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    Exam Review

    1. A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following should the nurse include in the teaching?
      A)
      Administer glucagon for hyperglycemia.
      B)
      Inject insulin in the deltoid muscle.
      C)
      Obtain an influenza vaccine annually.
      D)
      Take glyburide with breakfast.
    2. A nurse working at a community health center is caring for a client who has diabetes mellitus. The client says, "I don't want to lose my vision." Which of the following responses should the nurse make?
      A)
      "It sounds like you are worried about the complications of diabetes."
      B)
      "This happens if you fail to control your blood sugar."
      C)
      "I have a client that recently lost their vision."
      D)
      "There are many clients who have diabetes that don't end up losing their vision."
    3. A nurse is caring for a 7-year-old child who has an upper respiratory infection and type 1 diabetes mellitus. Which of the following statements by the mother indicates a need for further instruction?
      A)
      "I will continue to check his blood sugar two times every day."
      B)
      "I will encourage her to drink half a cup of water or sugar-free fluids every 30 minutes."
      C)
      "I will notify the doctor if her temperature is not controlled with acetaminophen."
      D)
      "I will report a change in her breathing or any signs of confusion."
    4. A home health nurse cares for a neighborhood of diverse clients. Which of the following aspects of cultural diversity should the nurse remember when caring for the clients?
      A)
      There should be no variation in the delivery of care among diverse clients.
      B)
      Caring for diverse clients will require balancing differences and needs
      C)
      The nurse should determine the plan of care regardless of client diversity
      D)
      Individuals who live in the same neighborhood will accept the same care level
    Page 1 of 10

    Exam Review

    1. A nurse is providing teaching to a school-age child who has a new diagnosis of type 1 diabetes mellitus. Which of the following statements by the child indicates an understanding of the teaching?
      A)
      "I can store unopened bottles of insulin in the freezer."
      B)
      "My morning blood glucose should be between 90 and 130."
      C)
      "I should not take my regular insulin when I am sick."
      D)
      "I should eat a snack half an hour before playing soccer."
    2. A nurse is providing teaching about self-administration of insulin to the parent of a school-age child who has a new of diabetes mellitus. Which of the following statements by the parent indicates a need for further teaching?
      A)
      "The insulin can be injected anywhere there is adipose tissue."
      B)
      "I will be sure my child rotates sites after 5 injections in one area."
      C)
      "The insulin should be injected at a 90-degree angle."
      D)
      "I will be sure my child aspirates before injecting the insulin."
    3. A nurse opens a unit-dose of a prescribed medication prior to administering it to a client. The client refuses to take the medication. Which of the following actions should the nurse take?
      A)
      Notify the facility's ethics committee.
      B)
      Return the opened medication to the medication cart.
      C)
      Fill out an incident report.
      D)
      Report the incident to the provider.
    4. A nurse is providing a handoff report using the introduction, situation, background, assessment, recommendation, and readback (1-SBSR-R) on a client. Which of the following information should be included in the situation component?
      A)
      Provider notified of client's back gain
      B)
      Request prescription for opioid medication for pain relief
      C)
      Client is grimacing due to pain
      D)
      Client admitted with ruptured disc at L5
    Page 2 of 10

    Exam Review

    1. A nurse is caring for a client who has asthma and allergies. The client asks the nurse about environmental influences they should avoid. The nurse should inform the client to avoid which of the following?
      (SATA)
      A)
      Hepatitis B
      B)
      Mold
      C)
      Radon
      D)
      Cockroaches
    2. A nurse is teaching a school-age child who has type 1 diabetes mellitus and his parents about illness management. Which of the following instructions should the nurse include?
      A)
      "Test the urine for ketones."
      B)
      "Notify the provider if blood glucose levels are over 350 milligrams/deciliter."
      C)
      "Withhold insulin dose if feeling nauseous."
      D)
      "Limit fluid intake during mealtime."
    3. A nurse is receiving change-of-shift report for a group of assigned clients. The nurse anticipates which of the following activities first in delivering client care using the nursing process?
      A)
      Set client-centered, measurable and realistic goals.
      B)
      Determine effectiveness of interventions.
      C)
      Critically analyze client data to determine priorities.
      D)
      Collect and organize client data.
    4. A nurse is caring for a client who is 3 hr postoperative following abdominal surgery. Which of the following assessment data should the nurse report to the provider?
      A)
      The client's pain level has decreased since the administration of morphine.
      B)
      The client urine output has been 50 mL since surgery.
      C)
      Serosanguineous drainage noted on the abdominal dressing.
      D)
      Postoperative laboratory results are Hgb 15% and Hct 40%.
    Page 3 of 10

    Exam Review

    1. A charge nurse is reviewing morning laboratory reports for clients on the unit. The charge nurse should recognize that which of the following laboratory findings is the priority to report to the provider?
      A)
      A client who has an INR of 5.2.
      B)
      A client who has a hemoglobin of 19 g/dL.
      C)
      A client who has a BUN of 21 mg/dL.
      D)
      A client who has a fasting glucose level of 69 mg/dL.
    2. A nurse is caring for a client with type 1 diabetes mellitus who reports feeling shaky and having palpitations. When the nurse finds the client's blood glucose to be 48 mg/dL on the glucometer, he should give the client which of the following?
      A)
      4 oz diet soda
      B)
      1 tsp sugar
      C)
      Graham crackers
      D)
      4 oz skim milk
    3. A nurse is preparing to administer lidocaine 50 mg IV bolus. Available is lidocaine 200 mg/mL. How many mL should the nurse administer per dose? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
    4. A nurse is preparing to administer a continuous heparin infusion at 1600 units/hr. Available is heparin 25,000 units in dextrose 5% in water (DW) 500 mL. The nurse should set the IV pump to deliver how many mL/hr? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    Page 4 of 10

    Exam Review

    1. A public health nurse has been working with other staff at the health department to complete a community health assessment for their city. As part of their core function of assessment, which of the following should be done with the information?
      A)
      Post the analyzed findings on the health department section of the city's website.
      B)
      Prepare a plan to address a health issue in a specific area of the city.
      C)
      Educate members of a vulnerable population identified in the assessment about available public health services.
      D)
      Conduct focus groups with local residents to discuss their usage of public health services.
    2. A nurse is teaching a client newly diagnosed with type I diabetes mellitus. A referral for a dietician has been initiated. Which of the following statements by the client indicates the purpose for the referral?
      A)
      "The dietician will help me with my diet due to diabetes."
      B)
      The dietician will assist me in affording my medication."
      C)
      The dietician will coordinate my care."
      D)
      The dietician will change my treatment plan."
    3. A nurse is caring for four clients who are all requesting assistance. Which of the following clients should the nurse assist first?
      A)
      A client who is postoperative and is reporting nausea.
      B)
      A client who reports they have fallen while ambulating,
      C)
      A client who reports their IV pump is beeping.
      D)
      A client who is requesting a bedpan.
    4. A nurse is assessing a client who has chronic kidney disease for fluid volume increase. Which of the following provides a reliable measure of fluid retention?
      A)
      Daily weight
      B)
      Sodium level
      C)
      Tissue turgor
      D)
      Intake and output
    Page 5 of 10

    Exam Review

    1. A nurse administers the wrong medication to a client. Which of the following actions should the nurse take first?
      A)
      Notify the provider.
      B)
      Document the client's condition in the electronic medical record.
      C)
      Check the client's vital signs.
      D)
      Fill out an incident report.
    2. A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as a modifiable risk factor for developing a disease?
      A)
      Family history
      B)
      Genetics
      C)
      Age
      D)
      Sunbathing
    3. A nurse is obtaining a health history from a client. Which of the following findings should the nurse identify as a non-modifiable risk factor for disease?
      A)
      Genetics
      B)
      Unhealthy diet
      C)
      Smoking
      D)
      Sunbathing
    4. A nurse is assessing a client who is experiencing dehydration. Which of the following manifestations should the nurse expect?
      A)
      Confusion
      B)
      Heart bradycardia
      C)
      Rapid skin recoil
      D)
      Pale straw-colored urine
    Page 6 of 10