EXIT EXAM
A nurse is caring for a client who has given informed consent for ECT.
Just before the procedure, the client tells the nurse she is considering
not going forward with the treatment. Which of the following
statements by the nurse is appropriate?
a. “You don’t have to go through with the treatment.”
b. “Most people who have this procedure feel better following the
treatment.”
c. “It’s okay to be nervous before this treatment.”
d. “Your doctor wouldn’t have ordered this treatment unless it was
necessary.”
While performing a routine assessment, a nurse notices fraying on
the electrical cord of a client’s CPM device. Which of the following
actions should the nurse take first?
a. Report the defect to the equipment maintenance staff.
b. Ensure the device inspection sticker is current
c. Remove the device from the room
d. Initiate a requisition for a replacement CPM device
A nurse is caring for a client who is postoperative and has a new
prescription for hydromorphone. Which of the following actions
should the nurse take?
a. Document administration of the medication upon removal from
the medication dispensing system
b. Withhold the medication if the client does not appear to be in pain.
c. Count the current number of unit doses available in the
medication dispensing system
d. Withhold the medication if the client has a fever
A nurse performing a change-of-shift assessment. Which of the
following clients has the priority finding?
a. Type 2 DM and a blood glucose of 250 mg/dL
b. Pneumonia with a productive cough and a fever of 38.8° C (101.8°
F)
c. 2 hr. post cast placement and has 2+ pitting edema and pallor
NURSING FUNDAMENTAL Exit Exam - 180
, d. First-degree heart block and a heart rate of 62/min
A nurse in an outpatient mental health facility is providing teaching to
a group of adolescents. Which of the following statements by a client
indicates an understanding of the teaching?
a. “I will limit my alcohol use to one drink daily while taking
disulfiram.”
b. “I will avoid foods containing tyramine while taking fluoexetine.”
c. “I will take the sustained-release methylphenidate every
morning.”
d. “I will take my lithium on an empty stomach.” (pharm pg. 64:
taking lithium with food will help decrease GI distress)
Teaching the parents of a client with new onset of seizures and is to
undergo an EEG. Which of the following instructions should the
nurse include in the teaching?
a. “Ensure the child’s hair is clean and without conditioner
before the procedure.” (medsurg pg. 18: instruct client to wash
his hair prior to the procedure and eliminate all oils, gels, and
sprays)
b. “Keep the child out of the sun for 4 hr. following the procedure.”
c. “Make the child NPO before the procedure.”
d. “Give the child acetaminophen for pain following the procedure.”
Client presented with fine hair, exophthalmos, and reports intolerance
to heat. Which of the following endocrine disorders is associated with
these findings?
a. Hyperthyroidism
b. Hyperparathyroidism
c. Hypothyroidism
d. Hypoparathyroidism
Client on bed rest. The nurse should recognize that which of the
following findings is a complication of immobility?
a. Decreased serum calcium levels
b. Increased BP
c. Urinary frequency
d. Swollen area on calf
NURSING FUNDAMENTAL Exit Exam - 180
, A nurse is preparing a client to undergo a cardiac catheterization.
Which of the following tasks should the nurse perform prior to the
procedure? (medsurg pg. 164)
a. Administer nitroglycerin 0.4 mg SL 30 min before the procedure
b. Draw blood specimens for culture and sensitivity
c. Transport the client to radiology for a CT scan
d. Obtain CBC with differential
A nurse is providing teaching to the parents of a newborn genetic
screening. Which of the following statements should the nurse include
in the teaching?
a. “This test should be performed after your baby is 24 hours old.”
b. “A nurse will draw blood from your baby’s inner elbow.”
c. “This test will be repeated when your baby is 2 months old.”
d. “Your baby will be given 2 ounces of water to drink prior to the
test.”
New prescription for carbidopa-levodopa. Which of the following
instructions should the nurse include?
a. “Take with a protein shake.”
b. “Report dark-colored urine.”
c. “Monitor for hyperglycemia.”
d. “Change positions slowly.” (pharm pg. 93: orthostatic
hypotension)
Identify ECG [IMAGE] of client with potassium toxicity
Client in postpartum taking methylergonovine. The nurse should
recognize that which of the following is a contraindication for this
medication?
a. HTN (pharm pg. 253: contraindications/precautions)
b. Polyuria
c. Confusion
d. Chlamydia
Parent of an infant who has a cleft lip palate. Which of the following
feeding techniques should the nurse include in the teaching?
a. Position the nipple at the front of the infant’s mouth
b. Burp the infant frequently during feedings (peds pg. 139)
NURSING FUNDAMENTAL Exit Exam - 180
, c. Use feeding devices without nipples
d. Hold the infant in a supine position
Client with Alzheimer’s disease. Which of the following should the nurse
include in the plan of care?
a. Encourage physical activity prior to bedtime
b. Replace the carpet with hardwood floors
c. Wear clothing with zippers instead of buttons
d. Place locks at the top of exterior doors (medsurg pg. 46:
installing door locks that cannot be easily opened)
A nurse is caring for a newborn whose mother was taking methadone
during her pregnancy. Which of the following findings indicates the
newborn is experiencing withdrawal?
a. Acrocyanosis
b. Bulging fontanels
c. Bradycardia
d. Hypertonicity
A newly LPN working at an HIV clinic is reviewing the
responsibilities of her position at the clinic. Which of the following
tasks should the nurse identify as tertiary prevention?
a. Using an electronic massaging system to remind clients when
to take medications
b. Educating clients about contraindications to specific
immunizations
c. Helping clients understand health screenings covered by their
insurance plans
d. Providing clients with info about the benefits of exercise
Client who has bipolar disorder and is experiencing mania. Which of
the following should the nurse include in the plan?
a. Encourage the client to take frequent rest periods
b. Encourage the client to spend time in the day room
c. Place the client in seclusion when he exhibits signs of anxiety
(mental pg. 76: seclusion might be the only way to safely decrease
stimulation)
d. Withdraw the client’s TV privileges if he does not attend group
NURSING FUNDAMENTAL Exit Exam - 180
A nurse is caring for a client who has given informed consent for ECT.
Just before the procedure, the client tells the nurse she is considering
not going forward with the treatment. Which of the following
statements by the nurse is appropriate?
a. “You don’t have to go through with the treatment.”
b. “Most people who have this procedure feel better following the
treatment.”
c. “It’s okay to be nervous before this treatment.”
d. “Your doctor wouldn’t have ordered this treatment unless it was
necessary.”
While performing a routine assessment, a nurse notices fraying on
the electrical cord of a client’s CPM device. Which of the following
actions should the nurse take first?
a. Report the defect to the equipment maintenance staff.
b. Ensure the device inspection sticker is current
c. Remove the device from the room
d. Initiate a requisition for a replacement CPM device
A nurse is caring for a client who is postoperative and has a new
prescription for hydromorphone. Which of the following actions
should the nurse take?
a. Document administration of the medication upon removal from
the medication dispensing system
b. Withhold the medication if the client does not appear to be in pain.
c. Count the current number of unit doses available in the
medication dispensing system
d. Withhold the medication if the client has a fever
A nurse performing a change-of-shift assessment. Which of the
following clients has the priority finding?
a. Type 2 DM and a blood glucose of 250 mg/dL
b. Pneumonia with a productive cough and a fever of 38.8° C (101.8°
F)
c. 2 hr. post cast placement and has 2+ pitting edema and pallor
NURSING FUNDAMENTAL Exit Exam - 180
, d. First-degree heart block and a heart rate of 62/min
A nurse in an outpatient mental health facility is providing teaching to
a group of adolescents. Which of the following statements by a client
indicates an understanding of the teaching?
a. “I will limit my alcohol use to one drink daily while taking
disulfiram.”
b. “I will avoid foods containing tyramine while taking fluoexetine.”
c. “I will take the sustained-release methylphenidate every
morning.”
d. “I will take my lithium on an empty stomach.” (pharm pg. 64:
taking lithium with food will help decrease GI distress)
Teaching the parents of a client with new onset of seizures and is to
undergo an EEG. Which of the following instructions should the
nurse include in the teaching?
a. “Ensure the child’s hair is clean and without conditioner
before the procedure.” (medsurg pg. 18: instruct client to wash
his hair prior to the procedure and eliminate all oils, gels, and
sprays)
b. “Keep the child out of the sun for 4 hr. following the procedure.”
c. “Make the child NPO before the procedure.”
d. “Give the child acetaminophen for pain following the procedure.”
Client presented with fine hair, exophthalmos, and reports intolerance
to heat. Which of the following endocrine disorders is associated with
these findings?
a. Hyperthyroidism
b. Hyperparathyroidism
c. Hypothyroidism
d. Hypoparathyroidism
Client on bed rest. The nurse should recognize that which of the
following findings is a complication of immobility?
a. Decreased serum calcium levels
b. Increased BP
c. Urinary frequency
d. Swollen area on calf
NURSING FUNDAMENTAL Exit Exam - 180
, A nurse is preparing a client to undergo a cardiac catheterization.
Which of the following tasks should the nurse perform prior to the
procedure? (medsurg pg. 164)
a. Administer nitroglycerin 0.4 mg SL 30 min before the procedure
b. Draw blood specimens for culture and sensitivity
c. Transport the client to radiology for a CT scan
d. Obtain CBC with differential
A nurse is providing teaching to the parents of a newborn genetic
screening. Which of the following statements should the nurse include
in the teaching?
a. “This test should be performed after your baby is 24 hours old.”
b. “A nurse will draw blood from your baby’s inner elbow.”
c. “This test will be repeated when your baby is 2 months old.”
d. “Your baby will be given 2 ounces of water to drink prior to the
test.”
New prescription for carbidopa-levodopa. Which of the following
instructions should the nurse include?
a. “Take with a protein shake.”
b. “Report dark-colored urine.”
c. “Monitor for hyperglycemia.”
d. “Change positions slowly.” (pharm pg. 93: orthostatic
hypotension)
Identify ECG [IMAGE] of client with potassium toxicity
Client in postpartum taking methylergonovine. The nurse should
recognize that which of the following is a contraindication for this
medication?
a. HTN (pharm pg. 253: contraindications/precautions)
b. Polyuria
c. Confusion
d. Chlamydia
Parent of an infant who has a cleft lip palate. Which of the following
feeding techniques should the nurse include in the teaching?
a. Position the nipple at the front of the infant’s mouth
b. Burp the infant frequently during feedings (peds pg. 139)
NURSING FUNDAMENTAL Exit Exam - 180
, c. Use feeding devices without nipples
d. Hold the infant in a supine position
Client with Alzheimer’s disease. Which of the following should the nurse
include in the plan of care?
a. Encourage physical activity prior to bedtime
b. Replace the carpet with hardwood floors
c. Wear clothing with zippers instead of buttons
d. Place locks at the top of exterior doors (medsurg pg. 46:
installing door locks that cannot be easily opened)
A nurse is caring for a newborn whose mother was taking methadone
during her pregnancy. Which of the following findings indicates the
newborn is experiencing withdrawal?
a. Acrocyanosis
b. Bulging fontanels
c. Bradycardia
d. Hypertonicity
A newly LPN working at an HIV clinic is reviewing the
responsibilities of her position at the clinic. Which of the following
tasks should the nurse identify as tertiary prevention?
a. Using an electronic massaging system to remind clients when
to take medications
b. Educating clients about contraindications to specific
immunizations
c. Helping clients understand health screenings covered by their
insurance plans
d. Providing clients with info about the benefits of exercise
Client who has bipolar disorder and is experiencing mania. Which of
the following should the nurse include in the plan?
a. Encourage the client to take frequent rest periods
b. Encourage the client to spend time in the day room
c. Place the client in seclusion when he exhibits signs of anxiety
(mental pg. 76: seclusion might be the only way to safely decrease
stimulation)
d. Withdraw the client’s TV privileges if he does not attend group
NURSING FUNDAMENTAL Exit Exam - 180
