Exam Review
- A nurse is caring for a client who has pneumonia. Which of the following actions is the priority for the nurse to take?A)Monitor intake and outputB)Provide teaching about antibiotic therapyC)Administer the influenza vaccineD)Observe the client perform incentive spirometry
- A nurse is assessing a client who has hyperthyroidism and has been taking methimazole for 6 months. Which of the following findings indicates a therapeutic response to the medication?A)The client's skin is warm and moistB)The client reports sleeping longer during the nightC)The client is experiencing increased bowel movementsD)The client's weight is 1.4 kg (3.1 lb) less than baseline
- A nurse is planning discharge teaching for the guardian of a child who had a cardiac catheterization. Which of the following instructions should the nurse include?A)Monitor the site daily for drainageB)Leave the pressure dressing on for 48 hrC)Administer aspirin if the child reports painD)Resume tub baths in 24 hr
- A nurse is reviewing the medical record of a client who is receiving total parenteral nutrition for a malabsorption disorder. Which of the following findings should the nurse identify as an indication that the client's nutritional status is improving?A)Intake of fluid is less than output of urine over the past 2 daysB)1 kg (2.2 lb) weight gain over the past 2 daysC)Blood glucose 206 mg/dLD)Prealbumin 13 mg/dL
Exam Review
- A nurse is performing a focused assessment on a client who has cholelithiasis and reports pain. Which of the following areas should the nurse assess?A)Left lower quadrantB)Right upper quadrantC)Epigastric region onlyD)Suprapubic area
- The nurse is providing discharge teaching to a client about managing diverticulitis. Which of the following statements should the nurse include in the teaching?A)"Use bisacodyl suppositories to stimulate a bowel movement"B)"Avoid lifting objects greater than 50 pounds"C)"Consume a clear liquid diet until symptoms resolve"D)"Take a probiotic 15 minutes after taking a prescribed antibiotic to prevent antibiotic-related diarrhea"
- A nurse is providing teaching to a client who has a methicillin-resistant Staphylococcus aureus (MRSA) skin infection. Which of the following client statements indicates an understanding of the management of antibiotic resistant infections?A)I will keep the infected area open to air to help it healB)I can sleep in the same bed as my partner after I have been taking antibiotics for 24 hoursC)I should sit on upholstered chairs instead of hardback chairsD)I will wash all uninfected skin areas with a fresh washcloth
- A nurse is providing teaching to a client about preventing hearing loss from trauma. Which of the following instructions should the nurse include in the teaching?A)Keep your mouth open when sneezingB)Block one nostril when blowing your noseC)Use an ear wick candle to remove excess cerumen from the canalD)Lubricate cotton-tipped applicators with mineral oil to clean the ear canal
Exam Review
- A nurse is teaching a client who recently lost his partner to a terminal illness. The client asks how his 4-year-old son is expected to react to the death of his partner. Which of the following information should the nurse include in the teaching?A)A preschooler has no concept of deathB)A preschooler is often interested in what happens to the body after deathC)A preschooler often believes that death is reversibleD)A preschooler understands that death happens to everyone
- A nurse is assessing a client who has gestational diabetes and ketoacidosis. Which of the following manifestations should the nurse expect?A)Increased urinationB)SweatingC)DizzinessD)Loose stools
- A nurse is assessing a client who has an external fixator to the right lower arm following musculoskeletal trauma. Which of the following findings should indicate to the nurse that the client has developed compartment syndrome?A)Serous drainage is present on the pin site dressingsB)Flushing of the skin on the right armC)Bounding pulse palpated in the radial arteryD)Numbness to the fingers on the right arm
- A nurse is providing teaching about home care with an adolescent client who has a skin infection caused by MRSA. Which of the following client statements indicates an understanding of the teaching?A)I will soak in a bathtub filled one-fourth full of water with one-half cup of bleachB)I will wash my clothes in cold water and detergentC)I will throw away my razor after using it three timesD)I will apply imiquimod cream to the lesions before going to bed each night
Exam Review
- A nurse is caring for a client who is experiencing an asthma attack. Which of the following procedures should the nurse use to assess the client's respiratory status?A)Peak expiratory flow meter testingB)Spirometry monitoringC)Pulmonary function testingD)Chest x-ray
- A nurse is caring for a client who has renal calculi and is taking oxybutynin for pain. Which of the following findings should the nurse identify as an adverse effect of this medication?A)Increased salivationB)BradycardiaC)TinnitusD)Distended bladder
- A nurse is planning discharge for a postpartum client. The client tells the nurse she is having subdermal implant placed for contraception at her 6 week follow-up examination and asks about the adverse effects of the implant. Which of the following manifestations should the nurse include?A)Irregular bleedingB)FatigueC)Shoulder painD)Recurrent urinary tract infections (UTIs)
- A nurse in a community health clinic is reviewing data from the medical records of four clients. Which of the following communicable diseases requires reporting by the nurse?A)GonorrheaB)Herpes genitalisC)Human papillomavirusD)Bacterial vaginosis
Exam Review
- A nurse is caring for a group of clients. Which of the following clients should the nurse identify as being at risk for developing respiratory acidosis?A)A client who has a feverB)A client who has abdominal ascitesC)A client who is anxiousD)A client who has nasogastric suctioning
- A nurse is assessing a client who has peripheral arterial disease. Which of the following findings should the nurse expect?A)Brown discoloration of the lower extremitiesB)Superficial ulcer on the medial aspect of the ankleC)Dependent ruborD)Telangiectasias
- A nurse is assessing a client for manifestations of right-sided heart failure. Which of the following findings should the nurse expect?A)Jugular vein distentionB)FatigueC)AnginaD)Hacking cough
- A nurse is assessing a client for manifestations of GERD. Which of the following findings indicates to the nurse that the client might have GERD?A)Decreased salivationB)DiarrheaC)TonsillitisD)Globus