Nurse Moose
    Sign In
    Review ModeExam ModePractice Mode

    Exam Review

    1. A nurse is preparing a client for a colonoscopy. The client has a family history of colon cancer. Which of the following types of prevention is the nurse demonstrating?
      A)Quaternary.
      B)Secondary.
      C)Tertiary.
      D)Primary.
    2. A nurse is designing a poster presentation for staff nurses about therapeutic communication. Which of the following techniques should the nurse include?
      A)Asking open-ended Questions.
      B)Offering sympathy.
      C)Asking for explanations.
      D)Offering approval or disapproval.
    3. A nurse is caring for a client who is 1 day postoperative following gynecologic surgery and reports incisional pain. Which of the following actions should the nurse take first?
      A)Measure the client's vital signs, including temperature.
      B)Determine the time the client last received pain medication.
      C)Ask the client to rate her pain on a scale from 0 to 10.
      D)Reposition the client and offer her a back rub.
    4. A nurse is assessing a client who was brought to the emergency department with an ankle injury. Which of the following manifestations should the nurse identify as localized inflammation of the tissues?
      A)Localized warmth at the site of injury.
      B)Sanguineous drainage at the site of injury.
      C)3+ palpable pedal pulses below the affected injury site.
      D)Full range of motion at the site of injury.
    Page 1 of 5

    Exam Review

    1. A nurse is teaching a class about expected developmental milestones in 2-year-old toddlers. The nurse should include which of the following milestones? (Select All that Apply.)(SATA)
      A)Walks independently.
      B)Drinks from a cup.
      C)Engages in associative play with other children.
      D)Speaks up to 20 words.
      E)Feeds themselves with a spoon.
    2. The nurse completes a health history and physical assessment on a client who has been admitted to the hospital for surgery. What is the purpose of this initial assessment?
      A)To establish a database to identify problems and strengths.
      B)To compare and contrast current health status to baseline data.
      C)To identify life-threatening problems that require immediate attention.
      D)To gather data about a specific and current health problem.
    3. A nurse is caring for a client with a stool culture positive for Clostridium difficile. Which of the following actions should the nurse take? (Select All that Apply.)(SATA)
      A)Wear a protective gown while caring for the client.
      B)Place the client in a private room.
      C)Wear an N-95 respirator while caring for the client.
      D)Place the client in a negative pressure room.
      E)Place a mask on the client when they leave their room.
    4. A nurse is caring for a client who is admitted with a 3-day history of abdominal cramps and diarrhea. The client reports 4 to 5 liquid stools per day and recently completed a course of amoxicillin/clavulanate. The nurse notes hyperactive bowel sounds and foul-smelling stool containing mucous. Which of the following actions should the nurse take? Select all that apply.(SATA)
      A)Wear a protective gown while caring for the client.
      B)Place the client in a private room.
      C)Wear an N-95 respirator while caring for the client.
      D)Place the client in a negative pressure room.
      E)Place a mask on the client when they leave their room.
    Page 2 of 5

    Exam Review

    1. A client has a severe abdominal injury with damage to the liver and colon from a motorcycle crash. What type of pain will predominate?
      A)Visceral pain.
      B)Cutaneous pain.
      C)Neuropathic pain.
      D)Psychogenic pain.
    2. A nurse is admitting a new client. Which of the following steps of the nursing process is the nurse performing when formulating goals for a positive outcome?
      A)Evaluation.
      B)Implementation.
      C)Assessment.
      D)Planning.
    3. A nurse is working with a social worker and a physical therapist in preparing a discharge projection for a client who is postoperative. Which of the following steps of the nursing process is the nurse engaging in?
      A)Assessment.
      B)Evaluation.
      C)Planning.
      D)Analysis.
    4. A nurse is assessing a toddler who is 18 months of age. Which of the following developmental milestones should the nurse expect the toddler to demonstrate?
      A)Recognizes items in a picture book.
      B)Asks who, what, where, and why.
      C)Follows one-step directions.
      D)Puts two words together.
    Page 3 of 5

    Exam Review

    1. Which client would be classified as having chronic pain?
      A)A client with controlled hypertension.
      B)A client with pneumonia.
      C)A client with the flu.
      D)A client with rheumatoid arthritis.
    2. A nurse is preparing an in-service about communication for a group of staff nurses. Which of the following techniques should the nurse include when discussing therapeutic communication?
      A)Providing passive responses.
      B)Using silence.
      C)Offering sympathy.
      D)Offering personal opinions.
    3. A nurse is preparing to collect health history data during a client's admission. Which of the following Questions should the nurse use to promote this discussion?
      A)Would it help to discuss your feelings about this hospitalization?
      B)Would you tell me about all of your medical issues?
      C)What brought you to the hospital?
      D)Do you want to talk about your health concerns?
    4. When documenting subjective data, the nurse should perform which of the following actions?
      A)Paraphrase the information stated by the client.
      B)Validate the information with the client's family prior to documentation.
      C)Use the client's own words placed in quotation marks.
      D)Record the information using nonspecific words.
    Page 4 of 5

    Exam Review

    1. A community health nurse is planning a health promotion program for a population with a high prevalence of hypertension and type 2 diabetes. Which of the following interventions best exemplifies primary prevention?
      A)Providing education on healthy eating habits and regular physical activity to reduce risk factors.
      B)Organizing support groups for individuals managing complications of diabetes and hypertension.
      C)Screening community members for early signs of hypertension and diabetes to initiate prompt treatment.
      D)Providing medications to control blood sugar and blood pressure in diagnosed patients.
    2. A nurse is assessing the developmental milestones of a 2-year-old child during a well-child visit. The parents state they have concerns because the child does not speak much and is having difficulty learning to walk. Which of the following statements should the nurse make?
      A)"Don't worry, they are fine. We see this frequently and it is usually nothing to be concerned about.”.
      B)"I understand you have some concerns about their development. While each child develops at their own pace, we can discuss your concerns with the primary care provider.”.
      C)"Your child is only 2 years old. My child barely spoke until they were 3 years old, and they are just fine now.”.
      D)"It is probably just a phase; they will grow out of it. If you still have these concerns in 6 months, we can assess it further.”.
    3. The nurse is planning the care of a male client who is receiving treatment for acute renal failure and who has begun dialysis 3 times weekly. The nurse has identified the following outcome: "Client will demonstrate the appropriate care of his arteriovenous fistula.”. This outcome is classified as which of the following?
      A)Cognitive.
      B)Affective.
      C)Psychomotor.
      D)Holistic.
    4. Of the following individuals, who can best determine the experience of pain?
      A)The person's immediate family.
      B)The nurse caring for the client.
      C)The physician diagnosing the cause.
      D)The person who has the pain.
    Page 5 of 5