2020 RN EXIT VERSION 3
1) A nurse is planning care for a child who has scabies and he keeps itching…
ANS: Keep nails trimmed short and have him wear mittens
2) An acute care hospital has a disaster something about an outage and a generator. The UAP
asks the charge nurse what she can do to help…
ANS: Tell clients to stay in their rooms
3) Discharge teaching to a patient with heart failure what parameter is most important for weight
monitoring…
ANS: Weigh themselves at the same time everyday
4) Patient with metabolic syndrome is going to start exercising what is most important to tell
him…
ANS: Monitor BP as exercise increases
5) A charge nurse watches an LPN gloves for a sterile dressing change, what action requires
action by the charge nurse?
ANS:
6) Patient c/o pain distal to insertion site, what action should the nurse implement?
ANS: Remove
7) A seriously ill patient that has a DNR is transferred to a medical facility in another state that
does not honor that what should the nurse implement?
ANS: Honor clients wishes
8) Question regarding taking a sample for sputum out of a water chamber from a patient with a
chest tube insertion for a person on a trach, where do you take the sample from?
ANS: Rubberized port at bottom of the catheter chamber
9) A patient is in the acute phase of burn to prevent auto contamination when changing dressings
how should you do it?
ANS: Change each dressing separately
10) The nurse enters a client’s room with his morning meds. Patient states he will take them later.
What action should the nurse take?
ANS: make a deal him on a time to return and give the meds
11) A client has returned from China and has SARS. What will you do before coming into
contact with him?
ANS: Gown, gloves, n95 mask
, 12) A client admitted with chest tightness respiratory acidosis an increase in which lab would
show this?
ANS: PaCO2
13) Male client bladder always feels full
14) Question on palpate lymph nodes on a child which is of concern?
ANS: large, warm, non-tender
15) A Patient who is diabetic has DKA and is receiving insulin using a sliding scale, his blood
sugar has been 520-540. What action should the nurse take?
ANS: call physician and to get order for IV insulin
16) An adult has 110 BPM what intervention should the nurse implement first?
17) A nurse makes a home visit for parents of a child with cystic fibrosis, how would the nurse
know that they are following treatments at home?
ANS: give pancreatic enzymes with each snack
18) Peptic ulcer disease
19) A nurse observes a mother in a hallway punishing her 3 year old child for wetting his pants,
what action should the nurse take?
ANS: provide toilet training pants and calming the mother
20) Laminectomy for a herniated intercerbral disc, when conducting preoperative teaching what
should the nurse implement?
21) When conducting an assessment on a 6 month old infant...
ANS: Keep child on your lap
22) Patient comes in vomiting…
ANS: Maintain NPO status
23) A mother who is breastfeeding 2 days post-op has inverted nipples…
ANS: use a breast shield
24) Smoking 2 packs a day has COPD??
25) A male client has anxiety when driving over the bay bridge which would you suggest to help
address this fear?
ANS: Listen to music
26) Using the parkland formula for a patient with burns 4ml x Patients weight in kg which is
76kg x whatever % of burns, which is 40%. SO it is 4ml x 76kg x 40% =
ANS: 12,160
27) Question about MONO (kissing disease)
1) A nurse is planning care for a child who has scabies and he keeps itching…
ANS: Keep nails trimmed short and have him wear mittens
2) An acute care hospital has a disaster something about an outage and a generator. The UAP
asks the charge nurse what she can do to help…
ANS: Tell clients to stay in their rooms
3) Discharge teaching to a patient with heart failure what parameter is most important for weight
monitoring…
ANS: Weigh themselves at the same time everyday
4) Patient with metabolic syndrome is going to start exercising what is most important to tell
him…
ANS: Monitor BP as exercise increases
5) A charge nurse watches an LPN gloves for a sterile dressing change, what action requires
action by the charge nurse?
ANS:
6) Patient c/o pain distal to insertion site, what action should the nurse implement?
ANS: Remove
7) A seriously ill patient that has a DNR is transferred to a medical facility in another state that
does not honor that what should the nurse implement?
ANS: Honor clients wishes
8) Question regarding taking a sample for sputum out of a water chamber from a patient with a
chest tube insertion for a person on a trach, where do you take the sample from?
ANS: Rubberized port at bottom of the catheter chamber
9) A patient is in the acute phase of burn to prevent auto contamination when changing dressings
how should you do it?
ANS: Change each dressing separately
10) The nurse enters a client’s room with his morning meds. Patient states he will take them later.
What action should the nurse take?
ANS: make a deal him on a time to return and give the meds
11) A client has returned from China and has SARS. What will you do before coming into
contact with him?
ANS: Gown, gloves, n95 mask
, 12) A client admitted with chest tightness respiratory acidosis an increase in which lab would
show this?
ANS: PaCO2
13) Male client bladder always feels full
14) Question on palpate lymph nodes on a child which is of concern?
ANS: large, warm, non-tender
15) A Patient who is diabetic has DKA and is receiving insulin using a sliding scale, his blood
sugar has been 520-540. What action should the nurse take?
ANS: call physician and to get order for IV insulin
16) An adult has 110 BPM what intervention should the nurse implement first?
17) A nurse makes a home visit for parents of a child with cystic fibrosis, how would the nurse
know that they are following treatments at home?
ANS: give pancreatic enzymes with each snack
18) Peptic ulcer disease
19) A nurse observes a mother in a hallway punishing her 3 year old child for wetting his pants,
what action should the nurse take?
ANS: provide toilet training pants and calming the mother
20) Laminectomy for a herniated intercerbral disc, when conducting preoperative teaching what
should the nurse implement?
21) When conducting an assessment on a 6 month old infant...
ANS: Keep child on your lap
22) Patient comes in vomiting…
ANS: Maintain NPO status
23) A mother who is breastfeeding 2 days post-op has inverted nipples…
ANS: use a breast shield
24) Smoking 2 packs a day has COPD??
25) A male client has anxiety when driving over the bay bridge which would you suggest to help
address this fear?
ANS: Listen to music
26) Using the parkland formula for a patient with burns 4ml x Patients weight in kg which is
76kg x whatever % of burns, which is 40%. SO it is 4ml x 76kg x 40% =
ANS: 12,160
27) Question about MONO (kissing disease)
