Chamberlain 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." - CORRECT ANS a. "You
don't have to go through with the treatment."
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 - CORRECT ANS c. Remove the device from the
room
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 - CORRECT ANS c. Count the current number of unit
doses available in the medication dispensing system
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 - CORRECT ANS c. 2 hr. post cast placement and
has 2+ pitting edema and pallor
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." - CORRECT ANS c. "I will take the sustained-release
methylphenidate every morning."
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 - CORRECT ANS b. Implement seizure precautions for the client
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 - CORRECT ANS d. Preoccupied with aging
,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 - CORRECT ANS c. Determine goals of the day
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 - CORRECT ANS b. Measure the client's urine output every
hour
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 - CORRECT ANS c. Approximated surgical incision
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 - CORRECT ANS a. Client taking
clozapine to treat schizophrenia and reports sore throat
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 - CORRECT ANS c. A non-coring needle
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 - CORRECT ANS b. 12 lead ECG
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?" - CORRECT ANS c. "Can your child ride a tricycle?"
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." - CORRECT ANS a. "You
don't have to go through with the treatment."
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 - CORRECT ANS c. Remove the device from the
room
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 - CORRECT ANS c. Count the current number of unit
doses available in the medication dispensing system
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 - CORRECT ANS c. 2 hr. post cast placement and
has 2+ pitting edema and pallor
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." - CORRECT ANS c. "I will take the sustained-release
methylphenidate every morning."
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 - CORRECT ANS b. Implement seizure precautions for the client
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 - CORRECT ANS d. Preoccupied with aging
,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 - CORRECT ANS c. Determine goals of the day
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 - CORRECT ANS b. Measure the client's urine output every
hour
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 - CORRECT ANS c. Approximated surgical incision
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 - CORRECT ANS a. Client taking
clozapine to treat schizophrenia and reports sore throat
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 - CORRECT ANS c. A non-coring needle
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 - CORRECT ANS b. 12 lead ECG
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?" - CORRECT ANS c. "Can your child ride a tricycle?"
