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    Exam Review

    1. A nurse in a community clinic is caring for a client who has systemic lupus erythematosus (SLE). Which of the following statements by the client should the nurse determine is the priority?
      A)
      "I'm concerned because I'm so tired all the time."
      B)
      "I feel like I'm isolated from all my friends now."
      C)
      "I've had a fever the last couple of days."
      D)
      "I have a lot of questions about this disease."
    2. A nurse is assessing a client who has Cushing's syndrome. Which of the following findings should the nurse expect?
      A)
      Vitiligo
      B)
      Osteoporosis
      C)
      Myxedema
      D)
      Heat intolerance
    3. A nurse is providing discharge teaching about infection control at home for a client who has tuberculosis. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "I will have to move out of my family's home until I am no longer contagious."
      B)
      "I will place my used tissues in a plastic bag."
      C)
      "I will cover my mouth with my hands when I have to cough."
      D)
      "I will not go in public areas until I am cured."
    4. A nurse is assessing a group of clients. For which of the following clients should the nurse make a referral to palliative care?
      A)
      A client who is newly diagnosed with type 1 diabetes mellitus and cannot afford insulin.
      B)
      A client who has Meniere’s disease and cannot safely ambulate due to vertigo.
      C)
      A client who had a stroke and cannot eat or drink without choking.
      D)
      A client whose medications to manage Parkinson’s disease are no longer effective.
    Page 1 of 23

    Exam Review

    1. A nurse is planning preventative strategies for a client who is at risk for pressure injuries. Which of the following actions should the nurse include in the plan?
      A)
      Maintain the head of the bed greater than 45°.
      B)
      Place a donut-shaped cushion under the client’s sacrum.
      C)
      Massage bony prominences three times daily.
      D)
      Apply moisturizer to damp skin after bathing.
    2. A nurse is completing an admission assessment for a client who has bacterial meningitis. Which of the following personal protective equipment should the nurse use while caring for the client?
      A)
      N95 respirator
      B)
      Goggles
      C)
      Disposable gown
      D)
      Surgical mask
    3. A nurse is assessing a client who has tuberculosis and recently began taking ethambutol. The nurse should identify which of the following findings as an adverse effect of this medication?
      A)
      Blurred vision
      B)
      Tinnitus
      C)
      Peripheral edema
      D)
      Bradycardia
    4. A nurse is caring for a client who is hemorrhaging and hypotensive from esophageal variceal bleeding. Which of the following actions should the nurse take first?
      A)
      Administer vasopressin to the client.
      B)
      Request blood from the blood bank.
      C)
      Verify that the client has adequate IV access.
      D)
      Insert an indwelling urinary catheter.
    Page 2 of 23

    Exam Review

    1. A nurse is teaching a client who has a new diagnosis of gastroesophageal reflux disease. Which of the following instructions should the nurse include?
      A)
      "Lie down after meals."
      B)
      "Elevate the head of the bed while sleeping."
      C)
      "Eat a snack 1 hour before going to bed."
      D)
      "Eat three large meals each day."
    2. A nurse is providing preoperative teaching to a client who is scheduled for a radical prostatectomy. Which of the following information should the nurse include in the teaching?
      A)
      The client will be on bed rest while continuous bladder irrigation is in place.
      B)
      Cold compresses will be used to manage bladder spasms.
      C)
      The client will have an NG tube in place for 48 hr postoperatively.
      D)
      A PCA pump will be used for postoperative pain control.
    3. A nurse is providing discharge teaching to a client following a loop electrosurgical excision procedure (LEEP) for the treatment of cervical cancer. Which of the following statements by the client indicates an understanding of the teaching?
      A)
      "I can resume sexual intercourse in 48 hours."
      B)
      "I can expect some heavy vaginal bleeding for 24 hours."
      C)
      "I can use tampons when my period comes in a week."
      D)
      "I may have mild cramping for several hours."
    4. A nurse is caring for a client who is intubated and receiving mechanical ventilation for heroin toxicity. Which of the following assessments is the nurse's priority?
      A)
      WBC count
      B)
      Intake and output
      C)
      ABGs
      D)
      Blood glucose level
    Page 3 of 23

    Exam Review

    1. A nurse is providing teaching about dietary options for a client who has cholelithiasis. Which of the following statements should the nurse include in the teaching?
      A)
      "Cauliflower is a good dietary choice."
      B)
      "Increase the amount of egg yolks in your diet."
      C)
      "Select desserts such as angel-food cake."
      D)
      "Eat choice or prime cuts of meat."
    2. A nurse is assessing a client for fluid volume deficit following lumbar spinal surgery. The nurse should identify which of the following findings as an indication the client is at risk for fluid volume deficit?
      A)
      BUN 16 mg/dL (10 to 20 mg/dL)
      B)
      Urine output 40 mL every hour for 3 hr
      C)
      Hct 42% (37% to 47%)
      D)
      Surgical drain output 300 mL during an 8-hr shift
    3. A nurse is planning care for a client who is scheduled for surgery and has a latex allergy. Which of the following actions should the nurse plan to take?
      A)
      Place monitoring cords and tubes in a stockinette.
      B)
      Schedule the client for the last surgery of the day.
      C)
      Choose rubber injection ports for fluid administration.
      D)
      Have phenytoin IV readily available.
    4. A nurse is providing teaching for a client who has neutropenia and is receiving chemotherapy. Which of the following client statements indicates an understanding of the teaching? (Select all that apply.)
      A)
      "I will take my temperature daily."
      B)
      "I will wash my toothbrush weekly."
      C)
      "I will eat plenty of fresh fruits and vegetables."
      D)
      "I will change my cat's litter box twice weekly."
      E)
      "I will avoid crowds."
    Page 4 of 23

    Exam Review

    1. A nurse is providing teaching to a client who is scheduled for a bronchoscopy. Which of the following statements should the nurse include in the teaching?
      A)
      "You will drink a contrast solution 30 minutes prior to the procedure."
      B)
      "You will not be able to eat or drink after the procedure until you are able to cough."
      C)
      "The purpose of this procedure is to remove excess fluid from your lungs."
      D)
      "You will need to lie on your back for 4 to 6 hours following the procedure."
    2. A nurse is preparing to discharge a client who is postoperative following a total hip arthroplasty. Which of the following equipment should the nurse ensure that the client has available at home prior to discharge?
      A)
      Continuous passive motion device
      B)
      Elevated toilet seat
      C)
      Trapeze bar
      D)
      Compression garment
    3. A nurse is caring for a client who has acute kidney injury and a potassium level of 6.5 mEq/L (3.5 to 5 mEq/L). Which of the following electrocardiogram (ECG) changes should the nurse expect?
      A)
      Prominent P waves
      B)
      Narrowed QRS complexes
      C)
      Shortened PR intervals
      D)
      Peaked T waves
    4. A nurse is inspecting the skin of a client who has basal cell carcinoma. The nurse should identify which of the following lesion characteristics on the client's skin?
      A)
      A pearly, waxy nodule
      B)
      An irregular border on a variegated-colored lesion
      C)
      A firm, nodular, crusty, or ulcerated lesion
      D)
      A weeping vesicle
    Page 5 of 23

    Exam Review

    1. A nurse is caring for a client who recently assumed the role of caregiver for their aging parents who have chronic illnesses. The nurse should identify that which of the following statements by the client indicates acceptance of the role change?
      A)
      "I changed the floor plan of our home to accommodate my parent’s wheelchair."
      B)
      "I’m so stressed out that it makes it difficult for me to manage everything."
      C)
      "At times, I get so frustrated with how to care for my parents."
      D)
      "I am learning to take care of my parents as I go."
    2. A nurse is assessing a client who has a new diagnosis of pericarditis. Which of the following findings should the nurse identify as a manifestation of cardiac tamponade?
      A)
      Fever
      B)
      Atrial fibrillation
      C)
      Paradoxical pulse
      D)
      Pericardial friction rub
    3. A nurse is caring for a client who is mechanically ventilated and is agitated. The nurse notices the client attempts to reach the endotracheal tube. Which of the following actions should the nurse take?
      A)
      Verify the alarm settings on the ventilator.
      B)
      Turn on the television.
      C)
      Obtain a prescription for a vest restraint.
      D)
      Administer a sedative medication.
    4. A nurse is providing preoperative teaching about stool consistency to a client who will undergo a colectomy with the placement of an ileostomy. Which of the following information about stool consistency should the nurse include in the teaching?
      A)
      The stool will have a tarry color.
      B)
      The stool will have a high volume of liquid.
      C)
      The stool will be solid and well-formed.
      D)
      The stool will appear bloody with clots.
    Page 6 of 23