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1. The nurse is providing teaching to a client with type 2 B Get an eye examina-
diabetes mellitus about important points for disease tion with an ophthalmolo-
and symptom management. Which statement by the gist annually.
client indicates understanding?
A Using salt, herbs, and spices will improve the flavor
of foods.
B Get an eye examination with an ophthalmologist
annually.
C Arrange diet schedule around three regular meals a
day.
D Inspect feet every month for ingrown nails, cuts, and
calluses.
2. The nurse is providing education to a client who ex- C Practice using muscle
periences recurrent levels of moderate anxiety to sit- relaxation techniques.
uations and perceived stress. In addition to infor-
mation about prescribed medication and administra-
tion, which instruction should the nurse include in the
teaching?
A Center attention on positive upbeat music.
B Find outlets for more social interaction.
C Practice using muscle relaxation techniques.
D Think about reasons the episodes occur.
3. The charge nurse is planning for the shift and has a C A 30-year-old depressed
registered nurse (RN) and a practical nurse (PN) on the client who admits to sui-
team. Which client should the charge nurse assign to cide ideation.
the RN?
A A 75-year-old client with renal calculi who requires
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urine straining.
B A 64-year-old client who had a total hip replacement
the previous day.
C A 30-year-old depressed client who admits to suicide
ideation.
D An adolescent with multiple contusions due to a fall
that occurred 2 days ago.
4. A client with pancreatitis complains of severe epigas- B Position bedside table
tric pain, so the nurse administers a prescribed nar- so the client can lean
cotic analgesic. Ten minutes later, the client insists on across it.
sitting up and leaning forward. Which intervention
should the nurse implement?
A Raise head of bed until to a 90 degree angle.
B Position bedside table so the client can lean across
it.
C Place bed in a reverse trendelenburg position.
D Encourage rest until the analgesic becomes effec-
tive.
5. The nurse is caring for a client who arrives to the D Start two large bore IV
emergency department with reports of experiencing catheters and review in-
dizziness and difficulty walking to the bathroom. The clusion criteria for IV fibri-
nurse observes right-sided weakness and sluggish nolytic therapy.
enunciation of speech. The nurse should immediately
take which action?
A Maintain elevated positioning of the dependent
joints on affected side.
B Keep the bed in the lowest position and initiate
seizure and fall precautions.
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C Place an indwelling urinary catheter and measure
strict intake and output.
D Start two large bore IV catheters and review inclu-
sion criteria for IV fibrinolytic therapy.
6. A male client with a brain tumor is scheduled for a D Explain the postictal
biopsy in the morning. During the admission proce- state that usually follows
dure, the client has a tonic-clonic seizure that lasts 50 seizures.
seconds. Following the seizure, the client is lethargic
and confused and his wife tells the nurse that her hus-
band has never had a seizure before and has always
been alert and communicative. Which action should
the nurse take?
A Ask the wife to wait outside the room until the nurse
can talk with her.
B Keep orienting the client to time and space until he
is less confused.
C Notify the emergency response team of the client's
seizure.
D Explain the postictal state that usually follows
seizures.
7. The nurse is providing lifestyle change education for B Eat more canned veg-
a client to slow the progression of coronary artery etables.
disease. Which statement(s)made by the client should C Consume foods with
the nurse recognize as needing additional education? saturated fats.
(Select all that apply.)
A Keep a food diary.
B Eat more canned vegetables.
C Consume foods with saturated fats.
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D Walk 30 minutes per day.
E Include oatmeal for breakfast.
F Use a salt substitute.
8. While caring for a toddler receiving oxygen via face A Use a water soluble lu-
mask, the nurse observes that the child's lips and bricant on affected oral
nares are dry and cracked. Which intervention should and nasal mucosa.
the nurse implement?
A Use a water soluble lubricant on affected oral and
nasal mucosa.
B Use a topical lidocaine analgesic for cracked lips.
C Ask the mother what she usually uses on the child's
lips and nose.
D Apply a petroleum jelly to the child's nose and lips.
9. When assessing a multigravida on the first postpar- D Check for a distended
tum day, the nurse finds a moderate amount of lochia bladder.
rubra, with the uterus firm, and three fingerbreadths
above the umbilicus. What action should the nurse
implement first?
A Increase intravenous infusion.
B Massage the uterus to decrease atony.
C Review the hemoglobin to determine hemorrhage.
D Check for a distended bladder.
10. The nurse is caring for a client on the first day post- B Electrocardiogram ST
operative for a descending aortic aneurysm repair. segment elevation.
Which assessment finding should the nurse prioritize
reporting to the healthcare provider?
Reference Range