Exit Exam Practice (kalakal)M&M Questions With
Complete Solutions
· A nurse on a medical-surgical unit is preparing to assist with
the admission of clients who were injured in a tornado. Which of
the following clients should the nurse recommend for discharge
to make room for the new admission?
· a client who had a lobectomy and has a chest tube drainage
system
· -a client who has cervical cancer and an internal radioactive
implant
· -a client who had a radical mastectomy 36 hr ago and has a
surgical drain
· -a client who had a cerebrovascular accident 8 hr ago and
received thrombolytic therapy
· -a client who had a radical mastectomy 36 hr ago and has a
surgical drain
· A nurse in an acute mental health facility is caring for an
adolescent who is exhibiting destructive behavior. Which of the
following actions should the nurse take after applying physical
restraints to the client?
· ensure that the provider has signed a prescription for restrained
within 48 hr
· -monitor the client's range of motion every 60 min
,· -offer the client a nutritious snack every 4 hr
· -plant to remove the restraints as soon as the client is calm
· -plant to remove the restraints as soon as the client is calm
· A nurse is collecting data from a client who is in the manic
phase of bipolar disorder. Which of the following findings
should the nurse expect?
· blunted affect
· -hypersomnia
· -grandiose thinking
· -slurred speech
· -grandiose thinking
· A community health nurse is assisting with the development of
a pamphlet regarding choking hazards for toddlers. Which of the
following foods should the nurse include?
· potatoes
· oranges
· grapes
· corn
· grapes
· A nurse is caring for a 3-year old child immediately following
a tonic-clonic seizure. Which of the following actions should the
nurse take?
· place the child in a supine position
· -check the child for oral injuries
,· -administer an oral antiepileptic medication
· -offer the child sips of clear fluids
· -check the child for oral injuries
· A nurse is contributing to the plan of care for a client who has
herpes simplex. The nurse should plan to initiate which of the
following is the procedures when caring for this client?
· droplet precautions
· -protective environment
· -contact precautions
· -airborne precautions
· -contact precautions
· A nurse is assisting in providing postmortem care for a client
who has a devout follower of Hinduism. Which of the following
requests should the nurse anticipate from the client's family?
· to bury the client's body within 24 hr of their death
· to stay with the client's body for 8 hr following their death
· to prohibit medical personnel from touching the clients' body
· to cremate the clients' body
· to cremate the clients' body
, · A nurse is reinforcing teaching with a client who is at 16
weeks of gestation and has a prescription for ferrous sulfate to
treat iron-deficiency anemia. Which of the following
recommendations should the nurse make to improve the
absorption of the medication?
· eliminate berries and citrus fruits from your diet
· -avoid drinking milk with the iron supplement
· -increase your dietary fiber intake
· -take the iron supplement with green tea
· -avoid drinking milk with the iron supplement
A nurse is assisting with the care of a client who is in the latent
stage of labor and has pelvic pain with contractions. Which of
the following actions should the nurse take?
· instruct the client to change positions frequently
· apply fundal pressure during contractions
· tell the client to push during contractions
· encourage the client to soak in a hot bath
· instruct the client to change positions frequently
· A charge nurse is reinforcing teaching with a newly licensed
nurse about infection control measures. Which of the following
statements by the newly licensed nurse indicates an
Complete Solutions
· A nurse on a medical-surgical unit is preparing to assist with
the admission of clients who were injured in a tornado. Which of
the following clients should the nurse recommend for discharge
to make room for the new admission?
· a client who had a lobectomy and has a chest tube drainage
system
· -a client who has cervical cancer and an internal radioactive
implant
· -a client who had a radical mastectomy 36 hr ago and has a
surgical drain
· -a client who had a cerebrovascular accident 8 hr ago and
received thrombolytic therapy
· -a client who had a radical mastectomy 36 hr ago and has a
surgical drain
· A nurse in an acute mental health facility is caring for an
adolescent who is exhibiting destructive behavior. Which of the
following actions should the nurse take after applying physical
restraints to the client?
· ensure that the provider has signed a prescription for restrained
within 48 hr
· -monitor the client's range of motion every 60 min
,· -offer the client a nutritious snack every 4 hr
· -plant to remove the restraints as soon as the client is calm
· -plant to remove the restraints as soon as the client is calm
· A nurse is collecting data from a client who is in the manic
phase of bipolar disorder. Which of the following findings
should the nurse expect?
· blunted affect
· -hypersomnia
· -grandiose thinking
· -slurred speech
· -grandiose thinking
· A community health nurse is assisting with the development of
a pamphlet regarding choking hazards for toddlers. Which of the
following foods should the nurse include?
· potatoes
· oranges
· grapes
· corn
· grapes
· A nurse is caring for a 3-year old child immediately following
a tonic-clonic seizure. Which of the following actions should the
nurse take?
· place the child in a supine position
· -check the child for oral injuries
,· -administer an oral antiepileptic medication
· -offer the child sips of clear fluids
· -check the child for oral injuries
· A nurse is contributing to the plan of care for a client who has
herpes simplex. The nurse should plan to initiate which of the
following is the procedures when caring for this client?
· droplet precautions
· -protective environment
· -contact precautions
· -airborne precautions
· -contact precautions
· A nurse is assisting in providing postmortem care for a client
who has a devout follower of Hinduism. Which of the following
requests should the nurse anticipate from the client's family?
· to bury the client's body within 24 hr of their death
· to stay with the client's body for 8 hr following their death
· to prohibit medical personnel from touching the clients' body
· to cremate the clients' body
· to cremate the clients' body
, · A nurse is reinforcing teaching with a client who is at 16
weeks of gestation and has a prescription for ferrous sulfate to
treat iron-deficiency anemia. Which of the following
recommendations should the nurse make to improve the
absorption of the medication?
· eliminate berries and citrus fruits from your diet
· -avoid drinking milk with the iron supplement
· -increase your dietary fiber intake
· -take the iron supplement with green tea
· -avoid drinking milk with the iron supplement
A nurse is assisting with the care of a client who is in the latent
stage of labor and has pelvic pain with contractions. Which of
the following actions should the nurse take?
· instruct the client to change positions frequently
· apply fundal pressure during contractions
· tell the client to push during contractions
· encourage the client to soak in a hot bath
· instruct the client to change positions frequently
· A charge nurse is reinforcing teaching with a newly licensed
nurse about infection control measures. Which of the following
statements by the newly licensed nurse indicates an
