NR 446 Chamberlain Exit Exam Chamberlain
University-Illinois Questions with 100% Verified Answers
Latest Update
Question: 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."
Answer:
a. "You don't have to go through with the treatment."
Question: 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
Answer:
c. Remove the device from the room
Question:
Answer:
Question: 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
Answer:
c. Count the current number of unit doses available in the medication dispensing system
Question: 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
, Answer:
c. 2 hr. post cast placement and has 2+ pitting edema and pallor
Question: 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."
Answer:
c. "I will take the sustained-release methylphenidate every morning."
Question: A nurse in the emergency department is assessing client who has major
depressive disorder. Which of the following actions should the nurse take first?
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
Answer:
b. Implement seizure precautions for the client
Question: A nurse is completing an admission assessment for a client who has 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
Answer:
d. Preoccupied with aging
Question: 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
Answer:
c. Determine goals of the day
Question: 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?
a. Restrict the client's total fluid intake to 250 mL/hr.
b. Measure the client's urine output every hour
c. Give the client protamine if signs of magnesium sulfate toxicity occur
d. Monitor the FHR via Doppler every 30 min
Answer:
b. Measure the client's urine output every hour
Question: A nurse is caring for a group of clients. Which of the following wounds should the
nurse expect to heal by primary intention?
a. Infected laceration
b. Stage II pressure ulcer
c. Approximated surgical incision
d. Partial-thickness burn
Answer:
c. Approximated surgical incision
Question: 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
b. Client has OCD and is upset about a change in daily routine
c. Client has narcissistic personality disorder and is mocking others during group therapy
d. Client who has depressive disorder and requires assistance with ADLs
Answer:
a. Client taking clozapine to treat schizophrenia and reports sore throat
Question: 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?
a. An angiocatheter
b. A butterfly needle
c. A non-coring needle
d. A 25 gauge needle
Answer:
c. A non-coring needle
Question:
Answer:
Question:
Answer:
, Question:
Answer:
Question: 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?
a. PT and INR
b. 12 lead ECG
c. Chest X-ray
d. Serum potassium
Answer:
b. 12 lead ECG
Question: 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?
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?"
Answer:
c. "Can your child ride a tricycle?"
Question: 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
Answer:
c. Position the ultrasound stethoscope above the symphysis pubis to assess the FHR
Question: 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
b. The system is working properly
c. The lung has re-expanded
d. The tubing is partially obstructed by clots
Answer:
b. The system is working properly
University-Illinois Questions with 100% Verified Answers
Latest Update
Question: 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."
Answer:
a. "You don't have to go through with the treatment."
Question: 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
Answer:
c. Remove the device from the room
Question:
Answer:
Question: 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
Answer:
c. Count the current number of unit doses available in the medication dispensing system
Question: 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
, Answer:
c. 2 hr. post cast placement and has 2+ pitting edema and pallor
Question: 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."
Answer:
c. "I will take the sustained-release methylphenidate every morning."
Question: A nurse in the emergency department is assessing client who has major
depressive disorder. Which of the following actions should the nurse take first?
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
Answer:
b. Implement seizure precautions for the client
Question: A nurse is completing an admission assessment for a client who has 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
Answer:
d. Preoccupied with aging
Question: 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
Answer:
c. Determine goals of the day
Question: 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?
a. Restrict the client's total fluid intake to 250 mL/hr.
b. Measure the client's urine output every hour
c. Give the client protamine if signs of magnesium sulfate toxicity occur
d. Monitor the FHR via Doppler every 30 min
Answer:
b. Measure the client's urine output every hour
Question: A nurse is caring for a group of clients. Which of the following wounds should the
nurse expect to heal by primary intention?
a. Infected laceration
b. Stage II pressure ulcer
c. Approximated surgical incision
d. Partial-thickness burn
Answer:
c. Approximated surgical incision
Question: 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
b. Client has OCD and is upset about a change in daily routine
c. Client has narcissistic personality disorder and is mocking others during group therapy
d. Client who has depressive disorder and requires assistance with ADLs
Answer:
a. Client taking clozapine to treat schizophrenia and reports sore throat
Question: 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?
a. An angiocatheter
b. A butterfly needle
c. A non-coring needle
d. A 25 gauge needle
Answer:
c. A non-coring needle
Question:
Answer:
Question:
Answer:
, Question:
Answer:
Question: 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?
a. PT and INR
b. 12 lead ECG
c. Chest X-ray
d. Serum potassium
Answer:
b. 12 lead ECG
Question: 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?
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?"
Answer:
c. "Can your child ride a tricycle?"
Question: 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
Answer:
c. Position the ultrasound stethoscope above the symphysis pubis to assess the FHR
Question: 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
b. The system is working properly
c. The lung has re-expanded
d. The tubing is partially obstructed by clots
Answer:
b. The system is working properly
