PN1 Final Exam Review
1. Which dietary adjustments does the nurse recommend to an older adult client asking
what changes she should institute to prevent or manage constipation?
- Include plenty of fiber
2. The strategy to avoid medication errors endorsed by the Institute for Safe Medication
Practices (ISMP) to differentiate products with look-alike names is referred to as
- tallman lettering
3. A home care nurse receives a physician order for a medication that the patient does not
want to take because the patient has a history of side effects from this medication. The
nurse carefully listens to the patient, considers it in light of the patient's condition,
questions its appropriateness, and examines alternative treatments. This nurse would
most likely
- call the physician, explain rationale, and suggest a different medication
4. A nurse is caring for a client with stress incontinence. The nurse knows that which effect
could have led to such a condition?
- Loss of muscle tone
5. A client will be undergoing palliative surgery. The client's daughter asks what this
means. What is the nurse's best response?
- "The surgery will relieve the symptoms but will not cure your father."
6. The nursery nurse identifies a newborn at significant risk for hypothermic alteration in
thermoregulation because the patient is
- low birth weight
,7. The priority nursing intervention for a patient suspected to be hypothermic would be to
- remove wet clothes
8. The pediatric clinic nurse has just administered a dose of Haemophilus influenzae type B
(Hib) vaccine to a child. The nurse explains to the parents that they can expect which
type of local reaction following the injection?
- Pain or redness at site
9. A nurse is preparing to transfer a client from lying in bed to sitting in a chair. When
identifying the safest method of transfer, which of the following is most important for
the nurse to determine?
- The client's current weight-bearing status
10. A client with tuberculosis asks the nurse if visitors will need to wear masks. What
response by the nurse is most accurate?
- "Everyone who enters your room must wear a mask to protect themselves from
tuberculosis."
11. The nurse is removing personal protective equipment (PPE). Which item should be
removed first?
- Gloves
12. For a client with a nursing diagnosis of excess fluid volume, the nurse is alert to which
one of the following signs and symptoms?
- Hypertension
13. The nurse is caring for a client in the post-anesthesia care unit (PACU) 2 hours after
abdominal surgery. The nurse auscultates the client's abdomen and notes that there are
no bowel sounds. What action does the nurse take?
, - Document the finding and continue to monitor.
14. Which of the following is false regarding state licensure laws?
- Licensure is not necessary if the individual has completed training.
15. A client enters the emergency department (ED) with an injury to the wrist. In
assessment, the nurse notes that the area is red, warm, and edematous. What is the
nurse's best action?
- Assess circulation and elevate the extremity.
16. The nurse is instructing a client how to appropriately dress an infant in cold weather.
Which of the following instructions would be most important for the nurse to include?
- "Place a cap on the infant's head."
17. Before the nurse brings the client to the operating room (OR) for knee surgery, the
client reports to the nurse that he did not mark the operative knee with the surgeon.
What is the priority action of the nurse?
- Call the surgeon to mark the site with the client before transfer to the OR.
18. The nurse is working on a plan of care with her patient which includes turning and
positioning and adequate nutrition to help the patient maintain intact skin integrity. The
nurse helps the patient to realize that this breaks the chain of infection by eliminating a
- portal of entry
19. The nurse is identifying diagnoses appropriate for a client scheduled for a surgical
procedure. Which of the following is a diagnosis commonly used for preoperative client?
- Anxiety
1. Which dietary adjustments does the nurse recommend to an older adult client asking
what changes she should institute to prevent or manage constipation?
- Include plenty of fiber
2. The strategy to avoid medication errors endorsed by the Institute for Safe Medication
Practices (ISMP) to differentiate products with look-alike names is referred to as
- tallman lettering
3. A home care nurse receives a physician order for a medication that the patient does not
want to take because the patient has a history of side effects from this medication. The
nurse carefully listens to the patient, considers it in light of the patient's condition,
questions its appropriateness, and examines alternative treatments. This nurse would
most likely
- call the physician, explain rationale, and suggest a different medication
4. A nurse is caring for a client with stress incontinence. The nurse knows that which effect
could have led to such a condition?
- Loss of muscle tone
5. A client will be undergoing palliative surgery. The client's daughter asks what this
means. What is the nurse's best response?
- "The surgery will relieve the symptoms but will not cure your father."
6. The nursery nurse identifies a newborn at significant risk for hypothermic alteration in
thermoregulation because the patient is
- low birth weight
,7. The priority nursing intervention for a patient suspected to be hypothermic would be to
- remove wet clothes
8. The pediatric clinic nurse has just administered a dose of Haemophilus influenzae type B
(Hib) vaccine to a child. The nurse explains to the parents that they can expect which
type of local reaction following the injection?
- Pain or redness at site
9. A nurse is preparing to transfer a client from lying in bed to sitting in a chair. When
identifying the safest method of transfer, which of the following is most important for
the nurse to determine?
- The client's current weight-bearing status
10. A client with tuberculosis asks the nurse if visitors will need to wear masks. What
response by the nurse is most accurate?
- "Everyone who enters your room must wear a mask to protect themselves from
tuberculosis."
11. The nurse is removing personal protective equipment (PPE). Which item should be
removed first?
- Gloves
12. For a client with a nursing diagnosis of excess fluid volume, the nurse is alert to which
one of the following signs and symptoms?
- Hypertension
13. The nurse is caring for a client in the post-anesthesia care unit (PACU) 2 hours after
abdominal surgery. The nurse auscultates the client's abdomen and notes that there are
no bowel sounds. What action does the nurse take?
, - Document the finding and continue to monitor.
14. Which of the following is false regarding state licensure laws?
- Licensure is not necessary if the individual has completed training.
15. A client enters the emergency department (ED) with an injury to the wrist. In
assessment, the nurse notes that the area is red, warm, and edematous. What is the
nurse's best action?
- Assess circulation and elevate the extremity.
16. The nurse is instructing a client how to appropriately dress an infant in cold weather.
Which of the following instructions would be most important for the nurse to include?
- "Place a cap on the infant's head."
17. Before the nurse brings the client to the operating room (OR) for knee surgery, the
client reports to the nurse that he did not mark the operative knee with the surgeon.
What is the priority action of the nurse?
- Call the surgeon to mark the site with the client before transfer to the OR.
18. The nurse is working on a plan of care with her patient which includes turning and
positioning and adequate nutrition to help the patient maintain intact skin integrity. The
nurse helps the patient to realize that this breaks the chain of infection by eliminating a
- portal of entry
19. The nurse is identifying diagnoses appropriate for a client scheduled for a surgical
procedure. Which of the following is a diagnosis commonly used for preoperative client?
- Anxiety
