RN Exit Hesi pt. 2
101. After an explosion at a factory one of the workers approaches the nurse and says "I am an
unlicensed assistive personnel (UAP) at the local hospital." Which of these tasks should the
nurse assign to this worker who wants to help during the care of the wounded workers?
A) Get temperatures
B) Take blood pressure
C) Palpate pulses
D) Check alertness - Ans>>The correct answer is C: Palpate pulses
102. Which of these clients would the nurse recommend to keep in the hospital during an
internal disaster at the agency?
A) An adolescent diagnosed with sepsis 7 days ago with vital signs maintained within
low normal
B) A middle-aged woman documented to have had an uncomplicated myocardial
infarction 4 days ago
C) An elderly man admitted 2 days ago with an acute exacerbation of ulcerative colitis
D) A young adult in the second day of treatment for an overdose of acetometaphen - Ans>>The
correct answer is D: A young adult in the second day of treatment for an overdose of
acetometaphen
103. The mother of a toddler who is being treated for pesticide poisoning asks: "Why is
activated charcoal used? What does it do?" What is the nurse's best response?
A) "Activated charcoal decreases the systemic absorption of the poison from the stomach."
B) "The charcoal absorbs the poison and forms a compound that doesn't hurt your child."
C) "This substance helps to get the poison out of the body by the gastrointestinal system."
D) "The action may bind or inactivate the toxins or irritants that are ingested by children or
adults." - Ans>>The correct answer is B: "The charcoal absorbs the poison and forms a
compound that
,does't hurt your child."
104. The nurse is to administer a new medication to a client. Which actions are in the best
interest of the client? Verify the order for the medication. Prior to giving the medication
the nurse should say
A) "Please state your name?" Upon entering the room the nurse should ask:
B) "What is your name? What allergies do you have?" then check the client's name band
and allergy band As the room is entered say
C) "What is your name?" then check the client's name band Verify the client's allergies
on the admission sheet and order.
D) "Verify the client's name on the name plate outside the room then as the nurse enters
the room ask the client "What is your first, middle and last name?" - Ans>>The correct answer
is B: Upon entering the room the nurse should ask: "What is your name? What allergies do you
have?" then check the client''s name band and allergy band
105. Several clients are admitted to an adult medical unit. The nurse would ensure
airborne precautions for a client with which medical condition?
A) Autoimmune deficiency syndrome (AIDS) with cytomegalovirus (CMV)
B) A positive purified protein derivative with an abnormal chest x-ray
C) A tentative diagnosis of viral pneumonia with productive brown sputum
D) Advanced carcinoma of the lung with hemoptasis - Ans>>The correct answer is B: A positive
purified protein derivative with an abnormal chest x-ray
106. A client is scheduled to receive an oral solution of radioactive iodine (131I). In order
to reduce hazards, the priority information for the nurse to include during the instructions to
the client is which of these statements?
A) In the initial 48 hours avoid contact with children and pregnant women, and after
urination or defecation flush the commode twice.
, B) Use disposable utensils for 2 days and if vomiting occurs within 10 hours of the dose,
do so in the toilet and flush it twice.
C) Your family can use the same bathroom that you use without any special precautions.
D) Drink plenty of water and empty your bladder often during the initial 3 days of
therapy. - Ans>>The correct answer is A: "In the initial 48 hours avoid contact with children and
pregnant
women, and after urination or defecation flush the commode twice."
107. Which approach is the best way to prevent infections when providing care to clients in the
home setting?
A) Hand washing before and after examination of clients
B) Wearing non powdered latex free gloves to examine the client
C) Using a barrier between the client's furniture and the nurse's bag
D) Wearing a mask with a shield during any eye/mouth/nose examination - Ans>>The correct
answer is A: Hand washing
108. A 10 year-old child has a history of epilepsy with tonic-clonic seizures. The school
nurse should instruct the classroom teacher that if the child experiences a seizure in the
classroom, the most important action during the seizure would be to
A) Move any chairs or desks at least 3 feet away from the child
B) Note the sequence of movements with the time lapse of the event
C) Provide privacy as much as possible to minimize fighting the other children
D) Place the hands or a folded blanket under the head of the child - Ans>>The correct answer is
D: Place the hands or a folded blanket under the head of the child
109. A mother calls the hospital hot line and is connected to the triage nurse. The mother
proclaims: "I found my child with odd stuff coming from the mouth and an unmarked
bottle nearby." Which of these comments would be the best for the nurse to ask the mother to
determine if the child has swallowed a corrosive substance?
101. After an explosion at a factory one of the workers approaches the nurse and says "I am an
unlicensed assistive personnel (UAP) at the local hospital." Which of these tasks should the
nurse assign to this worker who wants to help during the care of the wounded workers?
A) Get temperatures
B) Take blood pressure
C) Palpate pulses
D) Check alertness - Ans>>The correct answer is C: Palpate pulses
102. Which of these clients would the nurse recommend to keep in the hospital during an
internal disaster at the agency?
A) An adolescent diagnosed with sepsis 7 days ago with vital signs maintained within
low normal
B) A middle-aged woman documented to have had an uncomplicated myocardial
infarction 4 days ago
C) An elderly man admitted 2 days ago with an acute exacerbation of ulcerative colitis
D) A young adult in the second day of treatment for an overdose of acetometaphen - Ans>>The
correct answer is D: A young adult in the second day of treatment for an overdose of
acetometaphen
103. The mother of a toddler who is being treated for pesticide poisoning asks: "Why is
activated charcoal used? What does it do?" What is the nurse's best response?
A) "Activated charcoal decreases the systemic absorption of the poison from the stomach."
B) "The charcoal absorbs the poison and forms a compound that doesn't hurt your child."
C) "This substance helps to get the poison out of the body by the gastrointestinal system."
D) "The action may bind or inactivate the toxins or irritants that are ingested by children or
adults." - Ans>>The correct answer is B: "The charcoal absorbs the poison and forms a
compound that
,does't hurt your child."
104. The nurse is to administer a new medication to a client. Which actions are in the best
interest of the client? Verify the order for the medication. Prior to giving the medication
the nurse should say
A) "Please state your name?" Upon entering the room the nurse should ask:
B) "What is your name? What allergies do you have?" then check the client's name band
and allergy band As the room is entered say
C) "What is your name?" then check the client's name band Verify the client's allergies
on the admission sheet and order.
D) "Verify the client's name on the name plate outside the room then as the nurse enters
the room ask the client "What is your first, middle and last name?" - Ans>>The correct answer
is B: Upon entering the room the nurse should ask: "What is your name? What allergies do you
have?" then check the client''s name band and allergy band
105. Several clients are admitted to an adult medical unit. The nurse would ensure
airborne precautions for a client with which medical condition?
A) Autoimmune deficiency syndrome (AIDS) with cytomegalovirus (CMV)
B) A positive purified protein derivative with an abnormal chest x-ray
C) A tentative diagnosis of viral pneumonia with productive brown sputum
D) Advanced carcinoma of the lung with hemoptasis - Ans>>The correct answer is B: A positive
purified protein derivative with an abnormal chest x-ray
106. A client is scheduled to receive an oral solution of radioactive iodine (131I). In order
to reduce hazards, the priority information for the nurse to include during the instructions to
the client is which of these statements?
A) In the initial 48 hours avoid contact with children and pregnant women, and after
urination or defecation flush the commode twice.
, B) Use disposable utensils for 2 days and if vomiting occurs within 10 hours of the dose,
do so in the toilet and flush it twice.
C) Your family can use the same bathroom that you use without any special precautions.
D) Drink plenty of water and empty your bladder often during the initial 3 days of
therapy. - Ans>>The correct answer is A: "In the initial 48 hours avoid contact with children and
pregnant
women, and after urination or defecation flush the commode twice."
107. Which approach is the best way to prevent infections when providing care to clients in the
home setting?
A) Hand washing before and after examination of clients
B) Wearing non powdered latex free gloves to examine the client
C) Using a barrier between the client's furniture and the nurse's bag
D) Wearing a mask with a shield during any eye/mouth/nose examination - Ans>>The correct
answer is A: Hand washing
108. A 10 year-old child has a history of epilepsy with tonic-clonic seizures. The school
nurse should instruct the classroom teacher that if the child experiences a seizure in the
classroom, the most important action during the seizure would be to
A) Move any chairs or desks at least 3 feet away from the child
B) Note the sequence of movements with the time lapse of the event
C) Provide privacy as much as possible to minimize fighting the other children
D) Place the hands or a folded blanket under the head of the child - Ans>>The correct answer is
D: Place the hands or a folded blanket under the head of the child
109. A mother calls the hospital hot line and is connected to the triage nurse. The mother
proclaims: "I found my child with odd stuff coming from the mouth and an unmarked
bottle nearby." Which of these comments would be the best for the nurse to ask the mother to
determine if the child has swallowed a corrosive substance?
