EXAM STUDY MATERIALS 8/7/2024 11:29 AM
Passpoint Review Exam Questions
With Verified Answers.
The nurse is caring for a client during the first 72 hours after thyroidectomy. The nurse should
assess for which signs of complications of this surgery? - answer✔✔carpal spasms and facial
numbness
A client is seen in the clinic for newly diagnosed hypothyroidism. Which topics should the nurse
include in a client teaching plan? Select all that apply. - answer✔✔-high-fiber, low-calorie diet
-use of stool softeners
-thyroid hormone replacements
A nurse is caring for a client who is disoriented to time, place, and person and is attempting to
get out of bed and pull out an intravenous line. The nurse receives orders from a health care
provider to apply a vest restraint and bilateral soft wrist restraints. In carrying out this order,
which nursing actions would be appropriate? Select all that apply. - answer✔✔-Perform a face-
to-face behavior evaluation every hour.
-Tie the restraints in quick-release knots.
-Document the client's condition.
-Document alternative methods used before the restraints were applied.
-Document the client's response to the intervention.
A school-age child with glomerulonephritis reports a headache and blurred vision. What
immediate action should the nurse take? - answer✔✔Obtain the child's blood pressure.
A client is placed on hypocalcemia precautions after removal of the parathyroid gland for cancer.
The nurse should observe the client for which symptoms? Select all that apply. - answer✔✔-
numbness
-tingling
-muscle twitching and spasms
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
A 35-year-old client is brought to the emergency department with second- and third-degree burns
over 15% of the body. Admission vital signs are blood pressure 100/50 mm Hg, heart rate 130
beats/minute, and respiratory rate 26 breaths/minute. Which nursing interventions are appropriate
for this client? Select all that apply. - answer✔✔-Begin an intravenous (I.V.) infusion of lactated
Ringer's solution.
-Administer 6 mg of IV morphine.
-Administer tetanus prophylaxis, as ordered.
The nurse is caring for a client with a serum sodium level of 128 mEq/L. Which order for
intravenous fluids should the nurse should question? - answer✔✔dextrose 5% in water (D5W)
A client has a tumor of the posterior pituitary gland. The nurse planning the client's care would
include which interventions? Select all that apply. - answer✔✔-Weigh the client daily.
-Measure urine specific gravity.
-Monitor intake and output.
A client undergoes a nephrectomy. In the immediate postoperative period, which nursing
intervention has the highest priority? - answer✔✔Assess urine output hourly.
An elderly client has been admitted to the medical-surgical unit from the postanesthesia care
unit. While the nurse is off the floor, the client falls out of bed and fractures the right leg and
right wrist. The nurse finding the client states, "The side rails were down and the bed was in the
high position." The client's family files legal charges against the nurse and the hospital. Which
charge most accurately reflects the nurse's actions? - answer✔✔negligence
A nurse is preparing to administer a unit of blood to a client with anemia. After its removal from
the refrigerator, the blood should be administered within: - answer✔✔4 hours.
In the emergency department, a client reveals to the nurse a lethal plan for dying by suicide and
agrees to a voluntary admission to the psychiatric unit. Which information would the nurse
discuss with the client to answer the question "How long do I have to stay here?" Select all that
apply. - answer✔✔-"You may leave the hospital at any time unless you're suicidal or homicidal
or unable to meet your basic needs."
-"Let's talk after the health care team has assessed you."
-"Because you have stated that you want to hurt yourself, you must be safe before being
discharged."
Which should be the nursing priority of care for a client exhibiting signs and symptoms of
coronary artery disease? - answer✔✔enhance myocardial oxygenation
Which client has a need for prophylactic antibiotic therapy prior to dental manipulations? -
answer✔✔the client who had an aortic valve replacement 5 years ago
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
The nurse is caring for a client that has a low potassium level. What medication(s) would the
nurse be concerned about administering to this client? Select all that apply. - answer✔✔-digoxin
-furosemide
The nurse is caring for a client with a gastrostomy tube. Fifteen minutes after a bolus feeding the
client experiences bloating, cramping, diarrhea, dizziness, diaphoresis, and weakness. What
action should the nurse take? - answer✔✔Contact the healthcare provider to alter the enteral
feeding prescription.
Following a transurethral resection of the prostate (TURP), a client is receiving a normal saline
0.9% irrigation solution at 200 mL/hour. The client has a peripheral IV running at 125 mL/hour
and has consumed 300 mL of water. After 8 hours, the nurse empties 3100 mL of fluid from the
Foley bag. What is the 8-hour urinary output for this client? Record the answer as a whole
number. - answer✔✔1500
The nurse should monitor the client with acute pancreatitis for which complication? -
answer✔✔pneumonia
Which safety measures would be most important to implement when caring for a client who is
receiving 2 units of packed red blood cells (PRBCs)? Select all that apply. - answer✔✔-Infuse a
unit of PRBCs in less than 4 hours.
-Stop the transfusion if a reaction occurs, but keep the line open.
-Inspect the blood bag for leaks, abnormal color, and clots.
The nurse is developing a care management plan with a client who has been diagnosed with
gastroesophageal reflux disease. What should the nurse instruct the client to do? Select all that
apply. - answer✔✔-Avoid a diet high in fatty foods.
-Avoid beverages that contain caffeine.
-Avoid all alcoholic beverages.
A nurse has a four-patient assignment in the medical step-down unit. When planning care for the
clients, which client would have the following treatment goals: fluid replacement, vasopressin
replacement, and correction of underlying intracranial pathology? - answer✔✔the client with
diabetes insipidus
The nurse and parents plan for the discharge of a child with leukemia who is receiving
dactinomycin and vincristine. Which intervention should the nurse include in the teaching plan? -
answer✔✔Encourage increased fluid intake.
Following the acute stage of diverticulosis, which foods should the nurse encourage a client to
incorporate into the diet? Select all that apply. - answer✔✔bran cereal
broccoli
Passpoint Review Exam Questions
With Verified Answers.
The nurse is caring for a client during the first 72 hours after thyroidectomy. The nurse should
assess for which signs of complications of this surgery? - answer✔✔carpal spasms and facial
numbness
A client is seen in the clinic for newly diagnosed hypothyroidism. Which topics should the nurse
include in a client teaching plan? Select all that apply. - answer✔✔-high-fiber, low-calorie diet
-use of stool softeners
-thyroid hormone replacements
A nurse is caring for a client who is disoriented to time, place, and person and is attempting to
get out of bed and pull out an intravenous line. The nurse receives orders from a health care
provider to apply a vest restraint and bilateral soft wrist restraints. In carrying out this order,
which nursing actions would be appropriate? Select all that apply. - answer✔✔-Perform a face-
to-face behavior evaluation every hour.
-Tie the restraints in quick-release knots.
-Document the client's condition.
-Document alternative methods used before the restraints were applied.
-Document the client's response to the intervention.
A school-age child with glomerulonephritis reports a headache and blurred vision. What
immediate action should the nurse take? - answer✔✔Obtain the child's blood pressure.
A client is placed on hypocalcemia precautions after removal of the parathyroid gland for cancer.
The nurse should observe the client for which symptoms? Select all that apply. - answer✔✔-
numbness
-tingling
-muscle twitching and spasms
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
A 35-year-old client is brought to the emergency department with second- and third-degree burns
over 15% of the body. Admission vital signs are blood pressure 100/50 mm Hg, heart rate 130
beats/minute, and respiratory rate 26 breaths/minute. Which nursing interventions are appropriate
for this client? Select all that apply. - answer✔✔-Begin an intravenous (I.V.) infusion of lactated
Ringer's solution.
-Administer 6 mg of IV morphine.
-Administer tetanus prophylaxis, as ordered.
The nurse is caring for a client with a serum sodium level of 128 mEq/L. Which order for
intravenous fluids should the nurse should question? - answer✔✔dextrose 5% in water (D5W)
A client has a tumor of the posterior pituitary gland. The nurse planning the client's care would
include which interventions? Select all that apply. - answer✔✔-Weigh the client daily.
-Measure urine specific gravity.
-Monitor intake and output.
A client undergoes a nephrectomy. In the immediate postoperative period, which nursing
intervention has the highest priority? - answer✔✔Assess urine output hourly.
An elderly client has been admitted to the medical-surgical unit from the postanesthesia care
unit. While the nurse is off the floor, the client falls out of bed and fractures the right leg and
right wrist. The nurse finding the client states, "The side rails were down and the bed was in the
high position." The client's family files legal charges against the nurse and the hospital. Which
charge most accurately reflects the nurse's actions? - answer✔✔negligence
A nurse is preparing to administer a unit of blood to a client with anemia. After its removal from
the refrigerator, the blood should be administered within: - answer✔✔4 hours.
In the emergency department, a client reveals to the nurse a lethal plan for dying by suicide and
agrees to a voluntary admission to the psychiatric unit. Which information would the nurse
discuss with the client to answer the question "How long do I have to stay here?" Select all that
apply. - answer✔✔-"You may leave the hospital at any time unless you're suicidal or homicidal
or unable to meet your basic needs."
-"Let's talk after the health care team has assessed you."
-"Because you have stated that you want to hurt yourself, you must be safe before being
discharged."
Which should be the nursing priority of care for a client exhibiting signs and symptoms of
coronary artery disease? - answer✔✔enhance myocardial oxygenation
Which client has a need for prophylactic antibiotic therapy prior to dental manipulations? -
answer✔✔the client who had an aortic valve replacement 5 years ago
, EXAM STUDY MATERIALS 8/7/2024 11:29 AM
The nurse is caring for a client that has a low potassium level. What medication(s) would the
nurse be concerned about administering to this client? Select all that apply. - answer✔✔-digoxin
-furosemide
The nurse is caring for a client with a gastrostomy tube. Fifteen minutes after a bolus feeding the
client experiences bloating, cramping, diarrhea, dizziness, diaphoresis, and weakness. What
action should the nurse take? - answer✔✔Contact the healthcare provider to alter the enteral
feeding prescription.
Following a transurethral resection of the prostate (TURP), a client is receiving a normal saline
0.9% irrigation solution at 200 mL/hour. The client has a peripheral IV running at 125 mL/hour
and has consumed 300 mL of water. After 8 hours, the nurse empties 3100 mL of fluid from the
Foley bag. What is the 8-hour urinary output for this client? Record the answer as a whole
number. - answer✔✔1500
The nurse should monitor the client with acute pancreatitis for which complication? -
answer✔✔pneumonia
Which safety measures would be most important to implement when caring for a client who is
receiving 2 units of packed red blood cells (PRBCs)? Select all that apply. - answer✔✔-Infuse a
unit of PRBCs in less than 4 hours.
-Stop the transfusion if a reaction occurs, but keep the line open.
-Inspect the blood bag for leaks, abnormal color, and clots.
The nurse is developing a care management plan with a client who has been diagnosed with
gastroesophageal reflux disease. What should the nurse instruct the client to do? Select all that
apply. - answer✔✔-Avoid a diet high in fatty foods.
-Avoid beverages that contain caffeine.
-Avoid all alcoholic beverages.
A nurse has a four-patient assignment in the medical step-down unit. When planning care for the
clients, which client would have the following treatment goals: fluid replacement, vasopressin
replacement, and correction of underlying intracranial pathology? - answer✔✔the client with
diabetes insipidus
The nurse and parents plan for the discharge of a child with leukemia who is receiving
dactinomycin and vincristine. Which intervention should the nurse include in the teaching plan? -
answer✔✔Encourage increased fluid intake.
Following the acute stage of diverticulosis, which foods should the nurse encourage a client to
incorporate into the diet? Select all that apply. - answer✔✔bran cereal
broccoli
