CHAM EXIT EXAM LATEST
Which of the following statements by the newly licensed nurse indicates
an understanding of advance directives?
a. "I'll encourage clients to follow their provider's wishes for end of life
care."
b. "I have to document whether or not a client has prepared his advance
directives."
c. "I have to witness a client's signature on his advance directives."
d. "I'll refer clients who do not have advance directives for legal
assistance." - ANSWERS-c. "I have to witness a client's signature on his
advance directives."
Client who has depressive disorder and a new prescription for
phenelzine. Which of the following foods should the nurse instruct the
client avoid?
a. Smoked salmon
b. Cottage cheese
c. Spinach
d. Grapefruit - ANSWERS-a. Smoked salmon
Client diagnosed of acute MI and is being treated with a thrombolytic,
aspirin, and IV heparin. Which of the following findings should indicate
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, CHAM EXIT EXAM LATEST
the nurse that the client is experiencing a satisfactory response to these
interventions?
a. Q wave is noted on the cardiac monitor tracing
b. S3 heart sounds are present
c. The client's aPTT is two times the control
d. The client's stool is guaiac positive - ANSWERS-c. The client's aPTT
is two times the control
.A nurse is assessing the PICC of a client who is receiving an infusion.
The nurse notices redness and warmth to touch around the insertion site.
The nurse should document the finding as which of the following
complications?
a. Circulatory overload
b. Extravasation
c. Phlebitis
d. Infiltration - ANSWERS-c. Phlebitis
Which of the following solutions should the nurse use to perform hand
hygiene?
a. Isopropyl alcohol
b. Providone-iodine
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, CHAM EXIT EXAM LATEST
c. Bleach
d. Chlorhexidine - ANSWERS-a. Isopropyl alcohol
Methods to promote nighttime sleep. Which of the following
instructions should the nurse include?
a. Perform exercises prior to bedtime
b. Take a 1 hr. nap during the day
c. Eat a light snack before bedtime
d. Stay in bed at least 1 hr. if unable to fall asleep - ANSWERS-c. Eat a
light snack before bedtime
Which of the following actions by the LPN indicates the need for
intervention by the charge nurse?
a. Inserts an NG tube for a client using clean technique
b. Stabilizes a client's indwelling urinary catheter with the nondominant
prior to inflation of the balloon
c. Uses an IV infusion pump to administer TPN nutrition to a client
d. Crushes an SL tablet to administer into a client's feeding tube -
ANSWERS-d. Crushes an SL tablet to administer into a client's feeding
tube
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3
, CHAM EXIT EXAM LATEST
A 3-day old newborn that has a congenital heart defect. Which of the
following interventions should the nurse include to decrease cardiac
demands for the newborn?
a. Feed the infant when she is awake and crying
b. Maintain the infant's temperature at 37° C (98.6° F)
c. Encourage the infant's parents to limit visitation and physical touch
d. Keep the infant's bed in a flat position - ANSWERS-a. Feed the infant
when she is awake and crying
A nurse is teaching a parent about absence seizures. Which of the
following information should the nurse include?
a. "The child usually has an aura prior to onset."
b. "This type of seizure can be mistaken for daydreaming."
c. "This type of seizure has a gradual onset."
d. "This type of seizure lasts 30-60 seconds." - ANSWERS-b. "This type
of seizure can be mistaken for daydreaming."
A nurse on a medical-surgical unit is delegating tasks to an AP. Which
of the following client care tasks is within the scope of practice for the
AP?
a. Explaining the steps for a 24-hr urine collection
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4
Which of the following statements by the newly licensed nurse indicates
an understanding of advance directives?
a. "I'll encourage clients to follow their provider's wishes for end of life
care."
b. "I have to document whether or not a client has prepared his advance
directives."
c. "I have to witness a client's signature on his advance directives."
d. "I'll refer clients who do not have advance directives for legal
assistance." - ANSWERS-c. "I have to witness a client's signature on his
advance directives."
Client who has depressive disorder and a new prescription for
phenelzine. Which of the following foods should the nurse instruct the
client avoid?
a. Smoked salmon
b. Cottage cheese
c. Spinach
d. Grapefruit - ANSWERS-a. Smoked salmon
Client diagnosed of acute MI and is being treated with a thrombolytic,
aspirin, and IV heparin. Which of the following findings should indicate
END OF
PAGE
1
, CHAM EXIT EXAM LATEST
the nurse that the client is experiencing a satisfactory response to these
interventions?
a. Q wave is noted on the cardiac monitor tracing
b. S3 heart sounds are present
c. The client's aPTT is two times the control
d. The client's stool is guaiac positive - ANSWERS-c. The client's aPTT
is two times the control
.A nurse is assessing the PICC of a client who is receiving an infusion.
The nurse notices redness and warmth to touch around the insertion site.
The nurse should document the finding as which of the following
complications?
a. Circulatory overload
b. Extravasation
c. Phlebitis
d. Infiltration - ANSWERS-c. Phlebitis
Which of the following solutions should the nurse use to perform hand
hygiene?
a. Isopropyl alcohol
b. Providone-iodine
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PAGE
2
, CHAM EXIT EXAM LATEST
c. Bleach
d. Chlorhexidine - ANSWERS-a. Isopropyl alcohol
Methods to promote nighttime sleep. Which of the following
instructions should the nurse include?
a. Perform exercises prior to bedtime
b. Take a 1 hr. nap during the day
c. Eat a light snack before bedtime
d. Stay in bed at least 1 hr. if unable to fall asleep - ANSWERS-c. Eat a
light snack before bedtime
Which of the following actions by the LPN indicates the need for
intervention by the charge nurse?
a. Inserts an NG tube for a client using clean technique
b. Stabilizes a client's indwelling urinary catheter with the nondominant
prior to inflation of the balloon
c. Uses an IV infusion pump to administer TPN nutrition to a client
d. Crushes an SL tablet to administer into a client's feeding tube -
ANSWERS-d. Crushes an SL tablet to administer into a client's feeding
tube
END OF
PAGE
3
, CHAM EXIT EXAM LATEST
A 3-day old newborn that has a congenital heart defect. Which of the
following interventions should the nurse include to decrease cardiac
demands for the newborn?
a. Feed the infant when she is awake and crying
b. Maintain the infant's temperature at 37° C (98.6° F)
c. Encourage the infant's parents to limit visitation and physical touch
d. Keep the infant's bed in a flat position - ANSWERS-a. Feed the infant
when she is awake and crying
A nurse is teaching a parent about absence seizures. Which of the
following information should the nurse include?
a. "The child usually has an aura prior to onset."
b. "This type of seizure can be mistaken for daydreaming."
c. "This type of seizure has a gradual onset."
d. "This type of seizure lasts 30-60 seconds." - ANSWERS-b. "This type
of seizure can be mistaken for daydreaming."
A nurse on a medical-surgical unit is delegating tasks to an AP. Which
of the following client care tasks is within the scope of practice for the
AP?
a. Explaining the steps for a 24-hr urine collection
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PAGE
4
