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    Exam Review

    1. A client who is postoperative is receiving IV fluids. The nurse should observe the client for which of the following as an early sign of circulatory overload?
      A)
      Bradycardia
      B)
      Flushing
      C)
      Vomiting
      D)
      Dyspnea
    2. A nurse is reinforcing teaching of a female client who has a family history of type 2 diabetes mellitus. The nurse should include which of the following risk factors for developing type 2 diabetes mellitus in the teaching?
      A)
      Decrease in triglyceride level
      B)
      Recent viral infection
      C)
      Blood glucose of 98 mg/dL
      D)
      Sedentary lifestyle
    3. A nurse in a clinic is reviewing the prescriptions for a client who had a delayed hypersensitivity reaction to an unknown trigger. The nurse should expect the provider to prescribe which of the following tests?
      A)
      Blood cultures
      B)
      Patch test
      C)
      Urine analysis
      D)
      Ultrasound
    4. A nurse is preparing to administer an intradermal injection for a client who requires a tuberculin skin test. Which of the following actions should the nurse plan to take?
      A)
      Place a 1-inch needle on the syringe.
      B)
      Pull the skin taut with the nondominant hand before inserting the needle.
      C)
      Draw up 0.9 mL of solution from the vial.
      D)
      Hold the syringe at a 45-degree angle to the client's skin.
    Page 1 of 10

    Exam Review

    1. A nurse is preparing to administer an intramuscular IM injection to a preschool-age child. Which of the following actions should the nurse take?
      A)
      Ask the parents to hold the child.
      B)
      Administer the medication in the child's room. "
      C)
      Allow the child to hold a favorite toy.
      D)
      Tell the child the medicine will make him feel better.
    2. A nurse is reviewing the medical record of an adolescent and notes a low calcium level of 6.5 mEq/L. Which of the following findings should the nurse expect?
      A)
      Diaphoretic skin
      B)
      Tachycardia
      C)
      Hypertension
      D)
      Positive Chvostek's sign
    3. A nurse is reinforcing teaching with a client who is in her second trimester and has a new diagnosis of gestational diabetes. Which of the following statements by the client indicates a need for further teaching?
      A)
      "I will need to track my diet more closely."
      B)
      "I will limit my exercise to 1-2 days a week."
      C)
      "I know I am at increased risk to develop type 2 diabetes."
      D)
      "I will monitor my blood glucose to ensure the best outcome."
    4. A nurse is caring for a client who is postoperative and has an NG tube that has drained 2,500 mL in the past 6 hr. The nurse should monitor the client for which of the following electrolyte imbalances?
      A)
      Decreased calcium level
      B)
      Decreased potassium level
      C)
      Elevated magnesium level
      D)
      Decreased Hemoglobin
    Page 2 of 10

    Exam Review

    1. A nurse is preparing to administer prednisone to a client for treatment of rheumatoid arthritis. Which of the following findings indicates to the nurse the treatment is effective?
      A)
      Improved mood
      B)
      Decreased blood glucose
      C)
      Improved range of motion
      D)
      Increased immunity
    2. A nurse is reinforcing discharge teaching with a client who has a newly diagnosed latex allergy. Which of the following client statements indicates an understanding of the teaching?
      A)
      "I understand that hypoallergenic products may still contain latex"
      B)
      "My family can bring balloons to my hospital room to cheer me up"
      C)
      "My latex allergy will be easy for my nurse to detect because I will have a visible skin reaction."
      D)
      "My latex allergy will not be listed on my hospital chart because it is not a medication."
    3. A nurse is collecting data for a client who has fluid volume deficit. Which of the following is an expected finding?
      A)
      Decreased BUN
      B)
      Increased urine specific gravity
      C)
      Decreased hematocrit
      D)
      Increased urine ketones
    4. A nurse is caring for a client who just received a dose of IV ampicillin. Which of the following client reactions requires priority intervention by the nurse?
      A)
      Pulse rate 110/min
      B)
      Lower extremity angioedema
      C)
      Blood pressure 98/62
      D)
      Wheezing
    Page 3 of 10

    Exam Review

    1. A nurse is providing teaching to a school-age child who has a new diagnosed of type 1 diabetes mellitus. Which of the following statements by the child indicates a need for additional teaching?
      A)
      "I will test my blood sugar before I eat a meal and at bedtime."
      B)
      "I will rotate injections sites on my belly."
      C)
      "I should eat a snack before I play soccer."
      D)
      "I should not take my Regular insulin if I get sick."
    2. A nurse is caring for a client who is breastfeeding and tells the nurse that she is concerned about her newborn's hydration. Which of the following nursing observations is appropriate to use in evaluating the adequacy of the newborn's hydration?
      A)
      I will teach you how to check your baby's skin turgor
      B)
      You should monitor how well your baby's clothes are fitting
      C)
      You should count the number of wet diapers your baby has per day
      D)
      You should monitor how often your baby cries
    3. A nurse is reinforcing teaching with a client who has diabetes mellitus and a new prescription for glargine Lantus® insulin. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "I should shake the bottle of insulin before withdrawing the medication."
      B)
      "Insulin injected into the thigh is the most rapidly absorbed."
      C)
      "Unopened vials of insulin should be kept in my refrigerator."
      D)
      "I will use glargine Lantus® insulin immediately before each meal."
    4. A nurse is collecting data from a client who takes metformin for type 2 diabetes. Which of the following medications may be contraindicated for this client due its effect on blood glucose levels?
      A)
      Prednisone to decrease inflammation
      B)
      Acetaminophen for pain relief
      C)
      Cephalexin to treat an infection
      D)
      Lisinopril to treat high blood pressure
    Page 4 of 10

    Exam Review

    1. A nurse is caring for a school-age child who has seasonal allergies and has been taking Diphenhydramine Benadryl. The provider recommends Cetirizine Zyrtec for the child. The child's parent asks the nurse about the advantage of taking Cetirizine. Which of the following responses should the nurse make?
      A)
      "Cetirizine can also be used as a sleep aid."
      B)
      "Cetirizine is less sedating."
      C)
      "Cetirizine can also treat nausea"
      D)
      "Cetirizine works faster than Diphenhydramine"
    2. A nurse is in a provider's office is collecting data from an older adult client who has type 2 diabetes mellitus. Which of the following findings is a manifestation of poorly managed hyperglycemia?
      A)
      Report of decreased urinary output
      B)
      Cracked, dry, and flaky skin
      C)
      History of poor wound healing
      D)
      Random blood glucose 126 mg/dL
    3. A nurse is reinforcing teaching with a client who has diabetes about which dietary source should provide the greatest percentage of her calories. Which of the following client statements indicates an understanding of the teaching?
      A)
      "I should eat more calories from complex carbohydrates than anything else."
      B)
      "Protein should be my main source of calories."
      C)
      "Most of my calories each day should be from fats."
      D)
      "Simple sugars are needed more than other calorie sources."
    4. A nurse is contributing to the plan of care for an older adult client who has a decreased White Blood Cell (WBC) count of 2000. Which of the following interventions should the nurse include in the plan?
      A)
      Serve cooked fruits and vegetables with meals.
      B)
      Encourage ambulation around the unit to improve strength.
      C)
      Recommend visitors send flowers and "get well" cards but limit face-to-face interactions.
      D)
      Instruct the client to limit bathing.
    Page 5 of 10

    Exam Review

    1. A nurse is caring for a client who experiences anaphylactic shock in response to the administration of penicillin. Which of the following medications should the nurse administer first?
      A)
      Diphenhydramine
      B)
      Epinephrine
      C)
      Albuterol
      D)
      Hydrocortisone sodium succinate
    2. A nurse is collecting data from a client who has isotonic fluid-volume deficit. Which of the following findings should the nurse expect?
      A)
      Hypertension
      B)
      Bradycardia
      C)
      Weak pulse
      D)
      Distended neck veins
    3. A nurse is caring for an infant who is admitted to the hospital for dehydrated and requires IV therapy. The nurse should monitor the infant's response to therapy by performing which of the following actions?
      A)
      Measuring the infant's head circumference twice per day
      B)
      Taking the infant's vital signs every 2 hr
      C)
      Assessing the infant's Moro reflex
      D)
      Weighing the infant at the same time every day
    4. A nurse is caring for a child who is allergic to penicillin. Which of the following medications should the nurse identify as contraindicated for the child?
      A)
      Gentamicin sulfate
      B)
      Amphotericin B
      C)
      Erythromycin
      D)
      Amoxicillin-clavulanate
    Page 6 of 10