Galen College of Nursing Practice Exam

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• A drug is ordered at 5 mg/kg. The patient weighs 70 kg. What is the dose?
• Which statement describes surgical asepsis?
• In Erikson's theory, which developmental stage is characterized by reflecting on life with a sense of fulfillment rather than regret?
• During a staff development conference on vitamins and minerals, which statement would require follow-up?
• Among four clients, which should the nurse assess first based on recent report of a Guillain‑Barré syndrome patient who has begun plasmapheresis?
• In the nursing process, which step follows planning?
• The ED nurse is assessing a toddler who swallowed bleach, and the parents report a tablespoon of Ipecac syrup was given. The priority action is which statement?
• In patient communication, open-ended questions are used to encourage patients to:
• Parents of a child diagnosed with sickle cell disease should be instructed to avoid which exposure?
• A charge nurse observes a nurse with unsteady gait, slurred speech, and a breath smell of alcohol after lunch. What is the priority action?
• Which statement describes the therapeutic index?
• In the scenario of a patient showing lip smacking during a seizure, what is the appropriate immediate action?
• Which step evaluates whether patient outcomes were achieved and care goals were met?
• Which postpartum finding is most urgent to assess first?
• A client scheduled for a myelogram should adhere to NPO instructions. Which statement demonstrates understanding?
• Which action demonstrates proper infection-control practice when changing a client's dressing?
• Which statement about the Numeric Rating Scale is correct?
• During a well‑child visit, a 3‑year‑old says, m Mommy, I love you. I am going to marry you. How should the nurse respond?
• Which adverse effects are commonly associated with prednisone therapy for ulcerative colitis?
• Which postoperative positioning is generally avoided for an above-knee amputation (AKA) patient in the first day?
• Which client would be a priority for initiating a multidisciplinary conference in community health?
• In the ED, a client is hallucinating with insects crawling on the skin, tachycardia, and a low respiratory rate; what is a priority assessment to guide treatment?
• What is the immediate nursing intervention for hypoglycemia (BG < 70 mg/dL)?
• Which electrolyte imbalance commonly accompanies metabolic acidosis?
• What is the targeted INR range for a patient on warfarin therapy for atrial fibrillation?
• Which is an example of a measurable, patient-centered goal?
• In a staff presentation on ethics, which example would be included as false imprisonment?
• A client with pulmonary tuberculosis is prescribed Rifampin, Isoniazid INH, Pyrazinamide Tebrazid, and Ethambutol Myambutol. The nurse should include in teaching that:
• What is the first level of Maslow's hierarchy of needs?
• Which step involves selecting nursing interventions to address diagnosed problems?
• During rounds, which observation would require intervention by the infection control nurse?
• During triage, the nurse should check first which client?
• Which action would require intervention due to patient confidentiality concerns?
• What is the primary purpose of sterile technique in nursing practice?
• Maintenance fluids at 44 mL/hr for 8 hours would total how many milliliters?
• What is the recommended daily calcium intake for most healthy adults?
• In SBAR communications, which component communicates the suggested action?
• When administering heparin, which nursing consideration is correct?
• In wound care for MRSA, which cleansing direction is correct?
• A nurse attended a staff development conference on Meniere's disease. Which statement, if made by the nurse, would require follow-up?
• A nurse from the pediatric unit has been temporarily assigned to the ED. Which client would be most appropriate for this nurse to care for first?
• Before a diagnostic procedure, which instruction demonstrates an appropriate understanding of pre-procedure preparation?
• A client taking bumetanide (Bumex) should include which food in the diet to help prevent electrolyte imbalance?
• A loop diuretic such as torsemide increases potassium excretion. To help prevent hypokalemia, the patient should be advised to increase intake of which foods?
• In the first phase of labor, which fetal heart rate value is within the normal range?
• What is the primary purpose of using sterile technique?
• What is the appropriate initial response by the nurse when abuse is suspected in a child?
• What is the normal fetal heart rate baseline range after 20 weeks gestation?
• Which nursing action would require intervention due to confidentiality concerns?
• Which scenario illustrates false imprisonment in a clinical setting?
• Which communication technique involves repeating back what the patient said to ensure understanding?
• Which statement would require follow-up in hospice care regarding religious/cultural practices?
• In an emergency, which is the highest priority in the ABCs?
• Which of the following best describes the risk that increases with polypharmacy in older adults?
• Given a blood pressure of 140/90 mm Hg, what is the pulse pressure?
• A 72-year-old client recently diagnosed with breast cancer expresses depression and asks, 'Why me?' According to Erikson, which developmental stage is the client experiencing?
• A nursing student plans to administer Maalox with Iron. The nurse should intervene if the student does which action?
• The nurse is caring for a client with a new colostomy. The stoma is red, moist, and raised. The nurse should do which action?
• A 2-month-old infant being evaluated for congenital hypothyroidism would have which finding as a consistent sign?
• Which task is appropriate to delegate to a certified nursing assistant (CNA)?
• On a maternity unit, a client states she cannot breastfeed because nipples are cracked and sore. What is the priority nursing action?
• Which statement best describes how the IV flow rate in mL/hr is calculated?
• Which nursing intervention reduces catheter-associated urinary tract infection (CAUTI) risk?
• For a gluten-free diet in a child with celiac disease, which item is gluten-free and generally safe?
• Which statement indicates a safety concern when a client on antihypertensive therapy says, 'I crush my verapamil SR to make it easier to swallow'?
• Which medications are commonly prescribed during acute exacerbations of ulcerative colitis?
• Which immunization is commonly given to protect adults against tetanus and diphtheria?
• Which activity should be assigned to a nursing assistant when caring for a group of clients?
• A client admitted with major depression has a risk for self-harm. What is a priority nursing action?
• A client diagnosed with rheumatoid arthritis is likely to be prescribed which class of medication?
• Which lab value is a primary indicator of kidney function?
• A 3‑year‑old child should typically participate in play in which setting?
• What is the normal arterial pH range?
• Which symptom would most strongly suggest hypokalemia in a client taking a loop diuretic?
• Informed consent is typically described as involving which statement?
• Which statement would require follow-up in hospice care regarding religious/cultural practices?
• Which medication class is most likely to cause QT interval prolongation?
• Which step of the nursing process involves identifying patient problems that nursing interventions can address?
• The acronym NPO means:
• Which electrolyte imbalance is commonly caused by diuretic use and presents with muscle cramps?
• Nonmaleficence is best described as which concept?
• Which action demonstrates proper technique when preparing for a continuous NG feeding?
• During triage, which patient should be assessed second?
• What is the normal adult respiratory rate range?
• A patient is being transported for an MRI and has a pulse oximeter attached. What is the priority nursing action?
• Which finding would support a diagnosis of coarctation of the aorta in a child?
• What are expected findings in a client with a cyanotic congenital heart defect?
• Which psychotherapy is commonly effective for depression?
• A client with left ventricular failure is assessed. Which finding would be consistent with this diagnosis?
• A client with ESRD is scheduled for hemodialysis in one hour. The nurse should notify the physician if the client has which potassium level?
• Reason for a high pressure alarm on a ventilator is which of the following?
• Which is the formula for calculating pulse pressure?
• Which screening test result would be most indicative of diabetes in an overweight adult with recurrent infections?
• Which action after transsphenoidal hypophysectomy would be a priority to monitor to prevent CSF leak?
• Which herbal remedy can be used effectively for soft tissue injuries?
• A client 12 hours after ORIF of a femoral fracture develops a small rash on the chest and neck. This finding should be prioritized for follow-up because it may indicate which?
• A client who had transsphenoidal hypophysectomy twelve hours ago is drinking fluids through a straw. This is a priority for the nurse to intervene.
• At a health promotion fair, which car seat statement indicates understanding of proper car seat safety?
• Which toy is appropriate for a child on protective precautions due to thrombocytopenia?
• The term for the use of clean technique to reduce risk of infection is called what?
• Which safety-focused nursing action is appropriate for a client diagnosed with major depression?
• Discharge instructions for a client prescribed digoxin would require follow-up if the client says which statement?
• A 45-year-old client with terminal cancer says, 'If God could let me live long enough to put my daughter through college…' This statement reflects which stage of grief?
• During staff preparation for neurological diagnostic testing, which statement would require follow-up?
• In an infant being evaluated for congenital hypothyroidism, which of the following would be a concerning sign?
• The nurse should initiate protective precautions for a client who has which white blood cell count?
• A patient with type 1 diabetes has an A1C level of 12%. This finding indicates what regarding long-term glycemic control?
• Which statement accurately describes why a four-drug regimen is prescribed for active tuberculosis?
• Four clients recently returned to the unit following invasive diagnostic testing. The nurse should immediately intervene if one of the clients is observed two hours after a cardiac catheterization. Which finding would prompt immediate assessment?
• Which isolation precaution is appropriate for a patient with VRE?
• Which statement indicates a need for further teaching about crutch walking?
• In the chain of infection, which component describes how the pathogen leaves the source?
• When organ donation is considered for a brain‑dead patient without an advance directive, which is the correct initial action?
• A pediatric patient weighing 18 kg is prescribed 10 mg/kg. What is the total daily dose?
• Which milestone is expected for a 2‑month‑old infant regarding social development?
• When do S1 and S2 heart sounds occur?
• What is the initial action for a high-pressure alarm on a ventilator?
• In a community health context, the plan for a patient with active TB should include which care approach?
• In caring for a client with a wound infected with MRSA, which cleansing direction is correct?
• In a patient with ESRD awaiting dialysis, a potassium level of 6.8 mEq/L requires which action?
• In community health, which client would most clearly require a multidisciplinary approach?
• During a staff development conference on sexually transmitted diseases, which statement, if made, would require nurse to follow up?
• Which statement best reflects ethical handling of patient information in nursing practice?
• What is the nurse's role regarding informed consent?
• Which statement would require follow up at a staff conference on neurologic treatments?
• Which precaution is advised when a patient is treated with metronidazole (Flagyl) for an ulcerative colitis flare?
• At what age should parents introduce pureed chicken to an infant?
• In the SBAR communication framework, what does SBAR stand for?
• After a cardiac catheterization, which finding requires immediate intervention?
• In a mechanically ventilated patient who is brain‑dead with no advance directive on file, from whom is organ donation consent most appropriately obtained?
• A patient with COPD is at risk for which acid-base disorder?
• Cognitive-behavioral therapy is commonly effective for which condition?
• In addition to serum creatinine, which lab value is commonly used as an indicator of kidney function?
• Which milestone is expected for a 2‑month‑old infant?
• At about 7 months of age, which food is appropriate to introduce?
• Which pain assessment scale is commonly used for adults?
• In the ED, you would first see the client who has which finding after rescue from a burning bus?
• In caring for a client with paranoid schizophrenia who has weight loss and accuses staff of poisoning, which nursing intervention is a priority to include in the plan of care?
• Which client should the nurse assess first based on postoperative status?
• Classic symptoms of hypoglycemia include which of the following?
• When should antacids be administered in relation to iron to minimize absorption interference?
• Which action would require immediate intervention by the nurse observing staff care?
• Which of the following best represents a normal fetal heart rate range during labor?
• For a client diagnosed with fibromyalgia, which nursing diagnosis should be included in the plan of care?
• How do isotonic, hypotonic, and hypertonic IV solutions differ?
• What is the first-line treatment for anaphylaxis?
• A well‑baby nurse has been reassigned to a medical‑surgical floor. Which patient would be most appropriate to assign to this nurse?
• If 1 liter of IV fluid is infused over 4 hours, what is the infusion rate in mL/hr?
• Tdap stands for tetanus, diphtheria, and what?
• Using the Holliday-Segar rule, what is the hourly maintenance fluid rate for a 12-kg child?
• Among postpartum findings, which should be assessed first due to the risk of thromboembolism?
• The nurse is caring for a client with VRE. The nurse should place the client on which precaution?
• When is the APGAR score assessed?
• A patient is admitted with progressive visual impairment and loss of peripheral vision. Which diagnosis is most consistent?
• Among four home health clients, which should be seen first due to a red flag for mental status change?
• What technique best supports therapeutic communication?
• Which action best demonstrates adherence to patient safety when assigning tasks to a CNA?
• In care planning, what type of goals should be set?
• When educating a patient on Amitriptyline therapy, which statement reflects a common client education point?
• A patient receives 2 liters of IV fluids over 24 hours. What is the infusion rate in mL/hr?
• A client admitted with anorexia nervosa should be assessed for which physical finding often seen in severe malnutrition?
• Nursing care for a client in the manic phase of bipolar disorder should include which intervention?
• Amitriptyline (Elavil) 150 mg daily is prescribed for major depression. Which nursing consideration is appropriate?
• Which nursing action would be considered a priority when caring for a paranoid schizophrenic client?
• Which test provides the best long-term indication of glycemic control in a patient with diabetes?
• A client with oxalate kidney stones should avoid which foods?
• A 49-year-old female with frequent vaginal yeast infections and obesity has several diagnostic tests. The nurse should review results for an elevated...
• During a fire emergency in a clinic, what is the immediate staff action?
• In the chain of infection, which component describes the path through which a pathogen enters a new host?
• A client with AIDS starts zidovudine (AZT). Which laboratory value should be assessed to monitor therapy?
• Which route is preferred for the initial epinephrine dose in anaphylaxis?
• After staff assisted clients to safety during a fire in the waiting area, what is the next best plan of action?
• Which electrolyte imbalance is most commonly associated with confusion and seizures in a patient with hyponatremia?
• Screening for testicular cancer: teaching self-exams is a priority for what age group?
• What is the appropriate initial action if a medication error is suspected?
• Which child in a well‑baby clinic requires follow‑up due to a delay in ambulation?
• On a pediatric unit, which patient should the nurse plan to assess first?
• Which behavior indicates potential suicidality?
• During a pediatric assessment, bruises are noted on concealed surfaces at various healing stages. What action should the nurse take next?
• Which snack is appropriate for a client with bipolar disorder on lithium due to sodium content?
• What is the normal adult systolic blood pressure range?
• The highest priority in the ABCs during an emergency is?
• In the SBAR framework, what component follows Background?
• If a 12-kg child requires maintenance fluids at 44 mL/hr, how many milliliters are given over 6 hours?
• Which statement about ulcerative colitis management is true during exacerbations?
• During a continuous NG feeding, which action would require immediate intervention by the nurse?
• An expected finding for a 5-month-old infant is which of the following?
• The nurse is supervising an LPN performing patient care. Follow up would be required if the LPN dons clean gloves on the dominant hand before trach suctioning.
• What is the standard sequence for a comprehensive abdominal examination?
• Which toy would be appropriate for a 7‑year‑old with thrombocytopenia on protective precautions?
• Hyponatremia refers to low levels of which electrolyte?
• Which parental statement requires immediate nursing intervention following a possible poison exposure?
• What are the five steps of the nursing process in order?
• Which action is most appropriate when a staff member appears intoxicated or unsafe to care for patients?
• Which step provides the framework for organizing patient data and identifying problems?
• Weight-based dosing uses which relationship between dose and patient weight?
• Before administering medications, which identification practice should a nurse perform?
• Which isolation precaution is used for patients with suspected or confirmed contagious diseases spread by droplets?
• Which symptom combination is most characteristic of Meniere's disease?
• Which statement demonstrates proper technique for tracheostomy suctioning?
• The nurse in a community health clinic is talking with the parent of a child with celiac disease. Which statement would require follow up by the nurse?
• Which ethical principle means doing no harm?
• What is a key clinical sign of fluid overload in a patient with heart failure?
• What does HIPAA primarily protect?
• For a client with a VRE wound infection, which practice is appropriate when changing the dressing?
• How is the therapeutic index defined?
• In reviewing prescriptions for a newly admitted client, which finding would be a priority to flow up with the physician?
• During health teaching for clients newly diagnosed with HIV, which statement would require further teaching?
• For discharge instructions to the parents of a child with a cleft lip, what should the nurse emphasize?