Exam 10: How to Take and Pass Tests

A client with a history of prolapsed mitral valve complains to the ER nurse that he is having palpitations (pounding heart) even at rest. Identify the discharge instructions by the nurse that are most effective in reducing future episodes of this symptom.

A psychiatric nurse employed in a busy outpatient psychiatric clinic notes that the foreign-born psychiatrist who covers the clinic in the afternoons regularly bills clients for 60-minute sessions that only last 30 to 40 minutes. Under the Federal False Claims Act, select what the nurse must report concerning the physician.

Identify the dietary teaching by the nurse that best promotes the comfort of a client in the late stages of cirrhosis who has ascites.

Select the best time for the nurse to administer a PRN dose of morphine sulfate, 5 mg IV, to a client who is experiencing leg pain after an open reduction for a fractured femur.

Identify the intervention by the nurse that would be most therapeutic for a client diagnosed with schizophrenia who has delusions about extraterrestrial spacecraft invading the earth.

An 8-year-old girl is brought by her mother to the outpatient clinic with complaints of abdominal cramping and greenish diarrhea. A diagnosis of shigellosis is made after a stool culture. Identify the discharge instruction by the nurse that best explains the requirement for enteric precautions at home.

Prior to discharge, a client diagnosed with a gastric ulcer is given prescriptions for cimetidine (Tagamet) and aluminum-magnesium complex (Riopan). Identify the instructions that the nurse should emphasize to the client about these two medications.

A 22-year-old man who is diagnosed with obsessive-compulsive disorder (OCD) that includes a compulsion to check all faucets to make sure they do not drip is hospitalized when he is no longer able to function at home or work due to his behavior. In the psychiatric unit, his actions consume a major part of his waking hours, and often he misses meals and other scheduled activities. Identify the intervention by the nurse that is most likely to precipitate a panic attack in this client.

Using crisis intervention theory in the care of a 26-year-old woman who was raped 1 week ago, select the intervention by the nurse that best achieves successful treatment.

During a well-child visit to the clinic, the nurse notes that a 4-month-old girl is alert and responsive and has a positive Moro reflex. Identify the statement by the nurse to the mother about the child's growth and development that is most appropriate.

Choose the instructions to an elderly woman with osteoarthritis that best help her maintain normal activities of daily living (ADLs) and complete her usual household chores.

An HIV-positive client with pneumocystis carinii pneumonia (PCP) is confused and keeps removing the intravenous piggyback (IVPB) needle during the administration of his trimethoprim-sulfamethoxazole (Bactrim). Select the instructions by the charge RN to the LPN administering medications that would best rectify this situation.

The oxygen saturation on a client with acute infective bronchitis drops to 84%, and he develops severe dyspnea. There is a standing order for a handheld nebulizer (HHN) treatment PRN for shortness of breath, and respiratory therapy is designated to give all respiratory treatments in the facility. When the nurse calls the respiratory therapist, he states that he has several more treatments to give and should be there in 10 or 15 minutes. Select the action by the nurse that would be most appropriate at this time.

Select the instructions by the nurse that would best prevent postoperative complications in a client who has just undergone a stapedectomy for a bone-conduction hearing loss.

Identify the position in which an adult client in the recovery room should be placed when he or she complains of a sore throat and is lethargic after a tonsillectomy.

Select the medication that the ER nurse should give to an unconscious client experiencing a severe hypoglycemic reaction.

The parents of a 10-year-old boy ask the nurse about his acting-out behavior. Select the behavior that best identifies when a child this age requires professional help.

Select the statement by a unit manager to the vice president for nursing during a budget meeting that would be most effective in decreasing the staffing ratio on her unit from one nurse to nine clients to one nurse to seven clients.

A client's throat was sprayed with a topical local anesthetic prior to a bronchoscopy. Select the action that the nurse should take when the client returns from the procedure and has an absent gag reflex.

Identify the instructions by the nurse in charge of a diabetic clinic about exercises that are most effective in maintaining the cardiovascular system integrity of a newly diagnosed diabetic client.