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    Exam Review

    1. A nurse is providing nutrition teaching for a client who has hypertension. Which of the following foods should the nurse suggest the client include in their diet?
      A)
      Turkey
      B)
      Black tea
      C)
      Red meat
      D)
      Pizza
    2. A nurse is caring for a client who has cancer and is being transferred to hospice care. The client's daughter tells the nurse, "I'm not sure what to say to my mom if she asks me about dying." Which of the following responses by the nurse is appropriate? (Select all that apply.)
      (SATA)
      A)
      "Tell her not to worry. She still has plenty of time left."
      B)
      "Hospice will take good care of your mom, so I wouldn't worry about that."
      C)
      "You sound like you have questions about your mom dying. Let's talk about it."
      D)
      "Tell me how you are feeling about your mom dying."
      E)
      "Let's talk about your mom's cancer and how things will progress from here."
    3. A nurse in a community clinic is reviewing the laboratory results for a group of clients. Which of the following laboratory results should the nurse report to the local health department?
      A)
      Pertussis positive (expected: negative)
      B)
      Herpes simplex virus 1 positive (expected: negative)
      C)
      Rotavirus positive (expected: negative)
      D)
      Group A beta-hemolytic streptococcus positive (expected: negative)
    4. A nurse is teaching a client who was recently diagnosed with type 1 diabetes mellitus. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "I will only go without socks and shoes when I am in my home."
      B)
      "I will soak my feet in water before applying lotion between my toes."
      C)
      "I will skip a snack if I'm not hungry after lunch."
      D)
      "I will drink half of a cup of fruit juice when I feel shaky and weak."
    Page 1 of 45

    Exam Review

    1. A nurse is providing teaching about foot care to a client who has diabetes mellitus. Which of the following instructions should the nurse include? (Select all that apply.)
      (SATA)
      A)
      "Wash your feet daily with warm water and soap."
      B)
      "Soak your feet for 1 hour each day."
      C)
      "Alternate the shoes you wear each day."
      D)
      "Wear open-toe shoes."
      E)
      "Apply synthetic fabric socks."
    2. A nurse working in a health department is conducting a health screening for a group of farmworkers. Which of the following client statements indicates a possible health risk?
      A)
      "I wear a hat and long sleeves while I am working."
      B)
      "My home has running water and electricity."
      C)
      "I am currently sharing my home with two roommates."
      D)
      "I eat vegetables directly from the field where I work."
    3. For each assessment finding, click to specify if the finding is indicative of fifth disease, measles, or rubella. Each finding may support more than 1 disease process or none at all.
      Fifth Disease (Erythema infectiosum)Measles (Rubeola)Rubella (German measles)
      Koplik spots in the mouth✓
      Red rash on the face✓✓✓
      Fever✓✓✓
      Lymphadenopathy✓
    4. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
      ✓Prepare the client for suction curettage
      ✓Discuss weekly pregnancy hormone level monitoring
      ✓Hydatidiform mole
      ✓Vaginal bleeding
      ✓Blood pressure
      Actions to Take Choices
      ✓Prepare the client for suction curettage
      ✓Discuss weekly pregnancy hormone level monitoring
      Potential Condition Choices
      ✓Hydatidiform mole
      Parameters to Monitor Choices
      ✓Vaginal bleeding
      ✓Blood pressure
    Page 2 of 45

    Exam Review

    1. A nurse is planning care for a client who has a chest tube. Which of the following interventions should the nurse include in the plan? (Select all that apply.)
      A)
      Strip the chest tube vigorously to dislodge blood clots.
      B)
      Add water to the water seal chamber as it evaporates.
      C)
      Clamp the chest tube every 2 hr to assess the amount of drainage.
      D)
      Mark the drainage output on the collection chamber.
      E)
      Maintain the collection chamber above the level of the client's waist.
    2. A nurse is caring for a client. Review the exhibits below, then complete the sentence using the dropdown options. Based on the assessment findings, this client most likely has , which is evidenced by , and improved after .
      A)
      D1: chronic obstructive pulmonary disease (COPD) exacerbation
      B)
      D2: crackles, wheezing, and a 35 pack-year smoking history
      C)
      D3: albuterol and pursed-lip breathing
    3. For each potential provider's order, click to specify if the potential order is anticipated or contraindicated for the client.
    4. The nurse should identify the company's employees are at risk for adverse health effects from due to and .
      A)
      D1: enviromechanical agents
      B)
      D2: work equipment
      C)
      D3: newly implemented work policies
    Page 3 of 45

    Exam Review

    1. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
    2. A nurse is caring for a client who is at 37 weeks of gestation and experiences a spontaneous rupture of membranes before labor has begun. Which of the following actions should the nurse take?
      A)
      Administer magnesium sulfate to the client.
      B)
      Monitor fetal heart rate every 4 hr.
      C)
      Monitor the client's temperature every 2 hr.
      D)
      Administer betamethasone to the client.
    3. A nurse is teaching a client who is trying to conceive. Which of the following should the nurse instruct the client to increase in their diet to prevent a neural tube defect?
      A)
      Zinc
      B)
      Folate
      C)
      Calcium
      D)
      Iron
    4. A nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship. Which of the following statements should the nurse make during this phase?
      A)
      "Let's talk about how you can change your response to stress."
      B)
      "We should discuss resources to implement in your daily life."
      C)
      "We should establish our roles in the initial session."
      D)
      "Let me show you simple relaxation exercises to manage stress."
    Page 4 of 45

    Exam Review

    1. A nurse is planning care for a client who has acute appendicitis. Which of the following actions should the nurse plan to take?
      A)
      Administer a laxative to the client.
      B)
      Keep the client on NPO status.
      C)
      Apply heat to the client's abdomen.
      D)
      Place the client's head of bed flat.
    2. A nurse is caring for a client who is actively dying and states, "I just want to live to see my children graduate." Which of the following Kübler-Ross stages of dying is the client experiencing?
      A)
      Depression
      B)
      Denial
      C)
      Bargaining
      D)
      Acceptance
    3. A nurse is caring for a 1-month-old infant who has manifestations of severe dehydration and a prescription for parenteral fluid therapy. The guardian asks, "What are the indications that my baby needs an IV?" Which of the following responses should the nurse make?
      A)
      "Your baby needs an IV because she is breathing slower than normal."
      B)
      "Your baby needs an IV because her heart rate is decreased."
      C)
      "Your baby needs an IV because she is not producing tears."
      D)
      "Your baby needs an IV because her fontanels are bulging."
    4. A nurse is providing care for a client who has esophageal cancer and has received radiation therapy. Which of the following findings should the nurse identify as the priority?
      A)
      Client reports a pain level of 6 on a scale from 0 to 10
      B)
      Xerostomia
      C)
      Excoriation of the skin on the neck and chest
      D)
      Dysphagia
    Page 5 of 45

    Exam Review

    1. A nurse is teaching a client who has constipation about increasing dietary fiber intake. Which of the following snacks should the nurse recommend as the best source of fiber?
      A)
      1 cup grapefruit
      B)
      1 large pear
      C)
      1 medium carrot
      D)
      1 large banana
    2. Select the 5 actions the nurse should take.
      A)
      Exert upward pressure on the presenting part.
      B)
      Administer oxygen at 10 L/min via nonrebreather face mask.
      C)
      Have the charge nurse notify the provider.
      D)
      Increase the flow rate of the maintenance IV fluid.
      E)
      Attempt to push the umbilical cord back into the cervix.
    3. A nurse is caring for a client who has an endotracheal tube (ET) and is on mechanical ventilation. Which of the following actions should the nurse take for a ventilator alarm due to an increase in peak airway pressure? (Select all that apply.)
      A)
      Suction the ET to remove secretions.
      B)
      Assess the ET for a cuff leak.
      C)
      Check for a disconnection in the ventilator tubing.
      D)
      Check for a kink in the ventilator tubing.
      E)
      Verify the placement of the ET.
    4. After reviewing the client's health record, which of the following actions should the nurse take? Select all that apply.
      A)
      Administer betamethasone IM.
      B)
      Prepare client for an immediate cesarean birth.
      C)
      Perform vaginal examinations every shift.
      D)
      Provide continuous external fetal heart monitoring.
      E)
      Provide the client with instructions about limiting activity.
    Page 6 of 45