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STUDY GUIDE EXAM
1 jmA jmnurse jmis jmproviding jmpreoperative jmteaching jmfor jman jmadolescent jmwho jmis
jmscheduled jmfor jma jmcardiac jmcatheterization. jmWhich jmof jmthe jmfollowing jminstructions
jmshould jmthe jmnurse jminclude?
a) jm"You jmcan jmresume jma jmregular jmdiet jm3 jmdays jmafter jmyour jmprocedure"
b) jm"You jmcan jmtake jma jmshower jm1 jmday jmafter jmyour jmprocedure"
c) jm"You jmcan jmbegin jmexercising jm2 jmdays jmafter jmyour jmprocedure"
d) jm"You jmcan jmreturn jmto jmschool jm1 jmweek jmafter jmyour jmprocedure" jm- jmANSWERS-b)
jmYou jmcan jmtake jma jmshower jm1 jmday jmafter jmyour jmprocedure
A jmnurse jmis jmcaring jmfor jma jmclient jmwho jmis jmpostoperative jmfollowing jma
jmhemicolectomy. jmWhich jmof jmthe jmfollowing jmis jma jmsubjective jmindication jmthat jmthe
jmclient jmneeds jmPRN jmpain jmmedication?
A. jmThe jmclient's jmheart jmrate jmis jm110/min
B. jmThe jmclient jmis jmguarding jmtheir jmabdominal jmincision
C. jmThe jmclient jmexhibits jmfacial jmgrimacing.
D. jmThe jmclient jmreports jmpain. jm- jmANSWERS-D. jmThe jmclient jmreports jmpain.
A jmnurse jmis jmassisting jmwith jmthe jmadmission jmof jma jmclient jmwho jmhas jmmononucleosis.
jmWhich jmof jmthe jmfollowing jmisolation jmprecaution jmshould jmthe jmnurse jminitiate?
a) jmAirborne
b) jmDroplet
c) jmContact
d) jmProtective jmenvironment jm- jmANSWERS-c) jmContact
A jmnurse jmis jmcaring jmfor jma jmclient jmwho jmhas jma jmcast jmon jmtheir jmleft jmlower jmleg.
jmWhich jmof jmthe jmfollowing jmactions jmshould jmthe jmnurse jmtake?
A. jmMassage jmareas jmaround jmthe jmedge jmof jmthe jmclient's jmcast jmwith jmlotion
B. jmAvoid jmelevating jmthe jmextremity jmwhen jmthe jmclient jmis jmresting jmin jmbed
C. jmGive jmthe jmclient jma jmdull jmobject jmto jmscratch jmthe jmskin jmunder jmthe jmcast
D. jmTell jmthe jmclient jmto jmexpect jmnumbness jmin jmtheir jmtoes. jm- jmANSWERS-A.
jmMassage jmareas jmaround jmthe jmedge jmof jmthe jmclient's jmcast jmwith jmlotion
A jmnurse jmis jmreinforcing jmteaching jmabout jmhome jmcare jmwith jmthe jmparents jmof jma
jmchild jmwho jmhas jma jmseizure jmdisorder. jmWhich jmof jmthe jmfollowing jminstructions
jmshould jmthe jmnurse jminclude?
,a) jmCall jmEMS jmif jma jmseizure jmlasts jm5 jmmins jmor jmmore.
b) jmRestrain jmthe jmchild jmat jmthe jmonset jmof jmthe jmseizure
c) jmOffer jmthe jmchild jma jmbubble jmbath jmevery jmevening
d) jmPlace jmthe jmchild jmin jma jmprone jmposition jmduring jmseizure jm- jmANSWERS-a) jmCall
jmEMS jmif jma jmseizure jmlasts jm5 jmmins jmor jmmore.
A jmnurse jmis jmcaring jmfor jma jmclient jmwho jmwas jmrecently jmadmitted jmto jman jminpatient
jmmental jmhealth jmunit. jmThe jmnurse jmtells jmthe jmnurse jmthat jmhe jmis jmnot jmcoming jmout
jmof jmhis jmroom jmanymore jmbecause jmother jmclients jmon jmthe jmunit jmmake jmfun jmof jmhim.
jmWhich jmof jmthe jmfollowing jmresponses jmby jmthe jmnurse jmis jmappropriate?
A. jm"I jmthink jmyou jmshould jmjust jmignore jmthe jmothers."
B. jm"You jmfeel jmupset jmby jmthe jmresponses jmof jmothers."
C. jm"Let's jmkeep jmthe jmfocus jmof jmour jmdiscussion jmon jmyour jmneeds."
D. jm"Everything jmwill jmget jmbetter jmonce jmyou jmget jmto jmknow jmeveryone." jm-
jmANSWERS-B. jm"You jmfeel jmupset jmby jmthe jmresponses jmof jmothers."
A jmnurse jmis jmassisting jmwith jmthe jmcare jmof jman jmadolescent jmwho jmis jmscheduled jmfor
jmsurgery. jmWhich jmof jmthe jmfollowing jmactions jmshould jmthe jmnurse jmplan jmthe jmtake?
A. jmProvide jma jmtour jmof jmthe jmperioperative jmarea jmprior jmto jmsurgery.
B. jmExplain jmthat jmanesthesia jmis jma jmspecial jmtype jmof jmsleep.
C. jmWait jmuntil jmafter jmsurgery jmto jmexplain jmthe jmimportance jmof jmcoughing jmand jmdeep
jmbreathing.
D. jmKeep jmmedical jmequipment jmout jmof jmthe jmclient's jmsight. jm- jmANSWERS-A.
jmProvide jma jmtour jmof jmthe jmperioperative jmarea jmprior jmto jmsurgery.
A jmnurse jmis jmcollecting jmdata jmfrom jma jmchild jmwho jmhas jmacute jmglomerulonephritis.
jmWhich jmof jmthe jmfollowing jmfindings jmshould jmthe jmnurse jmexpect?
a) jmDecrease jmblood jmpressure
b) jmPale jmyellow jmurine
c) jmPeriorbital jmedema
d) jmIncrease jmurination jm- jmANSWERS-c) jmPeriorbital jmedema
A jmnewly jmlicensed jmnurse jmis jmhaving jmdifficulty jmfinishing jmclient jmcare jmtasks jmduring
jmtheir jmshift. jmWhich jmof jmthe jmfollowing jmtechniques jmshould jmthe jmnurse jmplan jmto jmuse
jmto jmassist jmwith jmtime jmmanagement?
a) jmDelegate jmcomplicated jmtasks jmto jman jmRN
b) jmDocument jmall jmclient jmcare jmat jmthe jmend jmof jmthe jmshift
c) jmPerform jmquick jmtasks jmbefore jmtime-consuming jmtasks
d) jmTry jmto jmcomplete jma jmtask jmbefore jmmoving jmon jmto jmthe jmnext jm- jmANSWERS-d)
jmTry jmto jmcomplete jma jmtask jmbefore jmmoving jmon jmto jmthe jmnext
A jmnurse jmis jmpreparing jma jmclient's jminsulin jmregimen. jmWhich jmof jmthe jmfollowing
jminsulins jmcan jmbe jmmixed? jm(Select jmall jmthat jmapply)
A. jmInsulin jmaspart
B. jmRegular jminsulin
C. jmInsulin jmglargine
D. jmInsulin jmdetemir
E. jmInsulin jmlispro jm- jmANSWERS-A. jmInsulin jmaspart
B. jmRegular jminsulin
E. jmInsulin jmlispro
,A jmnurse jmis jmcollecting jmdata jmfrom jman jm18-month-old jmtoddler jmat jma jmwell-child jmvisit.
jmWhich jmof jmthe jmfollowing jmfindings jmshould jmthe jmnurse jmreport jmto jmthe jmprovider?
a) jmThe jmtoddler jmcan jmremove jmher jmown jmsocks
b) jmThe jmtoddler jmhas jma jmsecurity jmblanket
c) jmThe jmtoddler jmcan jmsay jmfour jmwords
d) jmThe jmtoddler jmthrows jma jmball jmwithout jmfalling jm- jmANSWERS-c) jmThe jmtoddler jmcan
jmsay jmfour jmwords
A jmnurse jmis jmcaring jmfor jmseveral jmclients jmwho jmare jmreceiving jmwell-child jmcheck-ups.
jmThe jmnurse jmshould jmidentify jmthat jmthe jminitial jmdiphtheria, jmtetanus, jmand jmpertussis
jm(DTaP) jmvaccine jmis jmindicated jmfor jmwhich jmof jmthe jmfollowing jmclients?
a) jmA jm2-month-old jminfant
b) jmA jm4-month-old jminfant
c) jmA jm6-month-old jminfant
d) jmA jm15-month-old jmtoddler jm- jmANSWERS-a) jmA jm2-month-old jminfant
A jmnurse jmin jma jmmental jmhealth jmunit jmasks jma jmclient jmwho jmhas jmschizophrenia,
jm"How jmare jmyou?" jmWhich jmof jmthe jmfollowing jmresponses jmshould jmthe jmnurse
jmidentify jmas jmthe jmspeech jmalteration jmof jmecholalia?
a) jm"I jmam jmlovistrated"
b) jm"Super, jmTrooper, jmand jmduper"
c) jm"How jmare jmyou?"
d) jm"Pink jmspots jmin jmAfrica" jm- jmANSWERS-c) jm"How jmare jmyou?"
A jmnurse jmis jmcaring jmfor jman jmadolescent jmwho jmhas jman jmallergy jmto jmpenicillin.
jmWhich jmof jmthe jmfollowing jmprescriptions jmshould jmthe jmnurse jmclarify jmwith jmthe
jmprovider?
a) jmDoxycycline
b) jmVibramycin
c) jmCefazolin
d) jmGentamicin jm- jmANSWERS-c) jmCefazolin
. jmA jmnurse jmis jmreinforcing jmdischarge jmteaching jmwith jma jmclient jmwho jmis
jmpostoperative jmfollowing jmlaser jmsurgery jmfor jmopen-angel jmglaucoma. jmWhich jmof
jmthe jmfollowing jmstatements jmby jmthe jmclient jmindicates jman jmunderstanding jmof jmthe
jminstructions?
A. jm"I jmwill jmtake jma jmstool jmsoftener jmto jmprevent jmconstipation."
B. jm"I jmwill jmask jmto jmwork jmthe jmnight jmshift, jmso jmI jmwill jmnot jmbe jmdriving jmin jmbright
jmsunlight."
C. jm"I jmwill jmneed jmto jmuse jmmy jmeye jmdrops jmfor jm1 jmyear."
D. jm"I jmwill jmneed jmto jmfollow jma jmlow-protein jmdiet." jm- jmANSWERS-A. jm"I jmwill jmtake jma
jmstool jmsoftener jmto jmprevent jmconstipation."
A jmnurse jmis jmcaring jmfor jma jmclient jmwho jmis jmrecovering jmfrom jmelectroconvulsive
jmtherapy. jmWhich jmof jmthe jmfollowing jmfindings jmshould jmthe jmnurse jmidentify jmas jman
jmadverse jmeffect jmof jmthe jmtreatment?
a) jmCough
b) jmConfusion
c) jmHoarseness
, d) jmTingling jmof jmthe jmscalp jm- jmANSWERS-b) jmConfusion
A jmnurse jmis jmreinforcing jmteaching jmabout jmconfidentiality jmwith jma jmclient. jmWhich jmof
jmthe jmfollowing jmstatements jmshould jmthe jmnurse jminclude jmin jmthe jmteaching?
A. jm"Your jmnurse jmwill jmprovide jminformation jmabout jmthe jmrisks jmand jmbenefits jmof
jmsurgical jmprocedures."
B. jm"Only jmhealth jmcare jmstaff jmproviding jmcare jmwill jmsee jmyour jmmedical jmrecord."
C. jm"The jmprovider jmmust jmgrant jmyou jmaccess jmto jmyour jmpersonal jmhealth
jminformation."
D. jm"You jmhave jmto jmauthorize jmour jmproviders jmto jmprescribe jmtreatments jmfor jmyour
jmcondition." jm- jmANSWERS-B. jm"Only jmhealth jmcare jmstaff jmproviding jmcare jmwill jmsee
jmyour jmmedical jmrecord."
A jmnurse jmis jmreinforcing jmteaching jmwith jma jmnewly jmlicensed jmnurse jmabout jmHIPAA
jmPrivacy jmRule. jmWhich jmof jmthe jmfollowing jmstatements jmby jmthe jmnewly jmlicensed
jmnurse jmindicates jman jmunderstanding jmof jmthe jmteaching?
a) jm"The jmactual jmmedical jmrecord jmbelongs jmto jmthe jmclient"
b) jm"A jmclient's jmmedical jmrecord jminformation jmremains jmconfidential, jmeven jmduring
jman jmemergency"
c) jm"If jmthe jmclient jmdies, jmtheir jmfamily jmreceives jmtheir jmmedical jmrecord"
d) jm"A jmclient jmhas jmthe jmright jmto jmview jmtheir jmmedical jmrecord" jm- jmANSWERS-b) jm"A
jmclient's jmmedical jmrecord jminformation jmremains jmconfidential, jmeven jmduring jman
jmemergency"
A jmnurse jmis jmcaring jmfor jman jmolder jmadult jmclient jmwho jmis jmpostoperative jmfollowing jma
jmtotal jmhip jmarthroplasty. jmThe jmnurse jmis jmpreparing jmto jmchange jmthe jmclient's
jmsurgical jmdressing. jmWhich jmof jmthe jmfollowing jmactions jmshould jmthe jmnurse jmtake jmto
jmdemonstrate jmsensitivity jmto jmage-related jmchanges?
A. jmAsk jmthe jmclient jmto jmhelp jmwith jmthe jmdressing jmchange.
B. jmWait jmfor jmthe jmclient jmto jmapproach jmthe jmnurse jmfor jmassistance.
C. jmUse jmpaper jmtape jmfor jmsecuring jmthe jmnew jmdressing.
D. jmApply jmthe jmdressing jmloosely jmover jmthe jmincision. jm- jmANSWERS-C. jmUse jmpaper
jmtape jmfor jmsecuring jmthe jmnew jmdressing.
A jmnurse jmis jmcollecting jmdata jmfrom jma jmnewly jmadmitted jmclient. jmWhich jmof jmthe
jmfollowing jmquestions jmshould jmthe jmnurse jmask jmto jmassess jmthe jmclient's jmabstract
jmthinking jmability?
A. jm"Who jmis jmthe jmcurrent jmPresident jmof jmthe jmUnited jmStates?"
B. jm"What jmdose jmthe jmphrase jm'butterflies jmin jmmy jmstomach' jmmean?"
C. jm"Can jmyou jmcount jmbackward jmfrom jm20 jmto jm1?"
D. jm"Can jmyou jmdraw jma jmclock jmthat jmshows jmthe jmhands jmat jm4:30?" jm- jmANSWERS-B.
jm"What jmdose jmthe jmphrase jm'butterflies jmin jmmy jmstomach' jmmean?"
A jmnurse jmis jmcaring jmfor jma jmclient jmwho jmhas jmnew jmcolostomy. jmThe jmclient jmtells jmthe
jmnurse, jm"I jmdon't jmwant jmanyone jmto jmsee jmme jmwith jmthis jmbag." jmWhich jmof jmthe
jmfollowing jmresponses jmshould jmthe jmnurse jmmake?
A. jm"Many jmpeople jmhave jmcolostomies jmand jmthey jmlive jmfull jmlives."
B. jm"Would jmit jmhelp jmto jmspeak jmwith jmsomeone jmelse jmwho jmhas jmcolostomy?"
C. jm"Why jmdon't jmyou jmwant jmpeople jmto jmsee jmthe jmcolostomy jmbag?"