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Comprehensive ExamComprehensive Exam, Exams of Nursing

Miami University - Oxford Nursing

Comprehensive Exam Comprehensive Exam

Typology: Exams

2025/2026

Available from 02/01/2026

Pronurse 🇺🇸

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Comprehensive Exam

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Discover Exams of Nursing Miami University - Oxford

Partial preview of the text

Download Comprehensive ExamComprehensive Exam and more Exams Nursing in PDF only on Docsity!

s

Comprehensive Exam

133- Cyclobenzaprine(Flexeril)isprescribedtoa

clientwithmultiplesclerosisforthetreatmento

f

musclespasms.Forwhichcommonsideeffectofthism

edicationdoesthenursemonitortheclient?

A. Diarrhea

B. Drowsines Correct

C. Abdominalpain

D. Increasedsalivation

134- Anurseadministersnitroglycerinsublingualy

toaclientwithanginapectoriswhocomplainsof

chestpain.Themedicationisineffective,sothenu

rsepreparestoadministeraseconddose.Before

administeringthenitroglycerin,whichactiondo

esthenursemakeapriority?

A. Checkingtheclient'sbl

o o dpre

s sure Correct

B. Obtainingbl

o o dlevelsofcardiacenzymes

C. Askingtheclientwhetherhehasaheadache

D. Obtaininga 12 - leadelectrocardiogram

(ECG)

135- Ciprofloxacinhydrochloride(Cipro)isprescri

bedtoaclientwithaurinarytractinfection.The

nurse,providinginstructionaboutthemedication

,telstheclientthatitisbesttotakethemedication

A. Withmilk

B. Withanantacid

C. 2 hoursaftermeal Correct

D. Withaluminum hydroxide

Anurseprovideshomecareinstructionstoaclient

withcoronaryarterydisease(CAD)whoisbeing

dischargedfrom

thehospital.Whichstatementbytheclientindica

tesanee dforfurtherinstruction?

s

A. "Inee

dtocarrymynitroglycerinwithmeataltime

s."

B. "Inee

dtocheckmypulsebefore,during,andaftere

xercise."

C. "Inee dtoavoidfoo

dswithsaturatedfatsandf

o o

dshighincholesterol."

D. "Inee

dtoparticipateinaerobicandweightliftin

gexercisethree timesaweek. Correct

Anurseprovidesinformationtoaclientwhowilbeun

dergoingendoscopicretrograde

cholangiopancreatography(ERCP).Thenursetels

theclientthat:

A. Thereisnonee

dtofast(NPOstatus)beforetheprocedure

B. Thegalbla

d d

eriseasilyremovedduringthisprocedureifg

alstonesarefound

C. Theprocedureisperformedspecificalytovisu

alizetheesophagus,stomach,and duodenum

D. Dyemaybeinjectedduringtheproceduretope

rmitvisualizationofthepancreaticand

biliarydu

ct Correct

138 ID: 3837131

75

Aclientwhohasundergonekn

e e-

replacementsurgerywilbeself-

administeringenoxaparinsodium

(Lovenox)athome.Thenurseteachestheclientabou

t themedicationandtelstheclien

t to:

A. Storethemedicationintherefrigerator

B. Liedowntoadministerthesubcutaneousinje

ction Correct

s

C. Bloo d-pressurecuff

D. Suctioncatheterandsuctionmachine

140 ID: 383703619

Anurseprovidesinformationtoaclientwithcorona

ryarterydisease(CAD)aboutsmoking-cessation

measures.Whichstatementbytheclientindicates

anee dforfurtherinformation?

A. "Acommunitysupp ortgroupwilhelpmequit."

B. "Ishoulddrinkacupofcoffee ifIfee

ltheurgetosmoke. Correct

C. "Relaxationexerciseswilhelpcontrolmyur

getosmoke."

D. "Icantrychewinggum

orsuckingonhardcandyifIf

e e

ltheurgetosmoke."

141 ID: 383708584

Captopril(Capoten)isprescribedforahospitaliz

edclientwithheartfailure.Whichactionisaprior

ity oncethenursehasadministeredthefirstdose?

A. Checkingtheclient'sapicalheartrate

B. Maintainingtheclientonbedrestfor 3 hour

Correct

C. Monitoringtheclientforincreasedurineou

tput

D. Checkingtheclient'sbreathsoundsfordecr

easedwhee zing

142 ID: 383706680

Aclientwithheartfailuresu

d d

enlyexperiencesprofounddyspnea,palor,audible

whee zing,and

cyanosis,andthenursesuspectspulmonaryedema.T

henursewouldfirst:

A. Obtainapulseoximetryreading

B. Raisetheheadoftheclient'sbed Correct

C. Administeradoseofmorphinesulfate

. y. s. r

D. Obtainaspecimenforanarterialbloo

dgasdetermination

143 ID: 383703665

Thenurseadministersintravenousmorphinesulfat

etoaclientinpulmonaryedema.Forwhich

intendedeffectofthemedicationdoesthenursemoni

tortheclient?

A. Reliefofpain

B. Reliefofanxiet Correct

C. Decreasedurineoutput

D. Increasedbloo dpressure

4 ID: 383702944

Anurseisprovidinghomecareinstructionstoaclie

ntwithcoronaryarterydisease(CAD)whowil

bedischargedhomeandwilbetaking 1 aspirindaily.

Thenursetelstheclient:

A. Tostoptheaspirinifnauseao

c cur Incorrect

B. Totaketheaspirinonanemptystomach

C. Thattheaspirinisashort-term

treatmentandwilprobablybediscontinue

din 2 w

e e ks

145 ID: 383713112

Aclientreceivingparenteralnutrition(PN)su

d d

enlyexperienceschestpainanddyspnea,andthe

nursesuspectsanairembolism.Thenurseimmediate

lyplacestheclientinalateralTrendelenburg

position,ontheleftside.Whatactiondoesthenurs

etakenext?

A. Auscultatingheartsounds

B. Clampingtheintravenouscathete Correct

C. Checkingtheclient'sbl

o o dpre

s sure

ge Correct

149 ID: 383708504

Aclientisreceivinganintravenousinfusionofalt

eplase(ti

s sueplasminogenactivator,recombinant

tPA).Forwhichadverseeffectofthemedicationdoes

thenursemonitortheclientmostclosely?

A. Bl

e e ding Correct

B. Hearinglo

s s

C. Decreasedurineoutput

D. Increasedbl

o o dpre

s sure

150 ID: 383708596

Viewvideo.Thenurseisperformingasterilechang

eofanabdominaldressing.Oncethedressing hasbee

nremovedanddiscardedinawaterpr

o o

fbag,whichactionshouldthenursetakenext?

A. Assessingthewound Correct

B. Do

n n ingsterilegloves

C. Cleansingthewound

D. Setingupthesterilefield

151 ID: 383706038

Anurseisprovidingmorningcaretoaclientwhohasun

dergonesurgerytorepairafracturedleft

hip.Whichitem

ismostimportantforthenursetouseinturningthec

lientfrom sidetosidetochange thebedlinens?

A. Trapezebar

B. Slidingboard

C. Add uctiondevice

D. Abductiond

evice Correc

152 ID: 383710526

s

155 ID: 383703663

Themotherofanewbornfoundtohaveacongenitaldia

phragmaticherniaasksthenursetoexplain

thediagnosis.Thenursetelsthemotherthatinthis

condition:

A. Theesophagusterminatesbeforeitreaches

thestomach

B. Gastriccontentsareregurgitatedbackint

otheesophagus

C. Abdominalcontentsherniatethroughanopen

ingofthediaphragm Correct

D. Aportionofthestomachprotrudesthroughth

eesophagealhiatusofthediaphragm

156 ID: 383710522

Anurseisperforminganassessmentofanewbornwitha

diagnosisofesophagealatresia(EA)and

tracheoesophagealfistula(TEF).Whichfindingsdo

esthenurseexpecttonoteintheinfant? Select

allthatapply.

A. Droo ling Correct

B. Whee zing

C. Hi

c cuping

D. Shortperiodsofapnea

E. Exce

s siveoralsecretion Correct

F. Bowelsoundsoverthechest

157 ID: 383711493

Anurseisreviewingthemedicalrecordofaninfanti

nwhom hypertrophicpyloricstenosis(HPS)is

suspected.Whichcharacteristicsa

s sociatedwitht

hedisorderdoesthenurseexpectssee

documentedintheinfant’smedicalrecord?

Selectallthatapply.

A. Weightlos Correct

B. Facialedema

C. Metabolicacidosis

D. Projectilevomiting Correct

E. Distendedupp erabdomen Correct

158 ID: 383703641

Aclientwithahistoryofanginapectoristelsthenu

rsethatthechestpainusualyoccurswith

moderatetoprolongedexertionandisgeneralyreli

evedbynitroglycerino

r rest.Whichtypeof

anginadoesthenurserecognizeintheclient’sdesc

ription?

A. Stable Correct

B. Variant

C. Unstable

D. Crescendo

159 ID: 383706082

Methylergonovine(Methergine)isprescribedfora

clienttocontrolpostpartum blee ding.Which

actiondoesthenursetakebeforeadministeringthe

medication?

A. Checkingtheepisiotomysite

B. Palpatingtheclient'sbla

d d er

C. Checkingtheclient'sbloo dpressure Correct

D. Ensuringtha

t theuterusiscontracted

162 ID: 383710057

Anurseisa

s se

s singaclientwhoisexperiencingchest

pain.Whichofthefolowingobservations

indicatestothenursethatthepainismostlikelyare

sultofangina?

s

A. Thepainisrelievedbyrestandnitroglyceri

n Correct

B. Thepainisrelievedbytheadministrationof

anantacid.

C. Thepainisrelievedbytheadministrationof

anantinflammatorymedication.

D. Thepainisrelievedwithanuprightsiting

positionandtheadministrationofan

analgesic.

163 ID: 383706640

Anursehasprovidednutritioninstructionstoamoth

erofaninfant.Whichstatementbythemother

indicatestothenursetha

t themothe

r requiresfurthe

rinstruction?

A. "It’sbes

t tousecow'smilk,aslongasit’swho

lemilkandnotskim. Correct

B. "WhenIstartfee dingsolidfoo ds,Imightnee

dtoadd watertothefoo d."

C. "Whenthebabystartstotakejuices,Ishoul

dn’twarm thejuice,becausethatwil

destroythevitaminC."

D. "ThebabywilgettherightnutritionifIfee

dbreastmilkorstore-boughtformulathat’s

bee nfortifiedwithiron.”

164 ID: 383703671

Apediatricnurseiscaringforahospitalizedto

d d

ler.Whichofthefolowingactivitiesdoesthenurs

e dee m themostapp ropriateforthetodd ler?

A. Singinggames

B. Watchingvideos

C. Simpleboardgames

D. Largebuildingblock Correct

s

168 ID: 383707998

Anurseismonitoringachildwithintu

s susceptionfor

signsofperitonitis.Forwhichofthefolowing

findings,indicativeofthiscomplication,doesthen

ursenotifythephysician?

A. Increasedalertness

B. Increasedheartrate Correct

C. Asausage-shapedabdominalmass

D. Diarrheaandthepassageofbloo dymucousstoo l

169 ID: 383713179

Thenurse,auscultatingthebreathsoundsofaclien

t,hearsthesesounds.Whatarethey?

A. Rhonchi

B. Crackles

C. Whee ze Correct

D. Vesicular

170 ID: 383703631

Aregisterednurseisplann

ingclientassisgnmentsfortheday.Thereisalicens

edpracticalnurse

andanursingassistantontheteam.Whichclientisth

eapp ropriatechoiceforthenursingassistant?

A. Aclientwithhemophiliawhonee

dsassistancewithshaving

B. Aclientwithpneumoniawhorequiresfrequen

toropharyngealsuctioning

C. Aclientwithrheumatoidarthritiswho

nee dsassistancewithfee dingand

ambulation Correct

D. Aclientwithheartfailurewhoneedsdailywei

ghtsandmonitoringofintakeandoutput

171 ID: 383706623

Anurseismonitoringaclientwithbronchogeniccar

cinomaforsignsofsuperiorvenacava

syndrome.Forwhichearlysignofthisoncologicale

mergencydoesthenurseassess theclient?

A. Dyspnea

B. Cyanosis

C. Hypotension

D. Stokessign Correct

172 ID: 383704500

Anurseiscaringforaclientwhohasundergonetranss

phenoidalhypophysectomytoremovea

microadenomaofthepituitarygland.Whichofthes

efindingswouldbeofgreatestconcerntothe nurse?

A. Urinaryspecificgravityislow Correct

B. Bloo dpressureis 138 / 80 mm Hg.

C. Theclientcomplainsofadrymouth.

D. Theclientfrequentlyperformsdee p-

breathingexercises.

173 ID: 383703683

Thenursenotesthepresenceofdrainageonthemusta

chedressingofaclientwhohasundergone

tran

s sphenoidalhypophysectomy.Theinitialnursi

ngactionisto:

A. Contac

t thesurgeon

B. Changethedressing

C. Documentthefindings

D. Checkthedrainageforglucose Correct

174 ID: 383706676

t

Propylthiouracil(PTU)hasbeenprescribedforacl

ientwithGravesdisease,andthenurseprovides

instructionstotheclientabou

t themedication.For

whichofthefolowingoccurrencesdoesthenurse

telstheclienttocontactthephysician?

A. Fatigue

B. Diaphoresis

C. Sorethroa Correct

D. Heatintolerance

178 ID: 383709215

Anurseisprovidinginformationtoaclientwithdi

abetesinsipiduswhowilbetakingdesmopressin

acetate(DDAVP)bywayofthenasalroute.Forwhi

chofthefolowingoccurrencesdoesthenurse

teltheclien

t tocontac

t thephysician?

A. Abdominalcramps

B. Stuffyo

r ru

n nynose

C. Headacheandnausea Correct

179 ID: 383702948

Aclientwithdiabetesmelituscalstheclinicnurse

andreportsthatshehasbee nvomitingduringthe

nightandnowhasdiarrhea.Whichquestiondoesthen

ursemakeapriorityofaskingtheclient?

A. "Doyouhaveafever?"

B. "Didyoueatanybreakfast?"

C. "Areyouurinatingfrequently?"

D. "Haveyoutestedyourbloo dglucose? Correct

. y. s. l 180 ID: 383708540

Anurseisprovidinginformationtoaclientwhowilbe

self-administeringregularinsulinabout

storageoftheinsulin.Thenursetelstheclient:

A. Thatplacingthevialnearheatorinsunlight

wilnotaffecttheinsulin

B. Tofr

e ezeunopenedvialsandremoveavialfrom

thefr

e ezer 24 hoursbeforeopening it

C. Thatinsulinstoredatr

o o m

temperaturecausesmorediscomfortoninjec

tionthan

doescoldinsulin

D. Thatthevialincurrentusemaybekeptatroo m

temperatureforaslongas 1 month

withoutsignificantlo

s s ofactivit Correct

181 ID: 383704568

Anursereviewsthemedicalrecordofaclientwithhi

stoplasmosis.Whichclinicalmanifestationof

thisinfectiondoesthenurseexpecttosee

documented?

A. Neurologicaldeficits

B. Cardiacdysrhythmias

C. Gastrointestinaldisturbances

D. Flulikepulmonarysymptom Correct

182 ID: 383704517

Aclientwithamedicalhistoryofdiabetesmelitus

isfoundtohavesarcoidosis,andoralprednisone

isprescribed.Thenurseprovidesinstructionsto

theclientabou

t themedicationandtelstheclient

to:

A. Eatfoo dsthatarehighinsodium

B. Decreasethedailydoseofinsulin

C. Eatf

o o dsthatarelowinpota

s sium

D. Closelymonitorthebloo dglucoseleve Correct

Comprehensive ExamComprehensive Exam, Exams of Nursing

Related documents

Partial preview of the text

Download Comprehensive ExamComprehensive Exam and more Exams Nursing in PDF only on Docsity!

Comprehensive Exam

133- Cyclobenzaprine(Flexeril)isprescribedtoa

(ECG)

138 ID: 3837131

140 ID: 383703619

141 ID: 383708584

142 ID: 383706680

143 ID: 383703665

4 ID: 383702944

145 ID: 383713112

149 ID: 383708504

150 ID: 383708596

151 ID: 383706038

152 ID: 383710526

155 ID: 383703663

156 ID: 383710522

157 ID: 383711493

158 ID: 383703641

159 ID: 383706082

162 ID: 383710057

163 ID: 383706640

164 ID: 383703671

168 ID: 383707998

169 ID: 383713179

170 ID: 383703631

171 ID: 383706623

172 ID: 383704500

173 ID: 383703683

174 ID: 383706676

178 ID: 383709215

179 ID: 383702948

181 ID: 383704568

182 ID: 383704517