RN EXIT EXAM V2 2 COMPREHENSIVE TEST
2026 QUESTIONS WITH SOLUTIONS GRADED
A+
◉ A client with glaucoma is scheduled for surgery. Which
preoperative prescription should the nurse question?
A. Morphine sulfate 5 mg IV on call to operating room.
B. Atropine sulfate 0.4 mg IM on call to operating room.
C. Betaxolol one drop in each eye the morning of surgery.
D. Benzodiazepine 5 mg by mouth the morning of surgery. Answer:
B. Atropine sulfate 0.4 mg IM on call to operating room.
Many ophthalmic agents used to reduce intraocular pressure (IOP)
in glaucoma cause miosis, which increases the outflow of aqueous
humor. Atropine is an anticholinergic agent that causes mydriasis,
which can increase IOP and counteracts the action of β-blocking
agents, so Atropine prescription should be brought to the attention
of the healthcare provider.
◉ Which action should the nurse take first when performing
tracheostomy care?
,A. Cleanse around the stoma.
B. Suction the tracheostomy.
C. Oxygenate with 100% oxygen.
D. Secure the new neck strap. Answer: C. Oxygenate with 100%
oxygen.
Hyperinflation with 100% oxygen helps minimize hypoxia and
atelectasis during the suctioning procedure, so the nurse should take
this action first, before any of the other options.
◉ Which client data is most important for the nurse to obtain prior
to beginning a client's blood transfusion of packed red blood cells?
A. Skin turgor.
B. Weight.
C. Oxygen saturation.
D. Vital signs. Answer: D. Vital signs.
Baseline vital signs are essential to obtain prior to administering a
blood transfusion so that vital signs measured during the
transfusion administration can be compared to the baseline to
assess for the onset of a transfusion reaction. The other assessments
provide less significant data immediately prior to the administration
of the transfusion.
,◉ A client who delivered a 9-pound 2-ounce infant 3 hours ago is
experiencing uterine atony. Which action should the nurse
implement first?
A. Massage the fundus.
B. Catheterize the bladder.
C. Establish venous access.
D. Prep for surgical intervention. Answer: A. Massage the fundus.
The initial management for uterine atony is a fundal massage to
prevent postpartum hemorrhage.
◉ Which action should the nurse implement when using the
confrontation technique during a vision exam?
A. Use an ophthalmoscope to watch the client's pupil constrict when
a strong light is shown on it.
B. Stand behind the client and direct the client to tell the nurse when
an object enters the peripheral field of vision.
C. Show the client a series of four cards with printing of varying sizes
and ask which card the client sees most clearly.
D. Sit facing the client and while looking directly at the client's face,
move an object inward from the periphery. Answer: D. Sit facing the
, client and while looking directly at the client's face, move an object
inward from the periphery.
Confrontation technique during a vision exam is used to determine
the peripheral vision, so directly facing the client and moving an
object inward allows the client to state when the object enters the
nasal, temporal, superior, and inferior fields of vision.
◉ A nurse who adheres to the belief that life is sacred should be able
to establish a therapeutic relationship most effectively with which
client?
A. A terminally ill and depressed client with cancer.
B. A client who is planning to have an elective abortion.
C. A suicidal client who has made a highly-lethal attempt.
D. A client who refuses a blood transfusion due to religious beliefs.
Answer: A. A terminally ill and depressed client with cancer.
A nurse who believes in the sanctity of life may find it difficult to
relate to individuals who do not place the same high level of value on
life. Clients with cancer, who have not made a conscious decision to
end their lives, are most likely to be easily understood by this nurse.
All medical personnel should assess and evaluate their own beliefs,
values, and practices to enable the provision of culturally specific
care that is safe and beneficial to the well-being of the diverse
2026 QUESTIONS WITH SOLUTIONS GRADED
A+
◉ A client with glaucoma is scheduled for surgery. Which
preoperative prescription should the nurse question?
A. Morphine sulfate 5 mg IV on call to operating room.
B. Atropine sulfate 0.4 mg IM on call to operating room.
C. Betaxolol one drop in each eye the morning of surgery.
D. Benzodiazepine 5 mg by mouth the morning of surgery. Answer:
B. Atropine sulfate 0.4 mg IM on call to operating room.
Many ophthalmic agents used to reduce intraocular pressure (IOP)
in glaucoma cause miosis, which increases the outflow of aqueous
humor. Atropine is an anticholinergic agent that causes mydriasis,
which can increase IOP and counteracts the action of β-blocking
agents, so Atropine prescription should be brought to the attention
of the healthcare provider.
◉ Which action should the nurse take first when performing
tracheostomy care?
,A. Cleanse around the stoma.
B. Suction the tracheostomy.
C. Oxygenate with 100% oxygen.
D. Secure the new neck strap. Answer: C. Oxygenate with 100%
oxygen.
Hyperinflation with 100% oxygen helps minimize hypoxia and
atelectasis during the suctioning procedure, so the nurse should take
this action first, before any of the other options.
◉ Which client data is most important for the nurse to obtain prior
to beginning a client's blood transfusion of packed red blood cells?
A. Skin turgor.
B. Weight.
C. Oxygen saturation.
D. Vital signs. Answer: D. Vital signs.
Baseline vital signs are essential to obtain prior to administering a
blood transfusion so that vital signs measured during the
transfusion administration can be compared to the baseline to
assess for the onset of a transfusion reaction. The other assessments
provide less significant data immediately prior to the administration
of the transfusion.
,◉ A client who delivered a 9-pound 2-ounce infant 3 hours ago is
experiencing uterine atony. Which action should the nurse
implement first?
A. Massage the fundus.
B. Catheterize the bladder.
C. Establish venous access.
D. Prep for surgical intervention. Answer: A. Massage the fundus.
The initial management for uterine atony is a fundal massage to
prevent postpartum hemorrhage.
◉ Which action should the nurse implement when using the
confrontation technique during a vision exam?
A. Use an ophthalmoscope to watch the client's pupil constrict when
a strong light is shown on it.
B. Stand behind the client and direct the client to tell the nurse when
an object enters the peripheral field of vision.
C. Show the client a series of four cards with printing of varying sizes
and ask which card the client sees most clearly.
D. Sit facing the client and while looking directly at the client's face,
move an object inward from the periphery. Answer: D. Sit facing the
, client and while looking directly at the client's face, move an object
inward from the periphery.
Confrontation technique during a vision exam is used to determine
the peripheral vision, so directly facing the client and moving an
object inward allows the client to state when the object enters the
nasal, temporal, superior, and inferior fields of vision.
◉ A nurse who adheres to the belief that life is sacred should be able
to establish a therapeutic relationship most effectively with which
client?
A. A terminally ill and depressed client with cancer.
B. A client who is planning to have an elective abortion.
C. A suicidal client who has made a highly-lethal attempt.
D. A client who refuses a blood transfusion due to religious beliefs.
Answer: A. A terminally ill and depressed client with cancer.
A nurse who believes in the sanctity of life may find it difficult to
relate to individuals who do not place the same high level of value on
life. Clients with cancer, who have not made a conscious decision to
end their lives, are most likely to be easily understood by this nurse.
All medical personnel should assess and evaluate their own beliefs,
values, and practices to enable the provision of culturally specific
care that is safe and beneficial to the well-being of the diverse
