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Exam Review

A nurse is caring for a client with diabetes who needs dietary or nutrition education.
A)
Pharmacist.
B)
Radiologic technologist.
C)
Respiratory therapist.
D)
Registered dietitian.
After administration of an antihypertensive medication, the nurse notes the client’s blood pressure decreases by 10 points. Which part of the nursing process is being fulfilled?
A)
Planning.
B)
Assessment.
C)
Evaluation.
D)
Analysis.
A nurse is providing education to a client newly diagnosed with diabetes. Which strategy is most effective for teaching?
A)
Providing all information at once to ensure understanding.
B)
Avoiding repetition to prevent boredom.
C)
Tailoring teaching strategies to the client’s learning style.
D)
Using medical terminology to enhance credibility.
A nurse on a medical-surgical unit has received a report on four clients. Which of the following clients should the nurse assign to the RN?
A)
Feeding a stroke client who has difficulty in swallowing.
B)
Completing a sterile dressing change to a pressure ulcer.
C)
Reapplying a condom catheter for a client with urinary incontinence.
D)
Reinforcing teaching with a client who is learning how to administer insulin.

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Exam Review

What is a sentinel event in healthcare?
A)
A common adverse event that occurs frequently.
B)
A minor incident that does not require reporting.
C)
An unexpected occurrence involving death or serious physical or psychological injury.
D)
A situation where the patient experiences temporary discomfort.
What type of research is a nurse conducting if they are using a quasi-experimental design?
A)
Quasi-experimental.
B)
Correlational.
C)
Qualitative.
D)
Quantitative.
Which of the following best defines false imprisonment?
A)
Confining a patient to a room without provisions for their care.
B)
Restraining a patient against their will.
C)
Applying physical restraints to prevent falls.
D)
Implementing a care plan without patient consent.
A nurse is teaching a group of older adults about fall prevention. Which strategy is most effective for this audience?
A)
Providing written handouts for reference.
B)
Using complex medical terminology to explain concepts.
C)
Using interactive demonstrations and group discussions.
D)
Speaking quickly to maintain attention.

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Exam Review

A nurse refers a client to a specialist for further evaluation. What level of prevention is this?
A)
Tertiary.
B)
Primary.
C)
Secondary.
D)
Disease process.
What should a nurse do if an order seems unclear?
A)
Implement the order immediately without verifying.
B)
Write down the order and read it back to the physician.
C)
Ask the physician to repeat the order multiple times to ensure accuracy.
D)
Ignore the order if it seems unclear.
A nurse at the clinic is involved in disease surveillance. What level of prevention is this?
A)
Disease surveillance.
B)
Tertiary prevention.
C)
Primary prevention.
D)
Secondary prevention.
A client diagnosed with terminal cancer says, “I’m going to die, and I wish my family would stop hoping for a cure. I get so angry when they carry on like this. After all, I’m the one who’s dying.”. Which response by the nurse is therapeutic?
A)
Why haven’t you shared your feelings with your family?
B)
Tell me more about how you are feeling.
C)
You are probably very depressed, which is understandable with such a diagnosis.
D)
I think you should talk with your family about your career.

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Exam Review

A nurse delegates to assistive personnel. During the delegation, the nurse is demonstrating which of the following rights of delegation?
A)
Right circumstance.
B)
Right communication.
C)
Right supervision.
D)
Right task.
The client states they have an allergy to codeine. Which is the best response by the nurse?
A)
Ignore the comment and document the NKA.
B)
Why do you think this is an allergy?
C)
Don’t worry, if you take it with food, you will be okay.
D)
What symptoms do you experience with codeine?
A nurse is assessing a client’s understanding of their medication regimen. The client nods in agreement but does not respond verbally. What is the nurse’s best action?
A)
Assume the client understands and proceed with the regimen.
B)
Repeat the instructions using different words.
C)
Document that the client has full understanding of the regimen.
D)
Ask the client to verbally respond to the Questions.
Which client would be assigned to an RN and not an LPN?
A)
A 5-year-old patient admitted yesterday with pneumonia.
B)
A 78-year-old female with osteoporosis who needs assistance performing range of motion exercises and ambulating with a walker.
C)
A 78-year-old patient newly admitted with congestive heart failure.
D)
A 34-year-old patient post knee arthroscopy who requires reinforced crutch walking.

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Exam Review

A nurse is changing a wound dressing for a post-op client. Which of the following steps is the nurse performing?
A)
Planning.
B)
Evaluation.
C)
Assessment.
D)
Implementation.
A nurse is teaching a client who wishes to stop smoking. Which of the following teaching methods uses the cognitive domain of learning?
A)
The client uses a nicotine patch to assist in smoking cessation.
B)
The client starts to use nicotine gum as part of the cessation plan.
C)
Encourage the client to share their feelings about smoking.
D)
The nurse explains the benefits of smoking cessation.
During an interaction with a client, the client is crying. Which actions should the nurse take to establish rapport?
A)
Sit quietly and engage the client.
B)
Use open-ended Questions starting with “I want time to think and reflect.”.
C)
Use therapeutic communication techniques.
D)
Offer tissues and a comforting presence.
A nurse is teaching a client who has a history of falls about home safety. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
A)
I will keep the fluorescent ceiling light on in my room at night.
B)
I will keep my walker at the end of my bed.
C)
I will place grip bars in my shower to use when I bathe.
D)
I will place an area rug at the entry of my bathroom.

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Exam Review

A nurse is teaching a client about medication administration. The client is unable to read the instructions on the medication after discharge. What should the nurse do?
A)
Provide the instructions in an audio format.
B)
Ensure the client has someone to assist with reading the instructions.
C)
Use larger print for the instructions.
D)
Teach the client to use a magnifying glass.
Fidelity in nursing practice primarily refers to:
A)
Maintaining confidentiality of patient information at all times.
B)
Remaining loyal and faithful to one’s personal beliefs and values.
C)
Upholding professional obligations and commitments.
D)
Ensuring equitable distribution of healthcare resources to patients.
A nurse is preparing an in-service program about preventing medication errors when transcribing a prescription. The nurse is using a prescription as an example. The prescription is: “Give temazepam 15mg as needed.”. What is missing from the prescription?
A)
The route of administration.
B)
The frequency of administration.
C)
The patient’s name.
D)
The prescriber’s signature.
A nurse is teaching a client to administer insulin. The nurse should identify which of the following actions as a priority?
A)
Assess the client’s readiness for learning.
B)
Ask the client to demonstrate the injection technique.
C)
Show the client how to draw up the insulin in a syringe.
D)
Develop short-term goals for the client in the teaching plan.

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