Nurse Moose
    Sign In
    Review ModeExam ModePractice Mode

    Exam Review

    1. A client who had a C-5 spinal cord injury 2 years ago is admitted to the emergency department (ED) with the diagnosis of autonomic dysreflexia secondary to a full bladder. Which assessment finding should the nurse expect this client to exhibit?
      A)Hypotension and venous pooling in the extremities.
      B)Pain and a burning sensation upon urination and hematuria.
      C)Profuse diaphoresis and severe, pounding headache.
      D)Reports of chest pain and shortness of breath.
    2. The nurse is teaching a client with cancer about skin care for the portal site receiving external beam radiation. Which client action about skin care indicates a need for further teaching?
      A)Washes the radiation site with antibacterial soap and water.
      B)Dries the area with patting motions after taking a shower.
      C)Applies prescribed lotions to the radiation site.
      D)Wears clothing to cover the radiation site.
    3. The nurse is caring for a client admitted to the hospital with a tentative diagnosis of bacterial meningitis. Which diagnostic procedure should the nurse prepare the client for?
      A)Skull radiography.
      B)Magnetic resonance imaging (MRI).
      C)Computerized tomography (CT) scan.
      D)Lumbar puncture.
    4. Two days after a nephrectomy, the client reports abdominal pressure and nausea. Which assessment should the nurse implement?
      A)Auscultate bowel sounds.
      B)Ambulate the client in the hallway.
      C)Palpate the abdomen.
      D)Measure hourly urine output.
    Page 1 of 5

    Exam Review

    1. The nurse is developing a plan of care for a client who reports blurred vision and who is newly diagnosed with type 2 diabetes mellitus (DM). Which outcome should the nurse include in the plan of care for this client?
      A)The nurse will demonstrate the procedure for accurate eye care.
      B)The client's blood pressure readings will be less than 160/90 mm Hg.
      C)The client's hemoglobin A1C will be less than 7% in 3 months.
      D)The nurse will encourage the client to walk thirty minutes every day.
    2. The nurse is caring for a client with a burn that is severely edematous with a wound bed that is brown and yellow in appearance. The client expresses feeling no pain. Which classification of burn depth should the nurse document?
      A)Deep partial-thickness.
      B)Full-thickness.
      C)Superficial partial-thickness.
      D)Deep full-thickness.
    3. An older adult client who experienced a cerebrovascular accident (CVA) has difficulty with visual perception and eats only half of the food on the meal tray. The client's family expresses concern about the client's nutritional status. How should the nurse respond to the family's concern?
      A)Suggest that the family bring foods from home that the client enjoys eating.
      B)Explain that weight loss will be reversed after the acute phase of the stroke has ended.
      C)Encourage the family to offer to feed the client when she does not eat her entire meal.
      D)Demonstrate the use of visual scanning during meals to the client and family.
    4. The nurse is administering the second unit of whole blood to an older adult client who was admitted yesterday with gastrointestinal (GI) bleeding. Which parameters should the nurse monitor that indicate fluid overload?
      A)Bounding pulse, hypertension, and distended neck veins.
      B)Thready pulse, hypotension, and chest or back pain.
      C)Urticaria, itching, and wheezing.
      D)Chills, fever, and tachycardia.
    Page 2 of 5

    Exam Review

    1. When caring for a client with a cervical spinal cord injury, which intervention is the most important for the nurse to implement?
      A)Assess the extremity reflexes.
      B)Logroll to change positions.
      C)Immobilize the head in anatomical alignment.
      D)Obtain hourly neurological assessments.
    2. One hour after major abdominal surgery, a client in the postanesthesia care unit (PACU) has a blood pressure (BP) of 136/80 mm Hg. Fifteen minutes later, it is 114/72 mm Hg. Which action should the nurse take first?
      A)Increase frequency of BP assessments.
      B)Encourage the client to breathe deeply.
      C)Check the abdominal surgical dressing.
      D)Review the client's baseline BP trends.
    3. The nurse is teaching a client how to collect a sputum specimen. Which steps should the nurse instruct the client to follow when collecting a sputum sample?
      A)Breathe deeply, followed by coughing up the sputum.
      B)Restrict fluids before expectorating the sputum specimen.
      C)Obtain the specimen before bedtime.
      D)Avoid mouth care prior to collecting the sputum.
    4. A client is to receive progesterone 10 mg IM daily. The medication is labeled "Progesterone 50 mg/mL." How many mL should the nurse administer? (Enter numerical value only. If rounding is required, round to the nearest tenth.)
    Page 3 of 5

    Exam Review

    1. The nurse observes that a client with Parkinson's disease (PD) has a mask-like face. Which follow-up assessment is most important for the nurse to implement?
      A)Determine the ability to chew and swallow.
      B)Assess patterns of speech.
      C)Note the frequency of drooling.
      D)Observe the appearance of oral mucosa.
    2. The nurse is obtaining the admission history for a client with suspected peptic ulcer disease (PUD). Which subjective data reported by the client supports this medical diagnosis?
      A)Frequent use of chewable and liquid antacids for indigestion.
      B)Upper midabdominal pain described as gnawing and burning.
      C)Marked loss of weight and appetite over the last 3 or 4 months.
      D)Severe abdominal cramps and diarrhea after eating spicy foods.
    3. Following a transurethral resection of the prostate (TURP), a client is discharged from the hospital with an indwelling urinary catheter. Which instruction is most important for the nurse to include in the discharge teaching plan?
      A)Avoid driving a car for 2 weeks.
      B)Drink 3 liters of water each day.
      C)Eliminate all spicy foods from your diet.
      D)Clamp the catheter when taking a shower.
    4. A client arrives at the emergency department (ED) following a motor vehicle collision. The nurse observes the client experiencing increasing dyspnea and notes absent breath sounds on the left side. Which procedure should the nurse prepare the client for?
      A)Bronchoscopy.
      B)Chest tube insertion.
      C)Endotracheal intubation.
      D)Pulmonary function test.
    Page 4 of 5

    Exam Review

    1. A client with gouty arthritis reports tenderness and swelling of the right ankle and great toe. The nurse observes the area of inflammation extends above the ankle area. The client receives prescriptions for colchicine and indomethacin. Which instruction should the nurse include in the discharge teaching?
      A)Return for periodic liver function studies.
      B)Massage joints to relax muscles and decrease pain.
      C)Substitute natural fruit juices for carbonated drinks.
      D)Limit use of mobility equipment to avoid muscle atrophy.
    2. A client with eczema is applying 10% urea cream onto the affected skin areas. Which finding reflects the expected therapeutic response?
      A)Decreased weeping of ulcerations in affected areas.
      B)Reduced pain in eczematous areas.
      C)Healing with a return to normal skin appearance.
      D)Hydration of affected dry skin areas.
    3. A client with eczema is applying 10% urea cream onto the affected skin areas. Which finding reflects the expected therapeutic response?
      A)Decreased weeping of ulcerations in affected areas.
      B)Reduced pain in eczematous areas.
      C)Healing with a return to normal skin appearance.
      D)Hydration of affected dry skin areas.
    4. A client with edema receives a prescription for a one-time dose of furosemide 20 mg IV. The medication is available in a 10 mg/mL vial. How many mL should the nurse administer? (Enter numerical value only.)
    Page 5 of 5