Exit Exam NEWEST UPDATE ALREADY
GRADED A+
A nurse is assisting with the plan of care for a client following a
transurethral resection of the prostate. Which of the following
interventions should the nurse include in the plan of care?
ANSWER; The nurse should irrigate the bladder using strict
sterile technique and maintain closed catheter drainage system
to minimize the rick of infection.
A nurse is reviewing a client's electronic medical record and
finds that an assistive per sonnel recorder the client's
temperature as 35.3 degrees Celsius (95.5 degrees F) 2 hrs
earlier. Which of the following actions should the nurse take
firsT?
ANSWER; check the clients temp
,A nurse is receiving change-of-
shift report for four clients. Which of the following clients
should the nurse see first?
ANSWER; A client whose urinary output was 100mL for the past
12 hrs
A nurse in reinforcing teaching about weight loss with a female
older adult client who is overweight. Which of the following
statements should the nurse include in teaching?
ANSWER; keep fat intake to no more that 30% of daily caloric
intake.
A nurse is collecting data from a client who has iron deficiency
anemia. Which of the following findings should the nurse
expect?
ANSWER; difficulty concentrating
,A Nurse is collecting data from an older adult client who is 48 hr
postoperative following abdominal surgery. The provider writes
a prescription to advance the client to a re gular Diet. For which
of the following findings should the nurse notify the provider?
ANSWER; The client has absent bowel sounds
A parent brings her adolescent son to an urgent care center and
states. "He is high on something and needs help" The client is
exhibiting agitation and paranoia and reports visual
hallucinations. The nurse should suspect intoxication with
which of the following substances?
ANSWER; Methamphetamines
A nurse notices an assistive personnel taking a nap in the break
room during he meal t ime. The AP appears drowsy while
performing routine tasks. Which of the following a ctions
should the nurse take?
ANSWER; Report the observations about the ap to the unit's
nurse manager.
, A nurse is reinforcing teaching with a client who has a fluid
volume deficit about selec ting foods that have a high water
content. The nurse should include that which of the following
raw foods contains the highest amount of water per 1 cup
serving?
ANSWER; cherry tomatoes
The nurse is position a client who is scheduled for a lumbar
puncture. The nurse should assist the client into which of the
following positions?
ANSWER; lateral recumbent
A nurse is talking with a client whose son died in a motor-
vehicle crash 2 weeks ago. The client states "I really thought I'd
be back to my usual routines by now, but I can't think of
anythingelse except my son is gone" Which of the following
responses should the nurse make?
ANSWER; Grieving for your son is hard work. It will take as
much time as you need to come to terms with your loss.