone 500 mg intramuscular (IM) single dose
- Azithromycin 1-gram oral single dose
- Human immunodeficiency (HIV) Testing
➢ The nurse is teaching the client about the treatment plan. Which statement by the nurse would be appropriate?
A)"If your HIV testing comes back positive, your baby will be infected."B)"Let’s discuss some options for notifying your sexual partners."C)"You may notice dark urine and a metallic taste caused by ceftriaxone."D)"After you take the azithromycin, do not consume any calcium rich foods."A 27-year-old nulliparous female presented to the clinic stating that she took an over-the-counter urine pregnancy test, which was positive. She states that she is two weeks late for her menstrual period. Her symptoms include nausea, fatigue, increased urinary frequency, vaginal discharge that is malodorous, burning with urination, and breast tenderness. She is not in a committed relationship and uses no contraceptive methods. She reports having multiple sexual partners. She has a negative gynecological and medical history.
- Ceftriaxone 500 mg intramuscular (IM) single dose
- Azithromycin 1-gram oral single dose
- Human immunodeficiency (HIV) Testing
The nurse verifies the client's understanding
➢ Which statement, if made by the client, would require additional teaching?
A)"It would be best for me not to have sexual intercourse during my pregnancy."B)"I should abstain from sexual intercourse until I have been fully treated."C)"It is important for me to increase my fluid intake while being treated."D)"If I develop a fever or pain in my side, I should come back right away."