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    Exam Review

    1. The nurse is caring for a premenopausal client scheduled for a bilateral oophorectomy. Which education will the nurse provide the client regarding this procedure?
      A)"An oophorectomy will prevent you from having breast cancer in the future."
      B)"You will need to continue using a contraceptive if you do not desire pregnancy."
      C)"You will need to have your hormone level tested monthly for 6 months following surgery."
      D)"This procedure will greatly reduce your estrogen and progesterone levels."
    2. The nurse is performing a health history on a 6-year-old boy who is having trouble adjusting to school. Which question would be most likely to elicit valuable information?
      A)"Do you like your new school?"
      B)"Are you happy with your teacher?"
      C)"Do you enjoy reading a book?"
      D)"What are your new classmates like?"
    3. After assessing a woman who has come to the clinic, the nurse suspects that the woman is experiencing abnormal uterine bleeding. Which statement by the client would support the nurse's suspicions?
      A)"I get sharp pain in my lower abdomen usually starting soon after my period comes."
      B)"I get really irritable and moody about a week before my period."
      C)"I've been having bleeding off and on that's irregular and sometimes heavy"
      D)"My periods have been unusually short but heavy lately."
    4. A nurse is caring for a 6-month-old infant. Which of the following findings indicates to the nurse that the infant may be experiencing pain?
      A)Furrowed brow
      B)Poor muscle tone
      C)Eyes wide open
      D)Dry palms and feet
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    Exam Review

    1. The nurse is inspecting the fingernails of an 18-month-old girl. What finding indicates chronic hypoxemia?
      A)Nails that curve inward
      B)Clubbing of the nails
      C)Nails that curve outward
      D)Dry, brittle nails
    2. The nurse is conducting a physical examination of a child following a comprehensive health history. What should be the focus of the physical examination?
      A)The child
      B)The parents
      C)Chief complaint
      D)Developmental age
    3. During a clinical breast examination, the nurse palpates a well-defined, firm, mobile lump in a 60-year-old woman's left breast. The nurse notifies the primary care provider. What would the nurse anticipate the care provider to prescribe next?
      A)genetic testing for BRCA genes
      B)fine-needle aspiration
      C)hormone receptor status
      D)mammogram
    4. A nurse is conducting an assessment of a client who is suspected of having pelvic inflammatory disease. Which finding would the nurse identify as mandatory for the diagnosis to be made? Select all that apply(SATA)
      A)adnexal tenderness
      B)mucopurulent vaginal discharge
      C)cervical motion tenderness
      D)lower abdominal tenderness
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    Exam Review

    1. After a discussion on the HPV vaccine with a mother and her 10-year-old daughter at a well-child visit, the nurse recognizes the discussion was successful when the mother makes which statement?
      A)"One injection will give her a lifetime of protection."
      B)"She will need to get a total of four injections in the next 3 months."
      C)"She will need one injection every 5 years"
      D)"My daughter will need two injections over a 6-12 month period."
    2. The surgeon is recommending surgery to remove the fibroids from a client's uterus; however, the client and her husband still desire children. The nurse would most likely provide information on which procedure that will help the client preserve her fertility?
      A)electrocauterization
      B)myomectomy
      C)dilation and curettage (D&C)
      D)laparoscoрy
    3. The nurse is performing a physical examination on a sleeping newborn. Which body system should the nurse examine last?
      A)Heart
      B)Abdomen
      C)Lungs
      D)Throat
    4. A female client with genital herpes is prescribed acyclovir as treatment. After teaching the client about this treatment, which statement by the client indicates effective teaching?
      A)"The severity of future attacks will be much less after using this drug."
      B)"If I use this drug, I will be cured of the infection"
      C)"This drug will help reduce my risk for a recurrence after discontinuing it."
      D)"This drug will help to suppress any symptoms of the infection."
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    Exam Review

    1. A 52-year-old client is seeking treatment for menopause. She is not very active and has a history of cardiac problems. Which therapy option should the nurse recognize as contraindicated for this client?
      A)selective estrogen receptor modulators
      B)lipid-lowering agents
      C)long-term hormone replacement therapy
      D)bisphosphonates
    2. The nurse uses the FLACC behavioral scale to assess a 6-year-old's level of postoperative pain and obtains a score of 9. The nurse interprets this to indicate that the child is experiencing:
      A)little to no pain.
      B)mild pain.
      C)moderate pain.
      D)severe pain.
    3. A nurse has just administered medication via an orogastric tube. What is the priority nursing action following administration?
      A)Check tube placement.
      B)Retape the tube.
      C)Flush the tube.
      D)Remove the tube.
    4. A nurse at a pediatrician's office is contacted by a parent whose child just ingested half a bottle of vitamins with added ferrous sulfate. Which of the following instructions should the nurse provide to the parent?
      A)Provide a high-carbohydrate meal.
      B)Contact the poison control center.
      C)Bring the child to the office for a rapid infusion of deferoxamine.
      D)Give the child syrup of ipecac.
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    Exam Review

    1. The daughter of a woman who has been diagnosed with ovarian cancer asks the nurse about screening for this cancer. Which response by the nurse would be most appropriate?
      A)"There's a blood test for a marker, CA-125, that if elevated indicates cancer."
      B)"Currently there is no reliable screening test for ovarian cancer.
      C)"A Papanicolaou test is almost always helpful in identifying this type of cancer."
      D)"A genetic test for two genes, if positive, will identify the ovarian cancer."
    2. When performing a clinical breast examination, which would the nurse do first?
      A)Palpate the breasts
      B)palpate the axillary area
      C)compress the nipple for a discharge
      D)Inspect the breasts.
    3. The nurse tells a joke to a 12-year-old to distract him from a painful procedure. What pain management technique is the nurse using?
      A)Relaxation
      B)Distraction
      C)Imagery
      D)Thought stopping
    4. A nurse is assessing the fontanels of a crying newborn and notes that the posterior fontanel pulsates and briefly bulges. What do these findings indicate?
      A)Increased intracranial pressure
      B)Overhydration
      C)Dehydration
      D)These are normal findings
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