Exam Review

What piece of equipment is used to plug the tracheostomy tube to make it easier to insert?
A)
The inner cannula
B)
The cuff
C)
The obturator
D)
The neck plate
A nurse is preparing to administer lithium 300 mg by mouth every 8 hours. Available is lithium carbonate 150 mg per capsule. How many capsule(s) should the nurse administer per dose? capsule(s) (If needed, round the answer to the nearest whole number.)
Correct Answer:2 capsule(s)
A nurse manager reviews steps to prevent medication errors with new nurses. Which statement by a new nurse indicates a need for further teaching?
A)
"I clarified illegible handwriting on orders with the prescriber."
B)
"I prepared medications for one client at a time to avoid mix-ups.
C)
"I used two client identifiers before administering medications."
D)
"I documented medications at the end of my shift to save time."
The nurse cares for a group of clients who have topical medications ordered. Which client should the nurse see first?
A)
A client with an infection on the foot with an order for antifungal cream
B)
A client with new chest pain with a STAT order for nitroglycerin paste
C)
A client with chronic pain with a scheduled order for a fentanyl patch
D)
A client with an order for collagenase to be applied during wound care

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Exam Review

The nurse delegates a 24-hour urine specimen collection to the unlicensed assistive personnel (UAP). Which action shows the UAP understands the urine collection process?
A)
The UAP places the client's first urine void in the collection container
B)
The UAP places the client on an external urinary catheter with a collection bag
C)
The UAP brings a bucket of ice into the client's bathroom for the specimen
D)
The UAP instructs the client to urinate directly into the specimen container
A nurse is caring for an adult client with a tracheostomy. After suctioning the tracheostomy, which finding best indicates the procedure was effective?
A)
Capillary refill of less than 2 seconds
B)
Pulse oximetry 97%
C)
Respiratory rate 16 breaths per minute
D)
Pulse 92 beats per minute
What are common cause(s) of constipation? Select all that apply.
(SATA)
A)
Pregnancy
B)
Foodborne pathogens
C)
Stress
D)
Active lifestyle
E)
Low fiber diet
F)
Low fluid intake
A nurse provides education to a client on buccal medication. Which statement by the client indicates effective learning?
A)
"I will alternate cheeks with each dose to avoid irritation."
B)
"I should chew the medication before placing it in my cheek."
C)
"I need to swallow the medication immediately after taking it."
D)
"I should place the medication under my tongue to dissolve."

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Exam Review

A client weighing 9.5 kg has an order for medication at 125 mg/kg/day by mouth every 8 hours. The medication is supplied as 250 mg/5mL. How many milliliters per dose should the nurse administer? mL (If needed, round to the nearest tenth.)
Correct Answer:7.9 mL
Complete the following sentence by choosing from the list of option. A nurse is caring for a client who reports anxiety, chest tightness, and no appetite. The nurse should first assess the client's ▾ chest tightness then their ▾ anxiety, and then their ▾ no appetite
Dropdown 1:
Option 1: anxiety
Option 2: chest tightness
Option 3: no appetite
Dropdown 2:
Option 1: anxiety
Option 2: chest tightness
Option 3: no appetite
Dropdown 3:
Option 1: anxiety
Option 2: chest tightness
Option 3: no appetite
When a nurse assesses a client's ability to self-administer oral medications, which finding is most important to consider?
A)
The client wants to take medications at a different time.
B)
The client has mild nausea after taking the medication.
C)
The client needs help reading the medication labels.
D)
The client has difficulty swallowing the pills and tablets.
A nurse is preparing to administer medications to a client. What priority action should the nurse take to protect the client from being given the wrong medication?
A)
Ensure the medication is appropriate for the client.
B)
Confirm medication calculations with a second nurse.
C)
Perform the three medication checks before medication administration.
D)
Empower the client and their family to ask questions about medications.

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Exam Review

The nurse provided oxygen device safety education to a client and their family. Which statement by the client indicates a need for further education?
A)
"I should not smoke or allow anyone who is smoking to get close to me when I have my oxygen on."
B)
"I should secure all of my oxygen tanks at my house so they do not fall over and get damaged or rupture."
C)
"If I choke and cannot breathe, I should turn the oxygen flowmeter up to help me get more oxygen."
D)
"I need to keep an extra portable tank with me when I am away from home so I do not run out of oxygen."
Complete the sentence by using the drop-down lists. A nurse is administering ear drops to an adult client. The nurse should hold the pinna dropdown and dropdown
A nurse is administering a subcutaneous injection to a client. Which action should the nurse take to prevent tissue irritation and the formation of painful lumps?
A)
Inject the medication rapidly
B)
Rotate injection sites
C)
Use a 21-gauge needle
D)
Avoid pinching the skin
When should the medication label be compared to the medication administration record (MAR) as part of the medication administration process? Select all that apply.
A)
When preparing the medication
B)
When disposing of unused medication
C)
When retrieving the medication
D)
When storing the medication
E)
Before administering the medication

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Exam Review

The nurse cares for a client on the medical-surgical floor. Which finding places the client at greatest risk for urinary retention?
A)
The client with a history of frequent urinary tract infections.
B)
The client has had 32 mL of urine output in the last hour.
C)
The client with an elevated blood pressure and headache.
D)
The client had a surgical procedure requiring general anesthesia.
A nurse reviews the results of three fecal occult blood tests (FOBT) with a client. The tests returned positive. What action should the nurse plan to take?
A)
A Schedule client for a follow-up FOBT.
B)
Discuss dietary changes to prevent false positives.
C)
Advise the client to repeat the test at home soon.
D)
Refer the client for a colonoscopy.
Which factor can lead to urinary retention in a client?
A)
Enlarged prostate
B)
High caffeine intake
C)
Increased fluid intake
D)
Use of diuretics
The nurse cares for a client with left-sided weakness after a stroke. What action should the nurse take when administering the client's medications?
A)
Stop administering medications if client's voice sounds wet or hoarse.
B)
Instruct the client to lay supine after medication administration to rest.
C)
Place the medications in the center of the client's mouth when administering.
D)
Encourage the client to use a straw to help swallow medications.

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Exam Review

A nurse verifies medication orders for a client who has just been transferred from another unit. Which action should the nurse take to ensure the medication orders are accurate?
A)
Compare the new MAR with the prescribed orders.
B)
Assume the orders are correct from the previous unit.
C)
Skip verifying medication orders if the client is stable.
D)
Administer the medication based on the client's request.
The nurse is advancing a nasogastric (NG) tube when the client begins coughing. Which action should the nurse take?
A)
Advance the NG tube slowly.
B)
Remove the NG tube completely.
C)
Advance the NG tube rapidly.
D)
Withdraw the NG tube slightly.
The nurse is caring for a client with hypoxia. Which finding should be the most concerning to the nurse?
A)
Peripheral neuropathy
B)
Pursed-lip breathing
C)
Delayed capillary refill
D)
Central cyanosis
A nurse is preparing to administer medications to an older adult client. What action should the nurse plan to include in the client's care plan?
A)
Address client questions about medications after administration.
B)
Crush all medications for the client who has difficulty swallowing.
C)
Perform medication calculations to verify the correct dosages.
D)
Scan the prescribed medications before entering the client's room.

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