Exam Review

A nurse is teaching a client how to do pursed-lip breathing. What is the therapeutic effect of this procedure?
A)
Reducing the use of as needed (PRN) pain medications.
B)
Using chest muscles more effectively.
C)
Replacing the need to use an incentive spirometer.
D)
Prolonging expiration to reduce airway resistance.
A nurse notices a client is walking to the bathroom with a stooped gait, facial grimacing, and gasping sounds. Based on these nonverbal cues, which condition should the nurse assess for?
A)
Choking.
B)
Anxiety.
C)
Depression.
D)
Pain.
Teaching by role modeling is best displayed by what action?
A)
A nurse teaches strategies to stop smoking by referring the client to a support group.
B)
A nurse teaches a client to use an incentive spirometer by showing a video.
C)
A nurse teaches wound care by explaining the steps as she performs them.
D)
A nurse teaches hand hygiene by washing her hands every time she enters the client's room.
When utilizing the acronym RACE, what does the C represent?
A)
Clear the hallway of equipment.
B)
Confine the fire.
C)
Call the fire department.
D)
Close the doors and windows.

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Exam Review

A client who lives alone is stressed about who will care for his pet while he is hospitalized. Which type of counseling should the nurse conduct?
A)
Motivational.
B)
Short-term.
C)
Long-term.
D)
Crisis intervention.
A nurse is looking for trends in a postoperative client's vital signs. In which part of the electronic health record will the nurse find this information?
A)
Admission nursing assessment.
B)
Progress notes.
C)
Admissions sheet.
D)
Graphic record.
While administering a blood transfusion, the client receiving the blood postoperatively displays manifestations of dyspnea, dry cough, and pulmonary edema. What is the priority action for the nurse to take?
A)
Stop the transfusion immediately, obtain a culture of the client's blood, and administer antibiotics immediately.
B)
Stop the transfusion immediately, notify the health care provider, monitor vital signs, and administer acetaminophen.
C)
Stop the transfusion immediately, notify the health care provider immediately, and administer Lasix.
D)
Stop the transfusion immediately, monitor vital signs, notify the health care provider, and place the client in an upright position with their feet dependent.
A nurse is caring for a client with an active respiratory infection. Which action best addresses breaking the mode of transmission link in the chain of infection?
A)
Placing a surgical mask on the patient during transport.
B)
Performing correct hand hygiene before and after client contact.
C)
Administering the prescribed antibiotic on schedule.
D)
Providing the client with a nutritious, high-protein diet.

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Exam Review

The nurse has entered a client's room and observes that the client is in respiratory distress. What type of query should the nurse first implement in this interaction?
A)
The closed (focused) querry
B)
A reflective querry
C)
A directing querry
D)
An open-ended querry
Which clients would be at a high risk for fall injury?
(SATA)
A)
A 70-year-old transferred from a long-term care unit.
B)
A client who is taking antibiotics.
C)
A client experiencing orthostatic hypotension.
D)
A client who is older than 60 years of age.
E)
A client with a history of multiple falls.
Why is capnography more sensitive than pulse oximetry for detecting respiratory depression?
A)
It monitors body temperature.
B)
It detects changes in ventilation earlier.
C)
It measures blood pressure changes.
D)
It measures heart rate directly.
When providing skin care to an older adult client, the nurse should include what interventions to protect the client's skin? Select all that apply.
A)
Provide a bed bath every day.
B)
Minimize the use of any tape to the skin.
C)
Wash the perineal area every day.
D)
Withhold fluids for six hours prior to sleep.
E)
Apply moisturizing lotion to feet and hands as needed.

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Exam Review

What type of dressing is best for draining nonhealing wounds that is highly absorbent and stimulates increased blood supply and granulation?
A)
Collagen therapy.
B)
Contact layers.
C)
Antimicrobials.
D)
Negative pressure wound therapy.
The nurse receives a call from parents concerned that their child has ingested a toxin. What is the nurse's best response?
A)
Administer syrup of ipecac and take the child to the emergency room.
B)
Call the poison control center immediately before giving any home remedy.
C)
Bring the child to the primary care provider for a gastric lavage.
D)
Administer a charcoal tablet and take the child to the emergency room.
The loss of hydrogen ions, or gain of bases, causes the pH of blood to increase and become.
A)
Hypertonic.
B)
Acidotic.
C)
Alkaline.
D)
Neutral.
What type of leadership encourages the nursing staff to participate in decisions and activities?
A)
Autocratic.
B)
Situational.
C)
Laissez-faire.
D)
Democratic.

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Exam Review

Which statements made by a nursing student correctly explains the purpose of documenting nursing care? Select all that apply.
A)
It acts as a guide for reimbursement of costs of care.
B)
It provides little evidence of care in a court of law.
C)
It shows that timely documentation isn't important.
D)
It provides a written record of the history, treatment and care.
E)
It records the response of the client while under the care of a health care provider.
A client with a tracheostomy attempts to speak but is unable. What should the nurse do?
A)
Tell the client to keep trying.
B)
Avoid communication until speech returns.
C)
Provide alternative communication methods, such as writing or gestures.
D)
Ask the family to interpret the client's needs.
One factor affecting wound healing is softening and breakdown of skin, resulting from prolonged exposure to moisture. What is this known as?
A)
Desiccation.
B)
Edema.
C)
Maceration.
D)
Pressure.
How would the nurse leader demonstrate autocratic leadership?
A)
By ensuring that all nurses perform specific client care activities.
B)
By ensuring that nurses will take pride in achieving recognition in following hospital policies.
C)
By ensuring that all nurses are satisfied and motivated.
D)
By ensuring that nurses are encouraged to perform all activities without supervision.

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Exam Review

A nurse is performing a sterile dressing change. If new sterile items or supplies are needed, how can they be added to the sterile field?
A)
Carefully handle new sterile items with clean hands.
B)
Consider the outer half inch border of the sterile field to be contaminated.
C)
Clean hands and wear latex gloves before grabbing new supplies.
D)
Use sterile forceps to add sterile supplies as needed.
A client tests positive for the human immunodeficiency virus (HIV) antibody but has no symptoms. They are considered a carrier. What component of the infection cycle does the client illustrate?
A)
A portal of exit.
B)
A reservoir.
C)
An infectious agent.
D)
A portal of entry.
What is an unexpected occurrence involving death or serious physical or psychological injury, or the risk of death or injury?
A)
Minor event.
B)
Major event.
C)
Sentinel event.
D)
Never event.
The nurse manager is aware that nurses in the operating room are concerned about a proposed change in their working hours. What is the nurse manager's best approach to addressing this problem and the nurses?
A)
Implement the change quickly.
B)
Relate the proposed change to the group's existing beliefs and values.
C)
Discourage the nurses from discussing the problem because the change is going to occur.
D)
Discuss the disadvantages for the hospital if the change is not made.

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