Nursing exam final questions with answers tested and verified solutions 2023/2024 updates, Exams of Nursing

Download Nursing exam final questions with answers tested and verified solutions 2023/2024 updates and more Exams Nursing in PDF only on Docsity! Nursing exam final questions with answers tested and verified solutions 2023/2024 updates rated a+ 1- A nurse is providing teaching to a client who has come to the family planning clinic requesting an intrauterine device (IUD). Which of the following information should the nurse provide the client? "Your risk for ectopic pregnancy increases with an IUD." 2- A nurse is assessing a preschooler who has recurrent and persistent otitis media. When obtaining the child's history from her parent, which of the following questions should the nurse ask? "Does anyone smoke around or in the same house as your child?" 3- A nurse is teaching the parent of a child who has severe reactive airway disease about glucocorticoid therapy. The parent asks why her child has to inhale the medication instead of taking it orally. Which of the following information should the nurse provide the parent? Oral glucocorticoids are more like to slow linear growth in children. 4- A nurse is providing teaching to a client who has a new prescription for sertraline. The client asks the nurse if he should continue to take St. John's wort for depression. Which of the following instructions should the nurse give the client? Stop taking the herbal supplement while taking the medication. 5- A nurse is caring for a client who is receiving bleomycin IV to treat lymphoma. Which of the following assessments is the nurse's priority? Pulmonary function 6- A nurse is reviewing the laboratory report for a client who has chronic kidney disease (CKD). The nurse finds the following laboratory test results: potassium 6.8 mEq/L, calcium 7.4 mg/dL, hemoglobin 10.2 g/dL, and phosphate 4.8 mg/dL. Which of the following findings is the priority for the nurse to report to the provider? Hyperkalemia 7- A nurse is facilitating a group discussion with preschool teachers about child abuse. Which of the following data should the nurse use as a common example of a suggestive finding? Arm cast for a spiral fracture of the forearm 8- Due to staffing shortages, a nurse manager floats a medical-surgical nurse to the pediatric unit. The nurse has limited experience with children. Which of the following actions should the nurse manager take? Assign a unit nurse to act as a resource to act as a resource for the medical-surgical nurse 9- A nurse is developing a plan of care for a client who has gastroesophageal reflux disease (GERD). The nurse should plan to monitor the client for which of the following complications? Aspiration 26- A hospice nurse is visiting with the family member of a client. The family member states that the client has insomnia almost nightly. Which of the following practices should the nurse identify as contributing to the client's insomnia? The client watches television in her bed during the day. 27- A nurse at a long-term care facility hears an assistive personnel (AP) talking with an older adult client who has dementia with periods of confusion. Which of the following statements should indicate that the AP requires further teaching? "Its almost time for your appointment. Let me do your hair for you and brush your teeth. 28- A nurse in the labor and delivery suite is planning care for a group of four clients. Which of the following clients should the nurse see first? A client who is in active labor and has late decelerations on the fetal heart monitor's strip A nurse is teaching a client who has chronic kidney disease about predialysis dietary recommendations. The nurse should include information about restricting his intake of which of the following nutrients? Protein 29- A nurse participating in a community health fair is providing information to a client who has a BP of 150/90 mmHg during a blood pressure screening. Which of the following actions should the nurse take? Give the client a written record of his BP to bring to their provider. 30- A nurse on an oncology unit receives report at the beginning of her shift about four clients who are postoperative. Which of the following clients should the nurse see first? A client who is 2 days postoperative following a colectomy d/t colorectal cancer and has an ostomy bag full of bright red, bloody drainage. 31- A community health nurse is conducting a class about body mechanics for county office workers. Which of the following instructions should the nurse include? (Select all that apply.) Sit with your back supported Keep your knees at hip level Use ergonomically designed computer keyboard 32- A provider tells a client who reports practicing Hinduism that at 12-weeks of gestation she needs more protein in her diet and suggest eating more meat. After the provider leaves the examination room, the client tells the nurse that eating animal products will cause her to miscarry. Which of the following responses should the nurse make? "Let's discuss other foods that are also high in protein that you could substitute for meat." 33- A nurse is preparing to administer medications to a client who is unconscious. The nurse should bring the medication administration record (MAR) to the client's bedside and perform which of the following verification procedures? Compare the medical record number and name on the MAR with the client's identification band. 34- A nurse is teaching a client who has coronary artery disease about the difference between angina pectoris and a myocardial infarction. Which of the following manifestations should the nurse identify as indications of an MI? (Select all that apply) Nause/Vomite Diaphoresis and dizziness Anxiety and feelings of doom 34- A nurse is preparing an older adult client who had a TIA for discharge. The nurse should teach the client to monitor which of the following parameters at home? Blood pressure 35- A nurse delegates a LPN to provide one-on-one observation for a client who requires suicide precautions. Which of the following actions by the LPN should indicate to the nurse that she requires further teaching? Ambulates the client's roommate while the client sleeps. 36- A nurse is preparing to care for a client who is in balanced skeletal traction to stabilize a femur fracture. Which of the following actions should the nurse include in the client's plan of care? Offering the client a diet high in fluid and fiber 37- A nurse is caring for a client who takes warfarin to treat chronic A-fib and has early manifestations of Alzheimer's disease. The client's partner asks the nurse if the client would benefit from taking ginkgo biloba. Which of the following responses should the nurse make? "It is likely that ginkgo biloba will interfere with the effectiveness of his other medications." 38- A nurse is providing teaching to the parents of a child who has strabismus. Which of the following instructions should the nurse include to prevent the development of amblyopia? Patch the unaffected eye. 39- A nurse is assessing a 66-year-old client during a routine physical examination at her first clinic visit and does not have her medical records. When the nurse asks if she has received the pneumococcal immunization, the client replies, "I am not sure, but it's been at least 5 years since I had any immunizations." Which of the following responses should the nurse make? "Let's go ahead with giving you this immunization." 40- A nurse is admitting a client who has manifestations that suggest TB. Which of the following actions is the nurse's priority? Initiate airborne precautions. 41- A nurse is discussing medication administration for an older adult client with a newly licensed nurse. The nurse should identify that, due to physiological changes of aging, older adult clients might need dosage adjustments d/t an increase in which of the following parameters? Body fat. 42- A nurse is teaching a client who has a spinal cord injury to perform intermittent urinary self-catheterization at home after discharge. Which of the following statements indicates that the client understands the procedure? "I will perform intermittent self-catheterization every 2-3 hours." 43- A nurse is providing discharge teaching for a client who had a bone marrow transplant and has thrombocytopenia. Which of the following statements indicates that the client understands the precautions he must take at home? "I'll stick with soft foods for now." 44- A nurse is preparing to administer 100 units of insulin glargine and 4 units of NPH insulin subcutaneously to a client. Which of the following actions should the nurse plan to take? Use separate syringes for administering insulin glargine and NPH insulin. 45- A nurse is accepting a transfer from the PACU of a client who has had a subtotal thyroidectomy. Which of the following equipment should the nurse have available at the bedside for this client? Tracheostomy tray 46- A nurse is planning care for a client who has acute systemic lupus erythematosus (SLE) and is to begin treatment for systemic manifestations. Which of the following types of medications should the nurse plan to administer? A nurse is planning recreational activities for a young adult client who has an acute exacerbation of schizophrenia. Which of the following activities should the nurse plan for this client? Walking with a staff member A nurse in the emergency department is caring for a client who has Addison's disease and reports N/V, diarrhea, and abdominal pain. To prevent Addisonian crisis, the nurse should prepare to administer which of the following medications? Hydrocortisone A nurse in a provider's office is talking with an older adult client who reports having trouble sleeping. Which of the following statements should the nurse identify as a possible cause for the client's sleeping difficulties? "I often have a cup of coffee with my dessert before going to bed." A nurse is reviewing the medical record of a client who is requesting a prescription for sildenafil citrate. Which of the following data in the client's record should the nurse identify as a contraindication for the use of this medication? Current use of isosorbide to treat HF. A nurse is caring for an infant who has a cleft palate. The parents ask the nurse how long they should wait before he should have corrective surgery. The nurse should explain that the parents should wait no longer than 6-12 months to prevent which of the following outcomes? Difficulty with language acquisition A nurse in an acute care facility is implementing the facility's disaster plan following a flood in the community. Which of the following actions should the nurse take? Identify stable clients in the ICU to transfer to the medical-surgical units. A nurse is teaching the parent of a child who has type 1 diabetes mellitus how to manage the child's disorder during illness, such as colds. Which of the following statements by the parent indicates an understanding of the teaching? "I'll check his blood glucose more often." A nurse is caring for a group of clients in a long-term facility. One of the clients is walking in the hallway and bumping into walls and does not respond to his name. which of the following actions should the nurse take first? Accompany the client back to his room. A nurse is caring for a toddler. Which of the following objects should the nurse select from the playroom for this child during hospitalization? A 10-piece wooden puzzle. A nurse is caring for a client who is receiving mechanical ventilation and develops acute respiratory distress. Which of the following actions should the nurse take first? Initiate bag-valve-mask ventilation. A nurse is caring for a client who spent the past several minutes mumbling about being "doomed to die" and is now pacing in an increasingly agitated and angry manner. Which of the following actions should the nurse take first? Attempt to reduce environmental stimuli. A nurse on a pediatric mental health unit is caring for a school-age child. Which of the following questions or statements should the nurse make to foster rapport and engage him in conversation? "Tell me about your favorite video game." A community health nurse is planning care for four high-risk newborns who were discharged yesterday. Which of the following newborns should the nurse plan to care for first? A 4-day-old newborn who has an elevated bilirubin level and requires phototherapy. A client comes to the emergency department in severe respiratory distress following left- sided blunt chest trauma. The nurse finds that the client has absent breath sounds on the left side and a tracheal shift to the right. For which of the following procedures should the nurse prepare the client? Chest tube insertion A nurse is teaching a client who has extensive deep partial- ad full-thickness burns and requires a topical antimicrobial medication. The nurse should explain to the client that the goal of this medication therapy is to reduce which of the following outcomes? Bacterial growth A nurse is caring for a client who is taking warfarin. Which of the following laboratory values should the nurse recognize as an effective response to the medication? INR 3.0 A nurse is caring for a client who is postoperative following a laparotomy and has an indwelling urinary catheter and a Jackson-Pratt drain in place. Which of the following findings should indicate that the client is developing a postoperative complication? Pulse oximetry of 85% A nurse in the emergency department is caring for a child who has bruises that the nurse suspects are d/t child abuse. Which of the following actions should the nurse take? Report the suspected abuse to local authorities. A nurse is caring for a client who has chronic phantom limb pain following an above- knee amputation. Which of the following medication prescriptions should the nurse verify with the provider? Meperidine. A nurse is caring for a client who has pseudomembrane colitis d/t Clostridium difficile infection. Which of the following interventions is the nurse's priority? Performing hand hygiene before and after contact with the client. A nurse in the emergency department is caring for an unaccompanied infant following a motor-vehicle crash. During assessment, the nurse notes that the infant's anterior fontanel is almost closed. She has six teeth, is able to sit unsupported, and can drink from a cup. The child cries whenever anyone new to her enters the room, says a few words, and is asking for "mama" and "dada". The nurse should make which of the following age assessments for this child? 12 months old A nurse is caring for a client who has a tracheostomy and is receiving mechanical ventilation. The low-pressure alarm on the ventilator sounds, indicating which of the following to the nurse? A leak within the ventilator's circuitry A nurse in the emergency department is caring for a client who reports pain in her left leg following a motor-vehicle crash. The nurse notes that her left leg has bruising, swelling, and displacement of the bones. Which of the following actions should the nurse take first? Check neurovascular status distal to the injury A nurse is assessing a client who is receiving hemodialysis for the first time. Which of the following findings indicates to the nurse that the client is developing dialysis disequilibrium syndrome (DDS)? Headache A nurse is caring for an older adult client who has an in-the-canal hearing aid. The client states that the hearing aid is making a whistling sound. The nurse should identify which of the following factors as the source for this sound? Excessive wax in the ear canal. A nurse at a family planning clinic is preparing to teach a class about how to use a diaphragm. Which of the following information should the nurse plan to include in the teaching? "Use spermicidal jelly whenever you use your diaphragm." A nurse is reviewing the laboratory data of a client who reports manifestations that suggest SLE. The nurse should expect an increase in which of the following parameters for a client who has SLE? Erythrocyte sedimentation rate A nurse is admitting a client to the medical unit and asks him if he has advanced directives. The client states, "I have a document with me that names someone who can make health care decisions for me if I am not able." The nurse should identify that the client is referring to which of the following documents? Durable power of attorney document. A nurse in a rehabilitation facility is observing an AP help a client transfer from the bed to a wheelchair. Which of the following actions indicates to the nurse that the AP understands how to perform this task? Locks the brakes on the bed and the WC before moving the client. A nurse is planning teaching about secondary prevention actions for colorectal cancer for a health fair for adults in the community. Which of the following topics should the nurse plan to include? The importance of colonoscopy screening starting at age 50 years old. A nurse in an emergency department is assessing an infant who has laryngotracheobronchitis. Which of the following findings should the nurse report as an indication of impending airway obstruction? Nasal flaring. A nurse is providing teaching to a client who is scheduled for an electroencephalogram (EEG) in the morning. Which of the following information should the nurse provide the client? "Shampoo your hair before the procedure, and don't put any styling products on it afterward." A nurse manager notes several recent conflicts among nurses on different shifts. Which of the following strategies should the nurse manager use to resolve these conflicts? Set up a series of meetings for all staff members to attend to discuss issues. A new resident provider asks the charge nurse for an access code to review clients' online records. The resident is not scheduled to attend the facility's orientation computer class until next week. Which of the following actions should the nurse take? Explain that it is against policy to share access codes and refer the resident to his supervisor. A nurse is assessing a client who reports an acute visual disturbance and describes it as a "curtain" pulled over his visual field with occasional flashes of light. The nurse should notify the provider that this client might have which of the following disorders? Retinal detachment. A nurse in the emergency department is assessing a client who has pancreatitis. In which of the following laboratory results should the nurse expect to see an elevation? Amylase. A nurse is providing teaching to a client who is receiving chemotherapy and has developed neutropenia. Which of the following statements should indicate that the client needs further instructions? "I'm planning a large gathering of friends and family for the holidays." A nurse is assessing a school-age child who has celiac disease. Which of the following findings should the nurse expect? Steatorrhea. A nurse is discussing fire safety with newly hired nurses. The nurse should identify which of the following actions as the priority if a fire occurs in the health care facility? Evacuate clients from the unit. A nurse is providing discharge teaching to a client who has had a TIA. Which of the following instructions should the nurse include? Reduce dietary sodium. A nurse is providing discharge teaching for a client who has a new prescription for metoprolol. Which of the following instructions should the nurse include? (select all that apply.) "Do not stop taking this medication abruptly." "Count your radial pulse daily." "Change positions slowly." A nurse on the antepartum unit is caring for a client who is at 28 weeks of gestation and reports dizziness when lying on her back. Into which of the following positions should the nurse assist the client? Lateral. A nurse is caring for a client who has regular occupational exposure to sunlight and comes to the clinic for evaluation of several skin lesions. Which of the following findings should alert the nurse to the possibility of malignant melanoma? An irregularly shaped brown lesion with light blue areas on the neck. A nurse is assessing a child who has acute lymphocytic leukemia and is receiving vincristine sulfate. Which of the following findings is the nurse's priority? Paresthesia A nurse is observing a client who has schizophrenia and is in the dayroom when another client asks him if two items of clothing match. He replies, "A match. I like matches. They are the givers of light, the light of the world. God will light the world. Let your light shine on." The nurse should identify these statements as which of the following speech alterations? Associative looseness. A nurse is teaching a group of clients at a senior center about the risk factors for osteoporosis. Which of the following statements should the nurse include in teaching? "Extended periods of immobility increase your risk for osteoporosis." A nurse observes tachycardia, dyspnea, a cough, and distended neck veins in a client who is receiving a transfusion of packed RBCs. Which of the following interventions should the nurse use to prevent these manifestations with the client's next transfusion? Use a transfusion pump to regulate and maintain the transfusion at a slower rate. A nurse is caring for a client who has a platelet count of 50,000/mm3. After discontinuing the client's peripheral IV site, which of the following actions should the nurse take? Apply pressure to the catheter removal site for 5 minutes.