Nurse Moose
    Sign In
    Review ModeExam ModePractice Mode

    Exam Review

    1. A nurse is reviewing a client's lab results and noticing a pattern of rising potassium levels. What is the most appropriate step the nurse should take first?
      A)Administer a diuretic to stabilize levels
      B)Analyze the potential causes for the rise
      C)Call the healthcare provider immediately
      D)Document the rising levels in the client's chart
    2. How does evidence-based practice benefit the healthcare system?
      A)By increasing individual nurse workloads
      B)By standardizing all healthcare treatments worldwide
      C)By eliminating the need for clinical judgment
      D)By validating clinical expertise and improving patient care
    3. A nurse is preparing to administer lithium 450 mg PO daily. Available is lithium 300 mg capsules. How many capsules should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.)
    4. When using the ratio and proportion method for dosage calculations, what is the first step a nurse should take?
      A)Convert units of measurement.
      B)Set up the calculation equation.
      C)Identify the desired dose.
      D)Identify the unit of measurement to calculate.
    Page 1 of 5

    Exam Review

    1. When assessing a resident in a long-term care facility who has developed a central line-associated bloodstream infection (CLABSI), which priority intervention should the nurse implement?
      A)Perform routine vital sign checks only once a day.
      B)Ensure the resident is isolated from other residents.
      C)Increase the resident's fluid intake immediately.
      D)Administer broad-spectrum antibiotics as prescribed.
    2. To effectively control an outbreak of ventilator-associated pneumonia (VAP) in a long-term care facility, which primary strategy should be implemented?
      A)Routine chest physiotherapy for all residents on ventilators.
      B)Provide vitamin supplements to all residents,
      C)Elevate the head of the bed for residents on ventilators,
      D)Limiting antibiotic usage in residents.
    3. In evidence-based practice, what is the next step after formulating a research question using the PICOT format?
      A)Implement changes in practice
      B)Communicate findings to colleagues
      C)Evaluate the new practice
      D)Gather relevant evidence
    4. In the care of a post-operative resident in a long-term care facility, which priority action should the nurse take to prevent surgical-site infections (SSIs)?
      A)Encourage early ambulation.
      B)Ensure the resident receives adequate rest.
      C)Increase the resident's protein intake.
      D)Maintain aseptic technique during dressing changes.
    Page 2 of 5

    Exam Review

    1. Which source provides the highest level of evidence according to the hierarchy of evidence?
      A)Case reports and case series
      B)Systematic reviews or meta-analyses
      C)Randomized controlled trials
      D)Expert opinion
    2. Which potential drawback must a nurse consider when advising a CAM therapy such as acupuncture?
      A)Potential for limited scientific data on its efficacy.
      B)It universally replaces all conventional medical needs.
      C)It guarantees symptom relief in every situation.
      D)Risk of causing immediate catastrophic side effects.
    3. A nurse is educating a patient on herbal supplements. Which statement best explains a consideration patients should be aware of?
      A)All herbal supplements are safe because they're natural.
      B)Herbal supplements can interfere with prescription medications.
      C)Herbal supplements have no evidence of benefits.
      D)Herbal supplements require no dosage regulation.
    4. What is the role of reflection in the critical thinking process for nurses?
      A)To develop habitual responses
      B)To avoid collaboration with others
      C)To ensure decisions are evidence-based
      D)To expedite procedural tasks
    Page 3 of 5

    Exam Review

    1. Which steps are involved in the clinical judgment model used by nurses to make effective decisions in patient care? (Select all that apply)(SATA)
      A)Evaluate outcomes
      B)Analyze cues
      C)Prioritize tasks randomly
      D)Evaluate personal biases
      E)Recognize cues
      F)Generate solutions
      G)Take action
    2. Which is a key principle of CAM that contrasts with conventional medicine?
      A)Relying exclusively on pharmacologic interventions.
      B)Focusing heavily on technology-driven treatments.
      C)Emphasizing mind-body connection.
      D)Focusing solely on disease symptoms.
    3. A nurse is caring for a client in a geriatric unit. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
      ✓Encourage fluid intake
      ✓Offer culturally appropriate dietary options
      ✓Dehydration
      ✓Vital signs
      ✓Client’s fluid intake
      Actions to Take Choices
      ✕Restrict movement to the room
      ✕Increase lighting in the room
      ✕Administer antibiotics
      ✓Encourage fluid intake
      ✓Offer culturally appropriate dietary options
      Potential conditions Choices
      ✕Generalized weakness with dizziness
      ✕Arrhythmia
      ✕Hypertension
      ✓Dehydration
      Parameters to Monitor Choices
      ✕Room temperature
      ✕Pain levels
      ✕Use of interpreter services
      ✓Vital signs
      ✓Client’s fluid intake
    4. A nurse is evaluating the effectiveness of infection control measures in a long-term care facility. Which indicator should be prioritized to assess the success of these measures?
      A)Increased resident satisfaction scores.
      B)Decreased incidence of pressure injuries.
      C)Reduced usage of antibiotics.
      D)Lower rates of healthcare-associated infections (HAIs),
    Page 4 of 5

    Exam Review

    1. For a patient experiencing confusion, how should a nurse's clinical judgment guide the nursing process?
      A)Focus solely on physical health interventions
      B)Postpone detailed assessments until the confusion resolves
      C)Administer sedatives to calm the patient
      D)Perform immediate cognitive assessments
    2. A nurse is taking care of a client with gastrointestinal complaints. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress.
      ✓Increase fluid intake
      ✓Administer antiemetic medication
      ✓Pancreatitis
      ✓Emesis frequency
      ✓Abdominal pain level
      Actions to Take
      ✓Increase fluid intake
      ✕Encourage ambulation
      ✕Restrict dietary fiber
      ✓Administer antiemetic medication
      ✕Apply a heating pad to the abdomen
      Potential Conditions
      ✕Irritable bowel syndrome
      ✕Gastroesophageal reflux disease
      ✕Gastritis
      ✓Pancreatitis
      Parameters to Monitor
      ✕Oxygen saturation
      ✕Blood pressure
      ✓Emesis frequency
      ✓Abdominal pain level
      ✕Urine output
    3. In the context of managing an influenza outbreak in a nursing home, what action should be prioritized by the healthcare team?
      A)Limit visitation from family and friends.
      B)Encourage residents to wear masks at all times.
      C)Install additional hand sanitizer stations.
      D)Provide flu vaccinations to residents and staff.
    4. What is the primary purpose of using the PICOT format in evidence-based practice?
      A)To evaluate the cost-effectiveness of interventions
      B)To formulate a specific and clear research question
      C)To implement evidence-based interventions
      D)To create a detailed research design
    Page 5 of 5