EXIT EXAM 2025
1. A nurse in a long-term care facility is assisting with an in service for newly hired assistive
personnel about legal issues within the facility. Which of the following should the nurse
include as an example of assault?
Informing a client the nurse is going to administer an injection even though the client
refuses
2. A nurse is collecting data from those who are in severe pain. Which of the following
questions should the nurse ask first?
● "Where is your pain located?"
3. A nurse is reviewing the laboratory results for a client who is at 29 weeks gestation. For
which of the following results should the nurse notify the provider?
● Platelet count 95,000 mm3 (normal range is 150,000 to 450,000 mm3)
4. A nurse is performing a dressing change for a client who had abdominal surgery 5 days ago,
the nurse notes organs protruding from the incision. Which of the following actions should the
nurse take?
● Cover the exposed area with sterile, saline-soaked dressings
5. A nurse is speaking with the adult daughter of a client who has Alzheimer's disease. The
daughter states, "I love my dad, but caring for him is wearing me out." Which of the following
responses should the nurse make?
● "Let's discuss how caring for your father is affecting your health
6. A nurse is contributing to the plan of care for a patient who has a chest tube connected to a
closed drainage system. Which of the following actions should the nurse include in the plan of
care?
● Maintain the drainage system below the level of the client's chest
7. A nurse in an acute mental health facility is caring for a client who has borderline
personality disorder and reports. "I am going to kill my girlfriend when I get out of here." Which
, of the following actions should the nurse take?
● Notify the client's care team of the threats against the partner
8. A nurse is admitting a client who is at high risk for suicide. Which of the following actions is
the nurse's priority?
● Search the client's personal belongings
9. A nurse is caring for a client who is 1 day postoperative and is unable to ambulate. Which of
the following actions should the nurse take to promote the client's venous return?
● Maintain the sequential compression device
10. A nurse in an acute care unit is collecting data from a school age child who has cystic
fibrosis. Which of the following findings is the priority for the nurse?
● Reports lack of appetite
11. A nurse working in a provider's office receives a phone call from the parent of a school-age
child who has varicella. The parent asked the nurse when the child could return to school.
Which of the following responses should the nurse make?
● "When the lesions have scabbed over."● "When the lesions have scabbed over."
12. A nurse in a pediatric clinic is collecting the data from a school age child whose injuries
are inconsistent with the parent's stated cause. Which of the following actions should the
nurse take?
● Report the suspected abuse to an appropriate agency
13. A nurse is collecting data from a middle adult female client who is taking melatonin. Which
of the following responses to the med should the nurse expect?
● Improved sleep
14. A nurse in a pediatric unit is collecting data from four newly admitted clients. Which of the
following clients should the nurse identify as being at risk for urinary retention?
● A school age child who has allergic rhinitis and is taking diphenhydramine
15. A nurse is preparing to purified protein derivatives (PPD) to a client who has suspected TB.
Which of the following actions should the nurse plan to take?
● Ensure the injection produces a wheal on the skin
1. A nurse in a long-term care facility is assisting with an in service for newly hired assistive
personnel about legal issues within the facility. Which of the following should the nurse
include as an example of assault?
Informing a client the nurse is going to administer an injection even though the client
refuses
2. A nurse is collecting data from those who are in severe pain. Which of the following
questions should the nurse ask first?
● "Where is your pain located?"
3. A nurse is reviewing the laboratory results for a client who is at 29 weeks gestation. For
which of the following results should the nurse notify the provider?
● Platelet count 95,000 mm3 (normal range is 150,000 to 450,000 mm3)
4. A nurse is performing a dressing change for a client who had abdominal surgery 5 days ago,
the nurse notes organs protruding from the incision. Which of the following actions should the
nurse take?
● Cover the exposed area with sterile, saline-soaked dressings
5. A nurse is speaking with the adult daughter of a client who has Alzheimer's disease. The
daughter states, "I love my dad, but caring for him is wearing me out." Which of the following
responses should the nurse make?
● "Let's discuss how caring for your father is affecting your health
6. A nurse is contributing to the plan of care for a patient who has a chest tube connected to a
closed drainage system. Which of the following actions should the nurse include in the plan of
care?
● Maintain the drainage system below the level of the client's chest
7. A nurse in an acute mental health facility is caring for a client who has borderline
personality disorder and reports. "I am going to kill my girlfriend when I get out of here." Which
, of the following actions should the nurse take?
● Notify the client's care team of the threats against the partner
8. A nurse is admitting a client who is at high risk for suicide. Which of the following actions is
the nurse's priority?
● Search the client's personal belongings
9. A nurse is caring for a client who is 1 day postoperative and is unable to ambulate. Which of
the following actions should the nurse take to promote the client's venous return?
● Maintain the sequential compression device
10. A nurse in an acute care unit is collecting data from a school age child who has cystic
fibrosis. Which of the following findings is the priority for the nurse?
● Reports lack of appetite
11. A nurse working in a provider's office receives a phone call from the parent of a school-age
child who has varicella. The parent asked the nurse when the child could return to school.
Which of the following responses should the nurse make?
● "When the lesions have scabbed over."● "When the lesions have scabbed over."
12. A nurse in a pediatric clinic is collecting the data from a school age child whose injuries
are inconsistent with the parent's stated cause. Which of the following actions should the
nurse take?
● Report the suspected abuse to an appropriate agency
13. A nurse is collecting data from a middle adult female client who is taking melatonin. Which
of the following responses to the med should the nurse expect?
● Improved sleep
14. A nurse in a pediatric unit is collecting data from four newly admitted clients. Which of the
following clients should the nurse identify as being at risk for urinary retention?
● A school age child who has allergic rhinitis and is taking diphenhydramine
15. A nurse is preparing to purified protein derivatives (PPD) to a client who has suspected TB.
Which of the following actions should the nurse plan to take?
● Ensure the injection produces a wheal on the skin
