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    Exam Review

    1. A nurse is contributing to the plan of care for a client who has a disturbed body image following a motor vehicle crash that resulted in a right arm amputation. Which of the following actions should the nurse take first?
      A)
      Assist the client to acknowledge that he has a distorted body image.
      B)
      Encourage the client to talk about his feelings regarding his body image
      C)
      Determine the client's perception of his body image.
      D)
      Discuss alternative coping strategies to relieve the stress he feels about his body image.
    2. A nurse is contributing to the plan of care for a client who has a disturbed body image following a motor vehicle crash that resulted in a right arm amputation. Which of the following actions should the nurse take first?
      A)
      Assist the client to acknowledge that he has a distorted body image.
      B)
      Encourage the client to talk about his feelings regarding his body image
      C)
      Determine the client's perception of his body image.
      D)
      Discuss alternative coping strategies to relieve the stress he feels about his body image.
    3. A nurse is providing postmortem care for a client. Which of the following actions should the nurse take?
      A)
      Place the head of the client's bed flat.
      B)
      Remove the client's dentures.
      C)
      Increase the lights in the client's room.
      D)
      Wash the client's body.
    4. Which nursing intervention can cause an unsafe sleeping environment for the hospitalized patient?
      A)
      Placing a call bell at the bedside for the patient to contact the nurse.
      B)
      The patient's bed is in a high position with side rails up
      C)
      A small night-light left on in the bedroom
      D)
      All clutter is removed between the bed and the bathroom
    Page 1 of 17

    Exam Review

    1. The physician orders magnesium sulfate 1g. The magnesium is dissolved in 150 ml. bag, to be infused over 60 minutes. What is the ml/hr that the drug should be infused? (LABEL CORRECTLY USE UPPER CASE LETTERS, ROUND TO WHOLE NUMBER TO RECEIVE CREDIT).
      Correct Answer:150 ml/hr
    2. A nurse is in the process of admitting an ethnically diverse patient. To plan culturally competent care, what must the nurse do? (Select the 3 correct answers.)
      (SATA)
      A)
      Assume that cultural processes are the same within a social group.
      B)
      Ask the client if they have any religious dietary restrictions.
      C)
      Communicate effectively.
      D)
      Provide a medical interpreter if the client has a different cultural belief from the nurse.
      E)
      Conduct a systematic cultural assessment.
    3. A nurse is assessing a patient's self-concept. Which areas will the nurse include? (Select 4 correct answers.)
      (SATA)
      A)
      Support of significant others
      B)
      Identity
      C)
      Body image
      D)
      Availability of insurance
      E)
      Coping behaviors
    4. The nurse is caring for a patient who is depressed because her children have gone away to college. Which type of loss is experienced by the patient?
      A)
      maturational
      B)
      situational
      C)
      perceived
      D)
      conditional
    Page 2 of 17

    Exam Review

    1. A nurse is caring for a client in the emergency department who had a traumatic amputation of his left arm in an industrial accident 1 hr ago. The nurse should expect the client to be in which of the following stages of grief?
      A)
      Denial
      B)
      Depression
      C)
      Acceptance
      D)
      Bargaining
    2. A nurse is assisting with teaching a class about physical manifestations associated with the fight-or-flight response to stress. Which of the following manifestations should the nurse includer
      A)
      Bronchial airway constriction
      B)
      Hypoglycemia
      C)
      Dilated pupils
      D)
      Decreased blood pressure
    3. A nurse is reinforcing teaching about promoting rest and sleep with a client who reports insomnia. Which of the following statements should the nurse identify as an indication that the client understands the teaching?
      A)
      "I will avoid drinking large amounts of fluids immediately before bedtime."
      B)
      "I will walk briskly for 30 minutes before bedtime."
      C)
      "I will limit having a glass of wine to just before bedtime."
      D)
      "I will do my muscle relaxation techniques in the afternoon."
    4. A nurse is collecting data from a client who is at the end of life. Which of the following findings should the nurse expect?
      A)
      Tachycardia
      B)
      Moist mucous membranes
      C)
      Hypertension
      D)
      Irregular respirations
    Page 3 of 17

    Exam Review

    1. A nurse is caring for a patient with a debilitating chronic illness. The patient mentions several times that faith would guide her healing. The nurse knows that faith can best be defined as?
      A)
      a relationship with a higher power, authority, or spirit
      B)
      a source of energy needed to cope with difficult situations.
      C)
      a system of organized beliefs and worship.
      D)
      a multidimensional concept that gives comfort while a person endures hardship.
    2. When moving across the country, the patient leaves behind nightly dinners with the family, babysitting assistance from friends, and the warmth of the focal church community. Which type of loss did the patient experience?
      A)
      perceived
      B)
      situational
      C)
      conditional
      D)
      maturation
    3. A nurse is caring for a client who has diabetes mellitus and had a below the knee amputation 2 days ago. Which of the following statements by the client should the nurse identify as an indication that the client has a body image disturbance?
      A)
      "When I look in the mirror, all I see is a person without a leg."
      B)
      "If my wife had paid more attention to my blood sugar levels I would not have needed an amputation."
      C)
      "I have not always made good choices in life. I deserve to lose my leg."
      D)
      "No matter how hard I work in physical therapy. I can't seem to make any progress."
    4. The physician orders erythromycin 1.5 g in 250 mL of D5W to infuse over 2 hours. The drop factor is 15 drops per mL. How many drops per minute will the nurse administer to the patient? (LABEL CORRECTLY, USE UPPER CASE LETTERS, ROUND TO WHOLE NUMBER TO RECEIVE CREDIT
    Page 4 of 17

    Exam Review

    1. The patient is overwhelmed by the stresses of being a spouse, new parent, and full-time employee. The nurse encourages the patient to use a housekeeper, babysitter, friends, or relatives to help reduce personal responsibilities and obligations. Which stress-relieving technique was recommended for the patient?
      A)
      Assertiveness training
      B)
      Mindfulness stress reduction
      C)
      Progressive muscle relaxation
      D)
      Engaging support systems
    2. A patient who had a colostomy placed 1 month ago is feeling depressed and does not want to participate in sexual activities anymore. The patient is afraid that the partner does not want sex. The patient is afraid the ostomy is physically unattractive. Which initial nursing intervention will be most effective in helping this patient resume sexual activity?
      A)
      Discuss ways to adapt to a new body image so the patient will be comfortable in resuming intimacy.
      B)
      Inform the patient about a support group for people with colostomies.
      C)
      Teach the patient about intimate activities that can be done to incorporate the ostomy.
      D)
      Reassure the patient that lots of people resume sex the same week the colostomy is placed.
    3. The hospice nurse feels a sense of inner peace as his patient quietly dies. What is the best term for this feeling of peace?
      A)
      self-transcendence
      B)
      interpersonal connectedness
      C)
      Transpersonal connectedness
      D)
      Intrapersonal connectedness
    4. A nurse is assisting with teaching a class about the stages of sleep. The nurse should explain that vivid dreaming occurs during which of the following stages of sleep?
      A)
      REM Stage
      B)
      Stage 2
      C)
      Stage 1
      D)
      Stage 3
    Page 5 of 17

    Exam Review

    1. The physician orders 1L of NS to be infused over 90 minutes for a patient with dehydration. How many mL/hr will the nurse infuse the fluids? (LABEL CORRECTLY, USE UPPER CASE LETTERS, ROUND TO WHOLE NUMBER TO RECEIVE CREDIT)
    2. A nurse is caring for a client who reports insomnia. Which of the following actions should the nurse take?
      A)
      Wear hard-soled shoes when caring for the client.
      B)
      Restrict visitors when the client is sleeping.
      C)
      Keep the door to the client's room open.
      D)
      Spread client care activities throughout the shift.
    3. Convert 12:43 am to military time.
    4. A nurse is teaching a patient about self-concept. Which information from the patient indicates a correct understanding of the teaching?
      A)
      Self-concept is how a person feels about their spouse.
      B)
      Self-concept is how a person thinks about oneself.
      C)
      Self-concept is how a person feels about others.
      D)
      Self-concept is how a person thinks about others.
    Page 6 of 17