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    Exam Review

    1. A nurse is demonstrating the professional value of integrity in which situation?
      A)
      Plans to divide time for nursing tasks evenly among a group of patients.
      B)
      Demonstrates care and concern for a patient's culture and beliefs.
      C)
      Encourages the patient to make decisions about food selection choices on the menu.
      D)
      Performs patient assessment and records findings accurately.
    2. A client nearing the end of life requests that he be given no food or fluids.The physician orders the insertion of a nasogastric tube to feed the client.What situation does this create for the nurse providing care?
      A)
      The nurse must follow the physician's orders.
      B)
      The physician's order creates a barrier to establishing an effective nurse-client relationship.
      C)
      The nurse faces an ethical dilemma about inconsistent courses of action.
      D)
      The nurse is unable to provide care for the client.
    3. The client is a male who states his wife complains that his snoring awakens her at night.The spouse is present.To obtain further data, the nurse asks the spouse:
      A)
      How loud is his snoring?
      B)
      How often are you awakened at night due to his loud snoring?
      C)
      Is there silence after snoring which then is followed with a snort?
      D)
      How long does he snore each night? . . .
    4. The client suffered cardiac arrest, was resuscitated and has now been on a ventilator for several days.The client had a written advance directive which the spouse brought from home.The primary care provider (PCP) is encouraging the spouse to consent for placement of a percutaneous endoscopic gastrostomy (PEG) tube, which is contrary to the client's advance directive.After the PCP leaves, the spouse states, "I wish I knew what my spouse wanted.”. What is the best reply by the nurse?
      A)
      "Didn't you ever discuss this possibility?"
      B)
      "The PCP only wants what is best for your spouse.”.
      C)
      "You will now have to make the decision.”.
      D)
      "The spouse did tell you in the advance directive.”.
    Page 1 of 12

    Exam Review

    1. A nurse on a medical unit is planning care for several clients.Which of the following clients should benefit MOST from the nurse acting as an advocate?
      A)
      An older adult client who has no family and is uncertain about moving to assisted living.
      B)
      A client who makes an informed decision not to participate in chemotherapy treatment.
      C)
      A client who has previously undergone a procedure that is to be performed for a second time.
      D)
      A client who has been educated on treatment options and chooses alternative treatments.
    2. The healthcare provider prescribes Aminophylline 165mg oral solution by mouth for an adult patient with acute severe asthma. The label on the solution reads Aminophylline 105mg/5mL. To administer the correct dose how many mL should the nurse give?
      Correct Answer:7.9 mL
    3. Which patient has the highest risk of experiencing nocturia? The patient who:
      A)
      Takes a sleeping pill at 9 pm.
      B)
      Takes a diuretic at 7 pm.
      C)
      Takes frequent naps during the day.
      D)
      Takes a diuretic at 7 am. . .
    4. A dying client tells the nurse that he doesn't want to see his family because he doesn't want to cause them more sadness.Which action by the nurse is most appropriate?
      A)
      Help the client clarify his values.
      B)
      Educate the client on death and dying concepts.
      C)
      Arrange a meeting between the family and the client.
      D)
      Allow the client time for quiet reflection.
    Page 2 of 12

    Exam Review

    1. A nurse is making a home care visit to a client with a hearing deficit.What is the best thing she can do to facilitate communication with the client?
      A)
      Use written communication rather than verbal communication.
      B)
      Reduce the time spent with the client to decrease frustration.
      C)
      Talk in a loud tone of voice at all times during the visit.
      D)
      Ask for permission to turn off the television set during the visit.
    2. A nurse is considering the delegation of administering topical medications to an unlicensed assistive personnel (UAP). What is the first query the nurse must ask herself before doing so?
      A)
      Does the nurse practice act and agency policy allow this delegation?
      B)
      Has the unlicensed assistive personnel been trained to perform the task?
      C)
      Is appropriate supervision available for the unlicensed assistive personnel?
      D)
      Has the nurse evaluated the client's response to this treatment in the past? . . .
    3. The client was diagnosed with diabetes three years ago but has failed to integrate regular blood glucose monitoring or dietary modifications into his lifestyle.He has been admitted to the hospital for treatment of acute renal failure secondary to diabetic nephropathy, an event that has prompted him to reassess his values.Which of the following actions most clearly demonstrates that this client is engaging in the step of prizing within his valuing process?
      A)
      The client expresses remorse at how his failure to make lifestyle changes has adversely affected his health.
      B)
      The client is now able to explain how his choices have contributed to his renal failure.
      C)
      The client states he will now begin to check his blood glucose before each meal and at bedtime.
      D)
      The client expresses pride that he now has the knowledge and skills to take control of his diabetes management.
    4. Which of the following must always be reported to the Board of Nursing by nurses in the state of Texas?
      A)
      Communicable or contagious diseases.
      B)
      Parents declining treatment for a child.
      C)
      Release of a patient against medical advice.
      D)
      Abuse of older adults by another nurse.
    Page 3 of 12

    Exam Review

    1. Which guideline does the nurse apply to discussion of sleep patterns with older adult clients?
      A)
      The amount of stage 4 sleep increases as clients age.
      B)
      Circadian rhythms become more prominent as clients age.
      C)
      Older clients fall asleep more quickly than younger ones.
      D)
      Total sleep time decreases as clients age.
    2. A nurse accidentally administers a medication to the wrong patient, and the patient experiences a serious untoward reaction.For which tort can the nurse be legally charged?
      A)
      Negligence.
      B)
      Malpractice.
      C)
      Assault.
      D)
      Battery.
    3. A group of nurses working in a long-term care facility fails to keep the narcotic medications in a locked secure location.The nurses also fail to document a count of the medications before and after each shift as indicated by the institution's policies and procedures.These failures may result in disciplinary action against the
      A)
      physician's license.
      B)
      pharmacist's license.
      C)
      facility's license.
      D)
      nurses' licenses.
    4. When the nurse inserts an ordered urinary catheter into the client's urethra after the client has refused the procedure, and then the client suffers an injury, the client may sue the nurse for which type of tort?
      A)
      Battery.
      B)
      Dereliction of duty.
      C)
      Assault.
      D)
      Invasion of privacy.
    Page 4 of 12

    Exam Review

    1. A client is taking a diuretic that increases her urinary output.What would be an appropriate nursing diagnosis on which to base an educational plan?
      A)
      Impaired Skin Integrity.
      B)
      Impaired Urinary Elimination.
      C)
      Urinary Retention.
      D)
      Risk for Deficient Fluid Volume.
    2. Three glasses of red wine.
      A)
      May offer some cardiovascular benefits.
      B)
      Is generally considered a moderate amount of alcohol.
      C)
      Should be avoided by individuals with liver disease.
      D)
      Can contribute to dehydration if not accompanied by sufficient water intake.
    3. The nurse is caring for a client who suffered a stroke 3 days ago and is assessing the client's state of arousal.The nurse knows that the part of the body responsible for a person being alert or aroused is the
      A)
      adrenal glands.
      B)
      renin-angiotensin-aldosterone system.
      C)
      cranial nerves.
      D)
      reticular activating system.
    4. Which of the following statements is an appropriate nursing diagnosis for a client 80 years of age diagnosed with congestive heart failure, with symptoms of edema, orthopnea, and confusion?
      A)
      Fluid Volume Excess related to heart failure, as evidenced by edema and orthopnea.
      B)
      Fluid Volume Deficit related to inadequate fluid intake, as evidenced by confusion and poor skin turgor.
      C)
      Impaired Gas Exchange related to fluid accumulation in the lungs, as evidenced by orthopnea and shortness of breath.
      D)
      Risk for Falls related to confusion and weakness.
    Page 5 of 12

    Exam Review

    1. A dying client is crying.She states, "Why me, Lord" and can't pray.What would be the most appropriate nursing diagnosis based on this data?
      A)
      Anticipatory Grieving.
      B)
      Ineffective Coping.
      C)
      Low Self-Esteem.
      D)
      Spiritual Distress.
    2. A senior student has been elected president of the Student Nurses Association.Which of the following qualities is essential to being a nursing leader?
      A)
      Flexible.
      B)
      Independent.
      C)
      Physical stamina.
      D)
      Vulnerable.
    3. A nurse is considering the delegation of administering topical medications to an unlicensed assistive personnel (UAP). What is the first query the nurse must ask herself before doing so?
      A)
      Does the nurse practice act and agency policy allow this delegation?
      B)
      Has the Unlicensed Assistive Person been trained to perform the task?
      C)
      Is appropriate supervision available for the Unlicensed Assistive Person?
      D)
      Has the nurse evaluated the client's response to this treatment in the past? . . .
    4. Which statements are associated with state nurse practice acts? Pick the answer with the letters of only correct choices.
      A)
      Nurse practice acts identify what a nurse can and cannot do.
      B)
      A purpose of state nurse practice acts is to regulate the practice of nursing.
      C)
      The federal government is the regulating agency responsible for state nurse practice acts.
      D)
      Student nurses are not obligated to meet the same standards of care as are licensed nurses.
      E)
      If a student nurse is involved in a disciplinary action by the state board of nursing, the student may be prohibited from taking the National Council Licensure Examination.
    Page 6 of 12