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    Exam Review

    1. A client with asthma is given a prescription for albuterol (a bronchodilator). The nurse should teach the client that this medication:
      A)
      is given to suppress the cough.
      B)
      should be taken for long-term maintenance of asthma.
      C)
      is given as a rescue inhaler for acute episodes.
      D)
      is given to prevent post-tussive emesis.
    2. When a nurse is preparing an injection from an ampule, which of these actions should be taken when withdrawing the medication from the ampule?
      A)
      Use a large bore needle.
      B)
      Use a filter needle.
      C)
      Use a small gauge needle.
      D)
      Place a cotton ball over the opening to prevent being cut while withdrawing the medication.
    3. During an assessment of a 20-year-old African-American's external auditory meatus, the nurse notes the presence of cerumen. What is the significance of this finding?
      A)
      This could be indicative of an external ear infection.
      B)
      This is a normal finding, and no further follow-up is necessary.
      C)
      This is probably the result of lesions from eczema in his ear.
      D)
      This represents poor hygiene.
    4. When auscultating over a patient's carotid arteries, the nurse notices the presence of a bruit on the left side. The nurse knows that bruits:
      A)
      Occur in the presence of lymphadenopathy.
      B)
      Are caused by hypermetabolic states.
      C)
      Occur with turbulent blood flow, indicating partial occlusion.
      D)
      Are often associated with venous disease.
    Page 1 of 27

    Exam Review

    1. The nurse is preparing to examine a patient complaining of right lower quadrant (RLQ) pain. Which technique is correct during the assessment? The nurse should:
      A)
      Avoid palpating the tender areas.
      B)
      Examine the tender area first.
      C)
      Palpate the tender area first and then auscultate for bowel sounds.
      D)
      Examine the tender area last.
    2. 5 fl. oz = __________ mL (LABEL CORRECTLY)
      Correct Answer:147.9 mL
    3. The client asks what the effect of taking a medication on an empty stomach would be. The nurse answers:
      A)
      The drug is absorbed more rapidly.
      B)
      The drug is affected by enzymes in the colon.
      C)
      This causes the drug to be absorbed more slowly.
      D)
      The drug will be neutralized by the pancreatic enzymes.
    4. In addition to the forearm, which of these sites are commonly used for the administration of an intradermal injection?
      A)
      Abdomen, 2-in. from umbilicus.
      B)
      Anterior thigh.
      C)
      Posterior upper arm.
      D)
      Upper chest.
    Page 2 of 27

    Exam Review

    1. The nurse is performing an assessment on a patient and asks the patient to close their eyes and places a familiar object in the patient's hand. The nurse asks the patient to identify the object. This is known as:
      A)
      Graphesthesia.
      B)
      Rhomberg.
      C)
      Superficial reflexes.
      D)
      Stereognosis.
    2. Complete the following using the list of options. Mr. Brown is a 75-year-old client in for a routine check-up. He has several prescribed medications. The nurse knows that taking numerous drugs is known as:
      A)
      Drug tolerance.
      B)
      Pharmacogenetic reaction.
      C)
      Drug toxicity.
      D)
      Polypharmacy.
    3. When the nurse asks a 68-year-old patient to stand with feet together and arms at his side with his eyes closed, he starts to sway and moves his feet farther apart. The nurse would document this finding as a(n):
      A)
      Positive Romberg sign.
      B)
      Negative Homans' sign.
      C)
      Lack of coordination.
      D)
      Ataxia.
    4. During an interview, the nurse states, "You mentioned shortness of breath. Tell me more about that.”. Which verbal skill is used with this statement?
      A)
      Facilitation.
      B)
      Direct ask.
      C)
      Open-ended ask.
      D)
      Reflection.
    Page 3 of 27

    Exam Review

    1. 3 gr. = __________ mg (LABEL CORRECTLY)
    2. When measuring a patient's weight, the nurse is aware of which of these guidelines?
      A)
      The patient may leave on his or her jacket and shoes as long as these are documented next to the weight.
      B)
      The type of scale does not matter, as long as the weights are similar from day to day.
      C)
      Attempts should be made to weigh the patient at approximately the same time of day, if a sequence of weights is necessary.
      D)
      The patient is always weighed wearing only his or her undergarments.
    3. The physician orders Zithromax 500 mg IVPB every 24 hours. The medication is supplied in 500 mg/250 mL to infuse over 90 minutes. Calculate the flow rate in milliliters per hour. (ROUND TO WHOLE NUMBER: LABEL CORRECTLY TO RECEIVE CREDIT)
    4. The nurse is preparing to assess the visual acuity of a patient. How should the nurse proceed?
      A)
      Determine the patient's ability to read newsprint at a distance of 20 inches.
      B)
      Ask the patient to read the print on a handheld Jaeger card.
      C)
      Perform the confrontation test.
      D)
      Use the Snellen chart positioned 20 feet away from the patient.
    Page 4 of 27

    Exam Review

    1. The physician has ordered Zantac elixir 75 mg PO bid for heartburn. The medication is supplied in 15 mg/mL. How many milliliters will the nurse administer? (Shade CUP #1 to correct dose & LABEL CORRECTLY TO RECEIVE CREDIT)
    2. The nurse is preparing to administer an intradermal injection. Which angle should the nurse insert the needle?
      A)
      15 degrees.
      B)
      90 degrees.
      C)
      45 degrees.
      D)
      30 degrees.
    3. The six (6) eye muscles that control eye movement are innervated by cranial nerves:
      A)
      I, II, V.
      B)
      III, IV, VI.
      C)
      III, V, XI.
      D)
      II, V, VI. .
    4. A nurse has prepared the 0900 dose of medication and is called to another patient's room for a cardiac arrest. Who may administer the medication?
      A)
      The charge nurse.
      B)
      Only the nurse who prepared them.
      C)
      Any RN or LPN on the unit who is familiar with the patient and their condition.
      D)
      The pharmacy technician.
    Page 5 of 27

    Exam Review

    1. Which IM injection sites are preferred for the Z-track technique for the administration of medication? (SELECT 2 CORRECT ANSWERS)
      A)
      Ventrogluteal muscle.
      B)
      Deltoid muscle.
      C)
      Dorsogluteal muscle.
      D)
      Abdomen, 2 inches from umbilicus.
      E)
      Posterior thigh.
    2. You can be sure you have administered the intradermal injection properly if which occurs?
      A)
      There is no pain at the site.
      B)
      There is immediate blood return at the site.
      C)
      The skin remains flat and turns red at the injection site.
      D)
      A bleb or wheal occurs immediately.
    3. The physician has ordered SoluMedrol 75 mg IM. How many milliliters will the nurse administer? (Use LABEL #4 - SoluMedrol: ROUND TO TENTHS PLACE: LABEL CORRECTLY TO RECEIVE CREDIT)
    4. Four clients are seated at a table when the nurse brings in medications for one client. The nurse will determine identity by:
      A)
      Asking which of the clients is supposed to have medications now.
      B)
      Stating, "You are Mrs. Wilson, aren't you?".
      C)
      Asking whether anyone knows Mrs.Wilson.
      D)
      Checking the client's identification bracelets as the client states their name.
    Page 6 of 27