PN EXIT EXAM 2024 SET #2 QUESTIONS
WITH CORRECT ANSWERS
A nurse is providing support to the family of a school-age child who has a new diagnosis
of a
terminal illness. Which of the following actions should the nurse take?
- Offer the family opinions about the child's care
- Provide the family with time to talk openly
- Tell the family to avoid discussing the illness around the child
- Express sympathy when discussing the terminal diagnosis - Answer-Provide the family
with time to talk openly
A nurse is assisting with a community health education course for family members of
clients
who have Alzheimer's Disease. . Which of the following information should the nurse
include?
- Provide a stimulating environment for the client
- Limit the number of choices for the client
- Use written signs to assist the client with locating the bathroom
- Use confrontation to manage the client's behavior - Answer-Limit the number of
choices for the client
A community nurse is assisting with the development of a pamphlet regarding choking
hazards for toddlers. Which of the following foods should the nurse include?
- grapes
- Corn
- Potatoes
- Oranges - Answer-grapes
A nurse is caring for a female client who has an indwelling catheter with a urinary
drainage
system. Which of the following actions should the nurse take?
- Secure the tubing with adhesive tape to the lower abdomen
- Instruct the client to hold the drainage bag at waist height when ambulating
- Collect a sterile specimen from the urinary drainage bag
- Coil the tubing on the bed above the collection bag - Answer-- Coil the tubing on the
bed above the collection bag
A nurse is reinforcing with a client who has hypothyroidism and a new prescription for
levothyroxine. The nurse should instruct the client to notify the provider of which of the
following manifestations?
- Polyuria
- Pruritus
- Cough
,- nervousness - Answer-Pruritus
A nurse is reinforcing teaching with the family of a client who is terminally ill about the
grief
process. Which of the following should the nurse include in the teaching?
- "Anticipatory grieving prolongs the grief process."
- " The grieving should be complete within 1 year."
- "The stages of grief occur in sequential order."
- "Anger toward the health staff is expected." - Answer-"Anger toward the health staff is
expected."
A nurse is contributing to the plan of care for a group of clients. Which of the following
tasks
should the nurse delegate to an assistive personnel?
- Obtain the diet history from a client who has heart failure.
- Administer a client's nighttime dose of milk of magnesia
- Perform basic life support
- Educate a client about the use of an incentive spirometer - Answer-Perform basic life
support
A nurse is contributing to the plan of care for a client who has hypothyroidism. Which of
the
following interventions should the nurse include in the plan?
- High-calorie, high-protein diet
- Administer levothyroxine with client's breakfast
- Increase the temperature of the client's room
- Tape client's eyelids shut at bedtime - Answer-Increase the temperature of the client's
room
A nurse is preparing to give change of shift report on a client who is 2 days
postoperative following a total knee arthroscopy. Which of the following information
about the client should the nurse include in the report?
- Preferred bath time
- Time of last medication
- Steps required for dressing changes
- Admission vital signs - Answer-Time of last medication
10. A nurse in a provider's office is collecting data from a client who was just diagnosed
with
tuberculosis. Which of the following actions should the nurse take first?
- Communicate with personnel about the need for prophylaxis
- Place a mask on the client
- Notify local health department
- Contact those who live with the client - Answer-- Place a mask on the client
,A nurse is reviewing the medical records of five clients. For which of the following
events
should the nurse write an incident report? (Select all that apply)
- A client fell when ambulating to the bathroom alone
- An approximate amount of urine was recorded after the urine leaked from the client's
catheter bag.
- A client received the first dose of antibiotic 1 hour before the collection of blood for
culture and sensitivity.
- A client received an 0900 daily medication at 1000.
- A client who has an infection refused the evening meal. - Answer-- A client fell when
ambulating to the bathroom alone. — A client received the first dose of antibiotic 1 hour
before the collection of blood for culture and sensitivity.
A nurse is caring for a client who is postoperative following a total knee arthroplasty.
The
client reports a pain level of 6 on a scale from 0 to 10. Which of the following
medications
should the nurse administer?
- Oxycodone
- Ibuprofen
- Celecoxib
- Acetaminophen - Answer-- Oxycodone
A nurse is caring for a client who is 2 days postoperative following the surgical creation
of
an ileostomy and is tolerating oral intake. Which of the following actions should the
nurse take?
- Apply sterile dressing to the stoma
- Insert catheter to drain liquid feces
- Empty the ileostomy pouch every 2 to 3 hour
- Irrigate the ileostomy with sterile water - Answer-- Empty the ileostomy pouch every 2
to 3 hour
A nurse is reinforcing teaching with a client who has a new prescription for fluoxetine.
Which of the following adverse effects should the nurse include in the teaching as an
indication
of serotonin syndrome?
- Diaphoresis
- Hypotension
- Peripheral edema
- Decreased body temperature - Answer-- Diaphoresis
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."
- " I will withhold a terminal diagnosis from a client who has cancer." - Answer-- " I will
consider what is going to benefit the most people when making decisions."
A charge nurse working in a long-term care facility overhears two assistive personnel in
the
nurse's station discussing a client who was just admitted. Which of the following actions
should
the charge nurse take?
- Tell the APs to stop the conversation.
- Submit an incident report to the risk manager.
- Document the event in the client's progress notes.
- Inform the client of the AP's actions. - Answer-- Tell the APs to stop the conversation.
A nurse is caring for a client who has a new diagnosis of diabetes mellitus and is
refusing to
learn how to self-administer insulin. Which of the following responses should the nurse
make?
- " Have you considered how your decision to refuse medication will affect your family?"
- " You will suffer serious health issues if you don't take your medication."
- "I'd like to hear your thoughts about giving yourself insulin."
- "Why don't you want to learn how to give yourself your medication?" - Answer-- "I'd like
to hear your thoughts about giving yourself insulin."
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 15 cm (6in)
- Administer the enema using cool tap water. - Answer-Instruct the client to exhale while
inserting the rectal tube.
Insert tip of rectal tube 3-4 inches (not 6in)
A nurse is reinforcing discharge teaching with a client who has angina and a new
prescription
for sublingual nitroglycerin. Which of the following information should the nurse include
in the
teaching?
- " You should carry one nitroglycerin tablet in a small plastic bag at all times."
- " You will feel a tingling sensation in your mouth when taking a nitroglycerin tablet."
- " Take nitroglycerin immediately following heavy physical activity."
WITH CORRECT ANSWERS
A nurse is providing support to the family of a school-age child who has a new diagnosis
of a
terminal illness. Which of the following actions should the nurse take?
- Offer the family opinions about the child's care
- Provide the family with time to talk openly
- Tell the family to avoid discussing the illness around the child
- Express sympathy when discussing the terminal diagnosis - Answer-Provide the family
with time to talk openly
A nurse is assisting with a community health education course for family members of
clients
who have Alzheimer's Disease. . Which of the following information should the nurse
include?
- Provide a stimulating environment for the client
- Limit the number of choices for the client
- Use written signs to assist the client with locating the bathroom
- Use confrontation to manage the client's behavior - Answer-Limit the number of
choices for the client
A community nurse is assisting with the development of a pamphlet regarding choking
hazards for toddlers. Which of the following foods should the nurse include?
- grapes
- Corn
- Potatoes
- Oranges - Answer-grapes
A nurse is caring for a female client who has an indwelling catheter with a urinary
drainage
system. Which of the following actions should the nurse take?
- Secure the tubing with adhesive tape to the lower abdomen
- Instruct the client to hold the drainage bag at waist height when ambulating
- Collect a sterile specimen from the urinary drainage bag
- Coil the tubing on the bed above the collection bag - Answer-- Coil the tubing on the
bed above the collection bag
A nurse is reinforcing with a client who has hypothyroidism and a new prescription for
levothyroxine. The nurse should instruct the client to notify the provider of which of the
following manifestations?
- Polyuria
- Pruritus
- Cough
,- nervousness - Answer-Pruritus
A nurse is reinforcing teaching with the family of a client who is terminally ill about the
grief
process. Which of the following should the nurse include in the teaching?
- "Anticipatory grieving prolongs the grief process."
- " The grieving should be complete within 1 year."
- "The stages of grief occur in sequential order."
- "Anger toward the health staff is expected." - Answer-"Anger toward the health staff is
expected."
A nurse is contributing to the plan of care for a group of clients. Which of the following
tasks
should the nurse delegate to an assistive personnel?
- Obtain the diet history from a client who has heart failure.
- Administer a client's nighttime dose of milk of magnesia
- Perform basic life support
- Educate a client about the use of an incentive spirometer - Answer-Perform basic life
support
A nurse is contributing to the plan of care for a client who has hypothyroidism. Which of
the
following interventions should the nurse include in the plan?
- High-calorie, high-protein diet
- Administer levothyroxine with client's breakfast
- Increase the temperature of the client's room
- Tape client's eyelids shut at bedtime - Answer-Increase the temperature of the client's
room
A nurse is preparing to give change of shift report on a client who is 2 days
postoperative following a total knee arthroscopy. Which of the following information
about the client should the nurse include in the report?
- Preferred bath time
- Time of last medication
- Steps required for dressing changes
- Admission vital signs - Answer-Time of last medication
10. A nurse in a provider's office is collecting data from a client who was just diagnosed
with
tuberculosis. Which of the following actions should the nurse take first?
- Communicate with personnel about the need for prophylaxis
- Place a mask on the client
- Notify local health department
- Contact those who live with the client - Answer-- Place a mask on the client
,A nurse is reviewing the medical records of five clients. For which of the following
events
should the nurse write an incident report? (Select all that apply)
- A client fell when ambulating to the bathroom alone
- An approximate amount of urine was recorded after the urine leaked from the client's
catheter bag.
- A client received the first dose of antibiotic 1 hour before the collection of blood for
culture and sensitivity.
- A client received an 0900 daily medication at 1000.
- A client who has an infection refused the evening meal. - Answer-- A client fell when
ambulating to the bathroom alone. — A client received the first dose of antibiotic 1 hour
before the collection of blood for culture and sensitivity.
A nurse is caring for a client who is postoperative following a total knee arthroplasty.
The
client reports a pain level of 6 on a scale from 0 to 10. Which of the following
medications
should the nurse administer?
- Oxycodone
- Ibuprofen
- Celecoxib
- Acetaminophen - Answer-- Oxycodone
A nurse is caring for a client who is 2 days postoperative following the surgical creation
of
an ileostomy and is tolerating oral intake. Which of the following actions should the
nurse take?
- Apply sterile dressing to the stoma
- Insert catheter to drain liquid feces
- Empty the ileostomy pouch every 2 to 3 hour
- Irrigate the ileostomy with sterile water - Answer-- Empty the ileostomy pouch every 2
to 3 hour
A nurse is reinforcing teaching with a client who has a new prescription for fluoxetine.
Which of the following adverse effects should the nurse include in the teaching as an
indication
of serotonin syndrome?
- Diaphoresis
- Hypotension
- Peripheral edema
- Decreased body temperature - Answer-- Diaphoresis
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."
- " I will withhold a terminal diagnosis from a client who has cancer." - Answer-- " I will
consider what is going to benefit the most people when making decisions."
A charge nurse working in a long-term care facility overhears two assistive personnel in
the
nurse's station discussing a client who was just admitted. Which of the following actions
should
the charge nurse take?
- Tell the APs to stop the conversation.
- Submit an incident report to the risk manager.
- Document the event in the client's progress notes.
- Inform the client of the AP's actions. - Answer-- Tell the APs to stop the conversation.
A nurse is caring for a client who has a new diagnosis of diabetes mellitus and is
refusing to
learn how to self-administer insulin. Which of the following responses should the nurse
make?
- " Have you considered how your decision to refuse medication will affect your family?"
- " You will suffer serious health issues if you don't take your medication."
- "I'd like to hear your thoughts about giving yourself insulin."
- "Why don't you want to learn how to give yourself your medication?" - Answer-- "I'd like
to hear your thoughts about giving yourself insulin."
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 15 cm (6in)
- Administer the enema using cool tap water. - Answer-Instruct the client to exhale while
inserting the rectal tube.
Insert tip of rectal tube 3-4 inches (not 6in)
A nurse is reinforcing discharge teaching with a client who has angina and a new
prescription
for sublingual nitroglycerin. Which of the following information should the nurse include
in the
teaching?
- " You should carry one nitroglycerin tablet in a small plastic bag at all times."
- " You will feel a tingling sensation in your mouth when taking a nitroglycerin tablet."
- " Take nitroglycerin immediately following heavy physical activity."
