NursGuru

    Exam Review

    1. Ordered: Erythromycin 125 mg PO four times a day. Available: Erythromycin suspension 200 mg/5 mL. The client will take a total of how many mL in a day?
      Correct Answer:12.5 mL
    2. A nurse needs to instill eye medication in a client with conjunctivitis. Which actions should the nurse take to distribute the medication over the eye's surface?
      A)
      Make a pouch in the lower eyelid.
      B)
      Ask the client to blink his or her eye.
      C)
      Gently rub the client's eyelids.
      D)
      Instill medication drops in the client's upper eyelid.
    3. A nurse needs to instill eye medication in a client with conjunctivitis. Which actions should the nurse take to distribute the medication over the eye's surface?
      A)
      Make a pouch in the lower eyelid.
      B)
      Ask the client to blink his or her eye.
      C)
      Gently rub the client's eyelids.
      D)
      Instill medication drops in the client's upper eyelid.
    4. A nurse is explaining the need for bathing to an elderly patient who has been avoiding her bath for several days. Which of the following benefits of bathing should the nurse explain to the patient?
      A)
      Diminishes circulation.
      B)
      Reduces the potential for infection.
      C)
      Maintains body temperature.
      D)
      Keeps mucous membranes soft and moist.

    Exam Review

    1. A client who recently suffered from a cerebrovascular accident (CVA) cannot ambulate. The client is being discharged from the hospital to a long-term care facility. This is an example of which kind of care?
      A)
      Tertiary care.
      B)
      Secondary care.
      C)
      Primary care.
      D)
      Extended care.
    2. A client presents with a blood pressure of 90/54, tachycardia, tachypnea, temperature of 101.4°F, and flushed skin. The client's POX is 94% on room air. The client reports a moist, productive cough and general malaise over the past 24 hours. Which of the following would be the priority nursing diagnosis for this client?
      A)
      Anxiety.
      B)
      Decreased cardiac output.
      C)
      Risk for fall.
      D)
      Ineffective gas exchange.
    3. The parents of a 10-year-old child are worried about the child's sleepwalking (somnambulism). What topic should the nurse discuss with the parents?
      A)
      Safety.
      B)
      Privacy.
      C)
      Nutrition.
      D)
      Sleep deprivation.
    4. The nurse understands at which stage of Kubler-Ross stages of dying the patient is utilizing a defense mechanism by refusing to believe information regarding their diagnosis?
      A)
      Anger.
      B)
      Bargaining.
      C)
      Depression.
      D)
      Denial.

    Exam Review

    1. You are providing a report to a healthcare provider regarding a patient's condition. You utilize SBAR to facilitate prompt and effective communication with fellow healthcare providers. As the nurse, you state an action needed to correct the problem. This action refers to which part of SBAR?
      A)
      Recommendation.
      B)
      Background.
      C)
      Situation.
      D)
      Assessment.
    2. After initial insertion, a nurse must determine whether a nasogastric tube is inserted correctly. Which of the following is the best way to determine the correct NGT placement?
      A)
      Secure the tube to avoid migration.
      B)
      Check the pH of aspirated fluid.
      C)
      Obtain an x-ray.
      D)
      Place a stethoscope over the epigastric area.
    3. A nurse is caring for a client who requires oxygen due to hypoxia. When would it be appropriate to humidify the oxygen?
      A)
      15 liters non-rebreather.
      B)
      10 liters partial-rebreather.
      C)
      5 liters nasal cannula.
      D)
      1 liter nasal cannula.
    4. A nurse is caring for a patient at a health care facility who experiences functional incontinence. Which of the following is a likely cause of the client's condition?
      A)
      Impaired mobility.
      B)
      Damage to the spinal cord.
      C)
      Diminished bladder capacity.
      D)
      Bladder irritation.

    Exam Review

    1. Which of the following is a correct application of infection control practice?
      A)
      A nurse dons a pair of sterile gloves prior to any patient contact.
      B)
      A nurse ensures that she rinses her hands thoroughly after the application of an alcohol-based hand rub.
      C)
      A nurse uses an alcohol-based hand rub each time that his hands are visibly soiled.
      D)
      A nurse performs hand washing each time she removes a pair of gloves.
    2. A nurse is caring for a client who reports their diet excludes the following: meats, poultry, seafood, and dairy products but they do allow eggs in their diet. Based on this description, the nurse understands the client follows what type of diet?
      A)
      Vegan diet.
      B)
      Ovo-vegetarian diet.
      C)
      Lacto-vegetarian diet.
      D)
      Pescatarian diet.
    3. A hospice client suffering from a terminal brain tumor has maintained her level of consciousness and cognition, even as death is now imminent. The client's physical condition has deteriorated significantly over the past 48 hours, and now the client is stating they no longer want to eat. How should the care team respond to the client?
      A)
      Have the family force fluids and a pureed diet.
      B)
      Accept the client's wishes and stop trying to feed the client.
      C)
      Explain to the patient she is being selfish and needs to start eating.
      D)
      Insert a nasogastric tube and start tube feedings.
    4. A client experiencing chest pain is prescribed nitroglycerin paste. Which of the following actions would prevent the nurse from coming in direct contact with the medication?
      A)
      Place an application paper on a clean area of skin.
      B)
      Avoid touching the application with ungloved hands.
      C)
      Rotate the site of medication placement.
      D)
      Remove one application before applying another.

    Exam Review

    1. A nurse is caring for a client who reports their diet excludes the following: meats, poultry, seafood, and dairy products but they do allow eggs in their diet. Based on this description, the nurse understands the client follows what type of diet?
      A)
      Vegan diet.
      B)
      Ovo-vegetarian diet.
      C)
      Lacto-vegetarian diet.
      D)
      Pescatarian diet.
    2. A client presents with a blood pressure of 90/54, tachycardia, tachypnea, temperature of 101.4, and flushed skin. The client's POX is 94% on room air. The client reports a moist, productive cough and general malaise over the past 24 hours. Which of the following would be the priority nursing diagnosis for this client?
      A)
      Anxiety.
      B)
      Decreased cardiac output.
      C)
      Risk for fall.
      D)
      Ineffective gas exchange.
    3. Ordered: Erythromycin 125 mg po four times a day. Available: Erythromycin suspension 200 mg/5 ml. The client will take a total of how many mls in a day? .
    4. A client has been admitted to the hospital with fluid volume overload and requires close monitoring of fluid balance. What is the best method for monitoring fluid balance in this client?
      A)
      Weigh the client daily, in the morning, and document the results in the client's chart.
      B)
      Weekly assessment of skin turgor.
      C)
      Measurement of the NEX for NG tube placement.
      D)
      Assess the pH of any gastric output.

    Exam Review

    1. The wound care nurse is assessing a client with a history of spinal cord injury who is wheelchair-bound. The nurse notes the client has a shallow skin crater that extends to the subcutaneous tissue. A moderate amount of serous drainage is noted. The nurse is correct to stage this pressure ulcer as which of the following?
      A)
      Stage I.
      B)
      Stage II.
      C)
      Unstageable wound.
      D)
      Stage III.
    2. The nurse is caring for a client with a history of dysphagia. Which nursing action is most effective in preventing aspiration?
      A)
      Encourage talking while chewing.
      B)
      Place the client in a high-Fowler's position during meals.
      C)
      Feed the client quickly to reduce fatigue.
      D)
      Offer thin liquids between bites.
    3. A nurse is caring for a patient who had a CVA, is non-ambulatory, and remains bedridden due to a pressure ulcer on his sacrum. What should the nurse do to prevent foot drop?
      A)
      Use a foot splint.
      B)
      Use a water mattress.
      C)
      Give a foot massage.
      D)
      Use an adjustable bed.
    4. A 17-year-old client is newly diagnosed with type 1 diabetes. The nurse is preparing to educate the client on blood glucose control. What is important to understand when educating young adults?
      A)
      They learn best from repetitive tasks.
      B)
      They often become bored with memorizing information.
      C)
      They prefer to avoid technology.
      D)
      They prefer delayed feedback.