PN COMPREHENSIVE EXIT EXAM ACTUAL
EXAM 180 QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED ANSWERS)
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,A nurse is caring for a client who has right sided heart failure. The client's partner exp
resses concern the the client will die. Which of the following responses should the nurse
make? - ANSWER-"It is difficult to see someone so sick. Whathave you been told about
your partner's prognosis?"
A nurse in a long-term care facility is assisting with an in-service for newly hired
assistive personnel about legal issues within the facility. Which of the following should
the nurse include as an example of assault? - ANSWER-Informing a client the nurse is
going to administer an injection even though the client refuses.
A nurse is collecting data from who is severe pain. Which of the tollowing questions
should the nurse ask first? - ANSWER-"Where is your pain located?"
A nurse is reviewing the laboratory results for a client who is at
29 weeks gestation. For which of the following results should the nurse notify the
provider? - ANSWER-Platelet count 95,000 mm3
A nurse is performing a dressing change for a client who had abdominal surgery 5 day s
ago. The nurse notes organs protruding from the incision. Which of the following act
ions should the nurse take? - ANSWER-Cover the exposed area with sterile, saline-
soaked dressings.
A nurse is speaking with the adult daughter of a client who has Alzheimer's disease.
The daughter states, "I love my dad, but caring for him is wearing me out." Which of the
following response should the nurse make? - ANSWER-"Let's discuss how caring for
your father is affecting your health.
A nurse is reinforcing teaching with a client who has a type 2 diabetes mellitus and re
ports waking during the night with tremors and anxiety. which of the following inform
ation should the nurse provide to help the client manage his symptoms? - ANSWER-Eat
a bedtime snack
a Nurse is reinforcing teaching for a client who has a coronary artery disease and is
taking low-
dose aspirin daily. The nurse should include that this medication has which of the
following therapeutic efollowingects for CAD? - ANSWER-antiplatelets
A nurse is collecting data from a client who has an unprepared femur fracture and rate s
his pain as 8 on a scale of 0 to 10. The client is talking and caught with a visitor. Which
of the following of the prescribed medication should the nurse administer? - ANSWER-
Hydromorphone 5 mg orally.
, A nurse is reinforcing preoperative teaching with a clientscheduled for a bowel retenti on
with ileostomy. which of the following descriptions should the nurse give of the ex
pected output from a mature ileostomy? - ANSWER-liquid with little odor
A nurse in a pediatric clinic is collecting the data from a school-age child whose injuries
are inconsistent with the parent's stated cause. Which of the following actions should
the nurse take? - ANSWER-Report the suspected abuse to a appropriate agency.
A nurse is collecting data from a middle adult female client who is taking melatonin.
Which of the following responses to the med should the nurse expect? - ANSWER-
Improved sleep
A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of
the following clients should the nurse identify as being at risk for urinary retention? -
ANSWER-A school-age child who has allergic rhinitis and is taking diphenhydramine.
A nurse is preparing to administer purified protein derivative (PPD) to a client who has
suspected TB. Which of the following actions should the nurse plan to take? -
ANSWER-Ensure the injection produces a wheal on the skin
A client who is diagnosed with Parkinson's disease verbalizes frustration due to increas
e difollowingiculty with ambulation.
Which of the following responses should the nurs e take? - ANSWER-Perform active
ROM with your arms and legs two times a day.
A Nurse is collecting data from a client who has multiple fractures following a motor-
vehicle crash. For which of the following client statements - ANSWER-"I am so
frustrated. I cannot even open my milk carton for breakfast."
A nurse is reinforcing discharge teaching with a client who is postoperative following
transurethral resection of the prostate.
Which of the following instructions should the n urse include in the teaching? -
ANSWER-perform Kegel exercises daily.
A nurse is reinforcing teaching about ways to reduce solid fat consumption with a clie nt
who has an elevate cholesterol level. which of the following strategies should the nurse
include in the teaching? - ANSWER-purchase beef that is a loin cut.
A nurse is reinforcing teaching with a client who has a new prescription for
prednisonefor the treatment of Addison's disease. which of the following instructions
should the nurse include in the teaching? - ANSWER-You will need to schedule a bone
density test.
A nurse is collecting data from a client who has type 2 diabetes mellitus and is concer
ned about weight gain during pregnancy.