Exit Retake Exam
2025 – Full Actual
Exam
Questions with
Verified Correct
Answers and
Detailed Solutions
(A+ Rated)
A nurse is observing assistive personnel check the tympanic temperature.
Which indication that the AP understands how to perform the procedure.
- The AP pulls the pinna up and back.
- The AP inserts the probe with a straight, forward motion.
,- The AP points the probe posteriorly.
- The AP positioned the client facing her. - ANS ---The AP
pulls the pinna up and back.
A nurse is assisting with the care of a client following
electroconvulsive therapy for the use
of the expected finding should the nurse expect 15
min following the procedure.?
- Paresthesia
- Tonic- clonic-seizures.
- Disorientation
- Sleep apnea - ANS ---Disorientation
A nurse is assisting with a prenatal examination of a client who
is at 8 weeks of gestation .
The nurse notes that the client's vagina and vulva purplish
color. The nurse should docket this
finding as which of the following?
- Ballottement
- Chadwick's sign
- Chloasma
- Hagar's sign - ANS ---Chadwick's sign
A nurse is assisting in providing postmortem care to a client
who was a devout follower of
Hinduism. Which of the following request should the nurse
anticipate from the client's family?
,- To bury the client's body within 24hr of their death.
- To cremate the client's body pg 25
- To stay with the client's body for 8hr following their death
- To prohibit medical personnel from touching the client's body - ANS -
--
To cremate the client's body pg 25
A nurse is reinforcing with a client who has a new diagnosis of COPD. Which of the
following statements by the client indicates understanding of the teaching?
- I should practice pursed-lip breathing exercises.
- I should do aerobic exercises once per day.
- I will consume low protein, low calorie foods.
- I will increase my fluid intake to 1,700 milliliter per day. -
ANS ---I should practice pursed -lip breathing exercises.
A nurse is contributing to the plan of care for a client who has
ascites due to cirrhosis. Which of the following interventions
should the nurse recommend including in the plan?
- Measure the client's abdominal girth daily.
- Restrict the client's sodium intake to 3 g per day.
- Keep the client's daily protein intake below o.8g/kg
- Position the client supine with legs elevated. - ANS ---
Measure the client's abdominal girth daily.
, A nurse is completing documentation in the medical record
about a client who fell on the floor. Which of the following
statements should the nurse include in the documentation?
- The client fell because the assistive personnel did not place
non skid slippers on the client.
- Client stated, I lost my balance and fell when I got out of
bed to go to the bathroom.
- An incident report has been completed and sent to risk management.
- The client does not appear to have any injuries resulting from the fall. -
ANS ---Client stated, I lost my balance and fell when I got
out of bed to go to the bathroom.
A nurse is assisting with a community health program for caregivers of clients who
have Alzheimer's disease. Which of the following should the nurse include?
- Use written signs to assist the client with locating the bathroom.
- Use confrontation to manage the client 's behavior.
- Limit the number of choices for the client.
- Provider a stimulating environment for the client. -
ANS ---Limit the number of choices for the client.
A nurse overhears two assistive personnel AP in the nurse station discussing
a client who was recently admitted. Which of them should the nurse take?
- Document the event in the client's progress notes.
- Tell the APs to stop the conversation.
- Submit an incident report to the risk manager.
2025 – Full Actual
Exam
Questions with
Verified Correct
Answers and
Detailed Solutions
(A+ Rated)
A nurse is observing assistive personnel check the tympanic temperature.
Which indication that the AP understands how to perform the procedure.
- The AP pulls the pinna up and back.
- The AP inserts the probe with a straight, forward motion.
,- The AP points the probe posteriorly.
- The AP positioned the client facing her. - ANS ---The AP
pulls the pinna up and back.
A nurse is assisting with the care of a client following
electroconvulsive therapy for the use
of the expected finding should the nurse expect 15
min following the procedure.?
- Paresthesia
- Tonic- clonic-seizures.
- Disorientation
- Sleep apnea - ANS ---Disorientation
A nurse is assisting with a prenatal examination of a client who
is at 8 weeks of gestation .
The nurse notes that the client's vagina and vulva purplish
color. The nurse should docket this
finding as which of the following?
- Ballottement
- Chadwick's sign
- Chloasma
- Hagar's sign - ANS ---Chadwick's sign
A nurse is assisting in providing postmortem care to a client
who was a devout follower of
Hinduism. Which of the following request should the nurse
anticipate from the client's family?
,- To bury the client's body within 24hr of their death.
- To cremate the client's body pg 25
- To stay with the client's body for 8hr following their death
- To prohibit medical personnel from touching the client's body - ANS -
--
To cremate the client's body pg 25
A nurse is reinforcing with a client who has a new diagnosis of COPD. Which of the
following statements by the client indicates understanding of the teaching?
- I should practice pursed-lip breathing exercises.
- I should do aerobic exercises once per day.
- I will consume low protein, low calorie foods.
- I will increase my fluid intake to 1,700 milliliter per day. -
ANS ---I should practice pursed -lip breathing exercises.
A nurse is contributing to the plan of care for a client who has
ascites due to cirrhosis. Which of the following interventions
should the nurse recommend including in the plan?
- Measure the client's abdominal girth daily.
- Restrict the client's sodium intake to 3 g per day.
- Keep the client's daily protein intake below o.8g/kg
- Position the client supine with legs elevated. - ANS ---
Measure the client's abdominal girth daily.
, A nurse is completing documentation in the medical record
about a client who fell on the floor. Which of the following
statements should the nurse include in the documentation?
- The client fell because the assistive personnel did not place
non skid slippers on the client.
- Client stated, I lost my balance and fell when I got out of
bed to go to the bathroom.
- An incident report has been completed and sent to risk management.
- The client does not appear to have any injuries resulting from the fall. -
ANS ---Client stated, I lost my balance and fell when I got
out of bed to go to the bathroom.
A nurse is assisting with a community health program for caregivers of clients who
have Alzheimer's disease. Which of the following should the nurse include?
- Use written signs to assist the client with locating the bathroom.
- Use confrontation to manage the client 's behavior.
- Limit the number of choices for the client.
- Provider a stimulating environment for the client. -
ANS ---Limit the number of choices for the client.
A nurse overhears two assistive personnel AP in the nurse station discussing
a client who was recently admitted. Which of them should the nurse take?
- Document the event in the client's progress notes.
- Tell the APs to stop the conversation.
- Submit an incident report to the risk manager.
