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    Exam Review

    1. A nurse is caring for a client with an electrical burn. The client states that since the wound on the skin is small, the burn must not be too bad. Which of the following is the best response by the nurse?
      A)
      Electrical burns usually cause much more skin damage than what can be seen on your skin.
      B)
      Electrical burns commonly cause reddened/purplish skin without blistering.
      C)
      Electrical burns typically are minor.
      D)
      Electrical burns can have small amounts of skin damage, but more extensive damage beneath the skin.
    2. In which of the following types of pneumonia does consolidation involve the entire lobe of the lung?
      A)
      Bronchopneumonia.
      B)
      Severe pneumonia.
      C)
      Empyema.
      D)
      Lobar pneumonia.
    3. A nurse is caring for a client during the fluid resuscitation phase of burn management. Which of the following is the best method for assessing the results of the fluid resuscitation?
      A)
      Heart rate is 122/min.
      B)
      Urine output is greater than 0.5 mL/kg/hr.
      C)
      Serum hemoglobin is 14 gm/dL.
      D)
      Breath sounds are clear bilaterally.
    4. A nurse is caring for a chronically ill client who states that they have been under a lot of stress since being diagnosed with cancer. Which of the following laboratory findings would indicate the body's appropriate response to stress by regulating hormones for glucose and fluid distribution?
      A)
      Increased progesterone hormone level.
      B)
      Increased corticosteroid hormone level.
      C)
      Decreased luteinizing hormone level.
      D)
      Decreased testosterone hormone level.
    Page 1 of 19

    Exam Review

    1. A nurse is caring for a male client who has a urinary tract infection. Which of the following conditions is the client most likely to develop as a result of the UTI?
      A)
      Erectile dysfunction.
      B)
      Prostatitis.
      C)
      Benign prostatic hypertrophy.
      D)
      Chlamydia.
    2. A client is seeking treatment for a respiratory infection at a local clinic. During the visit, the client verbalizes concern about the cost of medication and the inability to pay for it. Which of the following responses should the nurse use?
      A)
      "Maybe you can borrow some money to get the medicine.”.
      B)
      "Where did your money go this month?"
      C)
      "Antibiotics are seldom prescribed.”.
      D)
      "Your health care provider may be able to give you free samples.”.
    3. A nurse is caring for a hospitalized client at risk for complications of immobility. Which of the following interventions should the nurse include to prevent complications?
      A)
      Elevate the head of the bed to 30° to 45° for medication administration.
      B)
      Instruct the client to wear a hospital gown every day, even when out of bed.
      C)
      Encourage the client to sit in the chair for all meals.
      D)
      Have the client remain in bed for self-care activities.
    4. A nurse is reinforcing discharge teaching with a client who has undergone a transurethral resection of the prostate (TURP). Which of the following statements should the nurse include in the teaching?
      A)
      "Sexual activity is permitted after 2 weeks.”.
      B)
      "Take naproxen for discomfort.”.
      C)
      "Urinary dribbling will resolve within 5 days.”.
      D)
      "Increase fluid intake if urine becomes blood tinged.”.
    Page 2 of 19

    Exam Review

    1. A nurse is assisting with the care of a client who has chronic obstructive pulmonary disease (COPD) and is short of breath. When reviewing the client's arterial blood gases (ABGs), which of the following conditions should the nurse anticipate the client to be experiencing?
      A)
      Metabolic alkalosis.
      B)
      Respiratory alkalosis.
      C)
      Respiratory acidosis.
      D)
      Metabolic acidosis.
    2. A nurse is caring for a client who has sustained a gasoline burn to 25 percent of the body. Which of the following is a priority safety concern when caring for this client?
      A)
      Decontamination of the client.
      B)
      Elevation of the head of the bed by 30 degrees.
      C)
      Determining the amount of gasoline that the client encountered.
      D)
      Asking the client when they last ate a meal.
    3. A nurse is providing medication teaching about sildenafil to a client who has erectile dysfunction. Which of the following statements is the nurse's highest priority?
      A)
      "If you have an erection for more than four hours, seek emergency treatment.”.
      B)
      "Take the medication before you plan to engage in sexual intercourse.”.
      C)
      "This medication can cause a headache.”.
      D)
      "This medication does not prevent sexually transmitted infections.”.
    4. A nurse is reinforcing teaching to a client who has a new diagnosis of hepatitis C. Which of the following responses from the nurse best explains how a person can become infected with the virus?
      A)
      "Coming into contact with an infected person's bodily fluids, such as saliva, can cause you to become infected with hepatitis C.”.
      B)
      "Consuming a large amount of alcohol at one time can cause you to become infected with hepatitis C.”.
      C)
      "Coming into contact with infected blood, such as from that of a dirty needle, can cause you to become infected with hepatitis C.”.
      D)
      "Eating contaminated food or water from an infected source can cause you to become infected with hepatitis C.”. . . .
    Page 3 of 19

    Exam Review

    1. A nurse is reinforcing teaching with a client in the primary care office after determining that the client has not received dental care in more than 40 years. Which of the following preventative health care responses are accurate for the nurse to add to the discussion?
      A)
      "Research has demonstrated that poor oral health can improve by eating more fiber and fruits.”.
      B)
      "Research has demonstrated that poor oral health can lead to an increased risk for other diseases such as oral cancer.”.
      C)
      "It would probably be beneficial for you to look at alternative ways to clean your teeth on the internet.”.
      D)
      "As long as you continue to brush and floss your teeth, you should be fine.”.
    2. A client presents to the clinic with reports of their knee feeling unstable. X-rays are complete. For which of the following conditions will the client likely be treated?
      A)
      Osteomyelitis.
      B)
      Osteopenia.
      C)
      Osteoporosis.
      D)
      Osteoarthritis.
    3. A nurse is reinforcing teaching with a client who is scheduled for an intravenous pyelogram (IVP). Which of the following statements should the nurse include in the teaching?
      A)
      "High frequency sound waves will be used to identify renal system structures.”.
      B)
      "After the procedure you will be encouraged to drink plenty of fluids.”.
      C)
      "The procedure will be cancelled if the urinalysis indicates the presence of red blood cells.”.
      D)
      "You will need to remain flat in bed for 4 hr following this procedure.”.
    4. A nurse is collecting information from a client at a local clinic. The nurse should recognize that which of the following social determinants of health may affect this client's outcomes?
      A)
      The client is exposed to toxins or violence in their environment.
      B)
      The client was born into poverty making health difficult to achieve.
      C)
      The client is socially active and likely to succeed in life.
      D)
      The client was born to immigrant parents and is bilingual.
    Page 4 of 19

    Exam Review

    1. A nurse is caring for a client who has prostate cancer and had a prostatectomy. Which of the following should the nurse understand is a potential complication of prostate surgery?
      A)
      Erectile dysfunction.
      B)
      Paralytic ileus.
      C)
      Cystitis.
      D)
      Testicular torsion.
    2. Which of the following is the most common risk factor for emphysema?
      A)
      Smoking tobacco.
      B)
      Between 20 to 30 years of age.
      C)
      Pollution.
      D)
      Asthma.
    3. A nurse is collecting data for a client who has tension pneumothorax. Which of the following findings should the nurse expect following tracheal deviation?
      A)
      Respiratory alkalosis.
      B)
      Decreased cardiac output.
      C)
      Dilated ventricles.
      D)
      Increased venous return.
    4. A nurse is caring for a 70-year-old client who has a pressure injury in the coccyx area. The nurse identifies that which of the following factors associated with aging may impact the ability for the ulcer to heal?
      A)
      Low bone density.
      B)
      Elevated hemoglobin.
      C)
      Decreased protein level.
      D)
      Increased muscle mass.
    Page 5 of 19

    Exam Review

    1. A nurse is collecting data from a client who has a urine output of 250 mL in a 24-hr period. Which of the following terms should the nurse use to document this finding in the electronic record?
      A)
      Oliguria.
      B)
      Urgency.
      C)
      Nocturia.
      D)
      Dysuria.
    2. Which of the following could the nurse expect to observe in an older adult client who has a pneumothorax?
      A)
      Higher oxygen saturations of 98
      B)
      Lower energy expenditure.
      C)
      Lower oxygen saturations of 93
      D)
      Increased lung capacity.
    3. A nurse is caring for a client with asthma. Which of the following happens physiologically when bronchospasm occurs?
      A)
      Bronchospasm occurs when there is inflammation, edema, and excess mucus.
      B)
      Airway obstruction occurs due to thinning mucus.
      C)
      Decreased mucus production contributes to airway constriction.
      D)
      Inflammation is reduced due to airway diameter.
    4. A nurse is collecting data for a client who has hypoxemic respiratory failure. Which of the following findings should the nurse expect?
      A)
      Opioid toxicity.
      B)
      Myasthenia gravis.
      C)
      Pulmonary edema.
      D)
      Flail chest.
    Page 6 of 19