PN EXIT EXAM QUESTIONS AND ANSWERS
GRADE A+ SOLUTIONS
1. A nurse is making a follow-up call to a client who has a new
prescription for an ACE inhibitor to treat hypertension. The client
reports lightheadedness upon standing. Which of the following
statements should the nurse make?
A. "Sit back down for a few minutes when this occurs."
B. "Restrict your daily fluid intake."
C. "Discontinue this medication if this occurs again."
D. Take a daily potassium supplement."
A. "Sit back down for a few minutes when this occurs."
1. A nurse is caring for a client who has dehydration due to diarrhea.
Which of the following findings should the nurse report to the
provider?
A. BUN 18 mg/dL
B. Urine output 12 mi/hr
C. Urine specific gravity 1,020
D. Serum creatinine 1.0 mg/di
B. Urine output 12 mi/hr
1. A nurse is collecting data from a client who uses a continuous
positive airway pressure
(CPAP) machine at night for sleep apnea. The nurse should identify
which of the following findings is an indication of proper CPAP use?
A. The mask is secured over the client's mouth and the client's nose
is uncovered.
B. The therapeutic dose of albuterol is being inhaled.
C. There is one finger width between the strap on the mask and the
client's face.
D. The mask fits loosely so air can escape from underneath.
B. The therapeutic dose of albuterol is being inhaled.
1. A nurse is reinforcing teaching with a parent of a preschooler
about immunizations. Which of the following statements by the parent
indicates an understanding of the teaching?
A. "My child will need to start the human papillomavirus series when
he enters kindergarten"
,B. "I understand that immunizations will be withheld if my child has
lactose intolerance"
C. "It is recommended that my child receive his first flu
immunization at the age of 6"
D. "I can make several office visits, so my child does not get so
many immunizations at once."
D. "I can make several office visits, so my child does not get so
many immunizations at once."
1. A charge nurse in a long-term care facility is discussing ethical
theories with a group of
newly licensed nurses. Which of the following statements should the
charge nurse identify as an indication that a newly licensed nurse
understands utilitarianism?
A. "I will withhold a terminal diagnosis from a client who has
cancer."
B. "I will respect the decision of a client who has a chronic illness
to stop treatment.
C. "I will place a higher emphasis on human dignity than on the needs
of a
D. "I will consider what is going to benefit the most people when
making decisions"
B. "I will respect the decision of a client who has a chronic illness
to stop treatment.
1. A nurse is transcribing a client's prescription for erythromycin
500 mg four times per day. Which of the following information should
the nurse clarify with the provider?
A. Medication
B. Dosage
C. Route
D. Time
C. Route
Rationale: There is no indicated route which is necessary for
carrying out order
1. A nurse is reviewing the medication administration record of a
client who takes atenolol PO and applies a nitroglycerin transdermal
patch daily. For which of the following interactions should the nurse
monitor this client?
A. Dry cough
B. Hypotension
C. Thrombocytopenia
Hyperglycemia
, B. Hypotension
1. A nurse is reviewing the laboratory values of a client who has
COPD. Which of the following findings should the nurse report to the
provider?
A. WBC 13.000/mm2
B. Potassium 3.7 mEq/L
C. Iron 150 mcg/dL
D. Hgb 20 g/dL.
A. WBC 13.000/mm2
Rationale: COPD patients are at risk of lung infection. An elevated
white blood cell (WBC) count
should be reported to rule out lung infection.
1. A nurse is monitoring a client who is postoperative following a
thyroidectomy. Which of the following findings should indicate to the
nurse that the client is developing a thyroid storm?
A. Increased incision and drainage
B. Decreased body temperature
C. Hypertension
D. Bradycardia
C. Hypertension
1. A nurse is planning care for four clients. Which of the following
tasks should the nurse ask the charge nurse to reassign to an RN?
A. Administering a subcutaneous insulin injection
B. Removing an NG tube
C. Collecting a sputum culture
D. Providing discharge teaching about home IV medication therapy
D. Providing discharge teaching about home IV medication therapy
1. A nurse in a family practice office routinely reviews clients'
immunization status at their annual physical examination visits. For
which of the following clients should the nurse recommend a human
papillomavirus immunization?
A. A teenage boy
B. A preschool-age girl
C. An older adult woman
D. A middle adult man
A. A teenage boy
GRADE A+ SOLUTIONS
1. A nurse is making a follow-up call to a client who has a new
prescription for an ACE inhibitor to treat hypertension. The client
reports lightheadedness upon standing. Which of the following
statements should the nurse make?
A. "Sit back down for a few minutes when this occurs."
B. "Restrict your daily fluid intake."
C. "Discontinue this medication if this occurs again."
D. Take a daily potassium supplement."
A. "Sit back down for a few minutes when this occurs."
1. A nurse is caring for a client who has dehydration due to diarrhea.
Which of the following findings should the nurse report to the
provider?
A. BUN 18 mg/dL
B. Urine output 12 mi/hr
C. Urine specific gravity 1,020
D. Serum creatinine 1.0 mg/di
B. Urine output 12 mi/hr
1. A nurse is collecting data from a client who uses a continuous
positive airway pressure
(CPAP) machine at night for sleep apnea. The nurse should identify
which of the following findings is an indication of proper CPAP use?
A. The mask is secured over the client's mouth and the client's nose
is uncovered.
B. The therapeutic dose of albuterol is being inhaled.
C. There is one finger width between the strap on the mask and the
client's face.
D. The mask fits loosely so air can escape from underneath.
B. The therapeutic dose of albuterol is being inhaled.
1. A nurse is reinforcing teaching with a parent of a preschooler
about immunizations. Which of the following statements by the parent
indicates an understanding of the teaching?
A. "My child will need to start the human papillomavirus series when
he enters kindergarten"
,B. "I understand that immunizations will be withheld if my child has
lactose intolerance"
C. "It is recommended that my child receive his first flu
immunization at the age of 6"
D. "I can make several office visits, so my child does not get so
many immunizations at once."
D. "I can make several office visits, so my child does not get so
many immunizations at once."
1. A charge nurse in a long-term care facility is discussing ethical
theories with a group of
newly licensed nurses. Which of the following statements should the
charge nurse identify as an indication that a newly licensed nurse
understands utilitarianism?
A. "I will withhold a terminal diagnosis from a client who has
cancer."
B. "I will respect the decision of a client who has a chronic illness
to stop treatment.
C. "I will place a higher emphasis on human dignity than on the needs
of a
D. "I will consider what is going to benefit the most people when
making decisions"
B. "I will respect the decision of a client who has a chronic illness
to stop treatment.
1. A nurse is transcribing a client's prescription for erythromycin
500 mg four times per day. Which of the following information should
the nurse clarify with the provider?
A. Medication
B. Dosage
C. Route
D. Time
C. Route
Rationale: There is no indicated route which is necessary for
carrying out order
1. A nurse is reviewing the medication administration record of a
client who takes atenolol PO and applies a nitroglycerin transdermal
patch daily. For which of the following interactions should the nurse
monitor this client?
A. Dry cough
B. Hypotension
C. Thrombocytopenia
Hyperglycemia
, B. Hypotension
1. A nurse is reviewing the laboratory values of a client who has
COPD. Which of the following findings should the nurse report to the
provider?
A. WBC 13.000/mm2
B. Potassium 3.7 mEq/L
C. Iron 150 mcg/dL
D. Hgb 20 g/dL.
A. WBC 13.000/mm2
Rationale: COPD patients are at risk of lung infection. An elevated
white blood cell (WBC) count
should be reported to rule out lung infection.
1. A nurse is monitoring a client who is postoperative following a
thyroidectomy. Which of the following findings should indicate to the
nurse that the client is developing a thyroid storm?
A. Increased incision and drainage
B. Decreased body temperature
C. Hypertension
D. Bradycardia
C. Hypertension
1. A nurse is planning care for four clients. Which of the following
tasks should the nurse ask the charge nurse to reassign to an RN?
A. Administering a subcutaneous insulin injection
B. Removing an NG tube
C. Collecting a sputum culture
D. Providing discharge teaching about home IV medication therapy
D. Providing discharge teaching about home IV medication therapy
1. A nurse in a family practice office routinely reviews clients'
immunization status at their annual physical examination visits. For
which of the following clients should the nurse recommend a human
papillomavirus immunization?
A. A teenage boy
B. A preschool-age girl
C. An older adult woman
D. A middle adult man
A. A teenage boy
