Exam Review
- A nurse is caring for a client who is postoperative following a left corneal transplant. The nurse observes purulent drainage from the affected eye. Which of the following actions is the nurse’s priority?A)Apply a non-pressure patch to the affected eye.B)Clean the eye from inner to outer canthus.C)Notify the surgeon.D)Instill an antibiotic solution in both eyes.
- A nurse is caring for a client following cataract surgery. Which of the following comments from the client should the nurse report to the client’s provider?A)“My eye really itches, but I’m trying not to rub it.”.B)“The bright light in this room is really bothering me.”.C)“I’m afraid of falling.”.D)“I need something for the pain in my eye. I can’t stand it.”.
- A nurse is instructing the caregiver of a child who has bacterial conjunctivitis and a new prescription for an ophthalmic ointment.A)Which of the following instructions should the nurse provide?B)Apply the ointment in a thin line into the conjunctival sac.C)Ask the child to look down before applying the ointment.D)Use a sterile glove and applicator to apply the antibiotic ointment.E)Always wipe from the outer to the inner canthus when wiping away secretions.
- A nurse is talking with a client who is scheduled for surgery to repair retinal detachment. Which of the following instructions should the nurse include?A)Apply cool compresses.B)Eye drops to constrict the pupils will be prescribed.C)Restrict head movement.D)Keep both eyes patched.
Exam Review
- A client receiving infliximab through intravenous infusion is reporting difficulty swallowing. Which immediate action would the nurse take?A)Shut off the intravenous infusion.B)Notify the primary health care provider.C)Have the client take deep breaths and try to relax.D)Obtain a prescription for oral diphenhydramine.
- A nurse in an ophthalmology clinic is interviewing a client who was referred by his primary care provider for suspicion of cataracts. The nurse should expect the client to report:A)Having a decreased ability to perceive colors.B)Having a loss of peripheral vision.C)Seeing bright flashes of light and floaters.D)Loss of central vision.
- While working in the emergency department, the unit secretary says, “We just got a call that someone with a severe peanut allergy accidentally ate peanuts and is on the way.”. Which emergency equipment would the nurse gather to prepare for the client’s arrival? Select all that apply.(SATA)A)Intubation equipment and oxygen.B)Epinephrine.C)Blood administration equipment.D)Foley catheter.
- A nurse is caring for a client who has HIV. Which of the following laboratory values is the nurse’s priority?A)CD4-T-cell count 180 cells/mm³.B)Positive Western blot test.C)Platelets 150,000/mm³.D)WBC 5,000/mm³.
Exam Review
- A nurse is caring for a 6-month-old infant who is postoperative following a myringotomy. Which of the following pain scales should the nurse use to determine the infant’s pain level?A)Visual Analog Scale.B)FLACC.C)Oucher.D)Faces.
- During a routine physical examination, a nurse observes a 1-cm (0.4-in) lesion on a client’s chest. The lesion is raised and flesh-colored with pearly and waxy borders that are well defined. The nurse should recognize that this finding is suggestive of which of the following types of skin cancer?A)Actinic keratosis.B)Malignant melanoma.C)Squamous cell carcinoma.D)Basal cell carcinoma.
- Which instructions would the nurse provide to the client about the prevention and early detection of Lyme disease? Select all that apply.A)Avoid the use of insect repellent on the skin and clothing because of its toxicity.B)Avoid heavily wooded areas and areas with thick underbrush.C)Wear dark clothing when walking in wooded areas.D)Wear long-sleeved tops and long pants with closed shoes.E)If a tick is found, report to the primary health care provider immediately for a blood test to detect the presence of Lyme disease.F)Bathe after being in an infested area and inspect the body carefully for ticks.
- A nurse is caring for a client who has progressive presbycusis. Which of the following actions should the nurse take?A)Speak loudly and into the client’s good ear.B)Use sign language when communicating with the client.C)Sit by the client’s side and speak very slowly.D)Speak directly to the client in a normal, clear voice.
Exam Review
- A nurse is caring for a client who is HIV positive and is one day postoperative following an appendectomy. The nurse should wear a gown as personal protective equipment when taking which of the following actions?A)Administering an IM injection.B)Completing a dressing change.C)Administering an intermittent IV bolus medication.D)Talking to the client at the bedside.
- The nurse is collecting data to determine the client’s risk factors related to cervical cancer. The nurse determines which information to be significant?A)Multiple sexual partners.B)Multiple pregnancies.C)Late onset of menarche.D)Use of a diaphragm.
- A client diagnosed with bowel cancer has recently received a course of chemotherapy and has now developed stomatitis. The nurse provides instructions to the client regarding the condition and determines the need for further teaching if the client makes which statement?A)I need to drink room temperature beverages.B)I can take a prescribed analgesic to help manage the pain.C)I need to be careful not to spread this to my family.D)The chemotherapy affected my immune system.
- A clinic nurse is performing a physical assessment on a client who has systemic lupus erythematosus (SLE). Which of the following findings should the nurse expect?A)Pitting edema of the hands and fingers.B)Subcutaneous nodules on the ulnar side of the arm.C)A dry, red rash across the bridge of the nose and on the cheeks.D)A grey-colored, non-purpuric papular rash.
Exam Review
- A nurse is providing care to a child who has an allergy to eggs. The nurse should clarify a prescription for which of the following immunizations?A)Inactivated poliovirus (IPV).B)Hepatitis B (HepB).C)Haemophilus influenzae type b (Hib).D)Influenza, live attenuated (LAIV).
- A group of nurses are discussing risk factors for transmission of human immunodeficiency virus (HIV) from clients. Which of the following individuals should the nurse identify as being at the greatest risk for contracting HIV?A)A phlebotomist who collects blood from clients who have HIV.B)A nurse who works for an insurance company and collects urine samples from clients who have HIV.C)An occupational therapist who works with a client who has HIV.D)A personal trainer who works with a client who has HIV.
- A nurse in an oncology unit is assessing a client who has early-stage Hodgkin’s lymphoma. Which of the following findings should the nurse expect?A)Productive cough.B)Bone and joint pain.C)Intermittent hematuria.D)Enlarged lymph nodes.
- A nurse at an ophthalmology clinic is providing teaching to a client who has open-angle glaucoma and a new treatment regimen of timolol and pilocarpine eye drops. Which of the following instructions should the nurse provide?A)Administer the medications 5 minutes apart.B)Administer the medications by touching the tip of the dropper to the sclera of the eye.C)Hold pressure on the conjunctival sac for 2 minutes following application of drops.D)It is not necessary to remove contact lenses before administering medications.
Exam Review
- A community health nurse is preparing a poster for an educational session for a group of women with whom she will be discussing the risk factors for breast cancer. Which factors increase the risk for breast cancer and should be listed on the poster? Select all that apply.A)Family history of breast cancer.B)Multiparity.C)Exposure of the chest to high dose radiation.D)Previous cancer of breast, uterus, or ovaries.
- Thirty minutes after receiving meperidine, the client develops a temperature of 101°F and the skin is warm and flushed with a notable rash on the chest and back. The nurse contacts the primary health care provider and begins to document on an incident report. Which information should be included?A)The client had an allergic reaction to the ordered meperidine.B)The primary health care provider was notified because the client developed a rash after receiving an opioid analgesic.C)The client’s skin was warm and flushed, and a rash was noted on the chest and back.D)Thirty minutes after receiving meperidine, the temperature was 101°F (38.3°C).
- The nurse is creating a plan of care for a client diagnosed with Sjögren’s syndrome. Which interventions should the nurse incorporate in the plan for this client?A)Use of silicone-based vaginal lubricants.B)Use of dehumidifiers in the home.C)Use of artificial tears.D)Use of contact lenses.
- A nurse is providing discharge teaching to the parent of a child who is prescribed diphenhydramine 25 mg elixir every 6 hours as needed. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth.)