NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS, Exams of Nursing

Download NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS and more Exams Nursing in PDF only on Docsity! EXIT EXAM  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.” b. “Most people who have this procedure feel better following the treatment.” c. “It’s okay to be nervous before this treatment.” d. “Your doctor wouldn’t have ordered this treatment unless it was necessary.”  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? a. Report the defect to the equipment maintenance staff. b. Ensure the device inspection sticker is current c. Remove the device from the room d. Initiate a requisition for a replacement CPM device  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? a. Document administration of the medication upon removal from the medication dispensing system b. Withhold the medication if the client does not appear to be in pain. c. Count the current number of unit doses available in the medication dispensing system d. Withhold the medication if the client has a fever  A nurse performing a change-of-shift assessment. Which of the following clients has the priority finding? a. Type 2 DM and a blood glucose of 250 mg/dL b. Pneumonia with a productive cough and a fever of 38.8° C (101.8° F) c. 2 hr. post cast placement and has 2+ pitting edema and pallor d. First-degree heart block and a heart rate of 62/min  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? a. “I will limit my alcohol use to one drink daily while taking disulfiram.” b. “I will avoid foods containing tyramine while taking fluoexetine.” c. “I will take the sustained-release methylphenidate every morning.” d. “I will take my lithium on an empty stomach.” (pharm pg. 64: taking lithium with food will help decrease GI distress)  Teaching the parents of a client with new onset of seizures and is to undergo an EEG. Which of the following instructions should the nurse include in the teaching? a. “Ensure the child’s hair is clean and without conditioner before the procedure.” (medsurg pg. 18: instruct client to wash his hair prior to the procedure and eliminate all oils, gels, and sprays) b. “Keep the child out of the sun for 4 hr. following the procedure.” c. “Make the child NPO before the procedure.” d. “Give the child acetaminophen for pain following the procedure.”  Client presented with fine hair, exophthalmos, and reports intolerance to heat. Which of the following endocrine disorders is associated with these findings? c. Bradycardia d. Hypertonicity  A newly LPN working at an HIV clinic is reviewing the responsibilities of her position at the clinic. Which of the following tasks should the nurse identify as tertiary prevention? a. Using an electronic massaging system to remind clients when to take medications b. Educating clients about contraindications to specific immunizations c. Helping clients understand health screenings covered by their insurance plans d. Providing clients with info about the benefits of exercise  Client who has bipolar disorder and is experiencing mania. Which of the following should the nurse include in the plan? a. Encourage the client to take frequent rest periods b. Encourage the client to spend time in the day room c. Place the client in seclusion when he exhibits signs of anxiety (mental pg. 76: seclusion might be the only way to safely decrease stimulation) d. Withdraw the client’s TV privileges if he does not attend group therapy  A nurse in the ER is receiving report for four clients. Which should the nurse see first? a. Client who has HTN and reports severe headache (stroke) b. Client who reports left arm pain following a fall c. Client who has heart failure and received diuretic 30 min ago d. Client who reports frequent and painful urination  A nurse is visiting a client whose partner states that she is overwhelmed by caring for him. When suggesting respite care, which of the following explanations should the nurse provide? a. “Respite care provides clinicians to work with you in caring for your husband.” b. “Respite care allows for time away from caring for your husband.” c. “Respite care includes volunteers who will perform household tasks.” d. “Respite care offers financial resources to help care for your husband.”  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] a. Administer Zofran to the client for nausea b. Implement seizure precautions for the client c. Encourage the client to verbalize feelings d. Obtain the client’s weight  A nurse is completing an admission assessment for a client who ahs narcissistic personality disorder. Which of the following should the nurse expect? a. Suspicious of others b. Exhibits separation anxiety c. Ritualistic behavior d. Preoccupied with aging  Drug Calc: Client weighs 99 lb. Prescribed diet of 1.5 g protein/kg/day. How many grams of protein per day should the nurse include in the client’s dietary plan?  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? a. Develop an hourly time frame for tasks b. Schedule daily activities c. Determine goals of the day d. Delegate tasks to the AP NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ Which of the following questions should the nurse ask the parent to determine if the child is exhibiting typical developmental expectations? a. “Can your child draw a stick figure?” b. “Can your child catch and throw a small ball?” c. “Can your child ride a tricycle?” d. “Can your child name five colors?”  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? a. Measure the fundal height to determine the placement of the ultrasound stethoscope b. Perform Leopold maneuvers prior to auscultating the FHR c. Position the ultrasound stethoscope above the symphysis pubis to assess the FHR d. Place the client in a side-lying position prior to assessing the FHR  A nurse is assessing a client who has a chest tube with a water seal drainage system. Upon assessment, the nurse notes tidaling in the water seal. Which of the following is an explanation for the tidaling? a. There is a loop of tubing below the drainage system NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ b. The system is working properly (medsurg pg. 104: tidaling in the water seal chamber and continuous bubbling only in the suction chamber) c. The lung has re-expanded d. The tubing is partially obstructed by clots NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+  A charge nurse on a medical surgical unit is assisting with the emergency response plan following an external disaster in the community. In anticipation of multiple client admissions, which of the following current clients should the nurse recommend for early discharge? a. A client who is receiving heparin for DVT b. A client who is 1 day postoperative following a vertebroplasty c. A client who has COPD and a respiratory rate of 44/min d. A client who has cancer with a sealed implant for radiation therapy  A nurse is caring for a client who has ESRD. The client’s adult child asks the nurse about becoming a living kidney donor for her father. Which of the following conditions in the child’s medical history should the nurse identify as a contraindication to the procedure? a. Osteoarthritis b. HTN c. Amputation d. Primary glaucoma  A nurse is receiving change of shift report for four clients. Which of the following clients should the nurse assess first? a. DM and HbA1c of 5.2% NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ d. Sinus arrhythmia and is receiving cardiac monitoring  Nurse accidently punctures IV bag causing the medication to leak on the counter. Which of the following medications requires the nurse to follow facility procedures in the safe handling of a bio hazardous material spill? a. Phenytoin b. Doxorubicin hydrochloride c. Metronidazole d. Ampicillin sodium  Postoperative client following appendectomy and receiving gentamicin. Which is an adverse effect of this medication? a. Respiratory rate 22/min b. Hgb 8.7 g/dL c. 2+ pitting edema of the ankles d. Creatinine 2.3 mg/dL (pharm pg. 365: nephrotoxicity)  Which of the following clients should the nurse recommend referral to a dietitian? a. Older adult who has BMI of 24 b. Client with albumin of 3.7 g/dL c. Older adult who has presbyopia NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ d. Client who has a nonhealing leg ulcer NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+  Support group for clients whose family have committed suicide. Which of the following should the nurse plan to use during the group session? a. Encourage clients to establish a timeline for their grieving process b. Assist clients in identifying ways suicide could have been prevented c. Discourage clients from sharing negative aspects of their relationship with the deceased persons d. Initiate a discussion with clients about ways to cope with changes in family dynamics  Which of the following risk factors should the nurse include as the best predictor of future violence? a. Experiencing delusions b. A history of being in prison c. Male gender d. Previous violent behavior  Arial fibrillation places the client at risk for which of the following conditions? a. Pulmonary emboli b. Cardiac tamponade NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ c. Prednisone d. Omeprazole  Client becomes unconscious and monitor displays v-tach. Which action should the nurse take first after determining the client does not have a palpable pulse? a. Establish IV access b. Administer epinephrine c. Defibrillate d. Assess heart sounds NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+  A nurse is caring for several clients on a med surg unit. For which of the following nursing activities is it required that the nurse use sterile gloves? a. Initiating IV assess b. Performing tracheostomy care c. Inserting an NG tube d. Administering total parenteral nutrition through a central venous assess device  Lab results s/p surgery. Which should be reported to the provider? a. Na 160 mEq/L b. Cl 100 mEq/L c. Bicarbonate 26 mEq/L d. K 3.8 mEq/L  Nurse is developing care plan for client on Buck’s traction and is schedules for surgery for a fractured femur of the right leg. Which should the nurse delegate to an AP? a. Observe the position of the suspended weight b. Remind the client to use the incentive spirometer c. Check the client’s pedal pulse on the right leg d. Ask client to describe her pain NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+  Client in ER experiencing stimulant withdrawal. Which finding should the nurse expect? a. Decreased appetite b. Runny nose c. Muscle spasms d. Fatigue  Postpartum client with a language barrier. Which of the following actions should the nurse take to gather the client’s admission data? a. Allow client’s partner to translate b. Request female interpreter through the facility c. Have client’s child translate d. Ask nursing student who speaks the same language as the client to translate  Operating fire extinguisher [arrange] 1) Unlock the handle by pulling on the pin 2) Point the hose at the base of the fire 3) Squeeze the handle by pulling on the pin 4) Sweep the extinguisher from side to side  A nurse in a mental health clinic receives a request from a client who is undergoing psychotherapy obtain a copy of the therapist’s notes. NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ d. Restlessness  Teaching for misoprostol. Which information should be included in the teaching? a. “You will have a urinary catheter inserted prior to the placement of the medication.” b. “You will lie on your side for 30 min after the medication is inserted.” c. “You will have oxytocin initiated within 3 hours of administration of the medication.” d. “You will have intermittent fetal monitoring while you receive the medication.”  Client in psychiatric unit. The client states, “The voices are telling me to jump.” Which of the following is an appropriate response by the nurse? a. “That can’t be true. The only voices in this room are yours and mine.” b. “You shouldn’t be afraid when you think the voices are telling you to hurt yourself.” c. “I understand the voices are frightening you, but I do not hear any voices.” d. “Do you recognize the voices as belonging to anyone you NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ know?”  Teaching the parent of an infant who has positional plagiocephaly. Which of the following statements by the parent indicates an understanding of the teaching? a. “I should place my baby in the left side-lying position at night when using the helmet.” b. “I should avoid tummy time when my baby is wearing the helmet.” c. “I should expect to have my baby wear this helmet for 10 months.” d. “I should keep the helmet on my baby for 23 hours a day.”  Which of the following lab findings should the nurse recognize as indicative of rheumatic fever? a. Decreased hgb and platelet count b. Decreased myoglobin and antinuclear antibody titer c. Elevated sedimentation rate and C-reactive protein d. Elevated creatine kinase and troponin  Child who has Lyme disease. Which of the following is an appropriate action for the nurse to take? a. Ensure the state health department has been notified b. Administer antitoxin c. Assess for skin necrosis NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ d. Educate the family to avoid sharing personal belongings  Teaching about home safety to an older adult client. Which of the following statements by the client indicates that the teaching has been effective? a. “I have grab bars next to my tub.” b. “I have placed throw rugs in the hallways.” NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ c. Notify security to monitor the facility’s exits d. Inform the client of the risks involved if she leaves  Client having an acute MI. Which of the following findings places the client at risk if he receives alteplase? a. Hip arthroplasty 1 week ago b. Family of malignant HTN c. Acute renal failure 6 months ago d. COPD  Assessment for a client who is in the manic phase of bipolar disorder. Which of the following behaviors should the nurse expect? a. Performance of ritualistic behaviors b. Distractibility and poor judgment c. Reports of physical discomfort d. Suspiciousness and distrust  Toddler who has retinoblastoma. Which of the following findings should the nurse expect? a. White eye reflex nystagmus b. Hyphema c. Opacity of the lens  Child who reports migraine headaches for the past 4 months. Which of NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ the following actions should the nurse take first? a. Refer the family to a chronic pain support group NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ b. Request a change in medication from the provider c. Set up an appointment with the school nurse d. Review the child’s electronic pain diary  Client with acute diverticulitis. Which of the following diets should the nurse recommend to the client? a. Lactose-free b. Low-fiber (medsurg pg. 337: “clear liquid diet until manifestations subside; can progress to low-fiber diet as tolerated) c. High residue d. Gluten-free  Lab results for a client with heart failure. Serum potassium level of 5.2 mEq/L. Which of the following medications should the nurse withhold? a. Spironolactone b. Metoprolol c. Atorvastatin d. Furosemide  Client who is 48 hr. postoperative following a total hip arthroplasty. Which of the following actions should the nurse include in the plan of NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ d. Administer an analgesic  Client who has depressive disorder and a new prescription for amitriptyline. Which of the following statements by the client indicators an understanding of the teaching? a. “I can continue to take St. John’s wort while taking this medication.” b. “I know it will be a couple of weeks before the medication helps me feel better.” (pharm pg. 56: it can take 10-14 days or longer) c. “I expect this medication to raise my blood pressure.” d. “I should take this medication on an empty stomach.” NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+  A nurse is preparing to feed a newly admitted client who has dysphagia. Which of the following actions should the nurse plan to take? a. Instruct the client to lift her chin when swallowing b. Sit at or below the client’s eye level during feedings c. Talk with the client during her feeding d. Discourage the client from coughing during feedings  Child with sickle cell anemia. The nurse should emphasize the importance of which of the following factors to prevent sickle cell crisis? a. A low-protein diet b. Adequate hydration c. Calorie restriction d. Increased iron intake  Client with indwelling urinary catheter. Which of the following actions should the nurse take to provide catheter care? a. Provide perineal hygiene after defecation b. Empty the collected urine once every 24 hr. c. Hang the drainage bag on a bed rail d. Change the indwelling catheter every 8 hr. NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+  Client experiencing acute mania. Which of the foods should the nurse provide for this client? a. Peanut butter sandwich b. Chicken noodle soup c. Celery sticks d. Oatmeal with butter 68. ??????????  A home health nurse is completing screenings for elder abuse during client visits. Which of the following findings should the nurse identify as an indication of potential elder abuse? a. Client who reports being given sedative medications by family members b. Client who is taking warfarin and has several small bruises on her shins and hands c. Client who schedules multiple visits with his provider every month d. Client who lives with family members and begins to take more responsibility for self-care  A nurse is caring for a school age child who is postoperative and received morphine IV bolus for pain 10 min ago. Which of the following findings is the nurse’s priority? NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+  Older client transferred from another facility. Nurse notes ulcers on the coccyx and abrasions around both wrists. Which of the following actions should the nurse take to address suspicions of elder abuse? a. Notify risk management b. Inform the transferring agency of the client’s condition c. Privately interview the client about her condition d. Contact the family regarding the client’s condition  Client receiving intermittent enteral tube feedings. Which of the following places the client at risk for aspiration? a. History of GERD b. Sitting in a high-Fowler’s position during the feeding c. A residual of 65 mL 1 hr. postprandial d. Receiving a high osmolarity formula  Adverse effects of sertraline a. Dry cough b. Increased urinary frequency c. Metallic taste in mouth d. Excessive sweating (pharm pg. 53: serotonin syndrome)  Teaching for a client undergoing radiation therapy and has stomatitis. Which of the responses by the client indicates an understanding of the NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ teaching? a. “I should limit my intake of dairy products to prevent nausea.” b. “I should use a soft-bristle toothbrush to clean my teeth after meals.” c. “I should moisten my lips with lemon-glycerin swabs.” d. “I should gargle with an alcohol-based mouthwash to kill germs.”  Client placed in seclusion and restraints. Which of the following actions should the nurse plan to take? a. Ensure that the prescription for restraints be renewed every 6 hr. b. Have a provider evaluate the client in person within 1 hr. c. Plan to monitor the client every 30 min while restrained d. Complete a written record regarding the seclusion and restraint every 2 hr.  Client with acute glomerulonephritis. Which of the following food choices should the nurse recommend? (low in potassium, sodium, and protein) a. Bagel b. Banana c. Eggs d. Smoked salmon NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+  Client asks about acupuncture to manage his osteoarthritis pain. The nurse should identify which of the following conditions as a contraindication for receiving this treatment? a. HTN b. Herpes zoster c. Obesity d. Hypothyroidism  Reviewing client’s lab results. Which of the following should the nurse review to evaluate the client’s nutritional status? a. Serum albumin b. Serum sodium c. Troponin d. ESR  Nurse manger observes two staff nurses reviewing the computer records of a client who is not under their care. Which of the following should the nurse manager take first? a. Request the nurses present an in-service on client confidentiality b. Place documentation of the nurses’ actions in the personnel file c. Instruct the nurses to close the client’s computer record d. Advise the nurses to read the facility’s confidentiality policy NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ b. Administering potassium via IV bolus c. Documenting communication with a provider in the progress notes of client’s medical record d. Placing a yellow bracelet on a client who is at risk for falls  Lab results of a client who has osteomyelitis and is receiving tobramycin. Which of the following findings indicate the client is experiencing an adverse effect of the medication? a. Serum creatinine 0.4 mg/dL b. Albumin 3.2 g/dL c. Total bilirubin 0.08 mg/dL d. BUN 30 mg/dL  A nurse is teaching a client who is trying to conceive. Which of the following should the nurse instruct the client to increase in her diet to prevent a neural tube defect? a. Zinc b. Calcium c. Folate d. Iron  The nurse practices the ethical principles of distributive justice by performing which of the following? NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ a. Ensuring that a client who is homeless receives preventive medical care b. Being honest with the parents of a child about the need to report suspected abuse c. Keeping a promise to visit with a client who is housebound after the delivery of care d. Accepting the decision of an older adult client to live alone in her home  Client who is to receive alteplase recombinant for a thrombus in the coronary artery. Which of the following actions should the nurse include in the plan of care? a. Observe for bruising of the skin b. Provide a diet low in protein c. Monitor v/s every hour for the first 4 hr. d. Administer medications intramuscularly  Client with dementia. Which of the following actions should the nurse take to reduce the risk for client injury? a. Keep the television on during the night b. Place the bedside table at the foot of the bed c. Raise the side rails up when the client is in bed NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ d. Assist the client to the toilet frequently  Assessment of an 8 y/o child. Which of the following findings indicates the need for intervention by the nurse? a. Client eats at least one snack daily b. Client’s weight has increased by 0.9 kg (2 lb.) c. Client’s height has increased by 6.35 cm (2.5 in) d. Client drinks 3 cups of 1% milk per day  Client following thyroidectomy. For which of the following complications should the nurse assess the client? a. Muscular depression b. Laryngeal stridor c. Hypokalemia d. Hyperglycemia  Teaching to a client who is at 12 weeks gestation. The nurse should tell the client that she will undergo which of the following screening tests at 16 weeks of gestation? a. Maternal serum alpha-fetoprotein b. Chorionic villus sampling c. Cervical cultures for chlamydia d. Nonstress test NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ and occasional choking during meals. The nurse should initiate a referral to which of the following members of the interprofessional care team? a. Social worker b. Respiratory therapist c. Speech-language pathologist d. Occupational therapist  A nurse is developing an in-service about personality disorders. Which of the following should the nurse include when discussing borderline personality disorder? a. “The client might act seductively.” b. “The client is exceptionally clingy to others.” c. “The client exhibits impulsive behavior.” (mental pg. 85: compulsiveness and lack of social restraint) d. “The client is overly concerned about minor details.”  Client who has thrombocytopenia following chemotherapy. Which of the following statements indicates an understanding of the teaching? a. “I will floss between my teeth every time I brush.” b. “I will use an enema to manage my constipation.” NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ c. “I will remove my shoes when I’m inside my house.” d. “I will wipe my nose instead of blowing it.”  A community health nurse receives a referral for a family home visit. Which of the following tasks should the nurse perform first? a. Clarify the source of the referral b. Contact the family by phone c. Schedule a time for the home visit d. Implement the nursing process  Discharge teaching to a client following a total gastrectomy. The nurse should instruct the client about which of the following medications? a. Ranitidine b. Vitamin B 12 c. Metoclopramide d. Vitamin K  A nurse is providing an in-service about client evacuation during a afire. Which of the following clients should the nurse instruct the staff to evacuate first? a. Client who is bedridden and wears a hearing aid b. Client who has a fracture and is in balance suspension traction NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ c. Client who is ambulatory and receiving oxygen d. Client uses a wheelchair and is confused  A nurse is providing teaching about digoxin administration to the parents of a toddler who has heart failure. Which of the following statements should the nurse include in the teaching? a. “Have your child drink a small glass of water after swallowing the medication.” NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ b. “Set the suction machine to 60 mm Hg.” c. “Instill 2 mL of saline in the tracheostomy prior to suctioning.” d. “Advance the suction catheter just past the point of resistance.”  Client asks info regarding organ donation. Which of the following responses should the nurse make? a. “Your name cannot be removed once you are listed on the organ donor list.” b. “I cannot be a witness for your consent to donate.” c. “You must be at least 21 years of age to become an organ donor.” d. “Your desire to be an organ donor must be documented in writing.”  Client following abdominal surgery. Which of the following findings should the nurse report to the provider? a. BP 100/70 mm Hg b. Serous drainage on the abdominal dressing c. Temperature 37.6° C (99.7°F) d. Urinary output 20 mL/hr .  A nurse is caring for a client who is 4 days postpartum. Which of the following assessment findings should the nurse expect? (SATA) a. Foul perineal odor NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ b. Fundus displaced to the right c. Lochia serosa d. Fundus 4 cm (1.6 in) below the umbilicus e. Postpartum chill  A nurse is caring for a child who has cystic fibrosis and requires postural drainage. Which of the following actions should the nurse take? a. Perform the procedure twice a day b. Hold hand to perform percussions on the child c. Administer a bronchodilator after the procedure d. Perform the procedure prior to meals  A home care nurse is making a follow up visit with a client who has COPD and is using a compressed oxygen system in his home. Which of the following action should the nurse take? a. Ensure that the client checks the gauge weekly b. Store the oxygen tank wrench in a locked cabinet c. Have the client store smaller tanks under his bed d. Place the oxygen tank away from curtains or drapes  Location of crackles [IMAGE]  A nurse is caring for a newly client who has bacterial meningitis. NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ Which of the following actions should the nurse take? (medsurg pg. 31) a. Implement seizure precautions b. Place the client in high-Fowler’s position c. Perform ROM exercises once per shift d. Monitor the client for hypoglycemia  A nurse is reviewing the preadmission lab tests results of a client who is to undergo hip arthroplasty in 2 days. Which of the following results should the nurse report to the provider? a. Na 142 mEq/L b. Blood glucose 80 mg/dL c. K 3.3 mEq/L d. PT 11.5 seconds  A nurse is caring for a client who has undergone a modified radical mastectomy. The client has a closed-suction drain. Which of the following actions should the nurse take? a. Reset the vacuum by compressing the container b. Secure the drain to the bedding c. Position the affected extremity below the level of the client’s heart d. Maintain the client in a supine position for the first 24 hr. NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ c. Client who received Mantoux test 48 hr. and has an induration d. Client who is scheduled for a colonoscopy and is taking sodium phosphate  Assessment of client in active labor. Which of the following findings should the nurse report to the provider? a. FHR baseline 170/min b. Contractions lasting 80 seconds c. Temperature 37.4° C (99.3° F) d. Early decelerations in the FHR  Client who has DVT of the left lower extremity. Which of the following actions should the nurse take? [View Exhibit] a. Massage the affected extremity every 4 hr. b. Position the client with the affected extremity lower than the heart c. Administer acetaminophen d. Withhold heparin IV infusion  A nurse is teaching a prenatal class about infection prevention at a community center. Which of the following statements by a client indicates an understanding of the teaching? a. “I can visit my nephew who has chickenpox 5 days after the sores have crusted.” NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ b. “I can clean my cat’s litter box during my pregnancy.” c. “I should wash my hands for 10 seconds with hot water after working in the garden.” d. “I should take antibiotics when I have a virus.”  Discharge teaching for metoprolol. Which of the following should the nurse instruct the client to monitor and report to the provider? a. Polyuria b. Bradycardia c. Tinnitus d. Hyperglycemia  The nurse should recognize that which of the following clients is at greatest risk for developing acute poststreptococcal glomerulonephritis? a. 18 y/o girl who is in the second trimester of pregnancy b. 7 y/o boy who is recovering from impetigo c. 2 month old girl who has pyloric stenosis d. 16 y/o boy who has appendicitis  Teaching a client who has migraine headaches how to use biofeedback to reduce the need for pharmacological interventions. Which of the following information should the nurse include in the teaching? NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ a. “Biofeedback stimulates certain pressure points to relax muscles.” b. “Biofeedback uses herbs to reduce inflammation.” c. “Biofeedback requires concentration to control physiological responses.” d. “Biofeedback improves energy flow through soft tissue manipulation to increase circulation.” NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ “diarrhea – slow the rate of feeding and notify provider) c. Provide chilled formula d. Flush the tube with 10 mL of water after feedings  Providing teaching about exercise to a client who is at 28 weeks of gestation. Which of the following statements by the client indicates an understanding of the teaching? a. “I should drink 16-24 oz. of water after I exercise.” b. “I can continue to do exercises that require the supine position.” c. “I should check my pulse rate once every hour while exercising.” d. “I should increase my exercise level to prepare for labor.”  A charge nurse observes a coworker who has impaired coordination and is drowsy while performing routine tasks. Which of the following actions should the charge nurse take first? a. Obtain support from another nurse before filing a report b. Document observations about the nurse’s behavior c. Reassign the nurse’s client-care duties to another nurse d. Report the nurse’s behavior to the nurse manager  A nurse is caring for a client who has UTI and has been taking cefaclor. Which of the following serum laboratory results NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ indicates the medication is effective? a. Eosinophils 3.9% b. WBC 9,200/mm3 c. Bun 32 mg/dL d. Creatinine 2.3 mg/dL  Client who recently attempted suicide states, “I wish I was dead.” Which of the following is an appropriate response by the nurse? a. “Did you take your medications today?” b. “Suicide is not the answer to your problems.” c. “Don’t worry. Everything will be just fine.” d. “You seem like you’re feeling hopeless.”  A nurse hears an AP telling the client, “If you don’t eat, I’ll put restraints on your wrists and feed you.” The nurse should intervene and explain to the AP that this statement constitutes which of the following torts? a. Malpractice b. Battery c. Assault d. Negligence . DRUG CALC: 100 mL/hr. NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+  Toddler who has cystic fibrosis. Which of the following instructions should the nurse include? a. “Perform chest percussion and postural drainage at least twice daily.” b. “Administer pancreatic enzymes on an empty stomach.” c. “Restrict intake of foods that contain gluten.” d. “Use a nebulizer to administer a bronchodilator following airway clearance therapy.”  Which of the following actions should the nurse take to verify NG tube placement prior to each feeding? a. Palpate the abdomen for tube placement b. Test the pH of gastric contents c. Test the bilirubin level of gastric contents d. Auscultate air insertion into the tube  Infant who has coarctation of the aorta. Which of the following should the nurse identify as an expected finding? a. Weak femoral pulses (peds pg. 112) b. Upper extremity hypotension c. Increased ICP d. Frequent nosebleeds NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ hand hygiene? a. Isopropyl alcohol b. Providone-iodine c. Bleach NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ d. Chlorhexidine  Methods to promote nighttime sleep. Which of the following instructions should the nurse include? a. Perform exercises prior to bedtime b. Take a 1 hr. nap during the day c. Eat a light snack before bedtime d. Stay in bed at least 1 hr. if unable to fall asleep  Which of the following actions by the LPN indicates the need for intervention by the charge nurse? a. Inserts an NG tube for a client using clean technique b. Stabilizes a client’s indwelling urinary catheter with the nondominant prior to inflation of the balloon c. Uses an IV infusion pump to administer TPN nutrition to a client d. Crushes an SL tablet to administer into a client’s feeding tube  A 3-day old newborn that has a congenital heart defect. Which of the following interventions should the nurse include to decrease cardiac demands for the newborn? a. Feed the infant when she is awake and crying b. Maintain the infant’s temperature at 37° C (98.6° F) c. Encourage the infant’s parents to limit visitation and physical NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+ touch  A nurse is teaching a parent about absence seizures. Which of the following information should the nurse include? a. “The child usually has an aura prior to onset.” b. “This type of seizure can be mistaken for daydreaming.” c. “This type of seizure has a gradual onset.” d. “This type of seizure lasts 30-60 seconds.”  A nurse on a medical-surgical unit is delegating tasks to an AP. Which of the following client care tasks is within the scope of practice for the AP? a. Explaining the steps for a 24-hr urine collection b. Assisting with low-carbohydrate diet selections c. Interpreting blood glucose values d. Performing postmortem care NURSING FUNDAMENTAL Exit Exam - 180 Questions & ANSWERS 100% CORRECT/VERIFIED ALL ANSWERS CORRECT BEST EXAM SOLUTION GUARANTEED SUCCESS GRADED A+