IDEAL PROFESSIONAL INSTITUTE EXIT EXAM
QUESTION 2022 UPDATE
1. The nurse is teaching a client about self-examination. The client asks the
nurse where masses are most often found. Which response(s) by the nurse
are most appropriate? Select all that apply.
A. In the axilla
B. Beneath the nipple
C. Lower inner quadrant
D. Upper outer quadrant
E. Lower outer quadrant
2. The nurse is assessing a client with herpes zoster. Which characteristic(s)
does not the nurse expect to note when assessing the lesions of this infection?
Select all that apply.
A. Clustered skin vesicles
B. A generalized body rash
C. Small blue-white spots with a red base
D. A fiery red edematous rash on the cheeks
E. Grouped vesicles on an erythematous base.
13. which action should the nurse take to monitor the effects of an acute stresso
on a hospitalized patient (Select all that apply)?
A. Assess for bradycardia
B. Ask about epigastric pain
C. Observe for increased appetite
D. Check for elevated blood glucose levels
E. Monitor for a decrease in respiratory rate
15. The health care provider plans to titrate a patient-controlled analgesia
(PCA. Machine to provide
pain relief for a patient with acute surgical pain who has never received
opioids in the past. Which of the following nursing actions regarding opioid
administration are appropriate at this time(select all that apply)?
A. Assessing for signs that the patient is becoming addicted to the opioid
B. Monitoring for therapeutic and adverse effects of opioid administration
C. Emphasizing that the risk of some opioid side effects increases over time
IDEAL PROFESSIONAL INSTITUTE EXIT EXAM
QUESTION 2022 UPDATE
, IDEAL PROFESSIONAL INSTITUTE EXIT EXAM
QUESTION 2022 UPDATE
D. Educating the patient about how analgesics improve postoperative activity
levels.
E. Teaching about the need to decrease opioid doses by the second
postoperative day
18. On the examination the following question will ask to put in order: A patient
who has an infected
abdominal wound develops a temperature of 104 degree F. ( 40 C. All the
following interventions are included in the patient’s plan of care. In which order
should the nurse perform the following actions?
A. Sponge patient with water. 3
B. Administer intravenous antibiotics. 1
C. Perform wet to dry dressing change. 4
D. Administer acetaminophen (Tylenol) 2
29. The nurse that which of the following clients are at risk to develop
pneumonia? Select all that apply.
A. A 16 year old male who has experimented with cigarettes
B. A 25 year old female diagnosed with cystic fibrosis
C. A 36 year old male diagnosed with Addison’s disease
D. A 47 old male diagnosed with hypertension
E. A 68 year old with a fracture rib due to an auto accident
F. A 79 year old female in Buck’s traction due to a fractured hip
38.The nurse is developing a discharge-teaching plan for the client diagnosed
with congestive heartfailure. Which intervention should be included in the
plan? Select all that apply.
A. Notify health care provider of more than 1 pound a week
B. Teach client how to count the radial pulse when taking digoxin, a cardiac
glycoside
C. Instruct client to remove the salt shaker from the dinner table
D. Encourage client to monitor urine output for change in color to become dark
E. Discuss the importance of taking the loop diuretic Furosemide at bedtime
39.The nurse Is caring diagnosed with myocardial infarction who is
experiencing chest pain. Which interventions should the nurse implement?
Select all that apply.
IDEAL PROFESSIONAL INSTITUTE EXIT EXAM
QUESTION 2022 UPDATE
, IDEAL PROFESSIONAL INSTITUTE EXIT EXAM
QUESTION 2022 UPDATE
A. Administer morphine via IV
B. Administer an aspirin orally
C. Apply oxygen via nasal cannula
D. Place the client in a supine position
E. Administer nitroglycerin subcutaneously
40.Which client teaching should the nurse implement for the client
diagnosed with coronary artery disease? Select all that apply.
A. Encourage a low-fat, low-cholesterol diet
B. Instruct client to walk 30 minutes a day
C. Decrease the salt intake to 2 grams a day
D. Refer to counselor for stress reduction techniques
E. Increase fiber in the diet
41. Which signs and symptoms should the nurse assess in any client who
has a long term valvular heart disease? Select all that apply.
A. Paroxysmal nocturnal dyspnea
B. Orthopnea
C. Cough
D. Pericardial friction rub
E. Pulsusparadous
42.The client is in ventricular fibrillation. Which interventions should
the nurse implement? Select all that apply.
A. Start cardiopulmonary resuscitation
IDEAL PROFESSIONAL INSTITUTE EXIT EXAM
QUESTION 2022 UPDATE
, IDEAL PROFESSIONAL INSTITUTE EXIT EXAM
QUESTION 2022 UPDATE
B. Prepare to administer the antidysrhythmic adenosine IVP
C. Prepare to defibrillate the client
D. Bring the crash cart to the bedside
E. Prepare to administer the antidysrhythmicamiodarone IVP
43.The health care provider orders a medication in a dose that us considered
toxic. The nurse administers the medication to the client, who later suffers
cardiac arrest and dies. What consequence can the nurse expect from this
situation? Select all that apply.
A. The health care provider can be charged with negligence, being the
person who ordered the
dose
B. As the employing agency, only the hospital can be charged with
negligence
C. The nurse and physician may be terminated from employment to
prevent a charge of negligence
to the hospital;
D. Negligence will not be charged, as this event could happen to any
reasonable person
E. The nurse can be charged with negligence for administering the toxic
dose
45. Which action would the nurse take to maintain medical asepsis when
caring for a client with diabetes mellitus on the medical nursing unit who
requires irrigation of a leg ulcer and insulin injections? Select all that
apply.
A. Wash hands before and after client care.
B. Wear personal protective equipment during the dressing change
IDEAL PROFESSIONAL INSTITUTE EXIT EXAM
QUESTION 2022 UPDATE
QUESTION 2022 UPDATE
1. The nurse is teaching a client about self-examination. The client asks the
nurse where masses are most often found. Which response(s) by the nurse
are most appropriate? Select all that apply.
A. In the axilla
B. Beneath the nipple
C. Lower inner quadrant
D. Upper outer quadrant
E. Lower outer quadrant
2. The nurse is assessing a client with herpes zoster. Which characteristic(s)
does not the nurse expect to note when assessing the lesions of this infection?
Select all that apply.
A. Clustered skin vesicles
B. A generalized body rash
C. Small blue-white spots with a red base
D. A fiery red edematous rash on the cheeks
E. Grouped vesicles on an erythematous base.
13. which action should the nurse take to monitor the effects of an acute stresso
on a hospitalized patient (Select all that apply)?
A. Assess for bradycardia
B. Ask about epigastric pain
C. Observe for increased appetite
D. Check for elevated blood glucose levels
E. Monitor for a decrease in respiratory rate
15. The health care provider plans to titrate a patient-controlled analgesia
(PCA. Machine to provide
pain relief for a patient with acute surgical pain who has never received
opioids in the past. Which of the following nursing actions regarding opioid
administration are appropriate at this time(select all that apply)?
A. Assessing for signs that the patient is becoming addicted to the opioid
B. Monitoring for therapeutic and adverse effects of opioid administration
C. Emphasizing that the risk of some opioid side effects increases over time
IDEAL PROFESSIONAL INSTITUTE EXIT EXAM
QUESTION 2022 UPDATE
, IDEAL PROFESSIONAL INSTITUTE EXIT EXAM
QUESTION 2022 UPDATE
D. Educating the patient about how analgesics improve postoperative activity
levels.
E. Teaching about the need to decrease opioid doses by the second
postoperative day
18. On the examination the following question will ask to put in order: A patient
who has an infected
abdominal wound develops a temperature of 104 degree F. ( 40 C. All the
following interventions are included in the patient’s plan of care. In which order
should the nurse perform the following actions?
A. Sponge patient with water. 3
B. Administer intravenous antibiotics. 1
C. Perform wet to dry dressing change. 4
D. Administer acetaminophen (Tylenol) 2
29. The nurse that which of the following clients are at risk to develop
pneumonia? Select all that apply.
A. A 16 year old male who has experimented with cigarettes
B. A 25 year old female diagnosed with cystic fibrosis
C. A 36 year old male diagnosed with Addison’s disease
D. A 47 old male diagnosed with hypertension
E. A 68 year old with a fracture rib due to an auto accident
F. A 79 year old female in Buck’s traction due to a fractured hip
38.The nurse is developing a discharge-teaching plan for the client diagnosed
with congestive heartfailure. Which intervention should be included in the
plan? Select all that apply.
A. Notify health care provider of more than 1 pound a week
B. Teach client how to count the radial pulse when taking digoxin, a cardiac
glycoside
C. Instruct client to remove the salt shaker from the dinner table
D. Encourage client to monitor urine output for change in color to become dark
E. Discuss the importance of taking the loop diuretic Furosemide at bedtime
39.The nurse Is caring diagnosed with myocardial infarction who is
experiencing chest pain. Which interventions should the nurse implement?
Select all that apply.
IDEAL PROFESSIONAL INSTITUTE EXIT EXAM
QUESTION 2022 UPDATE
, IDEAL PROFESSIONAL INSTITUTE EXIT EXAM
QUESTION 2022 UPDATE
A. Administer morphine via IV
B. Administer an aspirin orally
C. Apply oxygen via nasal cannula
D. Place the client in a supine position
E. Administer nitroglycerin subcutaneously
40.Which client teaching should the nurse implement for the client
diagnosed with coronary artery disease? Select all that apply.
A. Encourage a low-fat, low-cholesterol diet
B. Instruct client to walk 30 minutes a day
C. Decrease the salt intake to 2 grams a day
D. Refer to counselor for stress reduction techniques
E. Increase fiber in the diet
41. Which signs and symptoms should the nurse assess in any client who
has a long term valvular heart disease? Select all that apply.
A. Paroxysmal nocturnal dyspnea
B. Orthopnea
C. Cough
D. Pericardial friction rub
E. Pulsusparadous
42.The client is in ventricular fibrillation. Which interventions should
the nurse implement? Select all that apply.
A. Start cardiopulmonary resuscitation
IDEAL PROFESSIONAL INSTITUTE EXIT EXAM
QUESTION 2022 UPDATE
, IDEAL PROFESSIONAL INSTITUTE EXIT EXAM
QUESTION 2022 UPDATE
B. Prepare to administer the antidysrhythmic adenosine IVP
C. Prepare to defibrillate the client
D. Bring the crash cart to the bedside
E. Prepare to administer the antidysrhythmicamiodarone IVP
43.The health care provider orders a medication in a dose that us considered
toxic. The nurse administers the medication to the client, who later suffers
cardiac arrest and dies. What consequence can the nurse expect from this
situation? Select all that apply.
A. The health care provider can be charged with negligence, being the
person who ordered the
dose
B. As the employing agency, only the hospital can be charged with
negligence
C. The nurse and physician may be terminated from employment to
prevent a charge of negligence
to the hospital;
D. Negligence will not be charged, as this event could happen to any
reasonable person
E. The nurse can be charged with negligence for administering the toxic
dose
45. Which action would the nurse take to maintain medical asepsis when
caring for a client with diabetes mellitus on the medical nursing unit who
requires irrigation of a leg ulcer and insulin injections? Select all that
apply.
A. Wash hands before and after client care.
B. Wear personal protective equipment during the dressing change
IDEAL PROFESSIONAL INSTITUTE EXIT EXAM
QUESTION 2022 UPDATE
