FINAL EXAM ROBERTO
1. The male client asks the nurse, “Why am I experiencing erectile dysfunction (ED)?” The
nurse reviews the client’s medications. The nurse recognizes that which classification
increases the risk for ED?
a. Non-steroidal anti-inflammatory
drugs. b. Antihypertensive medications.
c. Anticoagulant medications.
d. Histamine H2 inhibitors.
Answer: B
2. The nurses care for the client diagnosed with tuberculosis. Before discontinuing
airborne precautions, the nurse must confirm which?
a. The tuberculin skin test is negative
b. No acid-fast bacteria are in the sputum.
c. The client has received anti-tuberculin medication for three days.
d. The client’s temperature has returned to normal.
Answer: B
3. The risk management department plans a program to reduce errors. Which is the
most common cause of errors in medication administration?
a. Failure to follow routine policy and procedures.
b. Caring for too many clients.
c. Responsible for administering numerous medications.
d. Unfamiliar with monk of the new pharmaceuticals ordered.
Answer: A
4. The nurse prepared to administer buspirone 15 mg to the client. The nurse recognized
this medication is MOST appropriate for which client?
1. The 45 year old woman diagnosed with pancreatitis reporting nausea and vomiting.
2. The 27 year old woman diagnosed with panic attacks.
3. The 60 year old man diagnosed with coronary artery disease with a blood pressure
of 172/94.
4. The 38 year old man diagnosed with schizophrenia reporting auditory hallucinations.
Answer#2
5. The home care nurse instructs the client receiving long-term prednisone therapy.
Which information should the nurse include?
a. There is an increased risk for developing infections.
b. There is a resistance to developing infections.
c. The client should follow a high-protein diet.
d. There are changes in fat distribution over several areas of the
body. Answer: D
6. After receiving report from the evening shift charge nurse, which client should the nurse
see FIRST?
, 1. A 69-year –old diagnosed with chronic obstructive pulmonary disease requesting a
sleeping pill.
2. A 52-year old client diagnosed with pancreatitis reporting abdominal pain.
3. A 67-year old client diagnosed with pneumonia with a pulse oximeter reading of 88%
4. A 78 year old client diagnosed with coronary artery disease with a blood pressure of
155/88. Answer#3
SAO2 95-99%
7. The nurse cares for the client diagnosed with spinal cord injury at the level of T1. The nurse
notes the client is flushed and sweating profusely. The client reports a headache and nausea.
The vital signs are blood pressure 140/98 and heart rate 38 beats per minute. Which action
should the nurse take FIRST?
1. Administer antihypertensive
medication. 2. Palpate the client’s bladder.
3. Position the client in a supine position.
4. Place the client on a cardiac
monitor. Answer#2
ASSESS FIRST ;IPPA (she inspected and now palpate)
8. The nurse cares for the client just admitted to the surgical unit from recovery after a total hip
replacement. It is MOST important for the nurse to take which action?
1. Elevate the affected extremity on pillows.
2. Position the client in high Fowler’s position.
3. Place the client in Buck’s traction.
4. Position the client with the legs
abducted. Answer#4
ABDUCTION SPLINTER OR TWO PILLOWS BETWEEN LEGS
9. The nurse shows a teenager how to use a metered dose inhaler of ipratropium (Atrovent).
Which statement, if made by the client to the nurse, indicates teaching is effective?
1. “I should use this medicine to stop the coughing that leads to an asthma attack”
2. “I should use this medicine if I begin to have an asthma attack”
3. “I should use this medicine right after I have an asthma attack”
4. “I should use this medicine to prevent an asthma
attack” Answer#4
10. The nurse instructs the client about stable angina. The nurse determines teaching
is effective if the client makes which statement?
a. Angina pain usually feels like being stabbed with a knife
b. Each time I have angina, my heart is
damaged. c. My chest pain can occur if I
overexert myself.
d. If I have chest pain, then I’m probably having another heart attack.
Answer: C
11. The nurse on a medical-surgical unit received report. Which clients should the nurse
see FIRST?
1. The client diagnosed with heart failure and dementia trying to get out of bed.
1. The male client asks the nurse, “Why am I experiencing erectile dysfunction (ED)?” The
nurse reviews the client’s medications. The nurse recognizes that which classification
increases the risk for ED?
a. Non-steroidal anti-inflammatory
drugs. b. Antihypertensive medications.
c. Anticoagulant medications.
d. Histamine H2 inhibitors.
Answer: B
2. The nurses care for the client diagnosed with tuberculosis. Before discontinuing
airborne precautions, the nurse must confirm which?
a. The tuberculin skin test is negative
b. No acid-fast bacteria are in the sputum.
c. The client has received anti-tuberculin medication for three days.
d. The client’s temperature has returned to normal.
Answer: B
3. The risk management department plans a program to reduce errors. Which is the
most common cause of errors in medication administration?
a. Failure to follow routine policy and procedures.
b. Caring for too many clients.
c. Responsible for administering numerous medications.
d. Unfamiliar with monk of the new pharmaceuticals ordered.
Answer: A
4. The nurse prepared to administer buspirone 15 mg to the client. The nurse recognized
this medication is MOST appropriate for which client?
1. The 45 year old woman diagnosed with pancreatitis reporting nausea and vomiting.
2. The 27 year old woman diagnosed with panic attacks.
3. The 60 year old man diagnosed with coronary artery disease with a blood pressure
of 172/94.
4. The 38 year old man diagnosed with schizophrenia reporting auditory hallucinations.
Answer#2
5. The home care nurse instructs the client receiving long-term prednisone therapy.
Which information should the nurse include?
a. There is an increased risk for developing infections.
b. There is a resistance to developing infections.
c. The client should follow a high-protein diet.
d. There are changes in fat distribution over several areas of the
body. Answer: D
6. After receiving report from the evening shift charge nurse, which client should the nurse
see FIRST?
, 1. A 69-year –old diagnosed with chronic obstructive pulmonary disease requesting a
sleeping pill.
2. A 52-year old client diagnosed with pancreatitis reporting abdominal pain.
3. A 67-year old client diagnosed with pneumonia with a pulse oximeter reading of 88%
4. A 78 year old client diagnosed with coronary artery disease with a blood pressure of
155/88. Answer#3
SAO2 95-99%
7. The nurse cares for the client diagnosed with spinal cord injury at the level of T1. The nurse
notes the client is flushed and sweating profusely. The client reports a headache and nausea.
The vital signs are blood pressure 140/98 and heart rate 38 beats per minute. Which action
should the nurse take FIRST?
1. Administer antihypertensive
medication. 2. Palpate the client’s bladder.
3. Position the client in a supine position.
4. Place the client on a cardiac
monitor. Answer#2
ASSESS FIRST ;IPPA (she inspected and now palpate)
8. The nurse cares for the client just admitted to the surgical unit from recovery after a total hip
replacement. It is MOST important for the nurse to take which action?
1. Elevate the affected extremity on pillows.
2. Position the client in high Fowler’s position.
3. Place the client in Buck’s traction.
4. Position the client with the legs
abducted. Answer#4
ABDUCTION SPLINTER OR TWO PILLOWS BETWEEN LEGS
9. The nurse shows a teenager how to use a metered dose inhaler of ipratropium (Atrovent).
Which statement, if made by the client to the nurse, indicates teaching is effective?
1. “I should use this medicine to stop the coughing that leads to an asthma attack”
2. “I should use this medicine if I begin to have an asthma attack”
3. “I should use this medicine right after I have an asthma attack”
4. “I should use this medicine to prevent an asthma
attack” Answer#4
10. The nurse instructs the client about stable angina. The nurse determines teaching
is effective if the client makes which statement?
a. Angina pain usually feels like being stabbed with a knife
b. Each time I have angina, my heart is
damaged. c. My chest pain can occur if I
overexert myself.
d. If I have chest pain, then I’m probably having another heart attack.
Answer: C
11. The nurse on a medical-surgical unit received report. Which clients should the nurse
see FIRST?
1. The client diagnosed with heart failure and dementia trying to get out of bed.
