REX-PN LATEST FINAL EXAMS QUESTIONS AND
ANSWERS SURE A+
✔✔Right lung lobectomy - ✔✔A surgical procedure requiring assessment of chest tube
fluctuations in the water seal chamber.
✔✔Enalapril - ✔✔A medication that requires the patient to avoid driving for the first day
after starting.
✔✔Salt substitutes - ✔✔Patients should avoid seasoning food with salt substitutes while
taking enalapril.
✔✔Serum calcium level check - ✔✔A blood specimen should be obtained in 1 month to
check serum calcium levels.
✔✔Blood Pressure Monitoring - ✔✔Check your blood pressure once every month, and
notify your primary health care provider of significant changes.
✔✔Human Sexuality Understanding - ✔✔Physical strength is reduced on the day
following sexual intercourse.
✔✔Infection Control Guidelines - ✔✔I should assign a client with streptococcal
pneumonia to a room with a client who has bacterial meningitis.
,✔✔Papanicolaou (Pap) Test Understanding - ✔✔The onset of my menses will not
interfere with having a Pap test performed.
✔✔Spirituality in Nursing - ✔✔Physical pain often causes spiritual distress for clients.
✔✔Moderate Sedation Follow-up - ✔✔It would require immediate follow-up if the client
is reporting sanguineous drainage from the puncture site.
✔✔Mycoplasma Pneumonia Precautions - ✔✔Place the client in a private room.
✔✔Occupational Therapy Referral - ✔✔Recommend that a referral to an occupational
therapist be initiated for the client with rheumatoid arthritis (RA).
✔✔Pharyngeal Diphtheria Care - ✔✔The nurse is caring for a client who has
pharyngeal diphtheria.
✔✔Pharyngeal diphtheria infection control - ✔✔1. Place a surgical mask on the client
during transport out of the assigned room. 2. Wear a particulate respirator mask (N95)
when entering the client's room. 3. Put on a protective gown before administering
medications to the client. 4. Remove clean gloves after leaving the client's room.
✔✔Findings in hyperparathyroidism - ✔✔1. dry skin 2. hair loss 3. bone pain 4. brittle
nails
✔✔Cerebral angiography teaching - ✔✔1. 'You will feel a warm flushing sensation when
the dye is injected.' 2. 'You will remain on bed rest for 12 hours after the procedure.' 3.
'You may wear your dentures during the procedure.' 4. 'You may experience numbness
or tingling during the procedure.'
✔✔Pernicious anemia deficiency - ✔✔The nurse should understand that the client's
condition will most likely result in a deficiency of vitamin B12.
✔✔IV infusion calculation for pediatric client - ✔✔The client weighs 4.5 kg (10 lb). The
order is for 5% dextrose in 0.2% sodium chloride (quarter-strength saline), IV, 100
ml/kg/day. Calculate ml/hr.
✔✔COPD infection control precautions - ✔✔1. Place the client in a room with monitored
negative air pressure. 2. Wear a particulate respirator mask (N95) when taking the
client's vital signs. 3. Wear clean gloves when assisting the client to remove the soiled
gown. 4. Remove the gloves before leaving the client's room. 5. Clean the reusable
blood pressure cuff before taking the client's blood pressure.
, ✔✔Medical records education - ✔✔1. 'The client's medical record is the property of the
client.' 2. 'The nurse is required to document information in a timely manner.' 3. 'The
client has the right to request restrictions on the uses and disclosures of the medical
record.' 4. 'A family member may be given access to the client's medical record after the
client is discharged from a facility.' 5. 'A researcher may study the client's medical
record to identify information that may be helpful in treating other clients.'
✔✔Discharge planning for Alzheimer's disease - ✔✔The best action for the nurse to
take is to initiate a referral to a social worker.
✔✔Contact precautions for infections - ✔✔The nurse should implement contact
precautions for the client who has respiratory syncytial virus (RSV).
✔✔Celiac disease dietary management - ✔✔Correct menu options include gluten-free
foods.
✔✔Caregiver understanding in Alzheimer's disease - ✔✔Statements indicating
understanding include avoiding restraints and monitoring exits.
✔✔Closed-wound drainage system observation - ✔✔Best action is to compress the
reservoir if it is completely inflated.
✔✔Sodium biphosphate enema administration position - ✔✔Best position for the client
during administration is not specified.
✔✔Post-cataract surgery care - ✔✔Client should wear an eye shield at night and walk
carefully.
✔✔Internal radiation therapy care - ✔✔Nurse should wear sterile gloves when obtaining
vital signs.
✔✔Assessment priority in obstetrics - ✔✔First assess the client at 31 weeks gestation
with painless vaginal bleeding.
✔✔Delirium and dementia education - ✔✔Client with delirium may have disturbances in
sleep-wake cycle.
✔✔Fall prevention in healthcare - ✔✔Leaving the lights on in the client's room is a fall
prevention strategy.
✔✔Client's room lights - ✔✔I will leave the lights on in the client's room at all times.
✔✔Client's bed position - ✔✔I will keep the client's bed locked and in the low position.
ANSWERS SURE A+
✔✔Right lung lobectomy - ✔✔A surgical procedure requiring assessment of chest tube
fluctuations in the water seal chamber.
✔✔Enalapril - ✔✔A medication that requires the patient to avoid driving for the first day
after starting.
✔✔Salt substitutes - ✔✔Patients should avoid seasoning food with salt substitutes while
taking enalapril.
✔✔Serum calcium level check - ✔✔A blood specimen should be obtained in 1 month to
check serum calcium levels.
✔✔Blood Pressure Monitoring - ✔✔Check your blood pressure once every month, and
notify your primary health care provider of significant changes.
✔✔Human Sexuality Understanding - ✔✔Physical strength is reduced on the day
following sexual intercourse.
✔✔Infection Control Guidelines - ✔✔I should assign a client with streptococcal
pneumonia to a room with a client who has bacterial meningitis.
,✔✔Papanicolaou (Pap) Test Understanding - ✔✔The onset of my menses will not
interfere with having a Pap test performed.
✔✔Spirituality in Nursing - ✔✔Physical pain often causes spiritual distress for clients.
✔✔Moderate Sedation Follow-up - ✔✔It would require immediate follow-up if the client
is reporting sanguineous drainage from the puncture site.
✔✔Mycoplasma Pneumonia Precautions - ✔✔Place the client in a private room.
✔✔Occupational Therapy Referral - ✔✔Recommend that a referral to an occupational
therapist be initiated for the client with rheumatoid arthritis (RA).
✔✔Pharyngeal Diphtheria Care - ✔✔The nurse is caring for a client who has
pharyngeal diphtheria.
✔✔Pharyngeal diphtheria infection control - ✔✔1. Place a surgical mask on the client
during transport out of the assigned room. 2. Wear a particulate respirator mask (N95)
when entering the client's room. 3. Put on a protective gown before administering
medications to the client. 4. Remove clean gloves after leaving the client's room.
✔✔Findings in hyperparathyroidism - ✔✔1. dry skin 2. hair loss 3. bone pain 4. brittle
nails
✔✔Cerebral angiography teaching - ✔✔1. 'You will feel a warm flushing sensation when
the dye is injected.' 2. 'You will remain on bed rest for 12 hours after the procedure.' 3.
'You may wear your dentures during the procedure.' 4. 'You may experience numbness
or tingling during the procedure.'
✔✔Pernicious anemia deficiency - ✔✔The nurse should understand that the client's
condition will most likely result in a deficiency of vitamin B12.
✔✔IV infusion calculation for pediatric client - ✔✔The client weighs 4.5 kg (10 lb). The
order is for 5% dextrose in 0.2% sodium chloride (quarter-strength saline), IV, 100
ml/kg/day. Calculate ml/hr.
✔✔COPD infection control precautions - ✔✔1. Place the client in a room with monitored
negative air pressure. 2. Wear a particulate respirator mask (N95) when taking the
client's vital signs. 3. Wear clean gloves when assisting the client to remove the soiled
gown. 4. Remove the gloves before leaving the client's room. 5. Clean the reusable
blood pressure cuff before taking the client's blood pressure.
, ✔✔Medical records education - ✔✔1. 'The client's medical record is the property of the
client.' 2. 'The nurse is required to document information in a timely manner.' 3. 'The
client has the right to request restrictions on the uses and disclosures of the medical
record.' 4. 'A family member may be given access to the client's medical record after the
client is discharged from a facility.' 5. 'A researcher may study the client's medical
record to identify information that may be helpful in treating other clients.'
✔✔Discharge planning for Alzheimer's disease - ✔✔The best action for the nurse to
take is to initiate a referral to a social worker.
✔✔Contact precautions for infections - ✔✔The nurse should implement contact
precautions for the client who has respiratory syncytial virus (RSV).
✔✔Celiac disease dietary management - ✔✔Correct menu options include gluten-free
foods.
✔✔Caregiver understanding in Alzheimer's disease - ✔✔Statements indicating
understanding include avoiding restraints and monitoring exits.
✔✔Closed-wound drainage system observation - ✔✔Best action is to compress the
reservoir if it is completely inflated.
✔✔Sodium biphosphate enema administration position - ✔✔Best position for the client
during administration is not specified.
✔✔Post-cataract surgery care - ✔✔Client should wear an eye shield at night and walk
carefully.
✔✔Internal radiation therapy care - ✔✔Nurse should wear sterile gloves when obtaining
vital signs.
✔✔Assessment priority in obstetrics - ✔✔First assess the client at 31 weeks gestation
with painless vaginal bleeding.
✔✔Delirium and dementia education - ✔✔Client with delirium may have disturbances in
sleep-wake cycle.
✔✔Fall prevention in healthcare - ✔✔Leaving the lights on in the client's room is a fall
prevention strategy.
✔✔Client's room lights - ✔✔I will leave the lights on in the client's room at all times.
✔✔Client's bed position - ✔✔I will keep the client's bed locked and in the low position.
