exit exam/174 Questions And Answers/100%
Correct
A nurse is caring for a client who has a recent diagnosis of a terminal illness.
The nurse should identify which of the following as an indication of
hopelessness? - Correct Answer -The client has a decreased energy level
A nurse is preparing to collect data on a preschooler. Which of the following
behaviors by the child indicates that he is ready to cooperate? (Select all that
- Correct Answer -Allows the nurse to touch him on the arm. Answers
questions asked by the nurse. Makes eye contact with the nurse
A nurse on a mental health unit is planning care for a group of clients. Which
of the following clients should the nurse see first? - Correct Answer -A client
who has schizophrenia and is having command hallucinations
A nurse is caring for a client who recently gave birth to her first child. The
newborn is crying and the client states, " I can't seem to do anything right.
What should I do?" Which of the following responses should the nurse make?
- Correct Answer -"Let me show you how to swaddle and cuddle him, then
you try
A nurse is using a glucometer to measure a client's capillary blood glucose
level, Which of the following actions should the nurse take? - Correct Answer
-Keep the finger in a dependent position
A nurse is reviewing the home medications of a client who recently had
transient ischemic attacks and is to begin taking clopidogrel. The nurse
should instruct the client that which of the following over-the-counter
medications interacts adversely with clopidogrel? - Correct Answer -Naproxen
( every NSAID reacts)
A nurse is collecting data from a client who has a long leg cast that was
applied 2 days ago. The client's foot is pale with a weak pedal pulse, and the
client reports foot numbness. Which of the following actions should the nurse
plan to take first - Correct Answer -Check bilateral pedal pulse
A nurse in a provider's office is reinforcing teaching about cigarette smoking
with a client. Which of the following adverse effects should the nurse include
in the teaching? - Correct Answer -Somnolence ( means consistent sleeping)
A nurse is contributing to the development of an in-service program for
mental health nursing staff. The nurse should include that the staff can
medicate a client against his will, without a court hearing, in which of the
,following situations? - Correct Answer -A client who is attempting to hurt
himself or others (involuntary commitment)
A nurse is reinforcing teaching with a client who has a new prescription for
digoxin. Which of the following instructions should the nurse include in the
teaching - Correct Answer -"Monitor for muscle weakness while taking the
medication."
A charge nurse is discussing confidentiality requirements with a newly
licensed nurse when sharing a client's medical information. Which of the
following individuals should the charge nurse identify as appropriate with
whom to share client information. - Correct Answer -A social worker who is
assigned to an involuntary committed school-age client
A nurse is reviewing laboratory values for a client who is at 34 weeks of
gestation. Which of the following findings should the nurse report to the
provider? - Correct Answer -Urine protein 3 plus
A nurse is collecting data from a client who is 4 hr postoperative following a
hemicolectomy. Which of the following findings is the nurse's priority,
requiring immediate intervention? - Correct Answer -Oxygen saturation 89%
A nurse in a provider's office is collecting data from a client who has a history
of hypertension during his annual physical examination. Which of the
following findings should the nurse report to the provider immediately? -
Correct Answer -Blurred vision
A nurse is caring for a client who suddenly develops chest pain and dyspnea.
Which of the following actions should the nurse take first? - Correct Answer
-Elevate the head of the client's bed, or put in orthopedic postion
A nurse is reinforcing teaching on a client who has diabetes mellitus. Which
of the following laboratory tests is the most accurate of blood glucose
effective management? - Correct Answer -Glycosylated hemoglobin ( HbA1c)
A charge nurse on a mental health unit is supervising a newly licensed nurse.
For which of the following actions by the newly licensed nurse should the
supervising nurse intervene? - Correct Answer -Tells a client he will lose his
phone privileges if he does not take his medication
A nurse is supervising an assistive personnel (AP) obtain supplies for a client
who is on seizure precautions. Which of the following materials should the AP
place in the client's room? - Correct Answer -Oral suction equipment
A nurse is reinforcing discharge teaching with the faculty of a client who has
dependent personality disorder. Which of the following instructions should
, the nurse indicate in the teaching? - Correct Answer -Encourage the client to
be assertive
A nurse is reinforcing discharge teaching with a client who had a right total
hip arthroplasty. Which of the following instructions should the nurse
indicate? - Correct Answer -"You should avoid crossing your legs for 3
months."
A nurse is reinforcing dietary teaching with a client who has hyperemesis
gravidarum. Which of the following instructions should the nurse include in
the teaching - Correct Answer -Eat a small meal every 2 to 3 hr, or eat
crackers before getting outta bed
A nurse is reinforcing teaching with a client who has GERD and a prescription
for ranitidine. Which of the following statements by the client indicates an
understanding of the teaching? - Correct Answer -"I should take this
medication in the morning and at night.
A nurse is assisting with the admission of a client who has pulmonary
tuberculosis. Which of the following types of isolation precautions should the
nurse include? - Correct Answer -Airborne
A nurse is reinforcing discharge teaching with a client who has COPD and
reports problems with maintaining adequate nutrition. Which of the following
instructions should the nurse include? - Correct Answer -"Perform pulmonary
hygiene 1 hour before meals.
A nurse is administering pancreatic enzymes to a client who has cystic
fibrosis. Which of the following outcomes should the nurse expect as a
therapeutic effect of the treatment? - Correct Answer -Reduced fat in the
stools, or decrease the amount of stool
A nurse is caring for a client who has paranoid schizophrenia and believes
that she is being followed by FBI agents who are pretending to be psychiatric
staff. Which of the following responses should the nurse make? - Correct
Answer -" that has to be scary tell me what the vocies are saying"
A nurse is assisting in the care of a client who has a fractured femur and is in
Buck's traction, which of the following actions should the nurse take? -
Correct Answer -Ensure that the weights are hanging freely
A nurse is reviewing the medication record of a client who requires
continuous oxygen saturation monitoring. Which of the following should the
nurse identify as a factor that can affect the validity of the readings? -
Correct Answer -PVD , and also PAD both can affect oxygen due to circulation
Correct
A nurse is caring for a client who has a recent diagnosis of a terminal illness.
The nurse should identify which of the following as an indication of
hopelessness? - Correct Answer -The client has a decreased energy level
A nurse is preparing to collect data on a preschooler. Which of the following
behaviors by the child indicates that he is ready to cooperate? (Select all that
- Correct Answer -Allows the nurse to touch him on the arm. Answers
questions asked by the nurse. Makes eye contact with the nurse
A nurse on a mental health unit is planning care for a group of clients. Which
of the following clients should the nurse see first? - Correct Answer -A client
who has schizophrenia and is having command hallucinations
A nurse is caring for a client who recently gave birth to her first child. The
newborn is crying and the client states, " I can't seem to do anything right.
What should I do?" Which of the following responses should the nurse make?
- Correct Answer -"Let me show you how to swaddle and cuddle him, then
you try
A nurse is using a glucometer to measure a client's capillary blood glucose
level, Which of the following actions should the nurse take? - Correct Answer
-Keep the finger in a dependent position
A nurse is reviewing the home medications of a client who recently had
transient ischemic attacks and is to begin taking clopidogrel. The nurse
should instruct the client that which of the following over-the-counter
medications interacts adversely with clopidogrel? - Correct Answer -Naproxen
( every NSAID reacts)
A nurse is collecting data from a client who has a long leg cast that was
applied 2 days ago. The client's foot is pale with a weak pedal pulse, and the
client reports foot numbness. Which of the following actions should the nurse
plan to take first - Correct Answer -Check bilateral pedal pulse
A nurse in a provider's office is reinforcing teaching about cigarette smoking
with a client. Which of the following adverse effects should the nurse include
in the teaching? - Correct Answer -Somnolence ( means consistent sleeping)
A nurse is contributing to the development of an in-service program for
mental health nursing staff. The nurse should include that the staff can
medicate a client against his will, without a court hearing, in which of the
,following situations? - Correct Answer -A client who is attempting to hurt
himself or others (involuntary commitment)
A nurse is reinforcing teaching with a client who has a new prescription for
digoxin. Which of the following instructions should the nurse include in the
teaching - Correct Answer -"Monitor for muscle weakness while taking the
medication."
A charge nurse is discussing confidentiality requirements with a newly
licensed nurse when sharing a client's medical information. Which of the
following individuals should the charge nurse identify as appropriate with
whom to share client information. - Correct Answer -A social worker who is
assigned to an involuntary committed school-age client
A nurse is reviewing laboratory values for a client who is at 34 weeks of
gestation. Which of the following findings should the nurse report to the
provider? - Correct Answer -Urine protein 3 plus
A nurse is collecting data from a client who is 4 hr postoperative following a
hemicolectomy. Which of the following findings is the nurse's priority,
requiring immediate intervention? - Correct Answer -Oxygen saturation 89%
A nurse in a provider's office is collecting data from a client who has a history
of hypertension during his annual physical examination. Which of the
following findings should the nurse report to the provider immediately? -
Correct Answer -Blurred vision
A nurse is caring for a client who suddenly develops chest pain and dyspnea.
Which of the following actions should the nurse take first? - Correct Answer
-Elevate the head of the client's bed, or put in orthopedic postion
A nurse is reinforcing teaching on a client who has diabetes mellitus. Which
of the following laboratory tests is the most accurate of blood glucose
effective management? - Correct Answer -Glycosylated hemoglobin ( HbA1c)
A charge nurse on a mental health unit is supervising a newly licensed nurse.
For which of the following actions by the newly licensed nurse should the
supervising nurse intervene? - Correct Answer -Tells a client he will lose his
phone privileges if he does not take his medication
A nurse is supervising an assistive personnel (AP) obtain supplies for a client
who is on seizure precautions. Which of the following materials should the AP
place in the client's room? - Correct Answer -Oral suction equipment
A nurse is reinforcing discharge teaching with the faculty of a client who has
dependent personality disorder. Which of the following instructions should
, the nurse indicate in the teaching? - Correct Answer -Encourage the client to
be assertive
A nurse is reinforcing discharge teaching with a client who had a right total
hip arthroplasty. Which of the following instructions should the nurse
indicate? - Correct Answer -"You should avoid crossing your legs for 3
months."
A nurse is reinforcing dietary teaching with a client who has hyperemesis
gravidarum. Which of the following instructions should the nurse include in
the teaching - Correct Answer -Eat a small meal every 2 to 3 hr, or eat
crackers before getting outta bed
A nurse is reinforcing teaching with a client who has GERD and a prescription
for ranitidine. Which of the following statements by the client indicates an
understanding of the teaching? - Correct Answer -"I should take this
medication in the morning and at night.
A nurse is assisting with the admission of a client who has pulmonary
tuberculosis. Which of the following types of isolation precautions should the
nurse include? - Correct Answer -Airborne
A nurse is reinforcing discharge teaching with a client who has COPD and
reports problems with maintaining adequate nutrition. Which of the following
instructions should the nurse include? - Correct Answer -"Perform pulmonary
hygiene 1 hour before meals.
A nurse is administering pancreatic enzymes to a client who has cystic
fibrosis. Which of the following outcomes should the nurse expect as a
therapeutic effect of the treatment? - Correct Answer -Reduced fat in the
stools, or decrease the amount of stool
A nurse is caring for a client who has paranoid schizophrenia and believes
that she is being followed by FBI agents who are pretending to be psychiatric
staff. Which of the following responses should the nurse make? - Correct
Answer -" that has to be scary tell me what the vocies are saying"
A nurse is assisting in the care of a client who has a fractured femur and is in
Buck's traction, which of the following actions should the nurse take? -
Correct Answer -Ensure that the weights are hanging freely
A nurse is reviewing the medication record of a client who requires
continuous oxygen saturation monitoring. Which of the following should the
nurse identify as a factor that can affect the validity of the readings? -
Correct Answer -PVD , and also PAD both can affect oxygen due to circulation
