NursGuru
    Login/Signup
    Review ModeExam ModePractice Mode

    Exam Review

    1. The nurse is assessing a female client with syphilis.

      ➢ Which assessment finding would support this diagnosis?

      A)
      Dysuria
      B)
      Vaginal discharge
      C)
      Chancre lesion
      D)
      Dyspareunia

    2. The nurse reviews the nursing process with a group of students. Which of the following would demonstrate implementation? Select all that apply.

      (SATA)
      A)
      Performing a sterile dressing change
      B)
      Interviewing the client about their social determinants
      C)
      Inputs risk for impaired skin integrity into the care plan
      D)
      Establishing a peripheral vascular access device
      E)
      Determining if the prescribed pain medication was effective

    3. The nurse is caring for a client in bilateral soft wrist restraints. The nurse should assess the client’s

      Select all that apply.

      (SATA)
      A)
      behavioral status.
      B)
      skin integrity.
      C)
      bowel sounds.
      D)
      neurovascular status.
      E)
      need for the restraint.

    4. The nurse is caring for a client with the following clinical data. Based on the clinical data, which prescription would the nurse request from the primary healthcare provider (PHCP)? Select all that apply. See the image below.

      Clinical illustration

      (SATA)
      A
      Option A
      A)
      albuterol
      B)
      hydrocortisone
      C)
      diltiazem
      D)
      nitroglycerin
      E)
      furosemide
    Page 1 of 38

    Exam Review

    1. The nurse is caring for a client who is receiving prescribed mirtazapine. Which of the following statements, if made by the client, would indicate a therapeutic response? Select all that apply.

      (SATA)
      A)
      “I am not smoking cigarettes anymore.”
      B)
      “My blood glucose has decreased.”
      C)
      “My depression has gotten better.”
      D)
      “I am sleeping eight hours a night.”
      E)
      “My blood pressure is back to normal.”

    2. The nurse is teaching a group of students about incident reports. Which of the following situations would require an incident report? A visitor

      Select all that apply.

      (SATA)
      A)
      refusing to wear personal protective equipment (PPE).
      B)
      adjusting a client's infusion pump.
      C)
      requesting that their family member get pain medication.
      D)
      assisting their family member with brushing their teeth.
      E)
      stating that they fell while using the bathroom.

    3. The nurse assists a client with left-sided weakness.

      ➢ Which of the following actions should the nurse perform when assisting this client in ambulating with a cane? Select all that apply.

      (SATA)
      A)
      Place a gait belt around the client’s waist.
      B)
      Stand on the client’s left side during ambulation.
      C)
      Instruct the client to put the cane in the left hand.
      D)
      Measure the cane from the client’s wrist crease.
      E)
      Instruct the client to put the cane in the right hand.
      F)
      Instruct the client to look down while ambulating.

    4. The nurse is assessing a client who was admitted four hours ago with hypomagnesemia. Which of the following findings should the nurse recognize as a common cause of hypomagnesemia? Select all that apply.

      (SATA)
      A)
      Renal failure
      B)
      Alcoholism
      C)
      Anorexia nervosa
      D)
      Diarrhea
      E)
      Hypothyroidism
    Page 2 of 38

    Exam Review

    1. The nurse is teaching a continuing education course on health promotion.

      ➢ It would be appropriate for the nurse to identify which of the following would be a form of tertiary prevention? Select all that apply.

      (SATA)
      A)
      Yearly fecal occult blood testing
      B)
      Testicular self exams
      C)
      Digital rectal exams
      D)
      Rehabilitation programs
      E)
      Support groups for chronic illness

    2. The nurse is reviewing tetralogy of Fallot with a nursing student.

      ➢ It would indicate effective teaching if the student identifies which defects are associated with this disorder? Select all that apply.

      (SATA)
      A)
      Ventricular septal defect (VSD)
      B)
      Overriding aorta
      C)
      Pulmonic stenosis
      D)
      Concentric right ventricular hypertrophy
      E)
      Mitral valve regurgitation

    3. The pediatric nurse knows that which of the following are true regarding aortic regurgitation in a pediatric client with complex congenital heart disease?

      Select all that apply.

      A)
      Aortic regurgitation increases preload in the left ventricle.
      B)
      Aortic regurgitation leads to a systolic murmur.
      C)
      Aortic regurgitation causes decreased cardiac output.
      D)
      Aortic regurgitation increases left ventricle end diastolic pressure.
      E)
      Aortic regurgitation leads to systemic edema

    4. The nurse is performing discharge teaching to the parents of a 17-year-old male diagnosed with a moderate concussion.

      ➢ Which of the following statements by the parents would indicate effective understanding?

      A)
      "I should wake my child up every two hours to check how he is feeling."
      B)
      "I should put extra padding underneath his football helmet for tomorrow's practice."
      C)
      "I will not let him drive until he is seen at his follow-up appointment."
      D)
      "He should stay active during the day and not take any naps."
    Page 3 of 38

    Exam Review

    1. The nurse at a health fair is talking with a client who is in perimenopause. Which of the following client statements requires follow-up by the nurse? Select all that apply. 

      A)
      "I am using oil-based vaginal lubricants to lessen the discomfort during intercourse."
      B)
      "My doctor recommended I start taking Black cohosh to help with the loss of bone density"
      C)
      "I stopped exercising to reduce my hot flashes."
      D)
      "I recently started increasing my water intake to help prevent urinary tract infections."
      E)
      "Doing Kegel exercises will increase muscle tone around my vagina and urinary meatus."

    2. The nurse has received a prescription for celecoxib. Which finding in the client's medical history should prompt the nurse to question the administration of this medication?

      A)
      osteoarthritis
      B)
      gout
      C)
      recent myocardial infarction
      D)
      migraine headaches

    3. The nurse is caring for a client with Guillain-Barré syndrome (GBS).

      ➢ The nurse plans on taking which priority action?

      A)
      Assessing respiratory status frequently.
      B)
      Administering intravenous immunoglobulin (IVIG) as prescribed.
      C)
      Providing passive range of motion exercises to maintain joint mobility.
      D)
      Monitoring for autonomic dysreflexia.

    4. The nurse is performing a follow-up visit on an adolescent recently prescribed guanfacine. Which of the following assessments indicates a therapeutic response to the medication?

      A)
      Euthymic mood
      B)
      Less social anxiety
      C)
      Improved academic performance
      D)
      No suicidal ideations
    Page 4 of 38

    Exam Review

    1. The nurse is planning care for a client admitted with infective endocarditis (IE).

      ➢ Which assessment finding would indicate that the client is experiencing a complication?

      A)
      petechial rashes
      B)
      flank pain
      C)
      headache
      D)
      fever

    2. The nurse is observing a student nurse wash their hands with soap and water. Which observation requires follow-up? The student nurse

      A)
      washes their hands using warm water.
      B)
      dries hands thoroughly from wrists to fingers with paper towel.
      C)
      wets their wrists and hands with fingers pointed downward.
      D)
      pushes wristwatch and long uniform sleeves above wrists.

    3. The nurse is caring for a client with diabetes insipidus who is receiving vasopressin (ADH) therapy.

      ➢ Which of the following assessments should the nurse prioritize to determine if the client has had a therapeutic response to this medication? The client's

      A)
      serum blood glucose level.
      B)
      serum sodium level.
      C)
      urine output.
      D)
      heart rate.

    4. A client with chronic obstructive pulmonary disease (COPD) is prescribed tiotropium bromide inhalation therapy. The nurse should ensure that the client is aware about which of the following regarding the use of tiotropium?

      A)
      Use the inhaler only once a day in the morning
      B)
      Increase the dose if experiencing shortness of breath
      C)
      Store the inhaler in the refrigerator to prolong its shelf life
      D)
      Prime the inhaler by spraying it into the air before each use
    Page 5 of 38

    Exam Review

    1. The nurse is planning a menu for a client with end-stage renal disease.

      ➢ Which food would be appropriate for the nurse to recommend to the client?

      A)
      applesauce
      B)
      cantaloupe
      C)
      tomato slices
      D)
      veggie burger patty

    2. The nurse is participating in a fall and injury reduction committee to reduce falls in the inpatient environment.

      ➢ Which risk factors in the inpatient environment can be modified through this committee? Select all that apply.

      A)
      The lighting in the client rooms
      B)
      Staffing levels
      C)
      Communication failures
      D)
      Inadequate client assessment
      E)
      The prescribing of antihypertensive medications

    3. The nurse is caring for a client in the first trimester of pregnancy and notes that the client's serum potassium level is 2.9 mEq/L (mmol) [3.5-5 mEq/L, mmol/L].

      ➢ Which assessment findings are most likely related to this laboratory result?

      A)
      Gestational diabetes
      B)
      Hyperemesis gravidarum
      C)
      Lack of weight gain since the onset of pregnancy
      D)
      Food aversions

    4. A nurse is assigned to care for a client with liver dysfunction and ascites and is ordered to measure the client's abdominal girth daily. To ensure accuracy, the nurse should utilize which landmark?

      A)
      Xiphoid process
      B)
      Umbilicus
      C)
      Iliac crest
      D)
      Symphysis pubis
    Page 6 of 38