PN COMPREHENSIVE EXIT EXAM | 180
QUESTIONS COMPLETE WITH
VERIFIED ANSWERS FOR
GUARANTEED PASS
1. An assistive personnel tells the charge nurse that her assignment is too demanding. She
angrily tells the nurse to reassign one of her tasks to another AP. Which of the following
actions should the nurse take to resolve the conflict?
A. Ask the AP to discuss the issue in a private area
B. Ignore the AP’s concerns and assign the task to someone else
C. Report the AP to the nursing supervisor
D. Tell the AP to complete the assignment as given
Correct Answer: A. Ask the AP to discuss the issue in a private area
Explanation: The best approach is to address the conflict professionally and privately to
understand the AP’s concerns and find a resolution. Open communication helps prevent
escalation and fosters teamwork.
2. A nurse is supervising an assistive personnel (AP) obtain supplies for a client who is on
seizure precautions. Which of the following materials should the AP place in the client's
room?
A. Oral suction equipment
B. A blood pressure cuff
C. A heating pad
D. An incentive spirometer
Correct Answer: A. Oral suction equipment
Explanation: A client on seizure precautions is at risk for airway obstruction due to secretions
or vomiting. Oral suction equipment is essential to maintain a patent airway during or after a
seizure.
3. A charge nurse on a mental health unit is supervising a newly licensed nurse. For which
of the following actions by the newly licensed nurse should the supervising nurse intervene?
A. Tells a client he will lose his phone privileges if he does not take his medication
B. Encourages the client to express feelings about treatment
,C. Provides privacy during therapy sessions
D. Reinforces the unit rules consistently
Correct Answer: A. Tells a client he will lose his phone privileges if he does not take his
medication
Explanation: Threatening a client with punishment for noncompliance is coercive and unethical.
Nurses should educate and encourage adherence rather than use punitive measures.
4. A nurse is caring for a client who follows a kosher diet. Which of the following menu
items should the nurse include in the meal tray?
A. Roasted salmon
B. Pork chops
C. Shrimp cocktail
D. Cheese and beef lasagna
Correct Answer: A. Roasted salmon
Explanation: A kosher diet prohibits pork, shellfish, and mixing dairy with meat. Salmon is a
permitted fish under kosher dietary laws.
5. A nurse is reviewing information about advance directives with a newly admitted client.
Which of the following statements by the client indicates an understanding of the
information?
A. "Advance directives include a living will"
B. "Only my spouse can make decisions for me"
C. "I don’t need this because I’m healthy"
D. "The doctor will decide everything for me"
Correct Answer: A. "Advance directives include a living will"
Explanation: Advance directives include a living will (written instructions about medical care
preferences) and a healthcare proxy (designated decision-maker).
6. A nurse is collecting data from the caregiver of a client who has Alzheimer's disease. The
caregiver reports the client has difficulty sleeping at night and wanders throughout the
house. Which of the following interventions should the nurse recommend?
A. Encourage the client to take frequent walks during the day
B. Restrict all daytime naps
C. Administer a sedative at bedtime
D. Lock the client’s bedroom door at night
,Correct Answer: A. Encourage the client to take frequent walks during the day
Explanation: Daytime physical activity helps regulate sleep-wake cycles and reduces nighttime
restlessness in clients with Alzheimer’s.
7. A nurse is assisting in the care of a client who is 8hr postpartum and has uterine atony
with increased bleeding. Which of the following actions should the nurse take? (Select all
that apply)
A. Assist the client to empty her bladder
B. Massage the fundus
C. Administer oxytocin as prescribed
D. Place the client in Trendelenburg position
Correct Answer: A, B, C
Explanation:
A. A full bladder can displace the uterus and contribute to atony.
B. Fundal massage helps stimulate uterine contractions.
C. Oxytocin promotes uterine contraction.
D. Trendelenburg is not recommended as it does not address uterine atony.
8. A nurse is reinforcing teaching with the support person of a client who is in the first
stage of labor. Which of the following instructions should the nurse include regarding
effleurage?
A. "Gently stroke her abdomen during contractions"
B. "Apply deep pressure to her lower back"
C. "Encourage her to hold her breath during contractions"
D. "Rub ice on her wrists to distract her"
Correct Answer: A. "Gently stroke her abdomen during contractions"
Explanation: Effleurage is a light, rhythmic massage technique that helps reduce pain and
promote relaxation during labor.
9. A nurse is caring for an older adult client who is postoperative following a total hip
arthroplasty. The client is incontinent of stool and urine. Which of the following actions
should the nurse take to prevent skin breakdown?
A. Use a moisture barrier on the client's skin
B. Restrict fluid intake
, C. Keep the client in the same position for long periods
D. Use harsh soap for cleaning
Correct Answer: A. Use a moisture barrier on the client's skin
Explanation: Moisture barriers (e.g., zinc oxide) protect the skin from irritation caused by
incontinence and prevent breakdown.
10. A nurse is caring for a client who has terminal cancer. Which of the following actions
should the nurse take to promote the client's autonomy?
A. Allow the client to choose treatment times
B. Make all decisions for the client
C. Avoid discussing prognosis
D. Limit family involvement
Correct Answer: A. Allow the client to choose treatment times
Explanation: Promoting autonomy involves respecting the client’s preferences and decisions
regarding their care.
11. A nurse in a clinic is caring for a client who is at 40 weeks of gestation and experiences
a sudden gush of vaginal fluids. Which of the following findings is evidence of an obstetric
complication?
A. Appears greenish-brown in color
B. Clear with no odor
C. Small amount that stops after initial gush
D. Slightly pink-tinged
Correct Answer: A. Appears greenish-brown in color
Explanation: Greenish-brown fluid indicates meconium staining, which can be a sign of fetal
distress and requires immediate intervention. Clear or slightly pink fluid is normal for ruptured
membranes.
12. A nurse is assisting with the care of an adolescent client immediately following a lumbar
puncture. Which of the following actions should the nurse take?
A. Inform the adolescent that he might experience a headache
B. Encourage ambulation within 2 hours
C. Place the client in prone position
D. Restrict fluids for 8 hours
QUESTIONS COMPLETE WITH
VERIFIED ANSWERS FOR
GUARANTEED PASS
1. An assistive personnel tells the charge nurse that her assignment is too demanding. She
angrily tells the nurse to reassign one of her tasks to another AP. Which of the following
actions should the nurse take to resolve the conflict?
A. Ask the AP to discuss the issue in a private area
B. Ignore the AP’s concerns and assign the task to someone else
C. Report the AP to the nursing supervisor
D. Tell the AP to complete the assignment as given
Correct Answer: A. Ask the AP to discuss the issue in a private area
Explanation: The best approach is to address the conflict professionally and privately to
understand the AP’s concerns and find a resolution. Open communication helps prevent
escalation and fosters teamwork.
2. A nurse is supervising an assistive personnel (AP) obtain supplies for a client who is on
seizure precautions. Which of the following materials should the AP place in the client's
room?
A. Oral suction equipment
B. A blood pressure cuff
C. A heating pad
D. An incentive spirometer
Correct Answer: A. Oral suction equipment
Explanation: A client on seizure precautions is at risk for airway obstruction due to secretions
or vomiting. Oral suction equipment is essential to maintain a patent airway during or after a
seizure.
3. A charge nurse on a mental health unit is supervising a newly licensed nurse. For which
of the following actions by the newly licensed nurse should the supervising nurse intervene?
A. Tells a client he will lose his phone privileges if he does not take his medication
B. Encourages the client to express feelings about treatment
,C. Provides privacy during therapy sessions
D. Reinforces the unit rules consistently
Correct Answer: A. Tells a client he will lose his phone privileges if he does not take his
medication
Explanation: Threatening a client with punishment for noncompliance is coercive and unethical.
Nurses should educate and encourage adherence rather than use punitive measures.
4. A nurse is caring for a client who follows a kosher diet. Which of the following menu
items should the nurse include in the meal tray?
A. Roasted salmon
B. Pork chops
C. Shrimp cocktail
D. Cheese and beef lasagna
Correct Answer: A. Roasted salmon
Explanation: A kosher diet prohibits pork, shellfish, and mixing dairy with meat. Salmon is a
permitted fish under kosher dietary laws.
5. A nurse is reviewing information about advance directives with a newly admitted client.
Which of the following statements by the client indicates an understanding of the
information?
A. "Advance directives include a living will"
B. "Only my spouse can make decisions for me"
C. "I don’t need this because I’m healthy"
D. "The doctor will decide everything for me"
Correct Answer: A. "Advance directives include a living will"
Explanation: Advance directives include a living will (written instructions about medical care
preferences) and a healthcare proxy (designated decision-maker).
6. A nurse is collecting data from the caregiver of a client who has Alzheimer's disease. The
caregiver reports the client has difficulty sleeping at night and wanders throughout the
house. Which of the following interventions should the nurse recommend?
A. Encourage the client to take frequent walks during the day
B. Restrict all daytime naps
C. Administer a sedative at bedtime
D. Lock the client’s bedroom door at night
,Correct Answer: A. Encourage the client to take frequent walks during the day
Explanation: Daytime physical activity helps regulate sleep-wake cycles and reduces nighttime
restlessness in clients with Alzheimer’s.
7. A nurse is assisting in the care of a client who is 8hr postpartum and has uterine atony
with increased bleeding. Which of the following actions should the nurse take? (Select all
that apply)
A. Assist the client to empty her bladder
B. Massage the fundus
C. Administer oxytocin as prescribed
D. Place the client in Trendelenburg position
Correct Answer: A, B, C
Explanation:
A. A full bladder can displace the uterus and contribute to atony.
B. Fundal massage helps stimulate uterine contractions.
C. Oxytocin promotes uterine contraction.
D. Trendelenburg is not recommended as it does not address uterine atony.
8. A nurse is reinforcing teaching with the support person of a client who is in the first
stage of labor. Which of the following instructions should the nurse include regarding
effleurage?
A. "Gently stroke her abdomen during contractions"
B. "Apply deep pressure to her lower back"
C. "Encourage her to hold her breath during contractions"
D. "Rub ice on her wrists to distract her"
Correct Answer: A. "Gently stroke her abdomen during contractions"
Explanation: Effleurage is a light, rhythmic massage technique that helps reduce pain and
promote relaxation during labor.
9. A nurse is caring for an older adult client who is postoperative following a total hip
arthroplasty. The client is incontinent of stool and urine. Which of the following actions
should the nurse take to prevent skin breakdown?
A. Use a moisture barrier on the client's skin
B. Restrict fluid intake
, C. Keep the client in the same position for long periods
D. Use harsh soap for cleaning
Correct Answer: A. Use a moisture barrier on the client's skin
Explanation: Moisture barriers (e.g., zinc oxide) protect the skin from irritation caused by
incontinence and prevent breakdown.
10. A nurse is caring for a client who has terminal cancer. Which of the following actions
should the nurse take to promote the client's autonomy?
A. Allow the client to choose treatment times
B. Make all decisions for the client
C. Avoid discussing prognosis
D. Limit family involvement
Correct Answer: A. Allow the client to choose treatment times
Explanation: Promoting autonomy involves respecting the client’s preferences and decisions
regarding their care.
11. A nurse in a clinic is caring for a client who is at 40 weeks of gestation and experiences
a sudden gush of vaginal fluids. Which of the following findings is evidence of an obstetric
complication?
A. Appears greenish-brown in color
B. Clear with no odor
C. Small amount that stops after initial gush
D. Slightly pink-tinged
Correct Answer: A. Appears greenish-brown in color
Explanation: Greenish-brown fluid indicates meconium staining, which can be a sign of fetal
distress and requires immediate intervention. Clear or slightly pink fluid is normal for ruptured
membranes.
12. A nurse is assisting with the care of an adolescent client immediately following a lumbar
puncture. Which of the following actions should the nurse take?
A. Inform the adolescent that he might experience a headache
B. Encourage ambulation within 2 hours
C. Place the client in prone position
D. Restrict fluids for 8 hours
