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    Exam Review

    1. What is a key nursing intervention to prevent postoperative atelectasis?
      A)Encouraging the use of an incentive spirometer.
      B)Administering antibiotics post-surgery.
      C)Increasing the patient's fluid intake.
      D)Ensuring the patient is on bed rest after surgery.
    2. Which step should the nurse prioritize in assessing the integration of CAM therapies into a client's treatment plan?
      A)Recommend replacing conventional treatments immediately.
      B)Discourage all forms of alternative and complementary medicine.
      C)Evaluate the client's preferences and safety of the modalities involved.
      D)Focus exclusively on educating the patient about conventional medicine.
    3. Which nursing assessment finding would suggest that the patient's ineffective airway clearance has improved?
      A)Increased sputum viscosity
      B)Decreased lung crackles
      C)Increased body temperature
      D)Evidence of cyanosis
    4. After performing an initial patient assessment, which finding would the nurse address first according to Maslow's Hierarchy?
      A)Patient reports feelings of loneliness
      B)Patient's elevated anxiety about diagnosis
      C)Low blood oxygen saturation levels
      D)A history of depression
    Page 1 of 5

    Exam Review

    1. How should a nurse evaluate for signs of postoperative wound dehiscence?
      A)Check for signs of infection, such as redness or warmth.
      B)Monitor for a sudden decrease in vital signs.
      C)Inspect the wound for separation along the incision line.
      D)Evaluate the patient's pain level for increase.
    2. During the preoperative phase, what is the role of the Licensed Practical Nurse (LPN) in obtaining informed consent?
      A)The LPN decides the timing of the informed consent discussion.
      B)The LPN witnesses the client's signature on the consent form.
      C)The LPN provides detailed information about the surgical procedure.
      D)The LPN can sign the consent form on behalf of the patient.
    3. During a system downtime, a nurse is tasked with manually infusing 1000 mL of lactated Ringer's over 12 hours with an IV set that has a drop factor of 10 gtt/mL. How many drops per minute should be set?
      A)20 gtt/min
      B)12 gtt/min
      C)21 gtt/min
      D)14 gtt/min
    4. How can a nurse identify evidence-based practices suitable for implementation?
      A)By consulting non-peer-reviewed blogs.
      B)By ignoring patient preferences.
      C)By replicating outdated practices.
      D)By reviewing the latest research and clinical guidelines.
    Page 2 of 5

    Exam Review

    1. A post-op patient has a sudden decrease in SpO2 levels to 88%. What should be the nurse's first action?
      A)Increase the patient's IV fluid rate.
      B)Reassure the patient and continue to monitor.
      C)Notify the anesthesiologist immediately.
      D)Administer supplemental oxygen via nasal cannula.
    2. A medication order requires the nurse to administer 1.5 g of a drug. The supply is 500 mg per capsule. How many capsules should the nurse administer using dimensional analysis?
      A)2 capsules
      B)4 capsules
      C)3 capsules
      D)5 capsules
    3. Which intervention should a nurse take when a patient on antibiotic therapy develops diarrhea and is suspected of having C. diff?
      A)Perform a skin assessment
      B)Implement standard precautions
      C)Offer oral rehydration solution
      D)Enforce contact precautions
    4. Which postoperative intervention should a nurse prioritize for a patient who has undergone a cholecystectomy?
      A)Keeping the patient hydrated with oral fluids.
      B)Assessing the surgical site for signs of infection hourly.
      C)Encouraging the patient to eat a full meal immediately.
      D)Ambulation as soon as possible to prevent complications.
    Page 3 of 5

    Exam Review

    1. Which nursing intervention is most critical when administering antihistamines to a client with viral upper respiratory infection?
      A)Advise combining antihistamines with decongestants for enhanced efficacy.
      B)Monitor blood pressure regularly to prevent rebound hypertension.
      C)Limit the client's fluid intake to reduce mucus production.
      D)Educate about potential drowsiness and caution against driving.
    2. Which intervention should the nurse prioritize for a patient exhibiting a respiratory rate of 32 breaths per minute with shallow effort?
      A)Administer oxygen as prescribed
      B)Reposition the patient for comfort
      C)Discuss underlying stressors with the patient
      D)Provide emotional support
    3. What is the most appropriate dietary advice for a patient with hypokalemia?
      A)Increase intake of processed foods.
      B)Restrict fluid intake.
      C)Increase intake of bananas, oranges, and spinach.
      D)Avoid foods high in magnesium.
    4. A nurse is planning care for a client with pharyngitis caused by a viral infection. Which nursing intervention is most appropriate?
      A)Provide steroid therapy for immediate relief of symptoms.
      B)Administer antibiotics to alleviate throat pain.
      C)Recommend usage of antihistamines to reduce inflammation.
      D)Encourage hydration and rest.
    Page 4 of 5

    Exam Review

    1. An older adult patient reports shortness of breath with minimal exertion. Upon evaluation of their respiratory health, which age-related change in the respiratory system is most likely contributing to this symptom?
      A)Decreased alveolar surface area
      B)Increased lung elasticity
      C)Thickening of capillary membranes
      D)Enhanced mucociliary clearance
    2. A nurse needs to administer 600 mg of a medication. The available supply is 200 mg per tablet. Using dimensional analysis, how many tablets should the nurse administer?
      A)4 tablets
      B)3 tablets
      C)2 tablets
      D)1 tablet
    3. A nurse is evaluating the effectiveness of mucolytics prescribed to a client with upper respiratory symptoms. Which assessment finding indicates positive outcomes?
      A)The client experiences drowsiness following mucolytic administration.
      B)The client requires supplemental oxygen to maintain oxygen saturation.
      C)The client complains of persistent dry cough with scant mucus production.
      D)The client reports easier clearance of mucus and improved breathing.
    4. What should a nurse include in the care plan for a patient scheduled for a bronchoscopy?
      A)Encourage fluid intake before the procedure
      B)Instruct the patient to void after the procedure
      C)Ensure the patient is NPO prior to the procedure
      D)Administer oral antibiotics as a prophylactic measure
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