EXIT Exam Test Questions And Answers Verified 100%
Correct
A nurse is talking with the partner of a client who recently died, which of the following
statements should the nurse make? - ANSWER -"Tell me what I can do for you at this time.
A nurse is assisting with the admission of a client who states, "The last time I was in the
hospital, the nurses took forever to answer my call light." Which of the following is an
appropriate response by the nurse? - ANSWER -That must have been a difficult experience for
you."
A nurse in a provider's office is caring for a group of clients who have communicable diseases.
Which of the following infections should the nurse report to the state health department? -
ANSWER -Neisseria gonorrhoeae, also HIV, syphills,TB
A nurse is assisting with the admission of an adolescent client who is suspected to have
bacterial meningitis. Which of the following findings should the nurse expect? - ANSWER -
Nuchal rigidity
A nurse is reviewing laboratory findings for four clients. Which of the following laboratory
values is an expected finding for a client who has end stage kidney disease? - ANSWER -
Creatinine 15 mg/dl
A nurse is caring for a client who is taking warfarin and has an INR of 5.5. The nurse should
expect which of the following instructions from the provider? - ANSWER -Obtain an a PT
A nurse is assisting with the care of a client who is receiving a continuous IV infusion. Which of
the following indicates fluid volume excess? - ANSWER -Distended neck veins
A nurse is reinforcing teaching with the parents of an infant who has a Pavlik harness. Which of
the following statements should the nurse include in the teaching? - ANSWER -"The harness
can promote hip joint development
A nurse is caring for a client who is 2 days postoperative. The client has a prescription for
acetaminophen 300 mg with codeine 30 mg, 1 tablet every 3 to 4 hr PRN for pain. The nurse
inadvertently administers 2 tablets to the client. In which of the following locations should the
nurse document this error? - ANSWER -Incident report
A nurse is preparing a sterile field to perform a dressing change for a client's leg wound, which
of the following actions should the nurse take? - ANSWER -Place sterile objects at least 2.5 cm
(1 in) from the edge of the sterile field
A nurse begins to bath a newly admitted client who reports that she has not had anything to eat
that day. The nurse interrupts the bath and obtains a
,healthy meal for the client. This action by the nurse is an example of which of the following? -
ANSWER -beneficence ( building trust)
A nurse is contributing to the plan of care for a client who has herpes simplex. The nurse should
plan to initiate which of the following isolation precautions when caring for this client? -
ANSWER -Contact precautions
A nurse is documenting client care in the nurses notes and notices that a space was left blank.
Which of the following actions should the nurse take? - ANSWER -Draw a horizontal line
through the space and sign at the end of the line
A nurse is caring for a client who has AIDS. Which of the following solutions should the nurse
disinfect the client's overhead table following a blood spill? - ANSWER -bleach
A home health nurse is caring for an older adult client who has rheumatoid arthritis. Which of
the following findings should the nurse identify as a safety risk? - ANSWER -The client's
electrical wires are run under carpeting
A nurse is reinforcing teaching with a client who is about to undergo surgery. Which of the
following statements about informed consent should the nurse include in the teaching? -
ANSWER -"You can sign the informed consent form after the provider explains the pros and
cons of the procedure.
A nurse is reinforcing teaching with a client who has a trichomoniasis vaginalis infection and a
new prescription for metronidazole. Which of the following instructions should the nurse
include in the teaching? - ANSWER -You should expect your urine to turn brown
A nurse is obtaining informed consent from a client who is scheduled for an invasive procedure.
The client states, "I don't understand why this procedure is necessary." Which of the following
actions should the nurse take? - ANSWER -Notify the charge nurse about the situation
A nurse is reviewing information about advance directives with a newly admitted client. Which
of the following statements by the client indicates an understanding of the information? -
ANSWER -"Advance directives include a living will"
A nurse is collecting data from the caregiver of a client who has Alzheimer's disease. The
caregiver reports the client has difficulty sleeping at night and wanders throughout the house.
Which of the following interventions should the nurse recommend? - ANSWER -make sure
theres locks on the doors
A nurse is assisting in the care of a client who is 8hr postpartum and has uterine atony with
increased bleeding. Which of the following actions should the nurse take? (Select all that apply
- ANSWER -Assist the client to empty her bladder, an massage fundus, decrease mobility
, A nurse is reinforcing teaching with the support person of a client who is in the first stage of
labor. Which of the following instructions should the nurse include regarding effleurage? -
ANSWER -Gently stroke her abdomen during contractions.
A nurse is caring for an older adult client who is postoperative following a total hip arthroplasty.
The client is incontinent of stool and urine. Which of the following actions should the nurse
take to prevent skin breakdown? - ANSWER -Use a moisture barrier on the client's skin
A nurse is caring for a client who has terminal cancer. Which of the following actions should the
nurse take to promote the client's autonomy? - ANSWER -Allow the client to choose treatment
times
A nurse in a clinic is caring for a client who is at 40 weeks of gestation and experiences a sudden
gush of vaginal fluids. Which of the following findings is evidence of an obstetric complication? -
ANSWER -Appears greenishbrown in color
A nurse is assisting with the care of an adolescent client immediately following a
lumbar puncture. Which of the following actions should the nurse take? - ANSWER -inform the
adolescent that he might experience a headache, also can experience urinary retention
A nurse is reinforcing teaching about advance directives with a client who has end stage heart
failure. Which of the following statements by the client indicates an understanding of the
teaching? - ANSWER -"I should discuss this document with my family after I sign it."
A nurse is caring for a client who has continuous bladder irrigation following a transurethral
resection of the prostate. The nurse notices clots and dark red blood in the catheter collection
bag. Which of the following actions should the nurse take? - ANSWER -notify the HCP, can only
irrigate tiny clots
A nurse is planning to obtain a 12-lead ECG for a client who has a history of cardiac
dysrhythmias. Which of the following actions should the nurse plan to take? - ANSWER -Instruct
the client to remain as still as possible during the recording
A nurse is reinforcing teaching with a client who has genital herpes. Which of the following
information should the nurse include in the teaching? - ANSWER -"take a stizs bath,
A nurse is preparing to empty a postoperative client's closed-wound drainage system. Which of
the following actions should the nurse plan to take? - ANSWER -Compress the container before
replacing the drainage plug
A nurse is reinforcing teaching with the parents of a toddler who has a new diagnosis of asthma
and a prescription for montelukast. Which of the following instructions should the nurse
include in the teaching? - ANSWER -Administer the medication to the toddler each evening (
dont stop taking abrutly )
Correct
A nurse is talking with the partner of a client who recently died, which of the following
statements should the nurse make? - ANSWER -"Tell me what I can do for you at this time.
A nurse is assisting with the admission of a client who states, "The last time I was in the
hospital, the nurses took forever to answer my call light." Which of the following is an
appropriate response by the nurse? - ANSWER -That must have been a difficult experience for
you."
A nurse in a provider's office is caring for a group of clients who have communicable diseases.
Which of the following infections should the nurse report to the state health department? -
ANSWER -Neisseria gonorrhoeae, also HIV, syphills,TB
A nurse is assisting with the admission of an adolescent client who is suspected to have
bacterial meningitis. Which of the following findings should the nurse expect? - ANSWER -
Nuchal rigidity
A nurse is reviewing laboratory findings for four clients. Which of the following laboratory
values is an expected finding for a client who has end stage kidney disease? - ANSWER -
Creatinine 15 mg/dl
A nurse is caring for a client who is taking warfarin and has an INR of 5.5. The nurse should
expect which of the following instructions from the provider? - ANSWER -Obtain an a PT
A nurse is assisting with the care of a client who is receiving a continuous IV infusion. Which of
the following indicates fluid volume excess? - ANSWER -Distended neck veins
A nurse is reinforcing teaching with the parents of an infant who has a Pavlik harness. Which of
the following statements should the nurse include in the teaching? - ANSWER -"The harness
can promote hip joint development
A nurse is caring for a client who is 2 days postoperative. The client has a prescription for
acetaminophen 300 mg with codeine 30 mg, 1 tablet every 3 to 4 hr PRN for pain. The nurse
inadvertently administers 2 tablets to the client. In which of the following locations should the
nurse document this error? - ANSWER -Incident report
A nurse is preparing a sterile field to perform a dressing change for a client's leg wound, which
of the following actions should the nurse take? - ANSWER -Place sterile objects at least 2.5 cm
(1 in) from the edge of the sterile field
A nurse begins to bath a newly admitted client who reports that she has not had anything to eat
that day. The nurse interrupts the bath and obtains a
,healthy meal for the client. This action by the nurse is an example of which of the following? -
ANSWER -beneficence ( building trust)
A nurse is contributing to the plan of care for a client who has herpes simplex. The nurse should
plan to initiate which of the following isolation precautions when caring for this client? -
ANSWER -Contact precautions
A nurse is documenting client care in the nurses notes and notices that a space was left blank.
Which of the following actions should the nurse take? - ANSWER -Draw a horizontal line
through the space and sign at the end of the line
A nurse is caring for a client who has AIDS. Which of the following solutions should the nurse
disinfect the client's overhead table following a blood spill? - ANSWER -bleach
A home health nurse is caring for an older adult client who has rheumatoid arthritis. Which of
the following findings should the nurse identify as a safety risk? - ANSWER -The client's
electrical wires are run under carpeting
A nurse is reinforcing teaching with a client who is about to undergo surgery. Which of the
following statements about informed consent should the nurse include in the teaching? -
ANSWER -"You can sign the informed consent form after the provider explains the pros and
cons of the procedure.
A nurse is reinforcing teaching with a client who has a trichomoniasis vaginalis infection and a
new prescription for metronidazole. Which of the following instructions should the nurse
include in the teaching? - ANSWER -You should expect your urine to turn brown
A nurse is obtaining informed consent from a client who is scheduled for an invasive procedure.
The client states, "I don't understand why this procedure is necessary." Which of the following
actions should the nurse take? - ANSWER -Notify the charge nurse about the situation
A nurse is reviewing information about advance directives with a newly admitted client. Which
of the following statements by the client indicates an understanding of the information? -
ANSWER -"Advance directives include a living will"
A nurse is collecting data from the caregiver of a client who has Alzheimer's disease. The
caregiver reports the client has difficulty sleeping at night and wanders throughout the house.
Which of the following interventions should the nurse recommend? - ANSWER -make sure
theres locks on the doors
A nurse is assisting in the care of a client who is 8hr postpartum and has uterine atony with
increased bleeding. Which of the following actions should the nurse take? (Select all that apply
- ANSWER -Assist the client to empty her bladder, an massage fundus, decrease mobility
, A nurse is reinforcing teaching with the support person of a client who is in the first stage of
labor. Which of the following instructions should the nurse include regarding effleurage? -
ANSWER -Gently stroke her abdomen during contractions.
A nurse is caring for an older adult client who is postoperative following a total hip arthroplasty.
The client is incontinent of stool and urine. Which of the following actions should the nurse
take to prevent skin breakdown? - ANSWER -Use a moisture barrier on the client's skin
A nurse is caring for a client who has terminal cancer. Which of the following actions should the
nurse take to promote the client's autonomy? - ANSWER -Allow the client to choose treatment
times
A nurse in a clinic is caring for a client who is at 40 weeks of gestation and experiences a sudden
gush of vaginal fluids. Which of the following findings is evidence of an obstetric complication? -
ANSWER -Appears greenishbrown in color
A nurse is assisting with the care of an adolescent client immediately following a
lumbar puncture. Which of the following actions should the nurse take? - ANSWER -inform the
adolescent that he might experience a headache, also can experience urinary retention
A nurse is reinforcing teaching about advance directives with a client who has end stage heart
failure. Which of the following statements by the client indicates an understanding of the
teaching? - ANSWER -"I should discuss this document with my family after I sign it."
A nurse is caring for a client who has continuous bladder irrigation following a transurethral
resection of the prostate. The nurse notices clots and dark red blood in the catheter collection
bag. Which of the following actions should the nurse take? - ANSWER -notify the HCP, can only
irrigate tiny clots
A nurse is planning to obtain a 12-lead ECG for a client who has a history of cardiac
dysrhythmias. Which of the following actions should the nurse plan to take? - ANSWER -Instruct
the client to remain as still as possible during the recording
A nurse is reinforcing teaching with a client who has genital herpes. Which of the following
information should the nurse include in the teaching? - ANSWER -"take a stizs bath,
A nurse is preparing to empty a postoperative client's closed-wound drainage system. Which of
the following actions should the nurse plan to take? - ANSWER -Compress the container before
replacing the drainage plug
A nurse is reinforcing teaching with the parents of a toddler who has a new diagnosis of asthma
and a prescription for montelukast. Which of the following instructions should the nurse
include in the teaching? - ANSWER -Administer the medication to the toddler each evening (
dont stop taking abrutly )
