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    Exam Review

    1. A nurse in an emergency department is reviewing the laboratory report of a client who has hyperventilation. The client's ABG results are pH 7.50, PaCO2 29 mmHg, and HCO3 25 mEq/L. The nurse should interpret that these values are an indication of which of the following acid-base imbalances?
      A)Respiratory acidosis
      B)Respiratory alkalosis
      C)Metabolic acidosis
      D)Metabolic alkalosis
    2. A nurse in an emergency department is assessing a client who displays manifestations of a small bowel obstruction. Which of the following findings should the nurse expect? Select all that apply.(SATA)
      A)Abdominal distention
      B)Flank pain
      C)Hypervolemia
      D)Vomiting
      E)Hyperactive bowel sounds
    3. A nurse is assessing the eyes and ears of a 2-year-old toddler at a well-child visit. Which of the following findings should the nurse report to the provider?
      A)Presence of a transparent cornea
      B)Presence of strabismus
      C)Pinna moderately extends outward from the skull
      D)Walls of the peripheral aspect of the auditory canal are pink
    4. A nurse in an emergency department is assessing a client who is experiencing mild hypothermia. Which of the following manifestations should the nurse expect?
      A)Stupor
      B)Decreased pulse
      C)Slurred speech
      D)Dysrhythmias
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    Exam Review

    1. A nurse is assessing a client for manifestations of grief after having a colostomy for removal of colon cancer. Which of the following findings indicates to the nurse that the client has accepted the loss?
      A)Becomes angry when it is time to perform colostomy care
      B)Touches the colostomy stoma when the bag is changed
      C)Looks away as the nurse empties the colostomy bag
      D)Tells others that it will be nice to have a normal bowel movement again
    2. A nurse in an emergency department is caring for a client who has heat stroke. Which of the following actions should the nurse take to treat this form of hyperthermia?
      A)Apply ice packs to the client's axillae, neck, groin, and chest
      B)Administer aspirin to the client
      C)Initially offer the client cool oral fluids
      D)Continue cooling measures until the client's rectal temperature is 37.2°C (99°F)
    3. A nurse in an emergency department is assessing a client who has hyperthermia. Which of the following findings should the nurse identify as an indication that the client has heat exhaustion?
      A)Hallucinations
      B)Vomiting
      C)Bradycardia
      D)Seizures
    4. A nurse is caring for a client who has left hemiparesis following a stroke. Which of the following actions should the nurse take?
      A)Use a gait belt and stand on the client's right side to assist with ambulation
      B)Encourage the client to use wide-grip utensils when eating with his right hand
      C)Place personal items on the bedside table on the client's left side
      D)Remove rolled toilet paper from the holder for easier access
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    Exam Review

    1. A nurse is reviewing the medical record of a client who has a family history of gallstones. Which of the following findings should the nurse identify as a risk factor for developing cholecystitis?
      A)Adult male
      B)Taking atorvastatin
      C)Asian descent
      D)History of asthma
    2. A nurse is admitting a client who has an acute bacterial wound infection and a temperature of 39.8°C (103.6°F). Which of the following actions should the nurse take?
      A)Obtain a wound culture 30 min after initiating IV antibiotics
      B)Place a fan on the lowest setting in the client's room
      C)Apply a cooling blanket directly on the client's skin
      D)Set the temperature of the client's room to 22.2°C (72°F)
    3. A nurse is assessing a client who has a calcium level of 6.3 mg/dL. Which of the following findings should the nurse expect?
      A)Circumoral tingling
      B)Hypoactive reflexes
      C)Fatigue
      D)Anorexia
    4. A nurse is providing discharge planning for a client who has gestational diabetes. Which of the following interventions should the nurse identify as the priority?
      A)Determine the client's knowledge regarding gestational diabetes
      B)Explain the effects of gestational diabetes on the pregnancy and fetus
      C)Discuss dietary meal plans for gestational diabetes with the client
      D)Tell the client about manifestations of hypoglycemia
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    Exam Review

    1. A nurse on a mental health unit is developing a plan of care for a client who is experiencing a panic level of anxiety. Which of the following actions should the nurse identify as the priority?
      A)Reduce environmental stimulation
      B)Protect the client from harm
      C)Administer an anxiolytic
      D)Encourage physical exercise
    2. A nurse is caring for a client who has generalized anxiety disorder and is experiencing a mild level of anxiety. Which of the following manifestations should the nurse expect?
      A)Chest pain
      B)Hallucinations
      C)Feels unreal
      D)Follows directions
    3. A nurse is planning care for a client who has generalized anxiety disorder. Which of the following interventions should the nurse include in the client's plan of care?
      A)Give the client detailed instructions
      B)Reframe situations in a positive manner for the client
      C)Speak in a brisk manner to the client
      D)Avoid involving the client in problem solving
    4. A nurse is teaching a client who is at moderate risk for osteoporosis about ways to help prevent this disease. Which of the following should the nurse include? Select all that apply.(SATA)
      A)Avoid sun exposure
      B)Increase dairy product intake
      C)Engage in weight-bearing exercises regularly
      D)Increase phosphate intake
      E)Reduce excessive caffeine intake
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    Exam Review

    1. A nurse is assessing a client who is receiving morphine via a PCA pump to manage postoperative pain. The client has a heart rate of 66/min and a respiratory rate of 9/min. Which of the following medications should the nurse anticipate the provider will prescribe?
      A)Naloxone
      B)Flumazenil
      C)Acetylcysteine
      D)Glucagon
    2. A nurse is providing teaching to a client who is experiencing malabsorption related to lactose intolerance. Which of the following foods should the nurse recommend as the best nondairy source of calcium?
      A)Ground beef
      B)Collard greens
      C)Cauliflower
      D)Walnuts
    3. A nurse is caring for a client who has a fear of open spaces. Which of the following clinical names for this fear should the nurse document in the client's medical record?
      A)Pyrophobia
      B)Agoraphobia
      C)Monophobia
      D)Astraphobia
    4. A nurse is assessing a client who reports a new onset of joint pain and stiffness. Which of the following findings should the nurse identify as an indication of osteoarthritis?
      A)Pain improves with rest
      B)Pain in both arms and shoulders bilaterally
      C)Emotional upset exacerbates joint pain
      D)The client is 35 years old
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