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Exit Exam ( Exit Exam from Jessica ) term 3
Questions with Detailed Verified Answers (100%
Correct Answers) /Already Graded A+
A nurse is caring for a client who is 2 days following an above-the-knee
amputation. Which of the following actions should the nurse take to promote
progression to independence and mobility for the client?
a. Keep loose absorbent dressing around incision site
b. Encourage the client to use the overhead trapeze
c. Caution the client to avoid a prone position while in bed
d. Maintain abduction of the client's limb with a pillow
Ans: b. Encourage the client to use the overhead trapeze
A nurse at a pediatric clinic is checking the vital signs of a 2 month old infant
prior to administering immunization. The nurse should recognize respiratory
rate is 30/min. This indicates that the respiratory rate is?
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a. Respiratory rate is a manifestation of respiratory infection
b. Within the expected range
c. Result of cold stress
d. Manifestation respiration depression
Ans: b. Within the expected range
a nurse is organizing care for a group of clients. Which task should the nurse
assign to the AP?
a. record a client's vital signs during a transfusion of blood
b. assist a client who is requesting a bedpan 1 day postoperative hysterectomy
c. offer a pamphlet regarding advance directives to a newly admitted client
d. ask a client if pain was relieved after administration of acetaminophen
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Ans: b. assist a client who is requesting a bedpan 1 day postop hysterectomy
A school nurse observes several children playing on a playground. Which child
should concern the nurse most?
a. a child squatting after a game of ball
b. a child arguing with another child
c. a child breathing heavily after running
d. a child climbing on a swing set supports
Ans: a. a child squatting after a game of ball
a client, who is semi-comatose after a CVA, has a NG tube, and was started
on total parenteral nutrition today. Which action should the nurse implement
to prevent fluid volume deficit?
a. monitor blood glucose every 4-6 hour
b. administer 120 mL bolus of water
c. determine total fluid intake every 8 hr
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d. increase oral fluid intake to 3 liters per day
Ans: a. monitor blood glucose every 4-6 hour
class: ergot alkaloid
Indication: postpartum bleeding
SE: nausea, ha, hypertension
This medication might be used postpartum for a woman who delivered twins
Ans: Methylergonovine (Methergine)
What 5 things places a woman at risk for postpartum hemorrhage?
Ans: delivered twins
blood clotting disorder
retained placental fragments
uterine atony
laceration
class: antineoplastic, immunosepressant
indications: RA, cancer, psoriasis, Crohn's
SE: nausea, elevated LFTs, fatigue
© Get it right 2025 Getaway - Stuvia US All rights reserved
Exit Exam ( Exit Exam from Jessica ) term 3
Questions with Detailed Verified Answers (100%
Correct Answers) /Already Graded A+
A nurse is caring for a client who is 2 days following an above-the-knee
amputation. Which of the following actions should the nurse take to promote
progression to independence and mobility for the client?
a. Keep loose absorbent dressing around incision site
b. Encourage the client to use the overhead trapeze
c. Caution the client to avoid a prone position while in bed
d. Maintain abduction of the client's limb with a pillow
Ans: b. Encourage the client to use the overhead trapeze
A nurse at a pediatric clinic is checking the vital signs of a 2 month old infant
prior to administering immunization. The nurse should recognize respiratory
rate is 30/min. This indicates that the respiratory rate is?
© Get it right 2025 Getaway - Stuvia US All rights reserved
,Click here for more: Scholars nexus
a. Respiratory rate is a manifestation of respiratory infection
b. Within the expected range
c. Result of cold stress
d. Manifestation respiration depression
Ans: b. Within the expected range
a nurse is organizing care for a group of clients. Which task should the nurse
assign to the AP?
a. record a client's vital signs during a transfusion of blood
b. assist a client who is requesting a bedpan 1 day postoperative hysterectomy
c. offer a pamphlet regarding advance directives to a newly admitted client
d. ask a client if pain was relieved after administration of acetaminophen
© Get it right 2025 Getaway - Stuvia US All rights reserved
,Click here for more: Scholars nexus
Ans: b. assist a client who is requesting a bedpan 1 day postop hysterectomy
A school nurse observes several children playing on a playground. Which child
should concern the nurse most?
a. a child squatting after a game of ball
b. a child arguing with another child
c. a child breathing heavily after running
d. a child climbing on a swing set supports
Ans: a. a child squatting after a game of ball
a client, who is semi-comatose after a CVA, has a NG tube, and was started
on total parenteral nutrition today. Which action should the nurse implement
to prevent fluid volume deficit?
a. monitor blood glucose every 4-6 hour
b. administer 120 mL bolus of water
c. determine total fluid intake every 8 hr
© Get it right 2025 Getaway - Stuvia US All rights reserved
, Click here for more: Scholars nexus
d. increase oral fluid intake to 3 liters per day
Ans: a. monitor blood glucose every 4-6 hour
class: ergot alkaloid
Indication: postpartum bleeding
SE: nausea, ha, hypertension
This medication might be used postpartum for a woman who delivered twins
Ans: Methylergonovine (Methergine)
What 5 things places a woman at risk for postpartum hemorrhage?
Ans: delivered twins
blood clotting disorder
retained placental fragments
uterine atony
laceration
class: antineoplastic, immunosepressant
indications: RA, cancer, psoriasis, Crohn's
SE: nausea, elevated LFTs, fatigue
© Get it right 2025 Getaway - Stuvia US All rights reserved
