Nursing Exit Exam 2023 Study Guide (Reviewed 100% A Pass Guarantee).

A nurse is preparing to empty a postoperative client's closed-wound drainage system. Which of the following actions should the nurse plan to take?: Compress the container before replacing the drainage plug 83. A nurse is reinforcing teaching with the parents of a toddler who has a new diagnosis of asthma and a prescription for montelukast. Which of the following instructions should the nurse include in the teaching?: Administer the medication to the toddler each evening ( dont stop taking abrutly ) 84. A nurse in an acute mental health facility is caring for a newly admitted client. Which of the following should occur during the orientation phase of the nurse-client relationship: Defining responsibilities 85. A nurse is caring for a client who reports having a decrease in fetal move- ment following an external cephalic version 6 hr ago. The nurse identifies the fetus is in the right occiput anterior position. The nurse should place the fetal heart monitor on which of the following sites to auscultate the fetal heart rate?: lower left 86. A charge nurse is observing a newly licensed nurse perform suctioning for a client who has a tracheostomy. For which of the following actions by the newly licensed nurse should the charge nurse intervene?: Suctions for 30 seconds 87. A nurse is reviewing the medication administration record of a client who takes atenolol PO and supplies a nitroglycerin transdermal patch dai- ly. Which of the following interactions should the nurse monitor with this client?: Hypotension 88. A nurse in an acute care setting is preparing to administer medications to a client. Which of the following actions should the nurse verify the client's identity?: Verify using ID band 89. A nurse in a provider's office is collecting data from a client who has psoriasis. Which of the following statements made by the client should she report to the provider?: "I try not to look at the scales on my body." 11 / 18 90. A nurse is completing chart reviews in a long-term care facility in re- sponse to an increase in falls. Which of the following responses in the chart should the nurse use to determine the potential causes of falls?: Medication record 91. A nurse is making client care assignments for an assistive personnel (AP). Which of the following tasks should the nurse assign to the AP?: Com- plete post mortem care for a client who has died 92. A nurse is reinforcing teaching with a client who is taking allopurinol about the risk for developing Stevens-Johnsons syndrome. For which of the following manifestations should the nurse instruct the client to monitor and report?: Skin rash with fever 93. A charge nurse in a long-term care facility is reinforcing teaching with a group of nurses about fall precautions. Which of the following statements made by the nurse indicates an understanding of the teaching?: "I will instruct the client to sit when putting on a pair of pants." 94. A nurse is recommending clients for discharge to allow for admission of clients following a tornado disaster. Which of the following clients should the nurse recommend for discharge?: A client who has a sodium level of 140 mEq/L after one episode of diarrhea 95. A nurse is assisting with the plan of care for a newly admitted client who has anorexia nervosa. Which of the following interventions should the nurse include in the plan?: Administer liquid supplements, or protein supplements 96. A charge nurse is reinforcing teaching with a newly licensed nurse about floating to a different unit. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching?: nurse should float 97. A nurse is caring for a client who has dehydration due to diarrhea. Which of the following findings should the nurse report to the provider?: Urine output 12 mL/hr 98. A nurse is participating in a performance improvement program. Which of the following actions should the nurse take to evaluate the effectiveness of the program?: perform chart audit 99. A nurse in an assisted-living facility is reinforcing teaching with staff members about preparing for an external chemical disaster. Which of the following instructions should the nurse include?: "Move clients to a room above ground with few windows. 12 / 18 100. A nurse is assisting in the care of a client who has an arteriovenous (AV) shunt in his right arm. Which of the following actions should the nurse take?: Check a bruit over the shunt on a regular basis 101. A nurse is caring for a client who has been admitted to the mental health unit. While reinforcing teaching about the client's prescribed exacerbations, the nurse communicates truthfully about the adverse effects of the medica- tions. Which of the following ethical concepts is the nurse exhibiting?: Ve- racity 102. A nurse is caring for a client who is postoperative following a subtotal thyroidectomy. The nurse should place the client in which of the following positions?: Semi-fowler's 103. A nurse is reinforcing teaching with the parents of a child who has a new diagnosis of Wilms tumor. Which of the following interventions should the nurse include in the teaching?: "You should not palpate your child's abdomen prior to surgery. 104. A nurse enters the room of a school-age child and finds him on the floor experiencing a tonic-clonic seizure. Which of the following actions should the nurse take?: Place a pillow under the child's head 105. A nurse is contributing to the plan of care for a client who is to begin receiving intermittent enteral feedings. Which of the following actions should the nurse recommend?: Place the client in high-fowler's position during feedings 106. A nurse is collecting data from a client in an outpatient clinic and observes extensive bruising on the client's arms. This nurse suspects the client is experiencing intimate partner abuse. Which of the following is the nurse's priority action?: Offer support and create a safe, trusting environment 107. A nurse in an urgent care clinic is caring for a client who reports recently using methylenedioxy-methamphetamine. Which of the following findings should the nurse expect?: Hallucinations , also can cause dialated pupils, paranoia 108. A nurse is reinforcing teaching with a client who has a prescription for ferrous sulfate elixir. Which of the following statements by the client indicates an understanding of the teaching?: I will mix the medication with water 109. A nurse is collecting data from a client who received oxytocin 10 units IM 30 min ago for excessive vaginal bleeding. Which of the following findings should the nurse expect?: Boggy fundus 3 fingerbreadths above the umbilicus 13 / 18 110. A nurse is attending an educational workshop about client confidential- ity. Which of the following actions by the nurse indicates an understanding of the teaching?: Changes her personal login password at random intervals 111. A nurse is assisting with discharge planning for a group of clients. Which of the following clients should the nurse recommend a home health referral?: An older adult client who has heart failure and lives alone 112. A nurse is reinforcing teaching with a female client who is taking pheny- toin. Which of the following instructions should the nurse include in the teaching?A: You might experience swollen gums while taking this medication ( gingival hyperplasia) 113. A nurse is preparing to administer paroxetine 15 mg PO oral suspension to a client who has a depressive disorder. The amount available is 10 mg/ 5 mL. How many mL should the nurse administer?(Round answer to the nearest tenth.): 7.5ml 114. A nurse is reinforcing teaching with a client who is at 38 weeks of gestation and is to undergo a contraction stress test. Which of the following statements by the client indicates an understanding of the teaching?: I am having this test because my baby was not reactive during a nonstress test 115. A nurse is discussing health practices with the mother of a toddler who is from a different cultural background than the nurse. Which of the following statements by the mother indicates that she practices cupping?: I sometimes place a bottle containing steam against my child's skin 116. A nurse is reinforcing teaching with a client who has primary open-angle glaucoma and has a prescription for timolol eye drops. Which of the following statements by the client indicates an understanding of the teaching?: I should check my heart rate while taking this medication