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    Exam Review

    1. A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as a non-modifiable risk factor for disease?
      A)
      Genetics
      B)
      Unhealthy diet
      C)
      Smoking
      D)
      Sunbathing
    2. A nurse is receiving report on a group of clients. Using the ABCDE priority framework, which of the following clients should the nurse see first?
      A)
      A client who is postoperative and has a urine output of 50 mL for the past 3 hr.
      B)
      A client who has early dementia and awoke confused to their location this morning.
      C)
      A client who has pneumonia and has developed wheezing
      D)
      A client who is scheduled for discharge and has a 38.4° C (101.1° F) temperature this morning.
    3. A nurse should identify a possible health literacy barrier when a client responds with which of the following statements?
      A)
      "Let me put my glasses on before I start reading this material."
      B)
      "I don't like to read: just tell me what I need to know."
      C)
      "My sibling has the same diagnosis, so I know what to expect."
      D)
      "With practice, I am able to learn new skills pertaining to my health."
    4. A critical care nurse finds a postoperative client unresponsive and calls for a code blue. Which of the following next actions should the nurse take?
      A)
      Retrieve the crash cart
      B)
      Apply a bag valve mask and provide ventilation
      C)
      Attach an automatic external defibrillator (AED)
      D)
      Begin chest compressions
    Page 1 of 13

    Exam Review

    1. A nurse is assisting with teaching a class on professionalism. The nurse should include that which of the following is an example of accountability?
      A)
      Following the rights of medication administration to administer a medication to a client.
      B)
      Supporting a client's right to refuse a medication.
      C)
      Ensuring a client understands the adverse effects of their medication.
      D)
      Acting as a mediator between the client and the provider.
    2. A nurse performs an initial interview for a client who presents with manifestations consistent with Parkinson's disease. The nurse also interviews the client's family. Which of the following steps of the nursing process is the nurse completing?
      A)
      Planning
      B)
      Diagnosis
      C)
      Evaluation
      D)
      Assessment
    3. A nurse is collecting data from a client who is postoperative. Which of the following findings should the nurse identify as objective data? (Select All that Apply.)
      (SATA)
      A)
      The client's current blood pressure is below their preoperative reading.
      B)
      The client is reporting nausea.
      C)
      The client's right calf is swollen and warm to the touch.
      D)
      The client's urine output has been 150 ml over the past 3 hr.
      E)
      The client states they are experiencing "extreme pain".
    4. A nurse is caring for an adult client who is competent and has refused an analgesic injection. The nurse administers the injection despite the client's objections. Which of the following types of tort has the nurse committed?
      A)
      Battery
      B)
      Assault
      C)
      Negligence
      D)
      False imprisonment
    Page 2 of 13

    Exam Review

    1. A nurse is reinforcing teaching about advance directives with a client admitted to the hospital and is scheduled for surgery. Which of the following statements made by the client indicates a need for further teaching?
      A)
      "I can choose to withhold life support in my living will."
      B)
      "I can change my health care proxy at any time."
      C)
      "My children can make changes to my living will if I am incapacitated."
      D)
      "The health care proxy does not go into effect unless I am incapable of making decisions."
    2. A nurse is meeting with a new client at a substance use disorder clinic. During which of the following step of the nursing process should the nurse identify the types of interventions that might produce the best client outcomes?
      A)
      Evaluation
      B)
      Implementation
      C)
      Analysis/diagnosis
      D)
      Planning
    3. A nurse working in a mental health facility is utilizing milieu therapy to provide a therapeutic environment for their clients. Which of the following steps of the nursing process is the nurse demonstrating?
      A)
      Data collection
      B)
      Evaluation
      C)
      Planning
      D)
      Implementation
    4. A nurse is caring for a client who is desiring their wound care to be provided at 1400. The nurse returns at 1400 to perform wound care for the client. Which of the following ethical principles is the nurse demonstrating?
      A)
      Fidelity
      B)
      Autonomy
      C)
      Justice
      D)
      Veracity
    Page 3 of 13

    Exam Review

    1. A nurse is providing discharge instructions to a client who lives in subsidized housing and is concerned about being able to afford their medications. Which of the following factors should the nurse identify is affecting the client's health?
      A)
      Environmental
      B)
      Cultural
      C)
      Socioeconomic
      D)
      Health literacy
    2. A nurse is documenting data collection findings on a client. Which of the following entries should the nurse identify as subjective data? (Select All that Apply.)
      A)
      Client reports the rash on their back is itchy
      B)
      Client reports dull, aching pain in lower right calf.
      C)
      Client's oral temperature is 38.4° C (101.2° F).
      D)
      Client has a raised, red rash on their upper back.
      E)
      Client reports nausea following administration of pain medication.
    3. A nurse is collecting data on clients who experienced a disaster. Clients who have the highest priority for being treated first should have which of the following color triage tags?
      A)
      Black
      B)
      Yellow
      C)
      Green
      D)
      Red
    4. A nurse is instructing a client who has heart disease about ways to improve their health such as eating a heart healthy diet. Which of the following concepts is the nurse demonstrating to the client?
      A)
      Holistic health
      B)
      Primary prevention
      C)
      Health promotion
      D)
      Health education
    Page 4 of 13

    Exam Review

    1. A nurse is caring for a 20-year-old client who is sexually active and has come to the college health clinic for a first-time checkup. Which of the following interventions sh s should the nurse perform first to determine the client's need for health promotion and disease prevention?
      A)
      Measure vital signs
      B)
      Determine risk factors
      C)
      Instruct the client to use condoms
      D)
      Encourage HIV screening
    2. A nurse in a community health clinic is interviewing a couple who just lost their house in a fire. Using the priority framework of Maslow's hierarchy of needs, which category should the nurse identify for the clients' situation?
      A)
      Self-actualization
      B)
      Safety
      C)
      Physiological
      D)
      Esteem
    3. A nurse is discussing the revision of care plans with a newly licensed nurse. During which of the following steps of the Clinical Judgment Action Model (CJAM) should revisions take place?
      A)
      Analyzing cues
      B)
      Recognizing cues
      C)
      Evaluating outcomes
      D)
      Generating solutions
    4. A nurse is performing a blood pressure screening for a client who has a family history of hypertension. Which of the following concepts is the nurse demonstrating?
      A)
      Health education
      B)
      Disease prevention
      C)
      Holistic health
      D)
      Health promotion
    Page 5 of 13

    Exam Review

    1. A nurse is caring for a client who has dementia and is scheduled for a procedure. Which of the following individuals should the nurse request to sign the client's informed consent?
      A)
      The client, who has advance directives
      B)
      The client's daughter, who is the primary caregiver
      C)
      The client's son, who has a durable power of attorney
      D)
      The client's sister, who assists with finances
    2. A nurse is assisting with teaching a newly licensed nurse about ethical principles. Which of the following is an example of beneficence?
      A)
      A nurse administers scheduled pain medication for a client who is having pain.
      B)
      A nurse gives a client the choice to take a pain medication via intramuscular or oral route.
      C)
      A nurse fulfills a promise to a client that they will return with their pain medication.
      D)
      A nurse provides nonpharmacological pain interventions to each client equally.
    3. A nurse encounters an unresponsive client during a walk. The client's partner states, "He was pulling weed in the yard and slumped to the ground." Which of the following techniques should the nurse use to open the client's airway?
      A)
      Modified jaw thrust
      B)
      Flexion of the head
      C)
      Head-tilt, chin-lift maneuver
      D)
      Hyperextension of the head
    4. A charge nurse is providing an in-service to a group of nurses about self-care. Which of the following information should the nurse include in the teaching?
      A)
      Bring healthy meals to work
      B)
      Get at least 5 hr of sleep every night
      C)
      Restrict daily water intake
      D)
      Exercise at least once a week
    Page 6 of 13