UPDATE 180 QUESTIONS WITH CORRECT ANSWERS
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EXIT EXAMb
1. A nurse is caring for a client who has given informed consent
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for ECT. Just before the procedure, the client tells the nurse
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she is considering not going forward with the treatment.
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Which of the following statements oy the nurse Is
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appropriate?
b
a. "You don't have to go through with the treatment."
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b. "Most people who have this procedure feel better following the
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treatment.b
c. "It’s okay to be nervous before this treatment
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d. "Your doctor wouldn't have ordered this treatment unless it was
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necessary.b
2. While performing a route assessment. a nurse notices tracing on
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bthe electrical cord of a client's CPM device. Which of the
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bfollowing actions should the nurse take first? b b b b b b
a. report the defect to the equipment maintenance staff.
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b. Ensure the device inspection b b b
bsticker is current c. Remove the
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bdevice from the room b b b
d. Initiate a requisition for a replacement PM device
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3. A nurse is caring for a client who is postoperative and has a
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bnew prescription for hydromorphone, Which of the
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bfollowing actions should the nurse take: b b b b b
a. Document administration of the medication upon removal b b b b b b
from the medication dispensing
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b. Withhold the medication if the client does not appear to be in pain.
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c. Count the current number of unit doses available in the medication
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, dispensing system.
b b
d. Withhold the medication if the client has a fever b b b b b b b b
4. A nurse performing a change-of-shift assessment. Which of the
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following clients has the priority finding?
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a. Type 2 DM and blood glucose of 250 mg/dL
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b. Pneumonia with a productive cough and a fever of b b b b b b b b
38.8° C (101.8° F) c. 2 hr. post cast placement and
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has 2+ pitting edema and pallor
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d. First-degree heart block and a heart rate of 62/ min
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5. A nurse in an outpatient mental health facility is providing
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bteaching to a group of adolescents. Which of the following
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bstatements by a client indicates an understanding of the
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bteaching?
a. "I will limit my alcohol use to one drink daily while taking
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disulfiram.
b
b. "I will avoid foods containing tyramine while taking Fluoxetine
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c. "I will take the sustained-release methylphenidate every morning.
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d. "I will take my lithium on an empty stomach."
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6. A nurse in the emergency department is assessing a client
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who has a major depressive disorder. Which of the
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following actions should the nurse take first?
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a. Administer Zofran to the client for nausea b b b b b b
b. Implement seizure precautions for the client b b b b b
, c. Encourage the client to verbalize feelings b b b b b
d. Obtain the client's weight b b b
7. A nurse is completing an admission assessment for a
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bclient who has a narcissisticpersonality disorder.
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bWhich of the following should the nurse expect?
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a. Suspicious of others b b
b. Exhibits separation anxiety b b
c. Ritualistic behavior b
d. Preoccupied with aging b b
8. Drug Calc: The client weighs 99 lb. Prescribed diet of 1.5 g
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protein/kg/day. How many grams ofprotein per day should the
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nurse include in the client's dietary plan?
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9. A nurse is planning care for a group of clients and is working with
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bone LPN and one AP. Which of the following actions should the
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bnurse take first to manage her time effectively?
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a. Develop an hourly time frame for tasks b b b b b b
b. Schedule daily activities b b
c. Determine goals of the day b b b b
d. Delegate tasks to the AP b b b b
10. A nurse is developing a plan of care for a client who has
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b preeclampsia and is to receive magnesium sulfate via continuous
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b IV infusions. Which of the following actions should the nurse
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b include in the plan? b b b
a. Restrict the client's total fluid intake to 250 mL/hr.
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b. Measure the cents urine output every hour b b b b b b
c. Give the client protamine if signs of magnesium sulfate toxicity
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boccur (antidote: calcium gluconate)
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e. Monitor the FHR via Doppler every 30 min
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11. A bnurse bis bcaring bfor ba bgroup bof bclients. bWhich bof bthe
bfollowing wounds should the nurse expect to heal byb b b b b b b b
bprimary intention? b
a. Infected laceration. b
, b. Stage I pressure ulcer
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c. Approximated surgical incision b b
d. Partial-thickness burns b
12. A bnurse bin ban bacute bmental bhealth bcare bfacility bis bprioritizing
care for multiple clients. Which of the following clients should
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the nurse see first?
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a. The client taking clozapine to treat schizophrenia and reports a sore
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throat
b
b. The client has OCD and is upset about a change in their daily routine
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c. The client has a narcissistic personality disorder and is mocking others
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during group therapy
b b b
d. A client who has a depressive disorder and requires assistance
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with ADLs
b b