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    Exam Review

    1. A nurse is preparing to catheterize a female client. What will the nurse consider when comparing the anatomy of the female urethra with that of the male urethra?
      A)
      Has different innervation
      B)
      No connection with the bladder
      C)
      Longer in length
      D)
      Shorter in length
    2. An assistive personnel (AP) reports a client's vital signs as tympanic temperature 37.1° C (98.8° F), pulse 92/min, respiratory rate 18/min, and BP 98/58 mm Hg. Which of the following vital signs should the nurse re-measure?
      A)
      Pulse rate
      B)
      BP
      C)
      Temperature
      D)
      Respiratory rate
    3. A nurse is preparing to administer a client's antihypertensive medication. When using clinical judgment, which of the following findings indicates the nurse should further assess the client before administering medication?
      A)
      The client reports having trouble sleeping the previous night.
      B)
      The client has a urine output of 400 mL for the past 8 hr.
      C)
      The client ate 60% of their breakfast.
      D)
      The client reports dizziness when ambulating to the bathroom
    4. What nursing diagnosis would be a priority for a client who has a large wound from colon surgery, is obese, and is taking corticosteroid medications?
      A)
      Self-care deficit
      B)
      Risk for infection
      C)
      Risk for imbalance nutrition
      D)
      Anxiety
    Page 1 of 21

    Exam Review

    1. A nurse is teaching a client about nutritional supplements. Which of the following supplements is used to promote heart health?
      A)
      Vitamin D
      B)
      Omega-3 fatty acids
      C)
      Folic acid
      D)
      Lutein
    2. A nurse is teaching a client who wishes to stop smoking cigarettes. Which of the following teaching methods uses the affective domain of learning?
      A)
      Review strategies for smoking cessation with the client.
      B)
      Discuss the benefits of smoking cessation with the client.
      C)
      Create short term goals to assist the client in smoking cessation
      D)
      Encourage the client to share their feelings about smoking cessation.
    3. A nurse is administering a continuous IV solution via a computerized infusion pump to a client who is dehydrated. Which of the QSEN competencies is the nurse demonstrating?
      A)
      Quality improvement
      B)
      Informatics
      C)
      Teamwork and collaboration
      D)
      Patient-centered care
    4. A nurse is preparing to admit a client who has a new diagnosis of methicillin-resistant Staphylococcus aureus (MRSA). The nurse should plan to place the client in which of the following types of transmission-based precautions?
      A)
      Droplet
      B)
      Contact
      C)
      Protective
      D)
      Airborne
    Page 2 of 21

    Exam Review

    1. A nurse is teaching a client who is at risk for hypokalemia. The nurse should instruct the client that which of the following foods is the best source of potassium?
      A)
      Avocado
      B)
      Baked potato
      C)
      Spinach
      D)
      Banana
    2. A nurse is providing skin care for a client who has urinary incontinence. Which of the following actions should the nurse take?
      A)
      Apply a barrier cream to the client's skin.
      B)
      Use soap to clean the client's skin.
      C)
      Apply friction when drying the client's skin.
      D)
      Use hot water to clean the client's skin.
    3. A nurse is caring for a client. A nurse is caring for the client. Which of the following actions should the nurse take? Select all that apply.
      A)
      Wear a protective gown while caring for the client.
      B)
      Place the client in a negative pressure room
      C)
      Place the client in a private room.
      D)
      Wear an N-95 respirator while caring for the client.
      E)
      Place a mask on the client when they leave their room.
    4. A nurse is creating a teaching plan for a client who has a new diagnosis of diabetes mellitus. Which of the following teaching methods is based on the cognitive domain of earning? Select all that apply.
      A)
      Give the client printed information describing diabetes mellitus
      B)
      Engage in a question-and-answer session with the client.
      C)
      Ask the client how they feel about checking their blood glucose.
      D)
      Ask the client to demonstrate checking their blood glucose level.
      E)
      Give the client a fill-in-the blank quiz.
      F)
      Ask the client to describe the manifestations of hypoglycemia and hyperglycemia
    Page 3 of 21

    Exam Review

    1. A nurse is teaching a class about the stages of infection. The nurse should include that which of the following is the first stage of an infection?
      A)
      Acute illness
      B)
      Prodromal
      C)
      Period of convalescence
      D)
      Incubation
    2. A nurse is teaching a newly licensed nurse about pain. Which of the following is an example of nociceptive pain?
      A)
      Diabetic neuropathy
      B)
      Phantom limb pain
      C)
      Post-herpetic neuralgia
      D)
      Strained muscle
    3. A nurse is preparing to administer dextrose 5% in water (DW) 150 mL IV to infuse over 3 hr. The drop factor of the manual IV tubing is 10 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    4. A nurse is teaching a class about sleep. The nurse should include that which of the following hormones regulates the sleep-wake cycle?
      A)
      Progesterone
      B)
      Insulin
      C)
      Melatonin
      D)
      Cortisol
    Page 4 of 21

    Exam Review

    1. A nurse is teaching a client who has hypertension and a new prescription for a low sodium diet. Which of the following teaching methods uses the cognitive domain of learning (Select All that Apply.)
      A)
      Ask the client how they are feeling about starting a low sodium diet.
      B)
      Observe the client choose low sodium foods.
      C)
      Discuss the physiology of hypertension with the client.
      D)
      Review strategies to reduce sodium intake.
      E)
      Encourage the client to share their thoughts in a support group.
    2. A nurse is preparing to administer digoxin 0.25 mg PO daily. The amount available is digoxin 0.125 mg tablets. How many tablets should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.]
    3. A nurse is preparing to irrigate a wound for a client. Which of the following actions should the nurse plan to take?
      A)
      Hold the tip of the syringe at least 1.3 cm (0.5 in) above the wound while irrigating
      B)
      Flush the wound from the most contaminated area to the cleanest area.
      C)
      Irrigate the wound until the solution that is draining is dear.
      D)
      Chill the irrigant prior to the procedure.
    4. A nurse is assessing a client for manifestations of pain. Which of the following findings is an objective indicator of pain?
      A)
      The client states the pain is located on their abdomen.
      B)
      The client rates their pain as an 8 on a scale of 0 to 10.
      C)
      The client reports a burning sensation
      D)
      The client grimaces when they move.
    Page 5 of 21

    Exam Review

    1. A nurse is teaching a class about aromatherapy. The nurse should include that which of the following essential oils can promote sleep.
      A)
      Lavender
      B)
      Ginger
      C)
      Orange
      D)
      Peppermint
    2. Which natural chemical does the body produce at night to decrease wakefulness and promote sleep?
      A)
      Melatonin
      B)
      Endorphins
      C)
      Dopamine
      D)
      Serotonin
    3. A nurse is assessing a client who has dehydration. Which of the following findings should the nurse expect?
      A)
      Urine specific gravity of 1.015
      B)
      Urine osmolality of 200 mOsm/kg
      C)
      Cloudy urine
      D)
      Dark-colored urine
    4. A nurse is teaching a client about water-soluble vitamins. Which of the following vitamins should the nurse include?
      A)
      Vitamin A
      B)
      Vitamin C
      C)
      Vitamin E
      D)
      Vitamin D
    Page 6 of 21