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Chapter One. Preparing for the National ... > Exam Prep Questions
Exam Prep Questions
| 1. | The client is scheduled for a glucose tolerance test. Place in ordered response the correct sequence for performance of this test.
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| 2. | The most important information for the nurse to have when planning care for the client with diabetes is the client’s
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| 3. | The nurse has just received the shift report. Which one of the following clients should be seen first?
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| 4. | Which client should receive a private room?
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| 5. | The nurse is making assignments for the day. The staff consist of an RN, an LPN, and a nursing assistant. Which client should be assigned to the nursing assistant?
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| 6. | The nurse knows that the client with peripheral vascular disease understands her instructions in ways to improve circulation if the client states
Tip Look at B and D in the previous question. These are similar answers. Remember that the answer that is different is most often correct. Answer C is the “odd answer” or the answer that is different. Walking will develop muscles and muscles support blood vessels. | |||||||||||||||
| 7. | Which action by the client indicates an acceptance of his recent amputation?
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| 8. | The client with cancer of the larynx is admitted to the unit with Acute Respiratory Distress Syndrome. Which nursing diagnosis should receive priority?
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| 9. | Treatment of sickle cell crises includes the application of:
Tip In the previous question, notice that A and B are opposites. | |||||||||||||||
| 10. | The client is admitted to the intensive care unit with severe chest pain. Which information provides the nurse with the most data that can be utilized in planning care?
Tip This is an umbrella answer. If you find one answer is included in another answer, that option is most often correct. |
Answer Rationales
| 1. | Answer: When placing in chronological order, the nurse should: 2. tell the client to increase the amount of carbohydrates for three days prior to the exam; 3. instruct the client to remain NPO after midnight the day of the exam; 4. obtain a fasting blood glucose level; 1. instruct the client to drink a 75 gm glucose solution; and 5. obtain a two-hour post-prandial glucose level. The candidate is asked to place answers in a logical sequence. Think about the natural order of the question. |
| 2. | Answer B is correct. The most objective answer is the blood glucose history. Answers A, C, and D are more subjective. This information is reported data. |
| 3. | Answer D is correct. There is nothing in answer A that indicates the client is unstable. Answer B is a good choice, but the client three days post-fracture may have a slight temperature, so he should be seen second. Answer C is also a good choice, but if the child is dehydrated, the hematocrit will be increased due to a decreased blood volume and hemoconcentration. |
| 4. | Answer is C is correct. Graves’s disease is hyperthyroidism. These clients have insomnia and any noise will wake them. Lack of sleep makes their condition worse. Answer B is a good choice, but if you answered B, you are reading into the question because the question does not say that the client should be placed in a room with any client who is infected with any microorganism. Answers A and D are vague answers; stay away from vague answers. The answer does not tell us if they are in the hospital for diagnostic studies or for complications of their diseases. |
| 5. | Answer A is correct. The client with laser surgery has three or four very small incisions. These clients’ vital signs become stable very quickly, and they are generally discharged within 12–24 hours. We are not, however, suggesting that the nursing assistant be assigned to obtain the post-operative vital signs. This should be done by the nurse. The registered nurse should obtain the first vital signs, and the licensed practical nurse may obtain the remaining vital signs. Answers B, C, and D are all more critical clients and should be assigned to a registered nurse. |
| 6. | Answer C is correct. Answer A is totally wrong. If this is done, a clot may be present that can become a pulmonary emboli. |
| 7. | Answer B is correct. Any time there is a change in body image, looking at the operative site is the best indicator of acceptance. |
| 8. | Answer A is correct. Remember the ABCs: Airway is always first. |
| 9. | Answer A is correct. Sickle cell anemia is an autosomal recessive trait found most commonly in African-American individuals. The treatment for this condition is heat, hydration, oxygenation, and pain relief. |
| 10. | Answer B is correct. Notice that the vital signs include a blood pressure. |
