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    Exam Review

    1. A nurse at a health fair is assessing the weight status of four clients. Which of the following clients are classified as overweight?
      A)A male client who has a waist circumference of 96.52 cm (38 in)
      B)A female client who has a body mass index of 24
      C)A female client who has a waist circumference of 101.6 cm (40 in)
      D)A male client who has a body mass index of 29
    2. A nurse is teaching a client who reports insomnia about promoting rest and sleep. Which of the following statements should the nurse identify as an indication that the client understands the instructions?
      A)"I will have a cup of hot cocoa immediately before bedtime."
      B)I will no longer have a glass of wine before bedtime."
      C)"I will walk briskly for 30 minutes before bedtime."
      D)"I will do my muscle relaxation techniques each afternoon."
    3. A charge nurse is observing a newly-licensed nurse insert an Indwelling urinary catheter for a male client. Which of the following actions by the newly-licensed nurse requires intervention by the charge nurse?
      A)Lubricates the first 2.5 to 5 cm (2 in) of the catheter.
      B)Dons sterile gloves before cleaning the client's meatus.
      C)Secures the tubing to the client's upper thigh.
      D)Pulls gently on the catheter to check for resistance after inflating the balloon.
    4. A nurse is assisting a client during ambulation when the client begins to fall. Which of the following actions should the nurse take?
      A)Provide support by holding the client's arm.
      B)Assume a narrow base of support.
      C)Lower the client to the floor.
      D)Lean the client toward the wall.
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    Exam Review

    1. A nurse is caring for a client who is receiving total parenteral nutrition (TPN). The pharmacy is delayed in supplying the client's next container of TPN. Which of the following fluids should the nurse infuse until the next container arrives?
      A)Lactated Ringer's solution
      B)Dextrose 10% in water
      C)Dextrose 5% in water
      D)0.9% sodium chloride
    2. A charge nurse observes a nurse administer intermittent tube feedings via an NG tube to a client. Which of the following actions should prompt the charge nurse to intervene?
      A)The nurse allows the client to rest in a supine position during feeding.
      B)The nurse initiates the feeding after aspirating 50 mL of gastric residual.
      C)The nurse irrigates the NG tube with tap water after feeding.
      D)The nurse administers the feeding through a syringe barrel by gravity.
    3. A nurse is providing education to a client during the first prenatal visit. Which of the following statements by the client should indicate to the nurse a need for clarification?
      A)"I should drink about 2 liters of fluid each day."
      B)"I should not drink alcoholic beverages during my pregnancy."
      C)"I can have a moderate amount of caffeine daily."
      D)"I should increase my calcium intake to 1,500 milligrams per day"
    4. A nurse is caring for a client who is taking sucralfate. Which of the following outcomes indicates a therapeutic effect of the medication?
      A)Relief of gastrointestinal pain
      B)Alleviate Helicobacter pylori
      C)Prevention of opportunistic infections
      D)Improvement of impaired vision
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    Exam Review

    1. A nurse is instructing a group of clients about nutrition and eating foods high in iron. The nurse should include that which of the following aids in the absorption of iron?
      A)Vitamin C
      B)Fiber
      C)Vitamin A
      D)Oxalates
    2. A nurse is providing teaching to a client who is pregnant and is vegan. The nurse should instruct the client that which of the following foods is a reliable source of Vitamin B12?
      A)Tempeh
      B)Sunflower margarine
      C)Sea vegetables
      D)Algae
    3. A nurse is developing a program about strategies to prevent foodborne illnesses for a community group. The nurse should plan to include which of the following recommendations? (Select all that apply)."(SATA)
      A)Wash raw vegetables thoroughly in clean water.
      B)Reheat leftovers before eating.
      C)Avoid unpasteurized dairy products.
      D)Keep cold food temperatures below 4.4° C (40° F). "
      E)Keep cooked foods at 48.9° C (120° F).
    4. A nurse is instructing a group of adult clients about nutrition. The nurse should include which of the following as the recommended amount of vegetables servings per day?
      A)2 cups
      B)2 1/2 cups
      C)1/2 cup
      D)1 cup
    Page 3 of 5

    Exam Review

    1. A nurse is taking a health history of a client who reports occasionally taking several over-the- counter medications, including an H2 receptor antagonist (HRA). Which of the following outcomes indicates the H2RA is therapeutic?
      A)Cessation of diarrhea
      B)Relief of heartburn
      C)Absence of constipation
      D)Passage of flatus
    2. A nurse is providing care for a client who is 2 days postoperative following abdominal surgery and is about to progress from a clear liquid diet to full liquids. Which of the following items should the nurse tell the client he may now request to have on his meal tray?
      A)Chicken broth
      B)Cranberry juice
      C)Flavored gelatin
      D)Skim milk
    3. A nurse is providing dietary teaching to the parents of a newborn who is being breastfed. The nurse should instruct that the transition to whole milk can occur at which of the following ages?
      A)12 months
      B)10 months
      C)8 months
      D)6 months
    4. A nurse is assessing a client who has insomnia. Which of the following questions is the highest priority for the nurse to ask the client?
      A)"Can you describe your bedtime routine to me?"
      B)"Do you have difficulty staying awake when you are driving?"
      C)"Are there any specific factors that you think are affecting your ability to sleep?"
      D)"When did you begin to have trouble sleeping?"
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    Exam Review

    1. A nurse is teaching a client who is postpartum and has been diagnosed with iron deficiency anemia. Which of the following dietary recommendations should the nurse include in the teaching plan?
      A)Milk and turkey slices
      B)Yogurt and mozzarella
      C)Spinach and beef
      D)Fish and cottage cheese
    2. A nurse is preparing to move a client who is only partially able to assist up in bed. Which of the following methods should the nurse plan to use?
      A)Two nurses using a friction-reducing device
      B)One nurse lifting as the client pushes with his feet
      C)Two nurses lifting the client under the shoulders
      D)One nurse lifting the client's legs as the client uses a trapeze bar
    3. A nurse in a clinic is teaching the mother of a 4-month-old infant who has been breastfed. The mother plans to switch her infant to an iron- fortified formula. Which of the following should be included in the teaching?
      A)Iron facilitates development of vision in infants.
      B)Iron stores in infants begin to deplete.
      C)Iron facilitates growth of bones in infants.
      D)Iron is poorly absorbed in infants.
    4. A nurse at an extended-care facility is instructing a class of assistive personnel (AP) about client use of assistive devices during ambulation. Which of the following instructions should the nurse give the APS about the clients' use of a cane?
      A)"The client should first move the strong leg, then the weak one."
      B)"The client should hold the cane on the weak side of his body."
      C)The grip should be level with the client's waist."
      D)"When the client moves, he should move the cane forward first."
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