NursGuru

    Exam Review

    1. Medication Order: Keflex 1 gram via PEG-tube every six hours. Available: Keflex oral suspension 125 milligrams per 5 milliliters. How much will the nurse administer each dose?
      Correct Answer:40 milliliters
    2. A nurse is providing health education to a client admitted to the health care facility. How can the nurse best determine that the client has understood the education provided?
      A)
      Ask the client's opinion about the quality of education.
      B)
      Observe changes in the client's behavior after teaching.
      C)
      Ask the client's primary care provider about the teaching standards.
      D)
      Document teaching and learning in the client's medical record.
    3. The client who had undergone a colonoscopy two days prior called the clinic to report increased abdominal pain, distention, and a temperature of 100.2°F. Which of the following would be most appropriate for the nurse to tell the client?
      A)
      Increase fluid intake.
      B)
      No additional instructions are needed because this is a normal finding.
      C)
      Take a fever reducer and recheck temperature in 6 hours.
      D)
      Seek emergent medical treatment.
    4. The nurse observes that a patient's colostomy wafer (the appliance that is applied around the stoma) is leaking onto the skin. What is the priority nursing action?
      A)
      Reassure the patient that leakage onto the skin is normal.
      B)
      Apply tape to the edges of the wafer to the skin to secure it.
      C)
      Remove the ostomy appliance, clean the skin, and apply a new ostomy appliance.
      D)
      Document the finding in the chart and continue to monitor.

    Exam Review

    1. Medication Order: Digoxin 0.25 milligram now. Available: Digoxin 0.125 milligram tablets. How many tablets will the nurse administer to the client?
      A)
      1.5 tablets.
      B)
      Clarify order with physician.
      C)
      2 tablets.
      D)
      3 tablets.
      E)
      3 tablets.
    2. A client weighs 43 pounds. The order reads: Ibuprofen 10 milligrams per kilogram. Available: 100 milligrams per 5 milliliters. How many milliliters will the nurse administer to the client? .
      Correct Answer:9.8 milliliters.
    3. When caring for a diabetic client, the nurse notes that the client learns better when practicing the self-administration of the insulin injection alone. In which learning domain does this client's learning style fall?
      A)
      Interpersonal.
      B)
      Affective.
      C)
      Psychomotor.
      D)
      Cognitive.
    4. The nurse observes that a client responds better to health education when the nurse motivates him and assures him about the benefits of the teaching. Which of the following learning domains does the client's learning style fall?
      A)
      Interpersonal domain.
      B)
      Psychomotor domain.
      C)
      Affective domain.
      D)
      Cognitive domain.

    Exam Review

    1. The nurse calls the health care provider about a patient's condition. Which of the following would be included in the SBAR communication?
      A)
      Situation, background, assessment, and recommendation.
      B)
      Situation, background, all vitals, and review of orders.
      C)
      Summary, better plan, accurate diagnosis, and rights.
      D)
      Subjective information, background, assessment, and revisions needed.
    2. The nurse is assisting the provider with a lumbar puncture. The nurse understands the reason for a lumbar puncture is to collect which of the following:
      A)
      Bone biopsy.
      B)
      Cerebral spinal fluid (CSF).
      C)
      Arterial blood.
      D)
      Venous blood.
    3. The nurse has completed teaching. Which client behavior demonstrates understanding within the affective domain?
      A)
      Provides return demonstration of use of an inhaler.
      B)
      Provides a description of how appropriate wound healing should look.
      C)
      States, "I feel comfortable using my walker.”.
      D)
      Verbalizes key points of a brochure about diabetes that was read.
    4. Medication Order: Augmentin 0.25 gram PO every 8 hours. Available: Augmentin 125 milligrams per 5 milliliters. How much will the nurse administer per dose?
      A)
      10 milliliters.
      B)
      7.5 milliliters.
      C)
      30 milliliters.
      D)
      5 milliliters.

    Exam Review

    1. A client reports an iodine allergy. This information is most significant if the client is scheduled for which exam?
      A)
      Computer tomography with IV contrast.
      B)
      Magnetic Resonance Imaging (MRI).
      C)
      Liver biopsy.
      D)
      Sigmoidoscopy.
    2. When caring for a client, the nurse observes that the client enjoys reading books and magazines. In which learning domain does the client's learning style fall?
      A)
      Cognitive.
      B)
      Affective.
      C)
      Psychomotor.
      D)
      Interpersonal.
    3. To ensure an accurate analysis, the nurse collects a specimen in an appropriate container and labels it with the correct information. What should the nurse do next to ensure accurate analysis of the specimen?
      A)
      Keep the specimen refrigerated before sending it for analysis.
      B)
      Deliver the specimen to the laboratory as soon as possible.
      C)
      Shift the specimen to some other container to keep it fresh.
      D)
      Deliver the specimen to the health care provider for final verification.
    4. A nurse is caring for a client with primary constipation. Which factor is responsible for primary constipation?
      A)
      Overuse of laxatives.
      B)
      Opioid use.
      C)
      Colon tumor.
      D)
      Inadequate intake of liquid.

    Exam Review

    1. A nurse is teaching dietary guidelines for a patient with a colostomy. Which food should the patient avoid to reduce gas formation?
      A)
      Bananas.
      B)
      Broccoli.
      C)
      Applesauce.
      D)
      Rice.
    2. The nurse understands which procedure is performed using direct visualization:
      A)
      Electrocardiogram (EKG).
      B)
      Chest X-ray.
      C)
      Magnetic Resonance Imaging (MRI).
      D)
      Cystoscopy.
    3. A nurse is caring for a patient who had a colostomy created 2 days ago. Which assessment finding should the nurse report immediately?
      A)
      Stoma is moist and red.
      B)
      Gas is present in the ostomy pouch.
      C)
      Stoma appears dusky and bluish.
      D)
      Small amount of serosanguinous drainage around the stoma.
    4. A pregnant client visits a healthcare facility for her scheduled checkup before delivery. The healthcare provider asks the nurse to help the client in the lithotomy position. Which statement describes the lithotomy position?
      A)
      The client should lie on the left side with the chest leaning forward and the right knee bent toward the head.
      B)
      The client should be in a reclining position with the knees bent, hips rotated outward, and feet flat.
      C)
      The client should rest on the knees and chest, supported by a small pillow, with the head to one side.
      D)
      The client should be in a reclining position with the feet in stirrups.

    Exam Review

    1. A client is ordered diphenhydramine following an allergic reaction to IV contrast medium. Order: Diphenhydramine 25 mg IV now. Available: Diphenhydramine 50 mg/2 ml vial. The LPN knows the RN will administer how many ml to the client: —
    2. The nurse is utilizing SOAP charting and documents the following statement from the client, "I don't feel well". The nurse understands this statement falls under what part of SOAP charting?
      A)
      Subjective.
      B)
      Assessment.
      C)
      Plan.
      D)
      Objective.
    3. The nurse is providing discharge instructions to a 22-year-old client. The nurse understands the unique characteristics of this age group to be which of the following. Select all that apply:
      A)
      Respond best when they find the information to be relevant.
      B)
      Prefer repeating tasks.
      C)
      Prefer visualizations, simulations, and other methods of participatory learning and quick responses.
      D)
      Expect immediate answers and feedback.
      E)
      Prefer a variety of instructional methods from which they can choose.
      F)
      Can become bored with memorizing information and doing repetitious tasks.
      G)
      Are typically technologically literate.
      H)
      Prefer memorizing information.
    4. The oncoming nurse receives a shift report from the previous shift nurse. Based on the report received, which patient should the oncoming nurse assess first?
      A)
      A client who is reporting concerns regarding their discharge instructions.
      B)
      A client who is 6 hours postoperative and last blood pressure was 100/56 and heart rate was 116.
      C)
      A client who is immobile and has frequent urinary incontinence.
      D)
      A client who is requesting to ambulate to the bathroom with assistance who recently experienced diarrhea.