NURS RN EXIT EXAM QUESTIONS WITH ANSWERS
PLUS RATIONALLE 2023 A+ ASSUARED SUCCESS
The pathophysiological mechanisms are responsible for ascites
related to liver failure? (Select all that apply)
a- Bleeding that results from a decreased production of the body’s
clotting factors
b- Fluid shifts from intravascular to interstitial area due to
decreased serum protein
c- Increased hydrostatic pressure in portal circulation increases fluid
shifts into abdomen
d- Increased circulating aldosterone levels that increase sodium and
water retention
e- Decreased absorption of fatty acids in the duodenum leading to
abdominal distention.
Rationale: When liver fail production of albumin is reduced. Since albumin is
the primary serum protein creating intravascular osmotic pressure, decreased
serum protein allows a fluids shift into the interstitial space. Pressure
increases in the portal circulation © when venous return from the upper GI
tract cannot flow freely into sclerosed liver, which cause a pressure gradient
to further Increase fluid shifts into the abdomen. A failing liver ineffectively
inactivates steroidal hormones, such as aldosterone resulting in sodium and
water retention.
The nurse is auscultating a client’s heart sounds. Which
description should the nurse use to document this sound? (Please
listen to the audio first to select the option that applies)
,NURS RN EXIT EXAM QUESTIONS WITH ANSWERS
PLUS RATIONALLE 2023 A+ ASSUARED SUCCESS
a- S1 S2
b- S1 S2 S3
c- Murmur
d- Pericardial friction rub.
Rationale: A murmur is auscultated as a swishing sound that is
associated with the blood turbulence created by the heart or valvular
defect. B is associate with Heart Failure.
The healthcare provider prescribes celtazidime (Fortax) 35 mg
every 8 hours IM for an infant. The 500 mg vial is labeled with the
instruction to add 5.3 ml diluent to provide a concentration of 100
mg/ml. How many ml should the nurse administered for each dose?
(Enter numeric value only. If rounding is required, round to the
nearest tenth)
a- 0.4
Rationale: 35mg/100mg x 1 = 0.35 = 0.4 ml
The nurse notes that a client has been receiving hydromorphone
(Dilaudid) every six hours for four days. What assessment is most
important for the nurse to complete?
a- Auscultate the client's bowel sounds
b- Observe for edema around the ankles
c- Measure the client’s capillary glucose level d- Count
the apical and radial pulses simultaneously
,NURS RN EXIT EXAM QUESTIONS WITH ANSWERS
PLUS RATIONALLE 2023 A+ ASSUARED SUCCESS
Rationale: hydromorphone is a potent opioid analgesic that slows
peristalsis and frequently causes constipation, so it is most important to
Auscultate the client's bowel sounds
A female client is admitted with end stage pulmonary disease is alert,
oriented, and complaining of shortness of breath. The client tells
the nurse that she wants “no heroic measures” taken if she stops
breathing, and she asks the nurse to document this in her medical
record. What action should the nurse implement?
a- Ask the client to discuss “do not resuscitate” with her healthcare
provider
A client is receiving a full strength continuous enteral tube feeding
at 50 ml/hour and has developed diarrhea. The client has a new
prescription to change the feeding to half strength. What
intervention should the nurse implement?
a- Add equal amounts of water and feeding to a feeding bag and
infuse at 50ml/hour
b- Continue the full strength feeding after decreasing the rate of infusion to
25 ml/hr.
c- Maintain the present feeding until diarrhea subsides and the begin
the next new prescription.
, NURS RN EXIT EXAM QUESTIONS WITH ANSWERS
PLUS RATIONALLE 2023 A+ ASSUARED SUCCESS
d- Withhold any further feeding until clarifying the prescription with
healthcare provides.
Rationale: Diluting the formula can help alleviate the diarrhea. Diarrhea
can occur as a complication of enteral tube feeding and can be due to a
variety of causes including hyperosmolar formula.
A female client reports that her hair is becoming coarse and
breaking off, that the outer part of her eyebrows have
disappeared, and that her eyes are all puffy. Which follow-up
question is best for the nurse to ask?
a- “Is there a history of female baldness in your family?” b-
“Are you under any unusual stress at home or work?” c-
“Do you work with hazardous chemicals?”
d- “Have you noticed any changes in your fingernails?”
Rationale: The pattern of reported manifestations is suggestive of
hypothyroidism. A question about the fingernails adds data to the
clinical picture.
After a third hospitalization 6 months ago, a client is admitted to
the hospital with ascites and malnutrition. The client is drowsy
PLUS RATIONALLE 2023 A+ ASSUARED SUCCESS
The pathophysiological mechanisms are responsible for ascites
related to liver failure? (Select all that apply)
a- Bleeding that results from a decreased production of the body’s
clotting factors
b- Fluid shifts from intravascular to interstitial area due to
decreased serum protein
c- Increased hydrostatic pressure in portal circulation increases fluid
shifts into abdomen
d- Increased circulating aldosterone levels that increase sodium and
water retention
e- Decreased absorption of fatty acids in the duodenum leading to
abdominal distention.
Rationale: When liver fail production of albumin is reduced. Since albumin is
the primary serum protein creating intravascular osmotic pressure, decreased
serum protein allows a fluids shift into the interstitial space. Pressure
increases in the portal circulation © when venous return from the upper GI
tract cannot flow freely into sclerosed liver, which cause a pressure gradient
to further Increase fluid shifts into the abdomen. A failing liver ineffectively
inactivates steroidal hormones, such as aldosterone resulting in sodium and
water retention.
The nurse is auscultating a client’s heart sounds. Which
description should the nurse use to document this sound? (Please
listen to the audio first to select the option that applies)
,NURS RN EXIT EXAM QUESTIONS WITH ANSWERS
PLUS RATIONALLE 2023 A+ ASSUARED SUCCESS
a- S1 S2
b- S1 S2 S3
c- Murmur
d- Pericardial friction rub.
Rationale: A murmur is auscultated as a swishing sound that is
associated with the blood turbulence created by the heart or valvular
defect. B is associate with Heart Failure.
The healthcare provider prescribes celtazidime (Fortax) 35 mg
every 8 hours IM for an infant. The 500 mg vial is labeled with the
instruction to add 5.3 ml diluent to provide a concentration of 100
mg/ml. How many ml should the nurse administered for each dose?
(Enter numeric value only. If rounding is required, round to the
nearest tenth)
a- 0.4
Rationale: 35mg/100mg x 1 = 0.35 = 0.4 ml
The nurse notes that a client has been receiving hydromorphone
(Dilaudid) every six hours for four days. What assessment is most
important for the nurse to complete?
a- Auscultate the client's bowel sounds
b- Observe for edema around the ankles
c- Measure the client’s capillary glucose level d- Count
the apical and radial pulses simultaneously
,NURS RN EXIT EXAM QUESTIONS WITH ANSWERS
PLUS RATIONALLE 2023 A+ ASSUARED SUCCESS
Rationale: hydromorphone is a potent opioid analgesic that slows
peristalsis and frequently causes constipation, so it is most important to
Auscultate the client's bowel sounds
A female client is admitted with end stage pulmonary disease is alert,
oriented, and complaining of shortness of breath. The client tells
the nurse that she wants “no heroic measures” taken if she stops
breathing, and she asks the nurse to document this in her medical
record. What action should the nurse implement?
a- Ask the client to discuss “do not resuscitate” with her healthcare
provider
A client is receiving a full strength continuous enteral tube feeding
at 50 ml/hour and has developed diarrhea. The client has a new
prescription to change the feeding to half strength. What
intervention should the nurse implement?
a- Add equal amounts of water and feeding to a feeding bag and
infuse at 50ml/hour
b- Continue the full strength feeding after decreasing the rate of infusion to
25 ml/hr.
c- Maintain the present feeding until diarrhea subsides and the begin
the next new prescription.
, NURS RN EXIT EXAM QUESTIONS WITH ANSWERS
PLUS RATIONALLE 2023 A+ ASSUARED SUCCESS
d- Withhold any further feeding until clarifying the prescription with
healthcare provides.
Rationale: Diluting the formula can help alleviate the diarrhea. Diarrhea
can occur as a complication of enteral tube feeding and can be due to a
variety of causes including hyperosmolar formula.
A female client reports that her hair is becoming coarse and
breaking off, that the outer part of her eyebrows have
disappeared, and that her eyes are all puffy. Which follow-up
question is best for the nurse to ask?
a- “Is there a history of female baldness in your family?” b-
“Are you under any unusual stress at home or work?” c-
“Do you work with hazardous chemicals?”
d- “Have you noticed any changes in your fingernails?”
Rationale: The pattern of reported manifestations is suggestive of
hypothyroidism. A question about the fingernails adds data to the
clinical picture.
After a third hospitalization 6 months ago, a client is admitted to
the hospital with ascites and malnutrition. The client is drowsy
