Exam Review
- A nurse is observing a newly licensed nurse perform hand hygiene. Which of the following actions by the newly licensed nurse indicates an understanding of the procedure?A)Washes their hands for 10 secondsB)Holds their hands below the elbows while rinsing off soapC)Turns off the faucet with their handsD)Uses hot water to wash their hands
- A nurse is caring for a client. Exhibits A nurse is caring for the client. Which of the following actions should the nurse take? Select all that apply.(SATA)A)Wear a protective gown while caring for the client.B)Place the client in a private room.C)Wear an N-95 respirator while caring for the client.D)Place the client in a negative pressure room.E)Place a mask on the client when they leave their room.
- A nurse is assessing a client who has hypokalemia as a result of nausea, vomiting, and diarrhea. Which of the following findings should the nurse expect?A)Hyperactive bowel soundsB)Extreme thirstC)Weak, irregular pulseD)Hyperactive reflexes
- A nurse is assessing a client who has had diarrhea for several days. Which of the following findings should the nurse expect?A)HypothermiaB)Rigid abdomenC)Decreased bowel soundsD)Dehydration
Exam Review
- A nurse is monitoring a client who took an overdose of acetaminophen 72 hr ago. The nurse should identify which of the following findings as a manifestation of acetaminophen poisoning?A)XerostomiaB)ConstipationC)VomitingD)Tinnitus
- A nurse removes an indwelling urinary catheter that an older adult client has had in place for 2 days. The nurse should assess the client for which of the following expected outcomes after catheter removal?A)Temporary urinary retentionB)Blood-tinged urineC)Urinary frequency for several daysD)Highly concentrated urine
- A nurse is assessing a client's wound dressing, and observes a watery red drainage. The nurse should document this drainage as which of the following?A)SerosanguineousB)SanguineousC)SerousD)Purulent
- A nurse is teaching a newly licensed nurse about maintaining correct posture when transferring clients. Which of the following statements should the nurse make?A)"Tilt your head toward your chest."B)"Keep your knees straight."C)"Keep your back straight."D)"Loosen your abdominal muscles."
Exam Review
- A nurse is preparing to teach a forgetful older adult patient about a multiple drug regimen to follow after discharge from the hospital. To help promote adherence, what will the nurse do?A)Ask the patient to share the teaching with a neighbor or friend soon after discharge.B)Give the patient detailed written information about each drug.C)Cluster medication administration times as much as possible.D)Make sure the patient understands the actions and side effects of each drug.
- A nurse is assessing a client's peripheral circulation. In which of the following locations should the nurse palpate to assess the posterior tibial pulse? (Selectable areas, or "Hot Spots," are outlined in the artwork below. Select only the outlined area that corresponds to your answer.)A)AB)BC)CD)D
- A nurse is teaching a client who is at 23 weeks of gestation about immunizations. Which of the following statements should the nurse include in the teaching?A)"You cannot receive the Tdap vaccine until after you deliver."B)"You should receive a varicella vaccine before you deliver."C)"You can receive an influenza vaccination during pregnancy."D)"You should not receive the rubella vaccine while breastfeeding."
- A nurse in a community clinic is assessing an older adult client for manifestations of dehydration. Which of the following findings should the nurse expect?A)Furrows in the tongueB)Protruding eyeballsC)Elevated blood pressureD)Hypothermia
Exam Review
- A nurse is performing a mobility assessment on a client. Which of the following data should the nurse collect as part of this assessment?A)The client's ability to sit.B)The condition of the client's skin.C)The client's health literacy level.D)The client's need for assistance with ADLS.E)The client's daily calcium intake.
- A nurse is making a home visit to an older adult woman who was recently discharged home from the hospital with a new prescription. The nurse notes that a serum drug level drawn the day before was subtherapeutic. What will the nurse do next?A)Request an order for renal function tests.B)Notify the provider to request more frequent dosing.C)Count the pills in the prescription bottle.D)Ask the patient if she has difficulty swallowing pills
- A nurse on a medical unit is assessing four clients for urinary retention. Which of the following clients have manifestations of urinary retention?A)A client who has glucose in his urineB)A client who has an elevated BUNC)A client who reports urinary frequencyD)A client who reports painful urination
- A nurse is teaching a newly licensed nurse about physiological changes in the digestive system that occur with aging. The nurse should include older adults might experience which of the following physiological changes?A)Increased gastric acid productionB)Decreased pH of the stomachC)Decreased intestinal peristalsisD)Increased muscle tone of the bowel
Exam Review
- A patient is ready for discharge home from a lengthy hospital stay after a motor vehicle accident. The patient suffered multiple fractures and required large doses of morphine for several weeks. The nurse preparing the patient for discharge notes that the patient requests the maximum dose of the oral opioid analgesic at the exact intervals it is prescribed. The nurse is correct to suspect what has occurred?A)Drug toleranceB)Compulsive drug seekingC)Cross-toleranceD)Physical dependence
- A recent campaign, initiated by the Centers for Disease Control (CDC), to delay the emergence of antibiotic resistance in hospitals, has what as one of its objectives?A)Allowing prescribers to develop their own prescribing guidelinesB)Increased use of antibiotics among parents of young childrenC)Increased adherence to prescribed antibioticsD)Allowing patients to stop antibiotics when symptoms subside
- A nursing student asks a nurse to clarify the differences between the mechanisms of spontaneous mutation and conjugation in acquired resistance of microbes. What will the nurse say?A)Conjugation results in a gradual increase in resistance.B)Spontaneous mutation can transfer DNA from one organism to another.C)Conjugation results in random changes in the microbe's DNA.D)Spontaneous mutation leads to resistance to only one antimicrobial agent.
- Which B vitamin deficiency is associated with cheilosis, glossitis, vascularization of the cornea, and itchy dermatitis of the scrotum and vulva?A)Pyridoxine (vitamin B6)B)Riboflavin (vitamin B2)C)Thiamine (vitamin B1)D)Niacin (nicotinic acid)
Exam Review
- A nurse is teaching a client who has diabetic neuropathy about foot care. Which of the following instructions should the nurse include?A)Wear open-toed shoes.B)Apply lotion between the toes.C)Wash feet in hot water.D)Avoid walking barefoot.
- A nurse is teaching a client who is preoperative for an ileostomy. Which of the following statements should the nurse include?A)"You will have a stoma placed in your right lower abdomen."B)"You will have solid stool pass through your stoma."C)"You should expect your stoma to be a purple color."D)"The end of the stoma will be painful after this procedure."
- A nurse is caring for a client who has severe right wrist pain. Exhibits The nurse has completed the assessment on the client. Drag words from the choices below to fill in each blank in the following sentence. The client is at risk for developing dropdownand dropdown.
- A nurse is assessing a client's cardiovascular system. To palpate for unexpected pulsations in the pulmonic area, at which anatomical location should the nurse place her fingers?A)The right second intercostal spaceB)The left fifth intercostal spaceC)The left second intercostal spaceD)The left fifth intercostal space at the midclavicular line