COMPREHENSIVE EXAM 6.0
1. Question
Category: Physiological Adaptation
The client with suspected meningitis is admitted to the unit. The doctor is performing an assessment
to determine meningeal irritation and spinal nerve root inflammation. A positive Kernig’s sign is
charted if the nurse notes:
A. Pain on flexion of the hip and knee
B. Nuchal rigidity on flexion of the neck
C. Pain when the head is turned to the left side
D. Dizziness when changing positions
2. Question
Category: Psychosocial Integrity
The client with Alzheimer’s disease is being assisted with activities of daily living when the nurse
notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is
exhibiting:
A. Agnosia
B. Apraxia
C. Anomia
D. Aphasia
3. Question
Category: Psychosocial Integrity
The client with dementia is experiencing confusion late in the afternoon and before bedtime. The
nurse is aware that the client is experiencing what is known as:
A. Chronic fatigue syndrome
B. Normal aging
C. Sundowning
D. Delusions
,4. Question
Category: Psychosocial Integrity
The client with confusion says to the nurse, “I haven’t had anything to eat all day long. When are they
going to bring breakfast?” The nurse saw the client in the day room eating breakfast with other
clients 30 minutes before this conversation. Which response would be best for the nurse to make?
A. "You know you had breakfast 30 minutes ago."
B. "I am so sorry that they didn’t get you breakfast. I’ll report it to the charge nurse."
C. "I’ll get you some juice and toast. Would you like something else?"
D. "You will have to wait a while; lunch will be here in a little while."
5. Question
1 point(s)
Category: Pharmacological and Parenteral Therapies
The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer’s disease. Which side
effect is most often associated with this drug?
A. Urinary incontinence
B. Headaches
C. Confusion
D. Nausea
6. Question
Category: Reduction of Risk Potential
A client is admitted to the labor and delivery unit in active labor. During the examination, the nurse
notes a papular lesion on the perineum. Which initial action is most appropriate?
A. Document the finding
B. Report the finding to the doctor
C. Prepare the client for a C-section
D. Continue primary care as prescribed
7. Question
Category: Physiological Adaptation
A client with a diagnosis of HPV is at risk for which of the following?
, A. Hodgkin’s lymphoma
B. Cervical cancer
C. Multiple myeloma
D. Ovarian cancer
8. Question
Category: Physiological Adaptation
During the initial interview, the client reports that she has a lesion on the perineum. Further
investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that
the most likely source of the lesion is:
A. Syphilis
B. Herpes
C. Gonorrhea
D. Condylomata
9. Question
Category: Physiological Adaptation
A client visiting a family planning clinic is suspected of having an STI. The best diagnostic test for
treponema pallidum is:
A. Venereal Disease Research Lab (VDRL)
B. Rapid plasma reagin (RPR)
C. Fluorescent treponemal antibody (FTA)
D. Thayer-Martin culture (TMC)
10. Question
Category: Reduction of Risk Potential
A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP syndrome. Which
laboratory finding is associated with HELLP syndrome?
A. Elevated blood glucose
B. Elevated platelet count
1. Question
Category: Physiological Adaptation
The client with suspected meningitis is admitted to the unit. The doctor is performing an assessment
to determine meningeal irritation and spinal nerve root inflammation. A positive Kernig’s sign is
charted if the nurse notes:
A. Pain on flexion of the hip and knee
B. Nuchal rigidity on flexion of the neck
C. Pain when the head is turned to the left side
D. Dizziness when changing positions
2. Question
Category: Psychosocial Integrity
The client with Alzheimer’s disease is being assisted with activities of daily living when the nurse
notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is
exhibiting:
A. Agnosia
B. Apraxia
C. Anomia
D. Aphasia
3. Question
Category: Psychosocial Integrity
The client with dementia is experiencing confusion late in the afternoon and before bedtime. The
nurse is aware that the client is experiencing what is known as:
A. Chronic fatigue syndrome
B. Normal aging
C. Sundowning
D. Delusions
,4. Question
Category: Psychosocial Integrity
The client with confusion says to the nurse, “I haven’t had anything to eat all day long. When are they
going to bring breakfast?” The nurse saw the client in the day room eating breakfast with other
clients 30 minutes before this conversation. Which response would be best for the nurse to make?
A. "You know you had breakfast 30 minutes ago."
B. "I am so sorry that they didn’t get you breakfast. I’ll report it to the charge nurse."
C. "I’ll get you some juice and toast. Would you like something else?"
D. "You will have to wait a while; lunch will be here in a little while."
5. Question
1 point(s)
Category: Pharmacological and Parenteral Therapies
The doctor has prescribed Exelon (rivastigmine) for the client with Alzheimer’s disease. Which side
effect is most often associated with this drug?
A. Urinary incontinence
B. Headaches
C. Confusion
D. Nausea
6. Question
Category: Reduction of Risk Potential
A client is admitted to the labor and delivery unit in active labor. During the examination, the nurse
notes a papular lesion on the perineum. Which initial action is most appropriate?
A. Document the finding
B. Report the finding to the doctor
C. Prepare the client for a C-section
D. Continue primary care as prescribed
7. Question
Category: Physiological Adaptation
A client with a diagnosis of HPV is at risk for which of the following?
, A. Hodgkin’s lymphoma
B. Cervical cancer
C. Multiple myeloma
D. Ovarian cancer
8. Question
Category: Physiological Adaptation
During the initial interview, the client reports that she has a lesion on the perineum. Further
investigation reveals a small blister on the vulva that is painful to touch. The nurse is aware that
the most likely source of the lesion is:
A. Syphilis
B. Herpes
C. Gonorrhea
D. Condylomata
9. Question
Category: Physiological Adaptation
A client visiting a family planning clinic is suspected of having an STI. The best diagnostic test for
treponema pallidum is:
A. Venereal Disease Research Lab (VDRL)
B. Rapid plasma reagin (RPR)
C. Fluorescent treponemal antibody (FTA)
D. Thayer-Martin culture (TMC)
10. Question
Category: Reduction of Risk Potential
A 15-year-old primigravida is admitted with a tentative diagnosis of HELLP syndrome. Which
laboratory finding is associated with HELLP syndrome?
A. Elevated blood glucose
B. Elevated platelet count
