EXIT EXAM (1-100/180questions)
1. 1. A nurse is caring for a client who has given informed consent for
ECT. Just before the procedure, the client tells the nurse she is considering
not going forward with the treatment. Which of the following statements by
the nurse is appropriate?: a. "You don't have to go through with the treatment
2. 2. While performing a routine assessment, a nurse notices fraying on
the electrical cord of a client's CPM device. Which of the following actions
should the nurse take first?: c. Remove the device from the room
3. 3. A nurse is caring for a client who is postoperative and has a new
prescription for hydromorphone. Which of the following actions should the
nurse take?: c. Count the current number of unit doses available in the
medication dispensing system
4. 4. A nurse performing a change-of-shift assessment. Which of the
following clients has the priority finding?: c. 2 hr. post cast placement and has
2+ pitting edema and pallor
5. 5. A nurse in an outpatient mental health facility is providing teaching
to a group of adolescents. Which of the following statements by a client
indicates an understanding of the teaching?: c. "I will take the sustained-
release methylphenidate every morning."
6. 6. A nurse in the emergency department is assessing client who has
major depressive disorder. Which of the following actions should the nurse
take first? [View Exhibit]: b. Implement seizure precautions for the client
7. 7. A nurse is completing an admission assessment for a client who ahs
narcissistic personality disorder. Which of the following should the nurse
expect?: d. Preoccupied with aging
8. 8. Drug Calc: Client weighs 99 lb. Prescribed diet of 1.5 g
protein/kg/day. How many grams of protein perday should the nurse include
in the client's dietary plan?: (no answer provided)
, EXIT EXAM (1-100/180questions)
9. 9. A nurse is planning care for a group of clients and is working with
one LPN and one AP. Which of the following actions should the nurse take
first to manage her time effectively?: c. Determine goals of the day
10. 10. A nurse is developing a plan of care for a client who has
preeclampsia and is to receive magnesium sulfate via continuous IV
infusion. Which of the following actions should the nurse include in the
plan?: b. Measure the client's urine output every hour
11. 11. A nurse is caring for a group of clients. Which of the following
wounds should the nurse expect to heal by primary intention?: c.
Approximated surgical incision
12. 12. A nurse in an acute mental health care facility is prioritizing care for
multiple clients. Which of the following clients should the nurse see first?:
a.
Client taking clozapine to treat schizophrenia and reports sore throat (pharm pg. 72:
monitor for infection [fever, sore throat, etc.])
13. 13. A nurse is caring for a client who has an implanted venous access
port. Which of the following should the nurse use to assess the port?: c. A
noncoring needle
14. 14. A nurse is caring for a client who has pneumonia and tells the
nurse, "I feel like an elephant is sitting on my chest." The client is weak and
unable to walk. After the nurse indicates chest pain protocol, which of the
following is the priority diagnostic test?: b. 12 lead ECG
15. 15. A nurse is assessing the growth and development of a 3 y/o child.
Which of the following questions should the nurse ask the parent to
determine if the child is exhibiting typical developmental expectations?: c.
"Can your child ride a tricycle?"
16. 16. A nurse is preparing to assess fetal heart tones for a client who is at
12 weeks of gestation. Which of the following actions should the nurse
take?: c. Position the ultrasound stethoscope above the symphysis pubis to
assess the FHR
1. 1. A nurse is caring for a client who has given informed consent for
ECT. Just before the procedure, the client tells the nurse she is considering
not going forward with the treatment. Which of the following statements by
the nurse is appropriate?: a. "You don't have to go through with the treatment
2. 2. While performing a routine assessment, a nurse notices fraying on
the electrical cord of a client's CPM device. Which of the following actions
should the nurse take first?: c. Remove the device from the room
3. 3. A nurse is caring for a client who is postoperative and has a new
prescription for hydromorphone. Which of the following actions should the
nurse take?: c. Count the current number of unit doses available in the
medication dispensing system
4. 4. A nurse performing a change-of-shift assessment. Which of the
following clients has the priority finding?: c. 2 hr. post cast placement and has
2+ pitting edema and pallor
5. 5. A nurse in an outpatient mental health facility is providing teaching
to a group of adolescents. Which of the following statements by a client
indicates an understanding of the teaching?: c. "I will take the sustained-
release methylphenidate every morning."
6. 6. A nurse in the emergency department is assessing client who has
major depressive disorder. Which of the following actions should the nurse
take first? [View Exhibit]: b. Implement seizure precautions for the client
7. 7. A nurse is completing an admission assessment for a client who ahs
narcissistic personality disorder. Which of the following should the nurse
expect?: d. Preoccupied with aging
8. 8. Drug Calc: Client weighs 99 lb. Prescribed diet of 1.5 g
protein/kg/day. How many grams of protein perday should the nurse include
in the client's dietary plan?: (no answer provided)
, EXIT EXAM (1-100/180questions)
9. 9. A nurse is planning care for a group of clients and is working with
one LPN and one AP. Which of the following actions should the nurse take
first to manage her time effectively?: c. Determine goals of the day
10. 10. A nurse is developing a plan of care for a client who has
preeclampsia and is to receive magnesium sulfate via continuous IV
infusion. Which of the following actions should the nurse include in the
plan?: b. Measure the client's urine output every hour
11. 11. A nurse is caring for a group of clients. Which of the following
wounds should the nurse expect to heal by primary intention?: c.
Approximated surgical incision
12. 12. A nurse in an acute mental health care facility is prioritizing care for
multiple clients. Which of the following clients should the nurse see first?:
a.
Client taking clozapine to treat schizophrenia and reports sore throat (pharm pg. 72:
monitor for infection [fever, sore throat, etc.])
13. 13. A nurse is caring for a client who has an implanted venous access
port. Which of the following should the nurse use to assess the port?: c. A
noncoring needle
14. 14. A nurse is caring for a client who has pneumonia and tells the
nurse, "I feel like an elephant is sitting on my chest." The client is weak and
unable to walk. After the nurse indicates chest pain protocol, which of the
following is the priority diagnostic test?: b. 12 lead ECG
15. 15. A nurse is assessing the growth and development of a 3 y/o child.
Which of the following questions should the nurse ask the parent to
determine if the child is exhibiting typical developmental expectations?: c.
"Can your child ride a tricycle?"
16. 16. A nurse is preparing to assess fetal heart tones for a client who is at
12 weeks of gestation. Which of the following actions should the nurse
take?: c. Position the ultrasound stethoscope above the symphysis pubis to
assess the FHR
