Nurse Moose
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    Exam Review

    1. A nurse is providing care for a client who has recently returned from active combat and experienced the loss of a close friend during combat. Which of the following client statements indicates that the client is experiencing traumatic grief?
      A)“I can’t cry when I talk about my friend because soldiers aren’t supposed to show emotions.”
      B)“When I have flashbacks, it feels like my heart is going to beat through my chest.”
      C)“It has been more than a year, and I still don’t want to leave the house.”
      D)“I should have been the one who had been killed instead of my friend.”
    2. A nurse is assessing a client who has meningitis and notes when passively flexing the client’s neck there is an involuntary flexion of both legs. Which of the following conditions is the client displaying?
      A)Nuchal rigidity
      B)Kernig’s sign
      C)Bradykinesia
      D)Brudzinski’s sign
    3. A nurse is providing care to children on a general pediatric unit. Which of the following children should the nurse identify as a potential victim of abuse?
      A)A child who has a BMI indicating obesity
      B)A child who has frequent visitors
      C)A child whose parents answer questions for the child
      D)A child who uses the call light frequently
    4. A nurse is caring for a client who has bulimia nervosa. Which of the following findings should the nurse expect?
      A)Russell’s sign
      B)Hyperkalemia
      C)Lanugo
      D)Sunken parotid glands
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    Exam Review

    1. A nurse in a provider’s office is assessing a client who has wrist pain. Which of the following findings is a manifestation of carpal tunnel syndrome?
      A)Positive Phalen’s sign
      B)Cool extremities
      C)Decreased radial pulse
      D)Positive Trousseau’s sign
    2. A nurse is caring for a client who has opioid toxicity and has a respiratory rate of 6/min. Which of the following medications should the nurse plan to administer?
      A)Naloxone
      B)Protamine
      C)Flumazenil
      D)Epinephrine
    3. A home-health nurse is assessing a client who has obsessive-compulsive disorder (OCD) and finds that the client demonstrates constant repetitive cleaning. The nurse knows that this behavior is an attempt to accomplish which of the following?
      A)Decrease the time available for interaction with people
      B)Manipulate others
      C)Prevent aggressive and impulsive behaviors
      D)Decrease anxiety
    4. The nurse is reviewing home medications for a client with a history of Major Depressive Disorder who has been taking sertraline for one year. The client states, “I did research and started taking St. John’s Wort to help with my depression in conjunction with sertraline.” Which of the following should the nurse observe for in the client?
      A)Diaphoresis, tachycardia, and tremors
      B)Fever, dystonia, and muscle rigidity
      C)Symptoms of worsening depression and suicidal ideation
      D)Spasms of the face, legs, and neck and bizarre facial movements
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    Exam Review

    1. A nurse is caring for a client who asks the nurse, “May I please have your home address so that I can send you a note after I get home?” Which of the following responses should the nurse give?
      A)“I know you are looking forward to being at home again and having a normal routine.”
      B)“Sure, I will write it down for you.”
      C)“Absolutely not! We are not allowed to give out our personal information!”
      D)“Thank you for your kind words. Unfortunately, I am not allowed to share my home address by policy of the hospital.”
    2. A client has a head injury and is brought to the emergency department. The vital signs are P: 78; R: 16; B/P: 120/80. The change in this client’s vital signs that indicates increasing intracranial pressure (ICP) requiring notification of the practitioner is:
      A)P: 50; R: 22; B/P: 140/60
      B)P: 56; R: 20; B/P: 130/110
      C)P: 60; R: 18; B/P: 126/96
      D)P: 120; R: 16; B/P: 80/60
    3. A nurse is caring for a client who has cancer and is terminally ill. The nurse should recognize that the client and their family might be experiencing which of the following types of grief?
      A)Traumatic
      B)Anticipatory
      C)Complicated
      D)Disenfranchised
    4. A nurse in the emergency room is assessing a client who was brought in following a seizure. The nurse suspects the client may have meningococcal meningitis when assessment findings include nuchal rigidity and a petechial rash. After implementing droplet precautions, which of the following actions should the nurse initiate next?
      A)Assess the cranial nerves.
      B)Decrease environmental stimuli.
      C)Complete a vascular assessment.
      D)Administer an antipyretic.
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    Exam Review

    1. A nurse wants to improve their therapeutic communication by implementing bias-free language. Which of the following actions should the nurse take to provide bias-free language?
      A)Provide relevant demographics during a treatment team meeting
      B)Avoid including the client’s religious affiliation when discussing treatment options
      C)Record the client’s spirituality as normal in the plan of care
      D)Include each piece of collected demographic data during change-of-shift report
    2. A nurse is caring for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following responses should the nurse make first?
      A)“The voices are part of your illness.”
      B)“How often do you hear the voices?”
      C)“I know you hear the voices, but I do not.”
      D)“What are the voices telling you?”
    3. A nurse is caring for a client who is diagnosed with schizophrenia. Which of the following manifestations should the nurse identify as a negative symptom?
      A)Distorted beliefs
      B)Lack of emotions
      C)Paranoia
      D)Confusion
    4. A nurse at a community health clinic is caring for a client who reports a headache and stiff neck. Which of the following actions should the nurse take first?
      A)Administer an oral analgesic
      B)Evaluate the client’s neurological status
      C)Check the client’s temperature
      D)Perform a complete blood count
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    Exam Review

    1. A nurse is caring for a client who has increased intracranial pressure (ICP). Which of the following interventions should the nurse take?
      A)Teach controlled coughing and deep breathing
      B)Elevate the head of the bed
      C)Encourage a minimum intake of 2000 mL of clear fluids per day
      D)Provide a brightly lit environment
    2. A nurse is observing a group therapy session. Which of the following client statements should the nurse identify as an indication of bulimia nervosa?
      A)“I feel a sense of power by restricting my food intake.”
      B)“I only use the laxatives when I am feeling constipated.”
      C)“I have binged and purged for years without my family or friends knowing.”
      D)“I feel an emotional high during my binge-purge episodes.”
    3. A nurse is caring for a client. Which of the following client statements should the nurse identify as an indication of anorexia nervosa?
      A)“I know I am skinny.”
      B)“I have so much energy.”
      C)“I spend lots of time searching for new recipes.”
      D)“I enjoy wearing form-fitting clothes to show off my body.”
    4. A nurse is caring for a client who has sustained a traumatic brain injury. The nurse should monitor the client for which of the following manifestations of increased intracranial pressure?
      A)Hypotension
      B)Decreased level of consciousness
      C)Tachypnea
      D)Bilateral weakness of extremities
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