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    Exam Review

    1. A nurse is assisting with the development of an education program about skin cancer. What information should the nurse include in the presentation?
      A)
      "Basal cell carcinoma has a high rate of metastasis."
      B)
      "Tanning bed use should be limited to once a week."
      C)
      "A family history of squamous cell carcinoma is a risk factor."
      D)
      "Older adults with light skin are at greater risk."
    2. A client with shingles is admitted to the hospital. When the client asks about the cause of shingles, which response by the nurse is correct?
      A)
      You've been bitten by a vector insect such as a tick.
      B)
      The toxins from a bacterial infection are making you ill.
      C)
      You're having an antibody response to a disease
      D)
      A dormant virus has been reactivated within your body
    3. A nurse is collecting data from four clients who have wounds. The nurse should recognize that which client has a manifestation of a wound infection?
      A)
      A client who has swelling and tenderness around the wound
      B)
      A client who has serosanguineous drainage from the wound
      C)
      A client who has urticaria and itching around the wound
      D)
      A client who has a large brown scab over the wound
    4. A client sustains a first degree sunburn on the chest, back, face, and arms. What is the nurse's PRIMARY concern?
      A)
      Infection control
      B)
      Altered body image
      C)
      Pain management
      D)
      Fluid resuscitation
    Page 1 of 13

    Exam Review

    1. During the nurse's initial physical assessment of an older client, the nurse notes that the client has a pressure injury on the left hip. The nurse finds eschar covering the base of the wound bed. How would the nurse document the stage of the pressure injury?
      A)
      Stage 2
      B)
      Stage 4
      C)
      Unstageable
      D)
      Stage 1
    2. A teenage client is diagnosed with acne. Which assessment finding supports the existence of acne?
      A)
      Ulcers
      B)
      Pustules
      C)
      Vesicles
      D)
      Wheals
    3. A nurse is collecting data on a client who has a major burn injury of the upper extremities. The nurse should recognize which finding as a PRIORITY?
      A)
      The client expectorates black colored sputum
      B)
      The client has large, blistered areas over the legs.
      C)
      The client has decreased sensation over the burn areas
      D)
      The client has edema at the burn site
    4. The nurse administers 400 mg of an oral drug at 4 pm. The drug has a half-life of 2 hours. At what time will 100 mg remain in the client's system?
      A)
      1800
      B)
      2000
      C)
      1600
      D)
      1400
    Page 2 of 13

    Exam Review

    1. A client calls the clinic and states they are experiencing intense itching and brown wavy lines between their fingers. The nurse recognizes this describes which condition?
      A)
      Lice
      B)
      Ringworm
      C)
      Scabies
      D)
      Psoriasis
    2. The fire department responded to a building fire. A firefighter was injured. Emergency medical services initiated first aid and emergency care at the scene. Which intervention is appropriate for the EMERGENT phase of burn care?
      A)
      Assess bowel sounds in all four quadrants.
      B)
      Perform passive ROM and encourage active ROM.
      C)
      Maintain nutritional status by force feeding.
      D)
      Stop the burning by removing clothes and jewelry.
    3. A nurse is discussing alopecia with a client who is to begin chemotherapy. Which statement should the nurse include?
      A)
      "Hair loss is almost always permanent."
      B)
      "Any hair regrowth is usually the same color and texture as before."
      C)
      "If hair loss occurs, it may include eyebrows and eyelashes."
      D)
      " Alopecia is a rare side effect of chemotherapy."
    4. What is the BEST nursing education for individuals who have frequent outbreaks of tinea pedis?
      A)
      Replace shoes worn in the last week
      B)
      Keep your feet and toes dry
      C)
      Never go barefoot when outdoors
      D)
      Cut toenails straight across
    Page 3 of 13

    Exam Review

    1. The provider prescribed penicillin G 100,000 units IM every 12 hours. The medication is available in solution as 250,000 units/mL. The nurse should administer _______ mL every 12 hours. (Round your answer to the nearest tenth. Do not include a label with your answer.)
    2. The fire department responded to a building fire. A firefighter was injured. The firefighter was transported to the burn center with burns over more than 20% of their body. Which intervention is appropriate for the ACUTE phase of burn care?
      A)
      Initiate intravenous resuscitative fluid therapy.
      B)
      Insert a nasogastric tube to prevent aspiration.
      C)
      Administer analgesics prior to dressing changes.
      D)
      Insert an indwelling urinary catheter to prevent retention.
    3. A daycare center has an outbreak of pediculosis capitis in its infant (children under 2 years) room. The public health nurse is providing education about the treatment of infants with pediculosis capitis. What should the nurse include in the teaching?
      A)
      Parents could treat all of the pets in the household.
      B)
      The use of an over-the-counter medicated shampoo is safe for infants.
      C)
      Parents should apply petroleum jelly to the to the scalp and hair at night.
      D)
      The daycare center must discard all stuffed animals.
    4. A client arrives for initial evaluation following a diagnosis of systemic lupus erythematosus (SLE). The nurse understands that which of the following is a classic cutaneous manifestation of SLE?
      A)
      Brittle fingernails
      B)
      Pallor of the face
      C)
      Ulcers of the feet
      D)
      Butterfly rash on face
    Page 4 of 13

    Exam Review

    1. A client reports to the provider's office with urticaria and elevated lesions on the hands and arms. The client says, "It is very itchy." Which type of lesion would the nurse document?
      A)
      Wheals
      B)
      Macules
      C)
      Plaques
      D)
      Nodules
    2. A client with a serious burn is admitted to the hospital. After their blood pressure is stabilized. which assessment finding is the BEST indication of successful response to the initial burn treatment?
      A)
      Minimal level of pain
      B)
      Adequate urine output
      C)
      Ability to perform exercises
      D)
      Normal body temperature
    3. Which health teaching information is appropriate for a client with a herpes simplex virus type 1 infection?
      A)
      Antibiotics can be used to treat herpes
      B)
      Never use soap and water on any of the open lesions.
      C)
      Use good personal hygiene to prevent spreading the virus to other body parts.
      D)
      You should remove the scabs daily by picking them off.
    4. A client is brought to the emergency department after sustaining second- and third-degree burns on the right anterior arm, right posterior arm, and right anterior leg. Using the Rule of Nines, what is the total body surface area that has been burned?
      A)
      18%
      B)
      36%
      C)
      27%
      D)
      9%
    Page 5 of 13

    Exam Review

    1. A client had surgery 6 months ago. The incision site is now intact, raised, indurated, and shiny. This is which type of tissue growth?
      A)
      Nevus
      B)
      Angioma
      C)
      Keloid
      D)
      Melanoma
    2. Which two types of lesions are characterized as vesicles? (Select all that apply.) Multiple options may be correct
      A)
      Herpes zoster
      B)
      Varicella
      C)
      Psoriasis
      D)
      Warts
      E)
      Insect bites
    3. A nurse in a provider's office is collecting data from a client who reports pruritus and reddened, with papules and vesicles that developed on the abdomen after changing laundry detergents. The nurse should suspect which disorder?
      A)
      Contact dermatitis
      B)
      Cellulitis
      C)
      Folliculitis
      D)
      Seborrheic dermatitis
    4. A nurse is monitoring a client who just received a first dose of intramuscular Penicillin G. Which of the following findings should the nurse identify as manifestations of an anaphylactic reaction? (Select all that apply.) Multiple options may be correct
      A)
      Urticaria
      B)
      Circumoral cyanosis
      C)
      Angioedema
      D)
      Hypotension
      E)
      Scleral icterus
      F)
      Difficulty breathing
      G)
      Hypertension
    Page 6 of 13