Ati rn vati comprehensiveE

1. Arnurserisrcaringrforrarclientrwhorisrtakingralprazolam.rWhichrofrtherfollowingrprescriptionsrsh
ouldrthernurserclarifyrwithrtherprovider?
A. Digoxin
B. Lorazepam
C. Atomoxetine
D. Ceftriaxone
2. Arnurserisrassessingrarclientrwhorisrpostoperativerfollowingrabdominalrsurgery.rTherclientrst
atesr"Irfeelrlikermyrincisionrrippedropen"rthernursernotesrdehiscencerofrtherincision.rwhichrofrth
erfollowingractionsrshouldrthernursertake?
A.r Extendrtherclient’srlegsraboverheartrlevelrB.r
Placertherclientrinrlowrfowlersrposition.
C. InstructrtherclientrtorperformrtherValsalvarmaneuver
D. Applyrardryrgauzerdressingrtortherincision.
3. Arnurserisrcaringrforrarclientrwhorisrreceivingrradiationrtherapyrthroughrarsealedrimplant.rW
hichrofrtherfollowingractionsrshouldrthernursertake?
Wearrarleadrapronrwhenrprovidingrcarerforrtherclient.


4. ArnurserisrinsertingranrIVrcatheterrforrarclientrwhorrequiresrfluidrreplacement.rWhichrofrtherfoll
owingractionsrshouldrthernursertake?
A. Applyrthertourniquetr15cmr(6rin)rabovertherinsertionrsite
B. Checkrforrpulsationratrsitedrproximalrtorthertourniquet
C. Anchorrtherveinrbyrstretchingrtherskinr2.5rcmr(1rin)rproximalrtortherinsertionrsite
D. Wipertherskinrdryrbeforerinsertingrthercatheter
5. Arnurserisradministeringrmedicationsrtorarclientrwhorhasrdysphagiarandrarnewrprescriptionrfo
rrdivalproexrsodiumrextended-
releasertablets.rWhichrofrtherfollowingractionsrshouldrthernursertake?
Administerrthermedicationrwithrapplesauce


6. ArnurserisrcompletingrardietaryrassessmentrforrarclientrwhorisrJewishrandrobservesrkosherrdi
etaryrpractices.rWhichrofrtherfollowingrbehaviorsrwouldrthernurserexpectrtorfine?
A. LeavenedrbreadrmaybereatenrduringrPassover.

,B. Shellfishrisrcommonlyrconsumedrinrtherdiet.rC.r
Meatrandrdairyrproductsrarereatenrseparately.
D.r FastingrfromrmeatroccursrduringrHanukkah.
7. Arnurserisrassessingrarclientrwhorhasrminorrinjuriesrfollowingrarmotor-
vehiclercrashrandrappearsragitatedrandrapprehensive.rThernurseridentifiesrthatrtherclientrisrinrt
herarmrstagerofrgeneralradaptationrsyndromerandrshouldrexpectrwhichrofrtherfollowingrfinding
s.
Tachycardia


8. ArnurserisrcaringrforrarclientrwhorhasrarfemurrfracturerandrisronrbedrestrwithrBuck’srextensionrtrac
tion.rwhichrofrtherfollowingractionsrshouldrthernursertake?
A.r Inspectrtherclient’srskinrunderrtherdevicereveryr8rhours


9. Archargernurserisrcreatingrassignmentsrforrthernextrshiftrforrseveralrnursesrandronerofrthemrisrpre
gnant.rWhichrofrtherfollowingrclientsrshouldrtherchargernurserassignrtorarnurserwhorisrnotrpregnan
t?
A. Ar60-year-oldrclientrwhorisrrecoveringrfromrshingles
B. Ar20-year-oldrclientrwhorisrHIVrpositive
C. Ar40-year-oldrclientrwhorisrsuspectedrofrhavingrtuberculosis
D. Anr80-year-oldrclientrwhorhasralcoholicrpancreatitisrandrisrbeingrtreatedrforrimpetigo
10. Arnurserisrcaringrforrarclientrwhorhasrarpartialrlaryngectomyrandrisrreceivingrcontinuousrint
ernalrfeedingratr65rml/hrrthroughrargastrostomyrtube.rwhichrofrtherfollowingrfindingsrrequire
srimmediaterinterventionrbyrthernurse?
A. Thergastricrresidualrvolumerisr250rmLrfollowingrtworhoursrofrinfusion.rB.r
Therclientrisrlyingrinrarsupinerposition.
C. Therinfusionrpumprforradministeringrcontinuousrfeedingrisrturnedroff.
D. Interiorrfeedingrbagrandrtubingrarernotrdated.
11. Arnurserisrteachingrarclientraboutrsmokingrcessation.rWhichrofrtherfollowingrclientrst
atementsrshouldrthernurseridentifyrasranrunderstandingrofrtherteaching?
A. IfrIrstoprabruptlyrIrcannotruserarnicotinerreplacement.
B. Afterr6rmonths,rmyrriskrofrheartrdiseaserisrthersamerasrthatrofrarnonsmokerrC.r I
rwillrsetrarspecificrdatertorstoprsmoking


D.r Irwillruserhighrcarbohydratersnacksrasrarsubstituterforrcigarette.
12. Arnurserhasrbeenrcaringrforrarfemalerclientrwhorhasrbruisesronrherrarmsrthatrarerarresultrofr
physicalrabuserbyrherrpartner.rTherclientrstates,r"Irdon'trknowrhowrmuchrlongerrIrcanrtake

,this,rbutrI'mrafraidrhe'llrreallyrhurtrmerifrIrleave"rWhichrofrtherfollowingrisranrappropriaternursingr
intervention?
A. Assistrtherclientrtoridentityrpersonalrbehaviorsrthatrtriggerrabusiverbehavior
B. Insistrthatrtherclientrreportrtherabusiverbehaviorrtortherproperrauthority
C. Offerrtorspeakrtortherclient’srpartnerrregardingrhisrabusiverbehaviorrD.r
Helprtherclientrtorrecognizerthersignsrofrescalationrofrabusiverbehavior
13. Arclientrwhorisr8rhrrpostpartumrasksrthernurserifrsherwillrneedrtorreceiverRhrimmunerglobulin.
rTherclientrisrgravidr2,rparar2,randrherrbloodrtyperisrABrnegative.rThernewborn'srbloodrtyperisrBrPosi


tive.rWhichrofrtherfollowingrstatementsrisrappropriate?
A. "YouronlyrneedrtorreceiverRhrimmunerglobulinrifryourhaverarpositiverbloodrtype.r"rB.r
"YourshouldrreceiverRhrimmunerglobulinrwithinr72rhoursrofrdelivery."
C. "BothryourandryourrbabyrshouldrreceiverRhrimmunerglobulinratryourrweekrappointment."
D. "immunerglobulinrisrnotrnecessaryrsincerthisrisryourrsecondrpregnancy."
14. Arclientrhospitalizedrforrarbonermarrowrtransplantrisrinrprotectiverisolationrwhilerundergoingrtot
alrbodyrradiationrandrintenserchemotherapy.rTherclient’srsiblingrcomesrtorvisitrbutrhasrobviousrma
nifestationsrofranrupperrrespiratoryrinfection.rwhichrofrtherfollowingrnursingractionsrisrappropriate
ratrthisrtime?



A. Allowrthersiblingrtorwaveratrtherclientrthroughrtherwindowrorrdoor.
B. Allowrthersiblingrtorvisitrafterrdonningrarsterilergown,rmaskrandrgloves,rbutrprohibitrphysicalrco
ntact.
C.
D.
15. Arnurserisrplanningrcarerforrarclientrwhortakesrhaloperidolrforrthertreatmentrofrsc
hizophrenia.rwhichrofrtherfollowingrshouldrthernurserincluderinrtherplanrofrcare?
A. Monitorrther clientr forr hypothermiarB.
r Screenrtherclientrforrtardiverdyskinesia


C. Checkrtherclient’srweeklyrpotassiumrlevel
D. Schedulertherclientrforrar24hrrurinercollection
16. Arnurserisrperformingrarvisionrscreeningrforrarclient.rwhichrofrtherfollowingrfindingsrshouldrth
ernurseridentifyrasranrindicationrthatrtherclientrhasrcataracts?
A. Reportrofrarchronicrdullracherinrthereyes
B. Bilateralrrednessrofrthersclerae
C. Increasedropacityrofrtherlensrofrthereye
D. Reportrofrseeingrhalosraroundrlights

, 17. Arnurserisrcaringrforrarclientrwhorreportsrdifficultyrfallingrasleepratrnight.rWhichrofrtherfoll
owingractionsrshouldrthernursertake?
A. Encouragertherclientrtorambulaterinrtherhallwayr1rhrrbeforerbedtime
B. Tellrtherclientrtoravoidrdrinkingrfluidsr1rhrrbeforerbedtime
C. Schedulerroutinercarertasksrduringrhoursrwhenrtherclientrisrawake
D. Advisertherclientrtorleaverthertelevisionrinrtherroomronrwhenrtryingrtorfallrasleep
18. Arnurserisrprovidingrdischargerteachingrtorarclientrwhorisrpostpartumrandrplansrtorbreastfeed.r
whichrofrtherfollowingrshouldrthernurserrecommendrtherclientrincreasesrinrtheirrdietrduringrlactatio
n?
A. VitaminrD
B. Iron
C. VitaminrAr
D.r Calcium
19. Arnurserisrprovidingrnutritionalrcounselingrtortherparentsrofrartoddler.rWhichrofrtherfol
lowingrinstructionsrshouldrthernurserincluderinrtherteaching?
A.rOfferrsnacksrthroughoutrtherday


20. Arnurserisrassessingrarclient’srcardiovascularrsystem.rIdentifyrwhererthernursershouldrplacerth
erdiaphragmrofrtherstethoscopertorbestrhearrtherclosingrofrtheraorticrheartrvalve.r(Selectablerare
asrorrHotrSpots"rcanrberfoundrbyrmovingryourrcursorroverrtherartworkruntilrthercursorrchangesrap
pearance,rusuallyrintorarhand.rClickronlyronrtherHotrSpotrthatrcorrespondsrtoryourranswer.)
A.roptionrA




21. Arnurserisrplanningrtorperformrwoundrirrigationrforrarclientrwhorhasranropenrsecondaryrwo
und.rWhenrcreatingrarsterilerfield.rwhichrofrtherfollowingractionsrshouldrthernursertake?
A. Setruprthersterilerfieldr7.6rcmrbelowrwaistrlevel
B. Holdrtherbottlerofrsterilersolutionrwithrtherpalmroverrtherlabelrwhilerpouring