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    Exam Review

    1. 1. A nurse is taking a health history of a client who reports occasionally taking several over-the-counter medications, including an H₂ receptor antagonist (H₂RA). Which of the following outcomes indicates the H₂RA is therapeutic?
      A)
      Cessation of diarrhea
      B)
      Relief of heartburn
      C)
      Absence of constipation
      D)
      Passage of flatus
    2. A nurse is assisting a client during ambulation when the client begins to fall. Which of the following actions should the nurse take?
      A)
      Assume a narrow base of support.
      B)
      Lean the client toward the wall.
      C)
      Provide support by holding the client's arm.
      D)
      Lower the client to the floor.
    3. A nurse is providing teaching to a client who is pregnant and is vegan. The nurse should instruct the client that which of the following foods is a reliable source of Vitamin B12?
      A)
      Sunflower margarine
      B)
      Algae
      C)
      Sea vegetables
      D)
      Tempeh
    4. A nurse is caring for a client in a long-term care facility who is receiving enteral feedings via an NG tube. Which of the following actions should the nurse take prior to administering the tube feeding?
      A)
      Test the pH of gastric aspirate.
      B)
      Place the client in low Fowler's position.
      C)
      Warm the feeding solution to body temperature.
      D)
      Discard any residual gastric contents.
    Page 1 of 13

    Exam Review

    1. A nurse is caring for a client who has emphysema and has difficulty with mobility. The client receives home health care and spends most of his day in a reclining chair. Which of the following physiological responses to prolonged immobility should the nurse expect?
      A)
      Decreased RBC production
      B)
      Increased calcium excretion
      C)
      Increased insulin production
      D)
      Decreased sodium excretion
    2. A nurse is caring for a client who has impaired renal function. For which of the following findings should the nurse notify the provider?
      A)
      Urine output of 2,200 mL in the past 24 hr
      B)
      Urine output of 175 mL in the past 8 hr
      C)
      First-voided urine in the morning has a strong odor
      D)
      Urine is cloudy after sitting in the urinal for 6 hr
    3. A nurse is preparing a client for ambulation. Which of the following actions should the nurse take to determine the client's level of strength?
      A)
      Ask the client to push her feet against the nurse's palms.
      B)
      Palpate the client's pedal pulses.
      C)
      Ask the client to touch her finger to her nose.
      D)
      Ask the client how strong she feels today.
    4. A patient presents with urinary incontinence. Which of the following expected findings would the nurse most likely assess?
      A)
      Hematuria
      B)
      Loss of urine when laughing, coughing, sneezing
      C)
      Urinary hesitancy
      D)
      Urinary urgency without frequency
    Page 2 of 13

    Exam Review

    1. A nurse is caring for a 19-year-old client in the emergency department who reports passing out while at school. Exhibits A nurse is assessing the client for manifestations of anorexia nervosa. Which of the following findings should the nurse expect? Select all that apply.
      (SATA)
      A)
      Client comments that they are too thin and needs to gain weight.
      B)
      Client has soft, unpigmented hair on arms.
      C)
      Client reports consuming around 600 calories each day.
      D)
      Client reports preoccupation with thoughts about food.
      E)
      Client voices being "too tired" and lacks interest in daily workouts at the gym.
      F)
      Client's hair appears brittle and thin.
    2. A nurse is instructing a group of clients about nutrition. The nurse should include that which of the following is a trigger for the formation of vitamin D in the body?
      A)
      weight-bearing exercise
      B)
      Vitamin A depletion
      C)
      Calcium
      D)
      Exposure to sunlight
    3. A nurse is preparing to administer a cleansing enema to a client. Which of the following actions should the nurse take?
      A)
      Hold the container of solution 30 cm (12 in) above the anus.
      B)
      Hold the container of solution 15 cm (6 in) above the anus, then lower it 15 cm below the anus.
      C)
      Keep the container of solution at a level to maintain client comfort.
      D)
      Hold the container of solution level with the client's upper hip.
    4. A nurse is assessing an adolescent client who has anorexia nervosa. Which of the following client statements is a sign of cognitive distortion?
      A)
      "I really need to get into shape."
      B)
      "I like to cut my food into small pieces."
      C)
      "I can't afford to gain weight."
      D)
      "If I can eat one piece of candy, I may as well eat ten."
    Page 3 of 13

    Exam Review

    1. A nurse is providing dietary teaching for a client who has a burn injury and adheres to a vegan diet. The nurse should recommend which of the following foods as the best source of protein to promote wound healing?
      A)
      One cup of brown rice
      B)
      One cup of orange juice
      C)
      One cup of lentils
      D)
      One cup of pure avocado
    2. A nurse is preparing to administer an enteral feeding via nasogastric tube. Identify the correct sequence the nurse should follow to initiate the feeding. (Move the steps into the box on the right, placing them in the selected order of performance. All steps must be used.)
      A)
      Check the residual feeding contents
      B)
      Verify tube placement
      C)
      Evaluate tolerance of feeding
      D)
      Administer the feeding
    3. A nurse is providing dietary teaching to the parents of a newborn who is being breastfed. The nurse should instruct that the transition to whole milk can occur at which of the following ages?
      A)
      6 months
      B)
      10 months
      C)
      12 months
      D)
      8 months
    4. A nurse is caring for a client who has anorexia nervosa and overexercises to avoid gaining weight. Which of the following nursing actions should the nurse take?
      A)
      Reprimand the client about the potential damage that has occurred due to overexercising her body.
      B)
      Ask the client to agree to talk to a nurse whenever she feels the urge to exercise.
      C)
      Praise the client for looking at herself in a mirror.
      D)
      Restrict the client from being weighed.
    Page 4 of 13

    Exam Review

    1. A nurse is caring for a client who has impaired mobility. Which of the following support devices should the nurse plan to use to prevent the client from developing plantar flexion contractures?
      A)
      Footboard
      B)
      Sheepskin heel pad
      C)
      Trochanter roll
      D)
      Abduction pillow
    2. A nurse is caring for a client who has nausea and a prescription for metoclopramide intermittent IV bolus every 4 hr as needed. The client asks the nurse how metoclopramide will relieve her nausea. Which of the following explanations should the nurse provide?
      A)
      The medication relieves nausea by promoting gastric emptying.
      B)
      The medication relieves nausea by slowing peristalsis.
      C)
      The medication works by relaxing gastric muscles.
      D)
      The medication works by decreasing gastric acid secretions.
    3. A nurse is discussing comorbidities associated with eating disorders with a newly admitted client. Which of the following conditions should the nurse include in the discussion? (Select all that apply.)
      A)
      Anxiety
      B)
      Obsessive-compulsive disorder
      C)
      Breathing related sleep disorder
      D)
      Depression
      E)
      Schizophrenia
    4. A nurse is caring for a client who is postoperative and has a prescription for anti-embolic stockings. Which of the following actions should the nurse take?
      A)
      Check the stockings for wrinkles.
      B)
      Apply the stockings while the client is sitting in a chair.
      C)
      Measure the size of the client's foot.
      D)
      Remove the stockings once each day.
    Page 5 of 13

    Exam Review

    1. A nurse is teaching a client about crutch walking using the three-point gait. Which of the following statements by the nurse should be included in the teaching?
      A)
      "Place one crutch forward with the opposite foot and then place the second crutch forward followed by the second foot."
      B)
      "Look down at your feet before moving the crutches."
      C)
      "Support your body weight on the underarm crutch pads."
      D)
      "Move both crutches forward while standing on the unaffected leg, then lift and swing your body past the crutches."
    2. A nurse is assisting an older adult client who sometimes loses her balance while walking. Which of the following devices should the nurse use when helping the client ambulate?
      A)
      Gait belt
      B)
      Jacket harness
      C)
      Cane
      D)
      Four wheel walker
    3. A nurse is providing education to a client during the first prenatal visit. Which of the following statements by the client should indicate to the nurse a need for clarification?
      A)
      "I should drink about 2 liters of fluid each day."
      B)
      "I should not drink alcoholic beverages during my pregnancy."
      C)
      "I can have a moderate amount of caffeine daily."
      D)
      "I should increase my calcium intake to 1,500 milligrams per day."
    4. A nurse in a clinic is teaching the mother of a 4-month-old infant who has been breastfed. The mother plans to switch her infant to an iron-fortified formula. Which of the following should be included in the teaching?
      A)
      Iron is poorly absorbed in infants.
      B)
      Iron stores in infants begin to deplete.
      C)
      Iron facilitates growth of bones in infants.
      D)
      Iron facilitates development of vision in infants.
    Page 6 of 13