A transgender woman underwent transfeminine surgery and had a penile inversion vaginoplasty. What is an important nursing education point prior to discharge?

C. Vaginal dilation and routine cleaning are required lifelong

A. Aspirin is acceptable to take if the patient is experiencing pain

B. Sexual intercourse is allowed after 6 weeks of healing

D. The patient needs complete bedrest during healing

An older adult reports decreased appetite, weight loss, and altered taste. Which intervention should the nurse prioritize?

A. Recommend high-calorie, nutrient-dense snacks between meals

B. Restrict fluids to avoid early feelings of fullness

C. Encourage one large meal a day

D. Increase intake of processed foods for convenience

What is an expected age-related change in the gastrointestinal system that a nurse should anticipate with older adult patients?

A. Increased hydrochloric acid secretion

C. Increased taste bud sensitivity

D. Enhanced absorption of calcium

A patient is scheduled for a colonoscopy. Which statement indicates a need for further teaching?

B. “I can eat a light breakfast the morning of the test”

A. “I will be sedated during the procedure”

C. “I need to drink the bowel prep solution as directed”

D. “Someone will need to drive me home after the test”

A patient with TPN runs out and there is no new bag on the floor yet. What is the nurse’s first action to take?

A. Hang a bag of 10% dextrose and restart the TPN when it becomes available

B. Flush the central line and cap it

C. Notify the provider to order new PTN

D. Increase the rate of the new TPN when it becomes available since the patient was without it for a period of time

A patient is diagnosed with a large bowel obstruction. What are expected lab values for this patient?

A. Increased hemoglobin and hematocrit

B. Decreased BUN and creatinine

A patient has a nasogastric tube (NGT) connected to low intermittent suction. Which finding indicates the NGT is functioning properly?

A. Greenish-yellow fluid is draining into the collection container

B. The patient reports increased abdominal distention

C. There is no change in drainage for several hours

D. The patient has persistent nausea

As the nurse of a patient who just had surgery for peptic ulcer disease (PUD), what would you NOT expect to do while caring for this patient?

A. Place the patient in semi-fowler’s position

B. Start the patient with a clear liquid diet

D. Monitor for incisional bleeding

Which statement by a patient with systemic lupus erythematosus (SLE) indicates a need for further teaching?

C. “I can stop take my corticosteroids when I feel better”

A. “I will avoid sun exposure and wear protective clothing”

B. “I should report any new onset of chest pain to my provider immediately”

D. I will monitor for signs of infection while on immunosuppressants”

Which patient is contraindicated for a MMR immunization?

C. A 3-year old receiving chemotherapy

A. A 5-year old patient allergic to eggs

B. A 2-year old with a mild cold

D. A 7-year old who missed the second MMR dose

A patient presents with the following ABG results: pH: 7.30 PaCO₂: 55 mmHg HCO₃⁻: 28 mEq/L Which interpretation is most accurate?

A. Respiratory acidosis with partial compensation

B. Metabolic acidosis with full compensati on

C. Respiratory acidosis without compensation

D. Metabolic alkalosis without compensation

A patient with type 2 diabetes is scheduled for discharge. Which statement by the patient indicates a need for further education?

C. "I will soak my feet daily in warm water to promote circulation."

A. "I will monitor my blood sugar before meals and at bedtime."

B. "I will call my provider if my glucose is over 240 even with medication."

D. "I will carry a fast-acting sugar source with me at all times."

A hospice nurse is caring for a patient showing Cheyne-Stokes respirations. What is the priority nursing intervention?

B. Provide calm presence and frequent repositioning

A. Administer oxygen via nasal cannula

D. Administer PRN morphine to suppress respiration

The nurse reviews labs for a patient with chronic renal failure and notes a potassium level of 6.8 mEq/L. What is the first action the nurse should take?

C. Notify the healthcare provider immediately

A. Encourage increased oral fluid intake

B. Prepare to administer sodium polystyrene sulfonate

D. Recheck the serum potassium in 2 hours

A patient with SIADH has a sodium level of 122 mEq/L. Which nursing action is most appropriate?

A. Administer 0.45% NaCl IV fluid

A newly diagnosed type 1 diabetic presents with fruity breath, Kussmaul respirations, and blood glucose of 550 mg/dL. Which provider order should the nurse implement first?

A. Administer IV insulin infusion

Which of the following is an expected physical finding in the active dying phase?

C. Mottled extremities and decreased urine output

A. Bounding pulses and flushed skin

B. Restlessness and productive cough

D. Increased appetite and regular respirations

Which assessment finding in a patient with hyperkalemia requires immediate intervention?

A. Muscle weakness in lower extremities

D. Diarrhea and hyperactive bowel sounds

A patient receiving IV potassium reports burning at the IV site. What is the priority nursing action?

A. Stop the infusion immediately

C. Apply a warm compress to the IV site

D. Slow the infusion rate and monitor

A patient has the following ABG: pH: 7.48 PaCO₂: 28 HCO₃⁻: 22 What is the acid-base disorder?

B. Respiratory alkalosis without compensation

A. Metabolic alkalosis with compensation

C. Respiratory acidosis with partial compensation

D. Metabolic acidosis with full compensation

Which statement by a patient with type 1 diabetes indicates proper understanding of sick day management?

D. "I will check for ketones if my glucose is over 240 mg/dL."

A. "I will stop taking insulin if I cannot eat."

B. "I should check my blood sugar every other day when I'm sick."

C. "I will drink sugar-free liquids to avoid hyperglycemia."

A family member asks the nurse, “Is this the end?” as the nurse notes the patient shows signs of imminent death. What is the nurse’s best response?

C. “Yes, he is showing signs of nearing death. I’ll stay with you.”

A. “He’s just sleeping deeply right now.”

B. “Would you like to speak to the doctor about his condition?”

D. “We cannot predict the end exactly, but he should recover soon.”

A nurse is reviewing diagnostic results for a client with suspected peripheral venous disease. Which findings are most consistent with this diagnosis? Select all the apply.

A. Venous duplex ultrasound showing venous reflux

B. Magnetic resonance venogram (MRV) showing obstruction

D. D-dimer level of 0.80 mg/L in a 70-year-old client

C. Ankle-brachial index (ABI) of 0.65

A nurse is reinforcing teaching with a client diagnosed with peripheral artery disease (PAD). Which statement by the client indicates a correct understanding of the teaching?

C. “I will wear warm socks to help maintain circulation.”

A. “I will apply a heating pad to my legs when they feel cold.”

B. “I will elevate my legs above my heart when resting."

D. “I will use compression stockings to prevent swelling.”

The nurse is reviewing the charts of several clients to determine who is at greatest risk for developing a venous thromboembolism (VTE). Which clients require interventions to reduce VTE risk? (Select all that apply.)

A. A 72-year-old recovering from hip replacement surgery, on limited mobility orders for the next several days.

B. A 45-year-old on bed rest for 5 days following a large ischemic stroke, receiving enteral feedings.

C. A 30-year-old who is 34 weeks pregnant and works at a desk job for 10 hours a day.

D. A 50-year-old hospitalized with severe COVID-19 and requiring high-flow nasal cannula oxygen therapy.

E. A 56-year-old with a central venous catheter receiving long-term chemotherapy for colon cancer.

The nurse is assessing four clients in the clinic. Which client’s complaint is most consistent with peripheral artery disease (PAD) rather than peripheral venous disease (PVD)?

B. “I have a burning pain in my calves when I walk that goes away when I rest.”

A. “My legs swell the most by the end of the day, and the skin around my ankles looks darker.”

C. “The skin on my lower legs is warm, and I have a sore on the inside of my ankle that keeps draining.”

D. “I have thick, itchy skin on my lower legs and mild aching after standing for long periods.”

The nurse is teaching a group of older adults about normal age-related changes in the renal system. Which statement by a participant indicates understanding of this topic?

B. “It’s normal for my glomerular filtration rate to gradually decrease with age.”

A. “I should expect my kidneys to produce more concentrated urine as I get older.”

C. “As I age, my bladder capacity will increase so I can hold more urine.”

D. “I will be less likely to become dehydrated because my kidneys hold on to water better.”

A nurse is preparing a client for a scheduled renal biopsy. Which finding should the nurse report to the provider before the procedure?

B. PT 22 seconds (Normal: 11–13.5 sec) and INR 2.1 (Normal: ~1.0 if not on anticoagulants)

A. BUN 26 mg/dL (Normal: 7–20 mg/dL) and creatinine 1.4 mg/dL (Normal: Male 0.6–1.3; Female 0.5–1.1)

C. Hemoglobin 13.8 g/dL (Normal: 13.8–17.1) and hematocrit 41% (Normal: 40–54%)

D. Blood pressure 132/84 mm Hg (Normal: <120/80 mm Hg)

A client in the ED is experiencing an acute asthma attack. Ten minutes ago, the client was wheezing audibly; now, breath sounds are markedly diminished, and the client appears drowsy. Vital signs: RR 34/min, HR 122 bpm, SpO₂ 86% on room air. What is the nurse’s priority action?

A. Notify the healthcare provider immediately and prepare for possible intubation.

B. Document the finding as an improvement in the client’s respiratory status.

C. Administer the prescribed nebulized bronchodilator treatment.

D. Encourage the client to perform pursed-lip breathing to improve ventilation.

A nurse is providing medication teaching to a client with asthma who is prescribed albuterol and fluticasone. Which statement by the client indicates correct understanding?

B. “I’ll use the rescue inhaler first, wait about 5 minutes, and then take my steroid inhaler.”

A. “I should use the steroid inhaler first to reduce swelling, then the bronchodilator will work better.”

C. “I can take both inhalers right after each other since they work on different parts of my lungs.”

D. “I’ll use the bronchodilator before the steroid inhaler, but only if I’m having trouble breathing that day.”

The nurse is assessing a client with COPD. Which finding should the nurse recognize as most consistent with this diagnosis?

A. Hyperresonance to percussion and oxygen saturation of 89% on room air

B. Crackles in all lung fields and SpO₂ of 98% on room air

C. Barrel chest and productive cough that worsens in the evening

D. Tripod position and oxygen saturation of 96% on room air

The nurse is caring for a client with COPD who suddenly becomes short of breath while ambulating in the hallway. Which instruction should the nurse give to help improve ventilation?

B. “Breathe in slowly through your nose, then exhale slowly through pursed lips.”

A. “Breathe in quickly through your mouth, then exhale forcefully.”

C. “Take two quick breaths in through your nose, then cough hard.”

D. “Hold your breath for 10 seconds before exhaling through pursed lips.”

A client with a history of stage 4 chronic kidney disease is admitted with sudden shortness of breath and pleuritic chest pain. The provider suspects a pulmonary embolism. Which diagnostic test should the nurse anticipate?

B. Ventilation-perfusion (V/Q) scan

A. CT pulmonary angiography with IV contrast

The nurse is reviewing documentation for a client diagnosed with the following fungal infections. Which pairing of common name and medical term is correct?

B. Ringworm of the scalp — Tinea capitis

A. Athlete’s foot — Tinea cruris

D. Nail fungus — Tinea corporis

The nurse is assessing a client with suspected psoriasis. Which finding would support this diagnosis?

B. Thickened, silvery plaques on the extensor surfaces of the elbows and knees

A. Red, scaly plaques located on the flexor surfaces of the elbows and knees

C. Erythematous rash with honey-colored crusts on the cheeks and chin

D. Painful fluid-filled blisters along the trigeminal nerve distribution

The nurse assesses a client with a painful, blister-like rash on one side of the torso in a linear pattern. The client reports having chickenpox as a child. Which action is most appropriate?

A. Provide pain relief and keep the rash covered to prevent fluid contact with susceptible individuals

B. Provide pain relief and keep the rash covered to prevent airborne spread to susceptible individuals

C. Apply an occlusive dressing to seal off the lesions completely

D. Recommend an over-the-counter antifungal cream for skin irritation

The nurse is caring for a client with recurrent painful vesicles on the lips. Which statement by the client indicates a need for further teaching?

C. “This infection can be cured with antiviral medication.”

A. “I can spread this virus even if the blisters aren’t present.”

B. “I should avoid kissing others while I have an active sore.”

D. “Stress or illness can trigger another outbreak.”

The nurse is reviewing postoperative notes for a client whose contaminated leg wound was left open for 4 days and then surgically closed. Which statement best describes the healing process?

C. The wound is healing by tertiary intention, with delayed closure after infection risk decreased.

A. The wound will heal by primary intention, resulting in minimal scar tissue.

B. The wound is healing by secondary intention, filling in from the base up without closure

D. The wound will regenerate completely without scar formation.

A client with a draining abdominal wound is scheduled for IV ceftriaxone at 1000. The provider’s orders also include “wound culture × 1.” It is now 0945. Which action should the nurse take?

B. Collect the wound culture now, then administer the antibiotic

A. Administer the antibiotic as scheduled, then collect the culture at the next dressing change

C. Wait until after the antibiotic is infused to collect the culture, so bacteria are reduced

D. Administer the antibiotic and collect the culture at the same time to avoid delaying either order

A client receiving total parenteral nutrition (TPN) via a PICC line has just returned from an X- ray. The nurse finds the client diaphoretic, shaky, and reporting weakness. Which action is the priority?

A. Check the client’s blood glucose level immediately

B. Notify the provider of possible TPN-related complications

C. Flush the PICC line with normal saline to ensure patency

D. Increase the TPN infusion rate to stabilize blood sugar

AG1 Final Exam Review

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75 questions

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MULTIPLE CHOICE QUESTION

1 min • 1 pt

A nurse is providing care for a patient post limb amputation. Which of the following care should the nurse implement to prevent contractures?

A. Figure-8 wrap the extremity

B. Assist the patient into the prone position

C. Administer pain medication

D. Encourage prolonged sitting

MULTIPLE SELECT QUESTION

1 min • 1 pt

A nurse is caring for a patient who reports phantom limb pain? Which of the following are expected characteristics of this pain? Select all that apply

A. Burning

B. Cramping

C. Intense Aching

D. Radiates to left shoulder

MULTIPLE CHOICE QUESTION

1 min • 1 pt

A patient reports chest pain described as "pressure" during exercise that resolves with rest. What type of angina does the nurse suspect?

A. Unstable angina

B. Stable angina

C. Variant angina

D. NSTEMI

MULTIPLE CHOICE QUESTION

1 min • 1 pt

Which is a non-modifiable risk factor for atherosclerosis?

A. Smoking

B. Alcohol use

C. Family history of CAD

D. Uncontrolled hypertension

MULTIPLE CHOICE QUESTION

1 min • 1 pt

Which statement indicates understanding of nitroglycerin use by a patient with newly diagnosed angina?

A. "I should take this only when chest pain is not relieved by NSAIDs.

B. "I can take up to three doses, 5 minutes apart, for chest pain."

C. "I will take nitroglycerin before breakfast daily."

D. "I will massage the area of chest pain while taking nitroglycerin."

MULTIPLE SELECT QUESTION

1 min • 1 pt

A nurse is providing care for a patient with a diagnosis of right-sided heart failure. Which of the following conditions is expected upon assessment? Select all the apply

A. Frothy-pink sputum

B. Edema

C. JVD

D. Crackles upon auscultation

MULTIPLE CHOICE QUESTION

1 min • 1 pt

A nurse is providing teaching to a patient with metabolic syndrome. The education has been successful when the patient recognizes that metabolic syndrome includes which combination of conditions?

A. Hypertension, high HDL, PVD

B. Obesity, insulin resistance, hypertension

C. COPD, hyperthyroidism, insulin resistance

D. CHF, obesity, hypertension

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AG1 Final Exam Review

A nurse is providing care for a patient post limb amputation. Which of the following care should the nurse implement to prevent contractures?

A nurse is caring for a patient who reports phantom limb pain? Which of the following are expected characteristics of this pain? Select all that apply

A patient reports chest pain described as "pressure" during exercise that resolves with rest. What type of angina does the nurse suspect?

Which is a non-modifiable risk factor for atherosclerosis?

Which statement indicates understanding of nitroglycerin use by a patient with newly diagnosed angina?

A nurse is providing care for a patient with a diagnosis of right-sided heart failure. Which of the following conditions is expected upon assessment? Select all the apply

A nurse is providing teaching to a patient with metabolic syndrome. The education has been successful when the patient recognizes that metabolic syndrome includes which combination of conditions?

A patient presents with a blood pressure of 186/120 and blurred vision. What other findings may be seen on assessment? Select all the apply

A transgender woman underwent transfeminine surgery and had a penile inversion vaginoplasty. What is an important nursing education point prior to discharge?

An older adult reports decreased appetite, weight loss, and altered taste. Which intervention should the nurse prioritize?

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