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    Exam Review

    1. The nurse is assessing a client diagnosed with stage IV nephroblastoma. Which of the following actions is contraindicated in this client?

      A)
      Checking capillary refill
      B)
      Auscultating heart sounds
      C)
      Abdominal palpation
      D)
      Assessing urine color

    2. The nurse is collecting data on a 2-year-old experiencing excessive drooling, stridor, difficulty swallowing, and difficulty speaking. The client is at risk of developing

      A)
      Croup
      B)
      Epiglottitis
      C)
      Laryngotracheal bronchitis
      D)
      Bronchiolitis

    3. Which of the following would be an appropriate question for the LPN to ask when taking a client's menstrual history?

      A)
      How many sexual partners have you had?
      B)
      Do you have a history of any type of cancer in your family?
      C)
      Do you ever skip periods?
      D)
      Do you use condoms during intercourse?

    4. The nurse is caring for a newborn. Which of the following actions would be appropriate for the nurse to take?

      A)
      Perform APGAR assessment at five and ten minutes
      B)
      Suctions the nose then the mouth
      C)
      Administer RhoGAM intramuscularly
      D)
      Obtain the first outfit from the warmer
    Page 1 of 70

    Exam Review

    1. The nurse is caring for a client who experienced a myocardial infarction (MI) 24 hours ago. It would be necessary for the nurse to immediately notify the primary health care provider (PHCP) if the client has which of the following?

      A)
      An elevated troponin level
      B)
      A white blood cell (WBC) count of 13,000 mm3
      C)
      Apprehension about attending cardiac rehabilitation
      D)
      Crackles auscultated to the midline of the lung fields

    2. The nurse collects data on a client with chronic obstructive pulmonary disease (COPD). Based on the client's vital signs, the nurse should take which action? See the exhibit.

      A)
      Administer acetaminophen (APAP)
      B)
      Provide the client with warm blankets
      C)
      Apply oxygen at 2 liters via nasal cannula
      D)
      Obtain an arterial blood gas (ABG)

    3. The nurse is caring for a client who is receiving prescribed acamprosate. Which of the following statements, if made by the client, would indicate a therapeutic response?

      A)
      “I no longer hear voices.”
      B)
      “I have more motivation during the day.”
      C)
      “I am not drinking alcohol anymore.”
      D)
      “My anxiety has lessened in public.”

    4. 2330 – 22-year-old male client arrived at the emergency department (ED) with friends who were at a party and was observed snorting a white powder and started acting erratically. 

      The client is hyper-alert, agitated, and only oriented to place on assessment. The client started shouting at staff during the assessment and struck a nurse with his fist. The primary healthcare provider (PHCP) was immediately notified of this incident.

      Temperature 98.0o F (37o C)

      Pulse 110/minute 

      Respirations 16/minute 

      Blood Pressure 155/96 mm Hg

      O2 saturation 96% on room air

      ➢ Complete the following sentences from the list of options

      A)
      heroin.
      B)
      cocaine.
      C)
      an opioid.
      D)
      restrain the client
      E)
      obtain a prescription for an antihypertensive
      F)
      obtain a urine drug screen
      G)
      blood pressure.
      H)
      substance intoxication.
      I)
      physical violence.
    Page 2 of 70

    Exam Review

    1. 23-year-old primipara at 39 gestational weeks was admitted for induction via oxytocin. Currently, she is 100% effaced and 10 cm dilated. An internal fetal spinal electrode and intrauterine pressure catheter were placed. Uterine contractions are now 2 to 2.5 minutes apart, 70 to 90 seconds in duration. The fetal heart tracing showed a decrease in the fetal heart rate following the uterine contraction. This pattern was present more than 50% of the uterine contractions.

      • Oxytocin via continuous infusion 

      ➢ Complete the following sentence from the list of options

      A)
      late decelerations
      B)
      early decelerations
      C)
      variable decelerations
      D)
      reduced blood flow to the placenta.
      E)
      umbilical cord compression.
      F)
      fetal head compression.

    2. The nurse is performing data collection of a newborn immediately following birth

      ➢ Click to highlight the findings in the nursing assessment that require follow-up

      (SATA)

    3. The nurse is reinforcing teaching for individuals at a health fair about the human immunodeficiency virus (HIV). It would be correct for the nurse to indicate which of the following risk factors indicate the need for HIV testing? Select all that apply. 

      A)
      Pregnancy
      B)
      Engaged in sex work
      C)
      Have a sexually transmitted infection
      D)
      The use of injection drugs
      E)
      Men who have sex with men (MSM)

    4. The nurse is collecting data on a client with schizophrenia. Which of the following would be an expected finding? Select all that apply.

      A)
      Apraxia
      B)
      Anhedonia
      C)
      Avolition
      D)
      Delusions
      E)
      Bradykinesia
    Page 3 of 70

    Exam Review

    1. The nurse reviews the laboratory results of assigned clients.

      ➢ Which of the following results would require immediate follow-up? Select all that apply.

      A)
      Creatinine 2.7 mg/dL (238.68 µmol/L) [Male: 0.6-1.2 mg/dL Female: 0.5-1.1 mg/dL, Male 30–250 IU/L, Female 30–190 IU/L] for a client receiving vancomycin.
      B)
      Hemoglobin A1C of 6.9% [﹤ 7%] for a client with diabetes mellitus.
      C)
      Platelet count of 152,000 mm3 (152×10⁹/μL ) [150-400 mm3, 130–380 × 10⁹/µL] for a client receiving methotrexate.
      D)
      Potassium 3.1 mEq/L/ (mmol/L) [3.5-5 mEq/L, mmol/L] for a client receiving bumetanide.
      E)
      Calcium 10.8 mg/dL (2.69 mmol/L) [9-10.5 mg/dL, 2.12–2.52 mmol/L] for a client receiving hydrochlorothiazide.

    2. The nurse should expect to administer which of the following medications to the infant diagnosed with omphalocele?

      Select all that apply.

      A)
      Ceftriaxone
      B)
      D5W
      C)
      Albumin 25%
      D)
      Sodium bicarbonate
      E)
      Pain medicine

    3. What clinical manifestation(s) would indicate to the practical nurse that a possibility of Kawasaki disease exists in an 8-year-old client?

      Select all that apply.

      A)
      Strawberry tongue
      B)
      Fruity breath
      C)
      Drooling
      D)
      Bright red, swollen lips
      E)
      Redness and swelling of the hands and feet

    4. The nurse is caring for a 13-year-old girl with acute lymphoblastic leukemia (ALL). Which statement from the client indicates that she comprehends the side effects of steroid medications?

      Select all that apply.

      A)
      "Steroids will help me grow taller and stronger."
      B)
      "I can stop taking my steroids once I start feeling better."
      C)
      "Steroids will help cure my leukemia."
      D)
      "Steroids will make me gain weight, but I can easily lose it."
      E)
      "Steroids can weaken my immune system and increase my risk of infections."
    Page 4 of 70

    Exam Review

    1. An LPN is working with a client who has a spinal cord injury. Which of the following typical symptoms would indicate autonomic dysreflexia?

      Select all that apply.

      A)
      Severe headache
      B)
      Flushing or redness of the skin above the level of injury
      C)
      Hypotension
      D)
      Tachycardia
      E)
      Abdominal distention

    2. The nurse should understand the regulations of nursing practice as put forth by the Nurse Practice Act. Which of the following statements are correct?

      Select all that apply.

      A)
      Some other issues covered by the Nurse Practice Act include grounds for disciplinary action, licensure requirements, and the rights of the nurse licensee if disciplinary action is taken.
      B)
      The Nurse Practice Act defines the scope of nursing practice.
      C)
      All nurses have the responsibility to know the provisions of the act for the state or province in which they work.
      D)
      The Nurse Practice Act is a series of statutes enacted by the federal government in order to regulate the practice of nursing.

    3. The nurse is assessing an infant with suspected cystic fibrosis. Which of the following signs and symptoms would the nurse recognize as supporting this diagnosis?

      Select all that apply.

      A)
      Steatorrhea.
      B)
      Hypernatremia.
      C)
      Meconium ileus.
      D)
      Salty sweat.
      E)
      Adventitious breath sounds.

    4. The nurse is providing asthma education to a teen that has just been diagnosed with asthma. Which of the following statements by the client would indicate a need for further teaching?

      Select all that apply.

      A)
      “When I am having an asthma attack, I should call 911 first.”
      B)
      “When I am having an asthma attack, my airway is constricting and it can become dangerous.”
      C)
      “I should try to identify what causes me to have an asthma attack and avoid those activities.”
      D)
      “I’ve really been wanting to get a dog and my asthma will not stop me.”
      E)
      "I should inhale quickly when using my albuterol inhaler."
      F)
      "I will take theophylline prior to exercising."
    Page 5 of 70

    Exam Review

    1. The nurse is reviewing endocrine disorders with a group of students. It would be correct for the nurse to identify which manifestation is associated with hyperthyroidism?

      Select all that apply.

      A)
      Injected (red) conjunctiva.
      B)
      Insomnia.
      C)
      Increased systolic blood pressure.
      D)
      Diaphoresis.
      E)
      Confusion.

    2. The nurse is developing a plan of care for a client with hypothyroidism that is not controlled with medication. The nurse should recommend Select all that apply.

      A)
      applying lotion after a warm bath.
      B)
      high-fiber snacks.
      C)
      caffeinated beverages to promote energy.
      D)
      physical activities with frequent rest breaks.
      E)
      adding fans to the room to keep it cool.

    3. Chief Complaint – 23-year-old male presents with his mother, who insists, 'he needs some help; all he does is work and play video games and doesn't socialize with anyone.'

      History of Present Illness – 23-year-old Caucasian male presents with his mother with reports of his asociality starting to impact his life. He reports that while in high school, he had a degree of anxiety about socializing with his peers. He thought that as the years passed, it would get better.

      He states his anxiety has declined, but he gets paranoid around individuals because they may want to 'do him wrong.' He cannot point to an example of maleficence caused by his friends. He states he doesn't have a problem with his self-esteem, but sometimes social situations are avoided because 'I can see ahead into the future, and I want to avoid people who can bring me harm through their negative energy.' The client reports that he spends his time playing video games, stating he likes games that are fantasy related because 'they take me a while.' He states he has a strong interest in tarot card readings, and for his close friends, he does provide readings. He did offer the examiner a tarot card reading. His interest in tarot cards came from his self-described ability to interpret the spirits of individuals and their auras.

      He states that occasionally, he will browse social media and identify a quote or lyric that he feels 'was directed towards me.' The client is employed as an overnight hotel clerk, and his highest level of education is a high school diploma. The client has never been married and has no children. His last relationship was seven years ago, which was brief. He identifies himself as heterosexual. He has a distant criminal history of petty theft and identity theft. No history of violent crimes. He has never been incarcerated. He denies drinking alcohol. However, he does smoke marijuana 2-3x a week. He lives in the basement with his Mother and declines to move out because he has no plans.

      Medical History – No past medical history, no past psychiatric history. The client has never been hospitalized—no family history of psychiatric illness.

      Mental Status Examination – Alert and fully oriented; Fair concentration; No psychomotor retardation or agitation; Cooperative behavior; Adequately groomed; unkept hair that is bright green in color. He has multiple facial piercings (nose, eyebrow, lip). Speech is at a normal rate with a slightly increased volume Affect is bright, and he describes his mood as 'okay.' Denies suicidal or homicidal ideations. Intact insight and judgment

      ➢ Complete the sentence below by choosing from the list of options

      A)
      antisocial personality disorder
      B)
      bipolar disorder
      C)
      schizotypal personality disorder
      D)
      dependent personality disorder
      E)
      illogical thought content.
      F)
      criminal history.
      G)
      self-esteem.
      H)
      living situation.

    4. The nurse reviews the client's medical record

      ➢ Please complete the sentence below from the list of options

      A
      Option A
    Page 6 of 70