275 Exit Exam PN Questions with 100% Correct Answers 2022

275 Exit Exam PN Questions with 100% Correct Answers 2022 1. 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. Federal legislation dictates the legal guidelines for advance directives b. Advance directives include instruction for resolving financial matters c. Advance directives include a living well d. My medical record should not include >>>>c. Advance directives include a living well 2. A nurse on a medical surgical unit is assisting with the admission of a client who has advanced lung cancer. Which of the following actions regarding advance directives should the nurse take? a. Ensure that an attorney has received the client's advance directives b. Document the client's decision about end-of-life care in the medical record c. Tell the client that a family member should serve as a health care surrogate d. Contact the facility's risk manager to verify if the client has a living will >>>>b. Document the client's decision about end-of-life care in the medical record #3. A nurse is reinforcing teaching with a client about advance directives and a healthcare proxy which of the following client statements and the kids and understanding of the teaching >>>> I do not need to name a relative as my designee in my health care proxy 4. A nurse is reinforcing teaching about advance directives with a client who has endstage heart failure. Which of the following statements by the client indicates an understanding of the teaching? >>>>"I know I can change my advance directives if I need to in the future." 5. A nurse is caring for a client who speaks a different language than the nurse. Which of the following actions should the nurse take? >>>>Supplement spoken language with pictures. Or review the facility policy about the use of an interpreter 6. A nurse is caring for a client who speaks a different language than the nurse. The clients partner tells the nurse that the client would like to go home against medical advice (AMA). Which of the ff actions should the nurse take? a. Discharge the client and notify the health care provider b. Request the services of an interpreter to determine the clients wishes c. Have the client's partner sign an AMA form d. Ask the partner to reiterate the consequences of leaving AMA to the client >>>>b. Request the services of an interpreter to determine the clients wishes 7. A nurse at long term care facility is reviewing the plan of care who has a prescription for mitten restraints. Which of the following tasks should the nurse assign to assistive personnel? a. Evaluate the need client b. Assist the client with range of motion exercises of the hands c. Determine the circulation status d. Instruct the client's family about purpose mitten restraint >>>>b. Assist the client with range of motion exercises of the hands 8.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? a. Monitor the client's range of motion every 60 min. b. Plan to remove the restraints as soon as the clients is calm c. Offer the clients nutritious snack every 4 hr. d. Ensure that the procedure has signed a prescription for restrain within 48 hr. >>>>b. Plan to remove the restraints as soon as the clients is calm 9. A nurse in a mental health facility receives a change of shift report on 4 clients. Which of the following clients should the nurse plan to assess first? 1. A client placed in restraints for aggressive behavior 2. A new limited client presents history of 4.5kg weight loss in the past two months 3. Client is receiving a PRN dose of haloperidol two hours ago for increased anxiety 4. Client will receive his first ECT treatment today >>>>1. A client placed in restraints for aggressive behavior 10. A nurse on a mental health unit is caring for a client who is in restraints. Which of the following actions should the nurse take? -Check the client's status every hour. -Document the client's behavior leading to the initiation of restraints. -Obtain written consent by the client for the placement of the restraints. -Release the client's restraints every 4 hr. >>>>Check the client's status every hour. 11. A nurse is caring of a client who is confused and is trying to pull out their IV catheter. After attempting other measures to prevent the client from self-harm, the nurse places wrist restraints on the client. Which of the following actions should the nurse take? a. Remove the restraints from the client's wrists every 2 hr. b. Fasten the restrains ties to the bed's side rail c. Contact the provide within 48 hr. to obtain a prescription for the restrain d. Check that one finger will fit between the client's wrist and the restraints >>>>a. Remove the restraints from the client's wrists every 2 hr. 12. nurse delegates a task to an AP and the AP refuses to complete the assigned task. Which of the following actions should the nurse take?1. Report the AP to the risk manager >>>> 13. A nurse is preparing to delegate client care to an assistive personnel AP. Which of the following information should the nurse verify prior to delegation? a. The AP's years of experience b. The client's length of facility stay c. The client's age d. The AP's job description >>>>d. The AP's job description 14. A nurse in a long-term care facility is delegating care for a group of clients for the upcoming shift which of the following tasks the nurse delegate to assistive personnel (select all that apply) >>>>Measure vital signs for a client who requires contact precaution, record urine output for a client who has a super pubic catheter, trees for a client who is receiving radiation therapy to radiology ***15. A nurse on a hospice unit is caring for a client who has cancer and is in the active phase of dying. Which of the following findings requires intervention by the nurse? a. Benzodiazepines are administered every 4hr b. Supplemental oxygen in use c. A family member remains at the client's bedside 24 hr. each day d. An assistive personnel is encouraging intake of oral fluids >>>>a. Benzodiazepines are administered every 4hr 16. A nurse is caring for a client who is in stage kidney disease the client has decided to stop dialysis treatment which of the following actions should the nurse take >>>> Support the client's decision and stop the treatment 17. A nurse is administering pancreatic enzymes to a child who has cystic fibrosis. Which of the following outcomes should the nurse expect as a therapeutic effect of the treatment? - Reduced fat in the stools - Improved respiratory function - Decreased sodium excretion - Improved absorption of vitamins B and C >>>>- Reduced fat in the stools 18. a nurse is assisting with care of a client who is receiving chemotherapy and radiation for advances breast cancer. The client states "I am thinking about stopping the treatment. Which of the following responses should the nurse make? a. Tell me more about what are you thinking b. I would feel the same way if I were you c. You'll be cancer free after you complete your treatments d. Why do you think that would be a good choice >>>>a. Tell me more about what are you thinking 19. A nurse determines that clients who receive zolpidem postoperatively have an increased fall rate compared to other postoperative clients. Which of the following members of the health care team should the nurse report these findings? -The risk manager -The pharmacist -The case manager -The surgeon >>>>The risk manager 20. A nurse is caring for a client who has rheumatoid arthritis and is having difficulty with ADLs, such as cooking and eating. The nurse should ensure that the client has a referral to which of the following members of the interprofessional team? -Dentist -Nutritionist -Occupational therapist -Alternative care provider >>>>-Occupational therapist 21. A nurse is participating in an interprofessional client care conference for a client who has experienced a stroke. The nurse should identify that which of the following client care issues requires reporting to the interprofessional team? a. The client requires reinforcement of teaching about the purpose of his medication b. The client is unable to grasp eating utensils c. The client request to perform ADL's later in the day d. The client tells the nurse he prefers a snack before bedtime >>>>b. The client is unable to grasp eating utensils 22. A nurse is contributing to the plan of care for a client who has bipolar disorder and is experiencing acute mania. Which of the following interventions should the nurse include in the plan of care? - Allow the client to establish his own schedule. - Encourage the client to participate in group activities. - Provide the client with high calorie finger foods. - Check the client's vital signs every 4 hr. >>>>- Provide the client with high calorie finger foods. 23.A nurse is caring for a client who has bipolar disorder and is experiencing acute mania. Which of the ff. actions should the nurse take? >>>>Provide step-by-step instructions for performing ADLs. 24. A nurse is participating in an interprofessional care conference for a client who has alcohol use disorder. The nurse should collaborate with the dietitian to Promote which of the following dietary changes? -Reduce daily intake of calories. -Increases daily intake of thiamin- rich food. -Eat three meals each day. -limit foods that contain tyramine. >>>>-Increases daily intake of thiamin- rich food. 25. A nurse in an acute care setting is assisting client information to include in a referral for a physical therapist. Which of the following information should the nurse plan to include? a. Family medical history b. medical health insurance claims c. Physical assessment findings d. Medication taken prior to admission >>>>c. Physical assessment findings 26. A nurse is caring for a client who has rheumatoid arthritis and is having difficulty with ADLs, such as cooking and eating. The nurse should ensure that the client has a referral to which of the following members of the interprofessional team? -Dentist -Nutritionist -Occupational therapist -Alternative care provider >>>>-Occupational therapist 27.A nurse is contributing to the plan of care for a client who is experiencing panic level anxiety and reports visual hallucinations. Which of the following actions should the nurse recommend including in the plan of care? a. Instruct the client to spend quiet time alone in their room b. provide the client with restricted-calorie meal c. Encourage the client to participate in game in the day room d. Use a low-pitched voice when speaking to the client >>>>d. Use a low-pitched voice when speaking to the client 28. A nurse is participating in an interprofessional client care conference for a client who has experienced a stroke. The nurse should identify that which of the following client care issues requires reporting to the interprofessional team? a. The client requires reinforcement of teaching about the purpose of his medication b. The client is unable to grasp eating utensils c. The client request to perform ADL's later in the day d. The client tells the nurse he prefers a snack before bedtime >>>>b. The client is unable to grasp eating utensils 29. A nurse is contacting an occupational therapist for a client who had a stroke with right sided weakness and has difficulty eating. Which of the following roles should the nurse expect the occupational therapist to perform? a. Provides and adjusts devices to assist the client with daily living activities b. Assists in finding economic living arrangement for the client c. Uses heat massage and water to treat client's strength and movement d. Promotes healthy by ensuring the client's nutritional needs are met >>>>a. Provides and adjusts devices to assist the client with daily living activities 30. A nurse is observing assistive personnel take a client tympanic temperature which of the following actions should the nurse identify as an indication that the AP understands how to perform the procedure >>>>1. The AP pulls the pinna up and back 31. A nurse is assisting with staff education about hand hygiene. Which of the following instructions should the nurse include in the teaching? - Wear sterile gloves when in contact with body fluids. - Wash hands with soap and water for 20 seconds. - Artificial nails can be worn when performing direct client care. - Use an alcohol-based cleanser when hands are visibly soiled. >>>>- Wash hands with soap and water for 20 seconds. 32. A nurse is reinforcing teaching about hand hygiene with a newly licensed news which of the following information should the nurse include in the teaching >>>> Interlace the fingers while rubbing hands together 33. A nurse is reviewing confidentiality with a group of newly nurses. Which of the following situations should the nurse as an example of breach in confidentiality? a. A nurse tells the chaplain that a client has a new diagnosis of cancer b. A social worker reads a client's chart as follow-up to a requested consultation. c. A nurse discusses a client's chart postoperative complications during shift report. d. A facility risk manager includes information from a client's medical record in a written report >>>>a. A nurse tells the chaplain that a client has a new diagnosis of cancer 34. A charge nurse is discussing confidentiality requirements with a newly licensed nurse when sharing a client's information. Which of the following individuals should the charge nurse identify as appropriate with whom to share client information? a. A social worker who is assigned to an involuntarily committed school age client b. A client's partner after the client reports intimate partner abuse c. A client's employer who is concerned about safety due to substance abuse d. A nurse from another unit after a client commits suicide >>>>a. A social worker who is assigned to an involuntarily committed school age client 35. A nurse is reinforcing teaching with a newly licensed nurse about client privacy. Which of the following information should the nurse include in the teaching? - A client is restricted from accessing his own medical records. - Unwanted printed health information can be discarded in a trash can - Information regarding client health be e-mailed if encrypted - Members of a health care team can share a computer password >>>>- Information regarding client health be e-mailed if encrypted 36. A nurse is receiving change of shift report on four clients. Which of the following clients should the nurse plan to see first? a. A client has laparoscopic 8 hr. ago b. A client who has femur fracture and reports numbness of the toes c. A client who has cirrhosis and severe pruritus d. A client who had a renal biopsy 3 hr. ago and has pink-tinge-urine >>>>b. A client who has femur fracture and reports numbness of the toes 37. A nurse is preparing to give change of shift report on a client who is 2 days postoperative following total knee arthroscopy. Which of the following information should the nurse include in the report? a. Preferred bath time b. Step required for dressing change c. Admission vital sign d. Time of last pain medication >>>>d. Time of last pain medication 38. A nurse is providing change of shift report for a client. Which of the following information should the nurse include in the report? a. "The client's mother dies 4 years ago from breast cancer." b. "The clients report pain is reduced when he is positioned on his side." c. "The client's partner visited earlier today for 2 hours." d. "The client receives the prescribed antibiotic every 8 hr." >>>>d. "The client receives the prescribed antibiotic every 8 hr." 39. A nurse is receiving change of shift report on four clients. Which of the following clients should the nurse plan to see first? a. A client has laparoscopic 8 hr. ago b. A client who has femur fracture and reports numbness of the toes c. A client who has cirrhosis and severe pruritus d. A client who had a renal biopsy 3 hr. ago and has pink-tinge-urine >>>>b. A client who has femur fracture and reports numbness of the toes 40. A nurse is receiving change of shift reports from four clients. Which of the following clients should the nurse see first? - A client who has sickle cell disease and hyperbilirubinemia - A client who had a hernia repair 4 hr. ago and is reporting nausea - A client who has cirrhosis and hematemesis - A client who is 1 day postoperative and reports a pain level of 7 on a scale from 0 to 10 >>>>- A client who has cirrhosis and hematemesis 41. A nurse is making a follow-up call to a client who has a new prescription for an ACE inhibitor to treat hypertension. The client reports lightheadedness upon standing. Which of the following statements should the nurse make? "Sit back down for a few minutes when this occurs." "Restrict your daily fluid intake." "Discontinue this medication if this occurs again." "Take a daily potassium supplement." >>>>"Sit back down for a few minutes when this occurs." 42. A charge nurse is observing a newly licensed nurse who is having difficulty finishing all client care activities by the end of his shift. Which of the following statements should the nurse make to help the newly licensed nurse improve his time management skills? >>>>1. Complete the task for one client before moving onto the next client 43. A nurse is assisting with the care of a group of clients. Which of the following actions should the nurse take to manage her time effectively? SATA a. Plan a time at the end of the shift to document nursing interventions b. Delegate collection of vital signs to the assistive personnel on the team c. Keep track of how long it takes to complete certain tasks d. Make a priority to list at the beginning of the shift >>>>b. Delegate collection of vital signs to the assistive personnel on the team c. Keep track of how long it takes to complete certain tasks d. Make a priority to list at the beginning of the shift 44. A nurse is reviewing the medical record of a client who has COPD. Which of the following laboratory findings indicates a need to requests a dietary referral for the client? a. Potassium 3.5 mEq/L b. Sodium 138 mEq/dL c. Total calcium 10 mg/dL d. Prealbumin 13 mg/dl >>>>d. Prealbumin 13 mg/dl 45. A nurse is reinforcing teaching with a client who has a new diagnosis of COPD. Which of the following statements by the nurse indicates an understanding of the teaching? >>>>1. I should practice pursed lip breathing exercises 46. A nurse is assisting in the care of an older adult who has COPD and is receiving albuterol treatments and 20 mg of prednisone twice daily. The client asks why the nurse is checking his blood glucose level. Which of the following responses should the nurse make? >>>>"Prednisone can cause blood glucose levels to increase." 47. 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. Provide privacy during client care procedures b. Allow the client to choose treatment times c. Administer pain medication on a routine schedule d. Be honest with the client about the prognosis >>>>b. Allow the client to choose treatment times 48. A nurse is caring for a client who has been admitted to the mental health unit. While reinforcing teaching about the clients prescribed medications the nurse communicates truthfully about the adverse effects of the medications. Which of the following ethical concepts is the nurse exhibiting? a. Beneficence b. Autonomy c. Veracity d. Justice >>>>c. Veracity 49. A charge nurse in a long-term care facility is discussing ethical theories with a group of newly licensed nurses. Which of the following statements should the charge nurse identify as an indication that a newly licensed nurse understands utilitarianism? - "I will consider what is going to benefit the most people when making decisions." - "I will place a higher emphasis on human dignity than on the needs of a group." - "I will respect the decision of a client who has chronic illness to stop treatment." - "will withhold a terminal diagnosis from a client who has cancer. >>>>- "I will consider what is going to benefit the most people when making decisions." 50. A nurse is caring for a client who has peptic ulcer disease and is schedule to undergo esophagogastroduodenoscopy. Which of the following actions should the nurse take prior to the procedure? a. Administer an oral contrast solution b. Ensure that the clients gave informed consent c. Ensure that the client's bladder is full d. Inform the client's the procedure will take 60 min >>>>b. Ensure that the clients gave informed consent **51. A nurse is reinforcing teaching with a parent of a newborn about home safety precautions. Which of the following statements by the parent indicates an understanding of the teaching? a. I will place my newborn's crib near a heat vent during cold weather b. I will place my newborns face up on a pillow when sleeping c. I will make the pacifier to my newborn's clothing with a sitting at bedtime d. I will make sure that I can fit one finger between the mattress and the side of my newborn's crib >>>>d. I will make sure that I can fit one finger between the mattress and the side of my newborn's crib 52. A nurse is reinforcing teaching with new parents about car seat safety. Which of the following instructions should the nurse include? a. Place the shoulder harnesses at the level of the infants' shoulders b. Position the car seat at 90 angle. c. Keep the airbag on if the car seat is in front seat d. Put a small cushion under the newborn's head for support >>>>a. Place the shoulder harnesses at the level of the infants' shoulders 53. A nurse is reinforcing teaching about food safety with a group of adult clients. Which of the following information should the nurse include? - Keep the refrigerator temperature at 4.4 C degrees (40F) - Refrigerate leftover food within 3 hours - Keep the freezer's temperature at -15 degrees C (SF) - Eat leftover food within 7 days. >>>>- Keep the refrigerator temperature at 4.4 C degrees (40F) 54. A nurse is reinforcing teaching about home safety precautions with the parents of a 3- month-old. Which of the following instructions should the nurse include in the teaching? - Start using a highchair for feedings. - Make sure the crib is soft. - Place no more than one small pillow in the crib. - Remove bibs when the infant is going to sleep. >>>>- Remove bibs when the infant is going to sleep. 55. A nurse is reinforcing teaching about home safety with the parents of a 6-week-old infant. Which of the following instructions should the nurse include? - "Keep your baby secured in the infant carrier if you must leave him unattended on a high Surface." - "Keep one hand on your baby's abdomen if you must turn away while he is on the changing table." - "Keep the crib mattress in the highest position until your baby is sleeping." - "Keep the bumper pads secured to the crib rails while your baby is sleeping." >>>>- "Keep one hand on your baby's abdomen if you must turn away while he is on the changing table." 56. A nurse is reinforcing discharge teaching with the family of an older adult client about safety precautions when administering hypotonic enemas to a client. Which of the following instructions should the nurse include in the teaching? - Administer a second enema if the first has poor results. - Instruct the client to exhale while inserting the rectal tube. - Insert the tip of the rectal tube 1.5 cm (6in) - Administer the enema using cool tap water. >>>>- Instruct the client to exhale while inserting the rectal tube. 57. A nurse manager in a long-term care facility is discussing evidence-based practice with a group of staff nurses which of the following activities should the nurse manager identify as an example of evidence-based practice >>>> Staffing the unit based on client acuity and needs 58. A home health nurse is conducting a home inspection for a client who is at risk for falls. Which of the following instructions should the nurse provide for the client? a. Keep lighting home dim b. place the bedside table 2 ft. away c. Move the client's bed to the main floor of the house d. Place area rugs slick floor surfaces >>>>c. Move the client's bed to the main floor of the house 59. A nurse is completing documentation in the medical record about a client who fell on the floor. Which of the following statements should the nurse include in the documentation? - "An incident report has been completed and sent to risk management." - "The client fell because the assistive personnel did not place non-skid slippers on the client." - "The client does not appear to have any injuries resulting from the fall." - "Client stated, "I lost my balance and fell when I got out of bed to go to the bathroom." >>>>- "Client stated, "I lost my balance and fell when I got out of bed to go to the bathroom." 60. A nurse is collecting data from an adolescent who has experienced sexual abuse. Which of the following statements by the client should the nurse recognize as the use of the defense mechanism of suppression? - "My mother is the real reason for it all because she doesn't live in the real world." . "I drink beer as often as I can so that I don't have to think about all of the times it happened." - "I guess I have to take some of the blame because of the way my friends and I dress." - 'Sometimes I get angry about it, but I know that just creates other problems." >>>>- 'Sometimes I get angry about it, but I know that just creates other problems." **61. A home health nurse is caring for an adult who lives with a family caregiver and has urinary incontinence. The clients say "I guess I will be locked in my room again for wetting the bed". Which of the should the nurse take? a. Report the suspected abuse to the nurse manager b. Review the medical record to see if the clients has reported abuse in the past c. Contact the client's caregiver to discuss the client's comment d. Restrict family members from visiting with the client >>>>a. Report the suspected abuse to the nurse manager 61. A nurse is assisting with the admission of an adolescent client who is suspected to have bacterial meningitis. Which of the following findings should the nurse expect? a. Jaundice b. Hematuria c. 2+ pedal edema d. Nuchal rigidity >>>>d. Nuchal rigidity 62. Actions to take for suspected epiglottitis >>>>1. Take to hospital immediately 2. Difficulty breathing call 911 63. A nurse is reinforcing teaching about home infection prevention with a client who is HIV positive. Which of the following statements by the client indicates an understanding of the teaching? - "I will place used sharp items in an empty cereal box for disposal." By - "I will disinfect contaminated hard surface with a mixture of one part peroxide to 10 parts water." - "I will put soiled dressings in a tied plastic bag before placing them in the trash." - 'I will use animal-skin condoms when having sex." >>>>- "I will put soiled dressings in a tied plastic bag before placing them in the trash." 64. A charge nurse is reinforcing teaching with a newly licensed nurse about infection control measure. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? a. For a client who has Clostridium difficile. I will cleanse my hand with an alcohol-based rub b. Soiled dressings should be placed in biohazard trash receptable c. Droplet precautions require that I wear gown and gloves when providing client care d. following a blood spill. I should use bleach solution with a ratio of 1 to 20 >>>>b. Soiled dressings should be placed in biohazard trash receptable 65. ways to improve Nutrition on patients with COPD? >>>>High fiber foods **66.A nurse is caring for a group of clients. Which of the following clients should the nurse recognize is experiencing fluid volume excess? a. A client who has heart failure and has had orthopnea for 2days b. A client who has COPD and an oxygen saturation of 92% c. A client who is 1 day postoperative and has a Hgb of 16g/dL d. A client who had a urinary trat infection with bladder distention two fingerbreadth below the umbilicus >>>>a. A client who has heart failure and has had orthopnea for 2days 67. A nurse is reinforcing discharge teaching with the caregiver of a client who has dependent personality disorder. Which of the following instruction should the nurse include in the teaching? a. Encourage the client to be assertive b. Maintain a verbal no harm contact with the client c. Assume responsibility for making the clients decisions d. Limit the client's social interactions >>>>a. Encourage the client to be assertive 68. A nurse is reinforcing discharge teaching with a client who has a prescription for home oxygen therapy. Which of the following statements by the client indicates an understanding of the teaching? a. "I can use synthetic blankets on my bed." b. "I will increase the flow rate if I feel short of breath." c. "I will check my oxygen equipment at least once daily." d. "I can use Isopropyl alcohol to clean the nasal canula when necessary." >>>>c. "I will check my oxygen equipment at least once daily." 69. 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 admissions? a. A client who had a radical mastectomy 36 hr. ago and has a surgical drain b. A client who had a cerebrovascular accident 8 hr. ago and received thrombolytic therapy c. A client who had a lobectomy and has a chest tube drainage system d. A client who has cervical cancer and an internal radioactive implant >>>>a. A client who had a radical mastectomy 36 hr. ago and has a surgical drain 70. A nurse is reinforcing discharge teaching with a client who has tuberculosis. Which of the following statements by the client indicates an understanding of the teaching? >>>>1. I should throw away my used tissues in a closed plastic bag 71. A nurse is reinforcing discharge teaching with a client who has stable angina pectoris which of the following statements by the client indicates an understanding of what to do when chest pain occurs >>>>1. Stop what I'm doing and lie down 72. A nurse is reinforcing teaching with a newly licensed nurse about caring for a client who has dysphagia. Which of the following instruction should the nurse include in the teaching? a. Place oral suction equipment next to the client's bedside b. Use a needleless syringe to instill feedings c. Provide thin liquids to help the client swallowed. >>>>a. Place oral suction equipment next to the client's bedside A nurse is supervising 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? >>>>Oral suction equipment 73. A nurse is assisting with the planning of an in service about updates in wound care for nursing staff. Which of the following sources should the nurse identify as providing the best evidence-based information? a. A peer reviewed journal article b. An entry on a nursing blog addressing wound healing c. Information from a wound care product vendor d. First-hand experience with wound care products? >>>>a. A peer reviewed journal article 74. A nurse is reinforcing teaching with a newly licensed nurse about transcribing medication prescriptions. Which of the following prescriptions should the newly licensed nurse identify is an accurate transcription? a. Lorazepam 0.5 mg PO PRN at bedtime b. MgSO4 10g PO daily c. Doxazocin .5 mg PO at bedtime d. Heparin 5000 U subcutaneous every 8 hr. >>>>a. Lorazepam 0.5 mg PO PRN at bedtime ify care outside the nurse scope of practice >>>> 76 A nurse is collecting data from an adolescent client who is a victim of sexual abuse. The nurse recognizes the use of the defense mechanism of suppression when the client states, >>>>"I guess I have to take some of the blame because of the way my friends and I abuse" 77. A nurse is discussing risk factors for child abuse with members of the parenting group the nurse should identify which of the following findings as that characteristic of perpetrators of a child abuse >>>>1. Rigid expectations of behavior 78. A nurse has been caring for a female client who has bruises on her arms that she explains are a result of physical abuse by her husband. The client states, "I don't know how much longer I can take this, but I'm afraid he'll really hurt me if I leave. "Which of the following is an appropriate nursing intervention?" 1. Offer to speak to the client's husband regarding his abuse behavior. 2. Help the client to recognize the signs of escalation of abuse behavior 3. Assist the client to identify personal behaviors that trigger abusive behavior 4. Assist the client to Reports abusive behavior to the proper authority >>>>2. Help the client to recognize the signs of escalation of abuse behavior 79. A nurse is transcribing a clients prescription for erythromycin 500 mg four times per day which of the following information shared the news clarify with the provider >>>>Time 80. A charge nurse in a long-term care facility is reinforcing teaching with a group of nurses about fall precautions. Which of the following statements made by the nurse indicates an understanding of the teaching? >>>>"I will instruct the client to sit when putting on a pair of pants." 81. A nurse is reinforcing teaching with the guardian of a 2-month-old infant about immunizations. Which of the following statements by a guardian indicates an understanding of the teaching? a. My baby will receive the rotavirus immunization orally b. My baby will receive three doses of the meningococcal immunization before kindergarten c. I should expect my baby to have a high fever for 24 hours after an immunization d. I should not feed my baby anything for 2 hours prior to an immunization >>>>a. My baby will receive the rotavirus immunization orally 82. A nurse is reinforcing teaching with a parent of a 4-month-old infant during a home visit. Which of the following statements by the parent indicates an understanding of the teaching? a. "I will leave the plastic covering on the crib mattress." b. "I will use a cool mist vaporizer in my baby's room." c. "I will leave my baby's crib while he is sleeping." d. "I will lay my baby's head on a pillow while he is in the crib." >>>>b. "I will use a cool mist vaporizer in my baby's room." 83. A nurse in an acute care setting is preparing to administer medications to a client. Which of the following information should the nurse obtain to identify the client? a. Room number of the client b. Name of the client's provider c. Client's telephone number d. Client's full medical diagnosis >>>>c. Client's telephone number 84.A nurse is collecting data from a 4-month-old infant at a well-child visit. For which of the following findings should the nurse notify the provider? >>>>Anterior fontanel closed 85. A nurse is reinforcing teaching with the parents of a 4-month-old infant during a home visit. Which of the following findings in the infant's room indicates a need for further teaching? >>>>The infant is lying in the crib with a stuffed animal. 86. A nurse is reinforcing teaching to the parents of an infant who has Pavlik harness. Which of the following statements should the nurse include in the teaching? >>>>"the harness promotes hip joint development." 87. A nurse is caring for an infant who has a prescription for continuous pulse oximetry. The following is an appropriate action for the nurse to take? 1. Place infant under radiant warmer 2. Move the prove site every 3 hours 3. Heat the skin one minute prior to placing the program 4. Palace a sensor on the index finger >>>>3. Heat the skin one minute prior to placing the program 88. A nurse is receiving a telephone prescription from a client's provider which of the following actions should the nurse take select all that apply 1. ask the provider to spell out the name of the medication 2. request the provider to confirm and read back the prescription 3. record the date and time of the telephone prescription >>>> 88. A nurse is receiving a telephone prescription from a client's provider which of the following actions should the nurse take select all that apply >>>>1. ask the provider to spell out the name of the medication 2. request the provider to confirm and read back the prescription 3. record the date and time of the telephone prescription 89. A charge nurse is observing a newly licensed nurse performing dressing change on a peripheral IV site. For which of the following actions by the new nurse should the charge nurse intervene >>>> Use a sterile glove to remove the old dressing 90. A nurse is caring for a client who is on isolation precautions. Which of the following pieces of personal protective equipment should the nurse remove first? a. Gloves b. Gown c. Eyewear d. Mask >>>>a. Gloves 91. A charge nurse is monitoring a group of assistive personnel AP regarding the use of gloves in contact pre caution isolation. For which of the following actions by an AP should the charge nurse intervene? a. Washes hands after removing gloves b. Removes gloves last after other personal protective equipment c. Pulls gloves off inside-out when task are completed d. Changes gloves between tasks for the same client >>>>b. Removes gloves last after other personal protective equipment 92. A nurse is assisting with discharge planning for a group of clients during a mass casualty incident which of the following client should the nurse recommend for discharge >>>>1. A client who had diabetic ketoacidosis and has a blood glucose level of 120 mg/dL 93. A nurse is recommending a client for discharge to allow for admission of a client following a tornado disaster. Which of the following clients should the nurse recommend for discharge? -A client who has atrial fibrillation and an INR of 4 -A client who has a sodium level of140meq/L after one episode of diarrhea -A client who is 3days postoperative following a hip arthroplasty and has a warm red area on his left calf A client who reports chest pain after ambulation >>>>-A client who has a sodium level of140meq/L after one episode of diarrhea 94. A nurse discovers a fire in the trash can of a client's room. Which of the following actions should the nurse take first? >>>>Escort the client to a secure area. 95. A nurse is caring for a client who is receiving oxygen when a fire starts in an adjacent room. Identify the order of performance. >>>>IN ORDER ALREADY * Move the clients to a safe location * Pull the nearest fire alarm * Shut all doors and windows * Attempt to extinguish the fire 96. A nurse is preparing to irrigate a wound of a client who has methicillin-resistant Staphylococcus aureus (MRSA).The nurse should use which of the following personal protective equipment? >>>>A face shield 97. A nurse in a long term care facility is caring for a client who has methicillin resistant staphylococcus aureus (MRSA) which of the following actions should the nurse take >>>>1. Wear a gown when assisting the client with personal hygiene 98. 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 isolation procedures when caring for this client? a. Droplet precautions b. Contact precautions c. Airborne precautions d. Protective environment >>>>b. Contact precautions 99. A nurse is assisting developing list of internet sites for clients to obtain valid health information. When evaluating internet resources. Which of the following findings indicates the information likely contains credible medical information? a. The website URL is listed as .com b. The website was last updated 3 years ago c. The author's name is listed without credentials d. The author cites references to statements made >>>>d. The author cites references to statements made 100. A nurse is caring for a client who has a prescription for acetaminophen 300mg with codeine 30mg, 1 tablet every 3 to 4 hr. PRN for pain. Th nurse inadvertently administers 2 tablets to the client. In which of the following locations should the nurse document this client care incident? a. Provider's progress notes b. Controlled substance inventory record c. Nursing care plan d. Incident report >>>>d. Incident report 101. A nurse is reviewing the medical records of five clients. Which of the following events should the nurse write an incident report? (Select All That Apply) a. A client received an 0900 daily medication at 1000 b. A client fell when ambulating to the bathroom alone c. A client who has an infection refused the evening meal d. An appropriate amount of urine recorded e. A client received first dose of antibiotics >>>>a. A client received an 0900 daily medication at 1000 b. A client fell when ambulating to the bathroom alone 102. A nurse enters a client's room and finds her sitting on the floor next to the shower. The client states that the slipped on some water outside of the shower. Which of the following action should the nurse take firs