Question: A client newly diagnosed with cancer is scheduled to begin chemotherapy treatment and the nurse is providing anticipatory guidance about potential adverse effects. When addressing the most common adverse effect, what should the nurse describe?

Answer Options:
A. Confusion
B. Nausea and vomiting
C. Altered glucose metabolism
D. Pruritis (itching)

Answer: B — Nausea and vomiting

 

Question: The staff educator is teaching emergency department nurses about hypertensive crisis. The nurse educator should explain that hypertensive urgency differs from hypertensive emergency in which way?

Answer Options:
A. Hypertensive emergencies are associated with evidence of target organ damage
B. The blood pressure (BP) is always higher in a hypertensive emergency
C. Vigilant hemodynamic monitoring is required during treatment of hypertensive emergencies
D. Hypertensive urgency is treated with rest and benzodiazepines to lower BP

Answer: A — Hypertensive emergencies are associated with evidence of target organ damage

 

Question: During a shift assessment, the nurse is identifying the client’s point of maximum impulse (PMI). Where should the nurse best palpate the PMI?

Answer Options:
A. Left midclavicular line of the chest at the fifth intercostal space
B. Two to three centimeters to the left of the sternum
C. Midline between the xiphoid process and the left nipple
D. Left midclavicular line of the chest at the level of the nipple

Answer: A — Left midclavicular line of the chest at the fifth intercostal space

 

Question: The acute care nurse is providing care for an adult client who is in hypovolemic shock. The nurse recognizes that antidiuretic hormone (ADH) plays a significant role in this health problem. What assessment finding will the nurse likely observe related to the role of antidiuretic hormone during hypovolemic shock?

Answer Options:
A. Increased hunger
B. Decreased urinary output
C. Increased capillary perfusion
D. Decreased thirst

Answer: B — Decreased urinary output

 

Question: Which of the following does NOT qualify for a tax benefit associated with owning a home?

Answer Options:
Capital gain taxes from a sale of the property
Interest payed on the mortgage
Property taxes
Principal payed on the mortgage

Answer: Principal payed on the mortgage

 

Question: The nurse is developing a dietary teaching plan for a patient on a vegetarian diet. The nurse should provide further education when the patient gives examples of which protein-containing foods?

Answer Options:
A. Peanut butter & Jelly Sandwich
B. Nuts & Seeds
C. Dried beans
D. Bagel with cream cheese

Answer: D — Bagel with cream cheese

 

Question: The nurse is assessing a newly admitted medical client and notes there is a depression in the lower portion of the client’s sternum. This client’s health record should note the presence of what chest deformity?

Answer Options:
A. A barrel chest
B. A pigeon chest
C. A funnel chest
D. Kyphoscoliosis

Answer: C — A funnel chest

 

Question: A public health nurse is organizing a campaign that will address the leading cause of musculoskeletal-related disability. The nurse should focus on what health problem?

Answer Options:
A. Arthritis
B. Osteoporosis
C. Lower back pain
D. Hip fractures

Answer: C — Lower back pain

 

Question: A 45-year-old obese man arrives in a clinic reporting daytime sleepiness, difficulty going to sleep at night, and snoring. The nurse should recognize the manifestations of which health problem?

Answer Options:
A. Adenoiditis
B. Obstructive sleep apnea
C. Chronic tonsillitis
D. Laryngeal cancer

Answer: B — Obstructive sleep apnea

 

Question: Which of the following stores is most likely to be an anchor tenant?

Answer Options:
Starbucks
Apple
Shoe repair shop
McDonald’s

Answer: Apple

 

Question: Idioms and popular sayings

Answer Options:
• Should be interpreted word for word
• Should be interpreted with an equivalent
• Should be skipped when interpreting

Answer: B — Should be interpreted with an equivalent

 

Question: A client is being admitted to the neurologic ICU following an acute head injury that has resulted in cerebral edema. When planning this client’s care, the nurse would expect to administer what priority medication?

Answer Options:
A. Furosemide
B. Mannitol
C. Hydrochlorothiazide
D. Spironolactone

Answer: B — Mannitol

 

Question: FICO score is a measure of person’s credit riskiness. It takes into account many factors, including the history of credit payments.

Answer Options:
True
False

Answer: True

 

Question: Mortgage underwriting is ________.

Answer Options:
the recording the mortgage with the local government to establish legal ownership of the property.
the process lenders use to evaluate a borrower’s financial information and determine if they qualify for the loan.
the sale of a mortgage to investors on the secondary market to free up capital for the lender.
when the borrower and lender agree on the interest rate and finalize the loan terms.

Answer: the process lenders use to evaluate a borrower’s financial information and determine if they qualify for the loan.

 

Question: A nurse is caring for a client diagnosed with iron-deficiency anemia. Which of the following interventions would the nurse prioritize in comparison to other treatments, and what is the expected outcome of this intervention?

Answer Options:
A. Recommending a low-iron diet to avoid gastrointestinal discomfort
B. Administer ferrous sulfate as prescribed
C. Encouraging a high-protein diet immediately
D. Providing education on increasing fluid intake to flush out excess iron

Answer: B — Administer ferrous sulfate as prescribed

 

Question: Which of the following is NOT considered in the underwriting process of a mortgage?

Answer Options:
Friend’s and family’s ability to lend money
Capacity to pay
Credit worthiness
Collateral value

Answer: Friend’s and family’s ability to lend money

 

Question: A surgical nurse is preparing to enter the restricted zone of the operating room. Which surgical attire should this nurse wear?

Answer Options:
A. Scrub clothes
B. Shoe covers
C. Street clothes
D. Cap
E. Mask

Answer: A, B, D, E — Scrub clothes, Shoe covers, Cap, Mask

 

Question: A client with generalized anxiety disorder presents to the emergency room. The triage nurse notes the client is hyperventilating. The nurse is aware this is the most common cause of which acid-base imbalance?

Answer Options:
A. Metabolic acidosis
B. Increased PaCO₂
C. Respiratory alkalosis
D. Respiratory acidosis

Answer: C — Respiratory alkalosis

 

Question: Why is it inappropriate to take calls from a car?

Answer Options:
• It can be distracting and affect the quality of interpretation
• It violates confidentiality and professional standards
• Both a and b

Answer: C — Both a and b

 

Question: A surgical client has been in the PACU for the past 3 hours. What are the determining factors for the client to be discharged from the PACU? Select all that apply.

Answer Options:
A. Adequate respiratory function
B. Stable blood pressure
C. Sufficient oxygen saturation
D. Ability to tolerate oral fluids
E. Absence of pain

Answer: A, B, C — Adequate respiratory function, Stable blood pressure, Sufficient oxygen saturation

 

Question: Which of the following is NOT a type of mortgage

Answer Options:
conventional conforming mortgage
FHA mortgage
jumbo loan
personal mortgage

Answer: personal mortgage