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Test Taking Strategies

Please apply what you have learned from the Test Taking Strategies Webinar. Do well.

Remember! Ask yourself:

What type of question is this? Priority, who to see first, delegation ect....

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Question 1 of 10

A client who is alert and responsive was admitted directly from the physician's office with a diagnosis to rule-out acute myocardial infarction. Of the following alterations found on the initial assessment, which is of greatest concern to the nurse?

A

Blood pressure supine is 138/76

B

Respirations are 28 and labored.

C

Temperature is 99.8 degrees F

D

There are infrequent missed apical beats.

Question 2 of 10

A postpartum client who delivered 3 hours ago states, “I feel all wet underneath.” Which of the following should be the initial action of the nurse?

A

Determine when she last voided.

B

Ask the client to rate her pain on a 1–10 scale.

C

Perform perineal care.

D

Have the client roll over to assess her lochia flow.

Question 3 of 10

The nurse is administering nitrogen mustard (Mustargen) and notes swelling at the intravenous (IV) site. The nurse should take which of the following actions initially?

A

Continue with infusion after trying to aspirate for a blood return.

B

Stop administration and attempt to aspirate.

C

Flush the line with saline.

D

Obtain a new site for drug administration.

Question 4 of 10

The client has just had emergency intubation for respiratory distress. Immediately after endotracheal tube insertion, which of the following actions by the nurse is most appropriate?

A

Tape the tube securely in place

B

Assess for bilateral breath sounds.

C

Call for a chest x-ray to determine placement.

D

Assure the client that alternative communication means will be provided.

Question 5 of 10

A client with a closed chest drainage system tries to get out of bed alone and disconnects the chest tube from the drainage system, which falls on the floor. Which of the following actions should the nurse take first upon entering the client's room?

A

Submerge the tube in sterile water or saline.

B

Set up and attach a new closed chest drainage system.

C

Assess the client's respiratory status.

D

Check the client's pulse and blood pressure.

Question 6 of 10

A postpartum client delivered by cesarean 2 days ago. While assessing the client's incision, the nurse notes that the skin edges around the incision are red, edematous, and tender to the touch. A scant amount of purulent drainage is noted. What is the most appropriate initial action by the nurse?

A

Cleanse the wound with betadine.

B

Notify the physician.

C

Document this expected response

D

Observe the incision closely for the next 24–48 hours.

Question 7 of 10

The nurse has finished reviewing the shift report on a cardiac unit. The nurse should plan to see which of the following assigned clients first?

A

A client with hypertrophic cardiomyopathy who is reporting dyspnea

B

A client who had a cardiac catheterization and will be ambulating for the first time

C

A client receiving antibiotics for bacterial endocarditis who is reporting anxiety and chest pain

D

A client who is recovering from coronary artery bypass grafting (CABG) surgery with a temperature of 101 degrees F

Question 8 of 10

When beginning to present information about heart disease to a client newly diagnosed with heart disease, which of the following is most important for the nurse to do first?

A

Find out what client knows or has heard about the disorder

B

Consult with physician to determine content based on individual severity of disease

C

Have family member or significant other present who can reinforce diet and exercise tips

D

Proceed from simple to complex concepts when discussing pathophysiology

Question 9 of 10

The nurse determines that which of the following clients in the infertility clinic needs to be seen first?

A

A 27-year-old woman being seen for an initial infertility exam

B

A 34-year-old man in for semen analysis results

C

A 32-year-old woman on Pergonal and HCG complaining of severe abdominal pain

D

A 30-year-old woman in for a pregnancy test following implantation of in vitro fertilization and GIFT

Question 10 of 10

The client with Guillain-Barré syndrome is complaining of shortness of breath and seems confused. The nurse should:

A

Call for the code team.

B

Suction the client's oropharynx.

C

Perform a mental status exam.

D

Auscultate breath sounds.

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