COMPREHENSIVE EXIT EXAM ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
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1. A nurse is caring for a client who has heart failure and is taking
furosemide. Which of the following findings is the nurse’s priority?
A. Weight loss of 2.5 kg in 2 days
B. Blood pressure of 100/76 mm Hg
C. Serum potassium level of 2.8 mEq/L
D. Urine output of 300 mL in 8 hr
A potassium level below 3.5 mEq/L is hypokalemia, which can cause life-
threatening arrhythmias in clients taking diuretics like furosemide.
2. A nurse is assessing a newborn 12 hours after birth. Which of the
following findings should the nurse report to the provider?
A. Acrocyanosis
B. Positive Babinski reflex
C. Substernal retractions
D. Overlapping sutures
, Substernal retractions are a sign of respiratory distress and should be
reported immediately.
3. A nurse is caring for a client who has COPD. Which of the following
oxygen delivery methods should the nurse use to deliver the precise
amount of oxygen?
A. Simple face mask
B. Nasal cannula
C. Nonrebreather mask
D. Venturi mask
The Venturi mask delivers a precise concentration of oxygen, ideal for
clients with COPD who require controlled oxygen delivery.
4. A nurse is teaching a client about foods high in potassium. Which of the
following foods should the nurse include in the teaching?
A. Apples
B. Grapes
C. Bananas
D. Rice
Bananas are rich in potassium and are often recommended for clients at
risk for hypokalemia.
5. A nurse is reviewing laboratory findings for a client who has acute
pancreatitis. Which of the following findings should the nurse expect?
, A. Increased calcium
B. Decreased amylase
C. Increased lipase
D. Decreased bilirubin
Lipase levels are elevated in acute pancreatitis and are used as a key
diagnostic indicator.
6. A nurse is caring for a client who is scheduled for a thoracentesis. Which
of the following actions is the nurse’s priority?
A. Reinforce teaching about the procedure
B. Obtain consent
C. Assist the client to an upright position
D. Monitor for anxiety
Positioning the client appropriately helps optimize fluid removal and
prevent complications.
7. A nurse is providing discharge teaching for a client who has a new
prescription for warfarin. Which of the following statements indicates an
understanding of the teaching?
A. “I should take aspirin for headaches.”
B. “I can eat as much spinach as I want.”
C. “I will use a soft-bristled toothbrush.”
D. “I can drink alcohol in moderation.”