NURSING COMPREHENSIVE EXIT EXAM
QUIZZES WITH 100% ACTUAL ANSWERS.
A nurse is caring for a client in the emergency department who complains of epigastric pain and feeling
lightheaded. The client has a blood pressure of 140/80 mmHg with a heart rate of 75/min while supine
and 110/65 mmHg sitting with a heart rate of 100/min. Which of the following tasks should the nurse
perform next? ANSWER : Anticipate administration of intravenous crystalloid solution.
A nurse is caring for a 62-year-old client who has been diagnosed with emphysema. The nurse
understands that the client is at high-risk for pulmonary infection. Which of the following conditions
predisposes the client to infection? ANSWER : Pooling of respiratory secretions.
Which of the following methods of oxygen delivery should a nurse use to administer oxygen for a client
with a drop in oxygen saturation from 96% to 88% on room air after receiving morphine to relieve pain
after colon resection? (The client is resting but remains oriented and can be easily aroused by verbal
stimuli.) ANSWER : Nasal cannula
A nurse is caring for a woman who has undergone a radical mastectomy for breast cancer. She tells the
nurse, "I'm worried because my spouse won't touch me since my breast was removed." Which of the
following is the most appropriate response by the nurse? ANSWER : "How do you feel about your
mastectomy?"
A nurse is caring for a client who took an overdose of antidepressants and was discovered by his spouse.
What is the best response by the nurse when the spouse states, "If I hadn't come home early from my
business trip, my spouse might have died. I'm in a state of shock."? ANSWER : "This is a very
overwhelming situation for you. Can you tell me what you are feeling now?"
Which of the following pediatric clients would require prompt reporting to the authorities by the nurse?
ANSWER : A 4-year-old who fell from a swing set with 1 fracture of the ulna and 2 healed fractures of
the humerus on X-ray
A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to
be transported to the x-ray department. Which of the following actions should the nurse take?
ANSWER : Keep the drainage system below the level of the client's chest at all times.
, Which of the following risk factors are part of the Braden Scale for Predicting Pressure Sore Risk? (Select
all that apply.) ANSWER : Friction and shear
Nutrition
The risk factors associated with the Braden Scale include sensory perception, moisture, activity,
mobility, nutrition, and friction and shear.
A nurse is planning care for a client who has acute respiratory distress syndrome. Which of the following
interventions should the nurse include in the plan? ANSWER : Place in prone position
Respiratory cards following ANSWER :
A nurse is caring for a postoperative client who has a chest tube connected to suction and a water seal
drainage system. Which of the following indicates to the nurse that the chest tube is functioning
properly? ANSWER : Fluctuation of the fluid level within the water seal chamber
nurse is monitoring a client who has a chest tube in place connected to wall suction due to right sided
pneumothorax. The client complains of chest burning. Which of the following actions should the nurse
take? ANSWER : reposition the client
A nurse is caring for a client who has a three- chamber closed chest tube system. Which of the following
actions should the nurse take after noticing a rise in the water seal chamber with client inspiration?
ANSWER : continue to monitor the client
A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The
nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should
the nurse take? ANSWER : Continue to monitor client's respiratory status
A nurse is assessing a client who will undergo abdominal surgery in 2 hr. The client reports being
nervous about the surgery, last had food and fluids at 2330 the previous evening, and signed the surgical
consent 2 days ago. Which of the following is an appropriate nursing action regarding these findings?
ANSWER : Document the findings in the client's medical record.
QUIZZES WITH 100% ACTUAL ANSWERS.
A nurse is caring for a client in the emergency department who complains of epigastric pain and feeling
lightheaded. The client has a blood pressure of 140/80 mmHg with a heart rate of 75/min while supine
and 110/65 mmHg sitting with a heart rate of 100/min. Which of the following tasks should the nurse
perform next? ANSWER : Anticipate administration of intravenous crystalloid solution.
A nurse is caring for a 62-year-old client who has been diagnosed with emphysema. The nurse
understands that the client is at high-risk for pulmonary infection. Which of the following conditions
predisposes the client to infection? ANSWER : Pooling of respiratory secretions.
Which of the following methods of oxygen delivery should a nurse use to administer oxygen for a client
with a drop in oxygen saturation from 96% to 88% on room air after receiving morphine to relieve pain
after colon resection? (The client is resting but remains oriented and can be easily aroused by verbal
stimuli.) ANSWER : Nasal cannula
A nurse is caring for a woman who has undergone a radical mastectomy for breast cancer. She tells the
nurse, "I'm worried because my spouse won't touch me since my breast was removed." Which of the
following is the most appropriate response by the nurse? ANSWER : "How do you feel about your
mastectomy?"
A nurse is caring for a client who took an overdose of antidepressants and was discovered by his spouse.
What is the best response by the nurse when the spouse states, "If I hadn't come home early from my
business trip, my spouse might have died. I'm in a state of shock."? ANSWER : "This is a very
overwhelming situation for you. Can you tell me what you are feeling now?"
Which of the following pediatric clients would require prompt reporting to the authorities by the nurse?
ANSWER : A 4-year-old who fell from a swing set with 1 fracture of the ulna and 2 healed fractures of
the humerus on X-ray
A nurse is caring for a client who has a chest tube connected to a closed drainage system and needs to
be transported to the x-ray department. Which of the following actions should the nurse take?
ANSWER : Keep the drainage system below the level of the client's chest at all times.
, Which of the following risk factors are part of the Braden Scale for Predicting Pressure Sore Risk? (Select
all that apply.) ANSWER : Friction and shear
Nutrition
The risk factors associated with the Braden Scale include sensory perception, moisture, activity,
mobility, nutrition, and friction and shear.
A nurse is planning care for a client who has acute respiratory distress syndrome. Which of the following
interventions should the nurse include in the plan? ANSWER : Place in prone position
Respiratory cards following ANSWER :
A nurse is caring for a postoperative client who has a chest tube connected to suction and a water seal
drainage system. Which of the following indicates to the nurse that the chest tube is functioning
properly? ANSWER : Fluctuation of the fluid level within the water seal chamber
nurse is monitoring a client who has a chest tube in place connected to wall suction due to right sided
pneumothorax. The client complains of chest burning. Which of the following actions should the nurse
take? ANSWER : reposition the client
A nurse is caring for a client who has a three- chamber closed chest tube system. Which of the following
actions should the nurse take after noticing a rise in the water seal chamber with client inspiration?
ANSWER : continue to monitor the client
A nurse is observing the closed chest drainage system of a client who is 24 hr post thoracotomy. The
nurse notes slow, steady bubbling in the suction control chamber. Which of the following actions should
the nurse take? ANSWER : Continue to monitor client's respiratory status
A nurse is assessing a client who will undergo abdominal surgery in 2 hr. The client reports being
nervous about the surgery, last had food and fluids at 2330 the previous evening, and signed the surgical
consent 2 days ago. Which of the following is an appropriate nursing action regarding these findings?
ANSWER : Document the findings in the client's medical record.
