Nurse Moose
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    Exam Review

    1. A nurse in the preoperative area should take which action first:
      A)Educate the client about expectations
      B)Verify the correct client and surgical site
      C)Introduce the client to the surgical team members
      D)Obtain a full set of vital signs
    2. A surgical nurse is handing off a client to the post-anesthesia care unit (PACU) nurse after the client underwent a laparoscopic procedure. Which section of the SBAR communication tool is the nurse using when describing the client's comorbidities of diabetes, hypertension, and related history?
      A)Recommendation
      B)Background
      C)Situation
      D)Assessment
    3. A nurse is assessing a client who was brought to the emergency department with a new ankle injury. Which manifestation should the nurse expect as a result of localized inflammation?
      A)Sanguineous drainage
      B)Increased warmth
      C)Palpable pedal pulses
      D)Full range of motion
    4. A nurse is providing discharge teaching to a client with a new diagnosis of systemic lupus erythematosus (SLE). Which client statement indicates understanding of the teaching?
      A)"I'm thankful this type of lupus only affects the skin."
      B)"I should expect low-grade fevers every day."
      C)"I will take methotrexate once a week as prescribed."
      D)"I will apply SPF 15 to my face before going outside on a sunny day."
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    Exam Review

    1. A nurse is reinforcing dietary teaching with a client who has a vitamin B12 deficiency about selecting foods for breakfast. Which option indicates an understanding of the teaching?
      A)Whole-grain toast with peanut butter and orange juice
      B)Oatmeal with almond milk and sliced banana
      C)Soy yogurt with granola and berries
      D)Scrambled eggs, low-fat milk, and fortified cereal
    2. A nurse in a provider's clinic is assessing a client who has rheumatoid arthritis and is prescribed methotrexate. Which action should the nurse take first when the client reports bleeding gums?
      A)Assist the client in making an appointment with their dentist
      B)Instruct the client to disinfect their toothbrush daily
      C)Educate the client about iron-rich meal options
      D)Check the complete blood count (CBC) results
    3. A nurse is reviewing the history of a client who has developed metabolic alkalosis. Which of the following findings is the most likely cause?
      A)Severe hyperglycemia
      B)Prolonged diarrhea
      C)Chronic kidney disease
      D)Repeated vomiting
    4. A nurse is caring for a client who has a fungal infection and has a new prescription for gentamicin. Which laboratory finding should the nurse report to the provider before administering the medication?
      A)Increased serum creatinine
      B)Increased serum sodium level
      C)Decreased serum potassium level
      D)Increased blood glucose level
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    Exam Review

    1. A nurse is caring for a postoperative client following a total knee replacement. Which medication should the nurse anticipate the provider to prescribe to prevent the formation of a deep vein thrombosis (DVT)?
      A)Continuous heparin infusion
      B)Alteplase (tPA) intravenously
      C)Enoxaparin injections
      D)Aspirin tablets by mouth
    2. A client presents with shortness of breath. The arterial blood gas (ABG) results are: pH 7.36, PaCO2 55 mmHg, PaO2 85 mmHg. What is the correct interpretation of this ABG result?
      A)The client's blood pH is alkalotic.
      B)The client is retaining too much carbon dioxide.
      C)The client is unable to compensate for the acid-base imbalance.
      D)The client has a deficiency of bicarbonate.
    3. A nurse is preparing to administer packed red blood cells (PRBCs) to a client with anemia. The unit of blood on hand is O negative, but the client has type A positive blood. Which action should the nurse take?
      A)Premedicate with diphenhydramine
      B)Notify the provider and blood bank
      C)Extend the infusion time to 5 hours
      D)Administer the blood as ordered
    4. A nurse is caring for a client after thyroid surgery who complains of muscle cramps and perioral tingling. The nurse suspects which postoperative complication?
      A)Anemia
      B)Hypermagnesemia
      C)Hypocalcemia
      D)Hyperglycemia
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    Exam Review

    1. A nurse is examining a client who is experiencing severe dehydration. Which assessment finding should be expected?
      A)Straw-colored urine
      B)Taut skin
      C)Thready pulse
      D)Pulmonary crackles
    2. A nurse is caring for a client newly diagnosed with multiple myeloma. Which finding should the nurse identify as the priority?
      A)Serum calcium 12.5 mg/dL
      B)Extreme fatigue
      C)Hemoglobin 10 g/dL
      D)Lower back pain
    3. A nurse is caring for a client who is in the late stage of the dying process. Which comfort measures should the nurse implement? Select all that apply(SATA)
      A)4 drops of 1% atropine ophthalmic solution
      B)Place ice chips in mouth frequently
      C)Apply lubricating ophthalmic drops bilaterally PRN
      D)Assist client up to chair three times per day (TID)
      E)Swab mouth with moisturizer and suction PRN
      F)Administer 0.9% sodium chloride at 50 mL/hour
    4. Five minutes after initiating a transfusion of packed red blood cells (PRBCs), a client complains of headache and chills. Which action should the nurse take first?
      A)Administer epinephrine
      B)Assess vital signs
      C)Stop the transfusion
      D)Notify the provider
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    Exam Review

    1. A nurse is teaching a client who has a new prescription for prednisone to treat rheumatoid arthritis. The client asks how the medication works. How should the nurse respond?
      A)"Prednisone helps to decrease joint inflammation."
      B)"Prednisone helps to reduce your risk of infection."
      C)"Prednisone helps to improve blood flow to your kidneys."
      D)"Prednisone helps to protect your bone density."
    2. A nurse is caring for a client with atrial fibrillation. The provider orders a continuous heparin infusion at 24 units/kg/hour. The heparin is available as an IV infusion of 500 mL D5W with 25,000 units of heparin. The client weighs 85 kg. What infusion rate should the nurse program into the electronic infusion device? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)
    3. A nurse is preparing to administer potassium chloride (KCl) to a client who is receiving diuretic therapy with furosemide. The nurse reviews the client's most recent potassium level and discovers it is 3.5 mEq/L. Which of the following actions should the nurse take?
      A)Call the lab to verify the client's results
      B)Administer the medication as prescribed
      C)Hold the prescribed dose and notify the provider of the serum potassium level
      D)Hold the prescribed dose and document that it was not given
    4. A nurse is providing teaching to a client newly diagnosed with systemic lupus erythematosus (SLE). Which statement should the nurse include in the teaching?
      A)"Lupus increases your risk of infection; avoid contact with loved ones until you're in remission."
      B)"Lupus increases your risk for liver disease, so you need to avoid alcohol at all costs and report any yellowing of the eyes."
      C)"Lupus increases your risk for kidney disease; it's important you report swelling or significant weight gain."
      D)"Lupus increases your risk for diabetes, so you'll need to limit your carbohydrates and have your A1C checked every few months."
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