PN EXIT EXAM
1. 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?
A. "Sit back down for a few minutes when this occurs."
B. "Restrict your daily fluid intake."
C. "Discontinue this medication if this occurs again."
D. Take a daily potassium supplement." - Answer-A. "Sit back down for a few
minutes when this occurs."
1. A nurse is caring for a client who has dehydration due to diarrhea. Which of the
following findings should the nurse report to the provider?
A. BUN 18 mg/dL
B. Urine output 12 mi/hr
C. Urine specific gravity 1,020
D. Serum creatinine 1.0 mg/di - Answer-B. Urine output 12 mi/hr
1. A nurse is collecting data from a client who uses a continuous positive airway
pressure
(CPAP) machine at night for sleep apnea. The nurse should identify which of the
following findings is an indication of proper CPAP use?
A. The mask is secured over the client's mouth and the client's nose is uncovered.
B. The therapeutic dose of albuterol is being inhaled.
C. There is one finger width between the strap on the mask and the client's face.
D. The mask fits loosely so air can escape from underneath. - Answer-B. The
therapeutic dose of albuterol is being inhaled.
1. A nurse is reinforcing teaching with a parent of a preschooler about
immunizations. Which of the following statements by the parent indicates an
understanding of the teaching?
A. "My child will need to start the human papillomavirus series when he enters
kindergarten"
B. "I understand that immunizations will be withheld if my child has lactose
intolerance"
C. "It is recommended that my child receive his first flu immunization at the age of 6"
D. "I can make several office visits, so my child does not get so many immunizations
at once." - Answer-D. "I can make several office visits, so my child does not get so
many immunizations at once."
1. 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?
A. "I will withhold a terminal diagnosis from a client who has cancer."
B. "I will respect the decision of a client who has a chronic illness to stop treatment.
C. "I will place a higher emphasis on human dignity than on the needs of a
,D. "I will consider what is going to benefit the most people when making decisions" -
Answer-B. "I will respect the decision of a client who has a chronic illness to stop
treatment.
1. A nurse is transcribing a client's prescription for erythromycin 500 mg four times
per day. Which of the following information should the nurse clarify with the provider?
A. Medication
B. Dosage
C. Route
D. Time - Answer-C. Route
Rationale: There is no indicated route which is necessary for carrying out order
1. A nurse is reviewing the medication administration record of a client who takes
atenolol PO and applies a nitroglycerin transdermal patch daily. For which of the
following interactions should the nurse monitor this client?
A. Dry cough
B. Hypotension
C. Thrombocytopenia
Hyperglycemia - Answer-B. Hypotension
1. A nurse is reviewing the laboratory values of a client who has COPD. Which of the
following findings should the nurse report to the provider?
A. WBC 13.000/mm2
B. Potassium 3.7 mEq/L
C. Iron 150 mcg/dL
D. Hgb 20 g/dL. - Answer-A. WBC 13.000/mm2
Rationale: COPD patients are at risk of lung infection. An elevated white blood cell
(WBC) count
should be reported to rule out lung infection.
1. A nurse is monitoring a client who is postoperative following a thyroidectomy.
Which of the following findings should indicate to the nurse that the client is
developing a thyroid storm?
A. Increased incision and drainage
B. Decreased body temperature
C. Hypertension
D. Bradycardia - Answer-C. Hypertension
1. A nurse is planning care for four clients. Which of the following tasks should the
nurse ask the charge nurse to reassign to an RN?
A. Administering a subcutaneous insulin injection
B. Removing an NG tube
C. Collecting a sputum culture
D. Providing discharge teaching about home IV medication therapy - Answer-D.
Providing discharge teaching about home IV medication therapy
1. A nurse in a family practice office routinely reviews clients' immunization status at
their annual physical examination visits. For which of the following clients should the
nurse recommend a human papillomavirus immunization?
, A. A teenage boy
B. A preschool-age girl
C. An older adult woman
D. A middle adult man - Answer-A. A teenage boy
1. A nurse is caring for a 2-year-old child who has Clostridium difficile. Which of the
following actions should the nurse take?
A. Initiate contact precautions.
B. Place child in a room that has a HEPA filtration system.
C. Use an N95 respirator.
D. Instruct the parents to avoid bringing fresh flowers into the room. - Answer-A.
Initiate contact precautions.
A nurse is giving a change-of-shift report on a group of clients. Which of the following
statements should the nurse make? (Select all that apply.).
A. The dient in room 204 has a new prescription for IV gentamicin.
B. The client in room 205 has had several visitors today
C. The client in room 203 will undergo surgery at 0900 tomorrow.
D. The client in room 204 received some pain medicine earlier today.
E. The client in room 205 is scheduled for a dressing change at 800,"
Rationale: the specified procedure is mentioned with specific time - Answer-A. The
dient in room 204 has a new prescription for IV gentamicin
C. The client in room 203 will undergo surgery at 0900 tomorrow.
A nurse overhears two assistive personnel discussing a client's medical history in the
hallway. Which of the following actions should the nurse take first?
A. Participate in an in-service about client confidentiality.
B. Tell the staff members to stop their discussion.
C. Report the incident to the charge nurse.
D. Speak to the staff members in private about client confidentiality. - Answer-B. Tell
the staff members to stop their discussion.
A nurse is reinforcing teaching with a client who has GERD and a prescription for
pantoprazole. Which of the following statements indicates an understanding of the
teaching?
A. "I will need to remain upright for 1 hour after taking the medication."
B. I have to take this medication on an empty stomach."
C. "I should expect to have diarrhea while taking this medication."
D. "I can take antacids at the same time as this medication. - Answer-A. "I will need
to remain upright for 1 hour after taking the medication."
A nurse is assisting with preparing a client who is to have a central venous catheter
inserted for the administration of total parenteral nutrition (TPN). Which of the
following actions should the nurse take?
A. Use clean technique when changing the catheter dressing.
B. Prepare the client for a chest x-ray to verify catheter placement.
C. Place the client in Sims position for catheter insertion
D. verify the amount of TPN solution the client is receiving every 4 hr - Answer-B.
Prepare the client for a chest x-ray to verify catheter placement.
1. 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?
A. "Sit back down for a few minutes when this occurs."
B. "Restrict your daily fluid intake."
C. "Discontinue this medication if this occurs again."
D. Take a daily potassium supplement." - Answer-A. "Sit back down for a few
minutes when this occurs."
1. A nurse is caring for a client who has dehydration due to diarrhea. Which of the
following findings should the nurse report to the provider?
A. BUN 18 mg/dL
B. Urine output 12 mi/hr
C. Urine specific gravity 1,020
D. Serum creatinine 1.0 mg/di - Answer-B. Urine output 12 mi/hr
1. A nurse is collecting data from a client who uses a continuous positive airway
pressure
(CPAP) machine at night for sleep apnea. The nurse should identify which of the
following findings is an indication of proper CPAP use?
A. The mask is secured over the client's mouth and the client's nose is uncovered.
B. The therapeutic dose of albuterol is being inhaled.
C. There is one finger width between the strap on the mask and the client's face.
D. The mask fits loosely so air can escape from underneath. - Answer-B. The
therapeutic dose of albuterol is being inhaled.
1. A nurse is reinforcing teaching with a parent of a preschooler about
immunizations. Which of the following statements by the parent indicates an
understanding of the teaching?
A. "My child will need to start the human papillomavirus series when he enters
kindergarten"
B. "I understand that immunizations will be withheld if my child has lactose
intolerance"
C. "It is recommended that my child receive his first flu immunization at the age of 6"
D. "I can make several office visits, so my child does not get so many immunizations
at once." - Answer-D. "I can make several office visits, so my child does not get so
many immunizations at once."
1. 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?
A. "I will withhold a terminal diagnosis from a client who has cancer."
B. "I will respect the decision of a client who has a chronic illness to stop treatment.
C. "I will place a higher emphasis on human dignity than on the needs of a
,D. "I will consider what is going to benefit the most people when making decisions" -
Answer-B. "I will respect the decision of a client who has a chronic illness to stop
treatment.
1. A nurse is transcribing a client's prescription for erythromycin 500 mg four times
per day. Which of the following information should the nurse clarify with the provider?
A. Medication
B. Dosage
C. Route
D. Time - Answer-C. Route
Rationale: There is no indicated route which is necessary for carrying out order
1. A nurse is reviewing the medication administration record of a client who takes
atenolol PO and applies a nitroglycerin transdermal patch daily. For which of the
following interactions should the nurse monitor this client?
A. Dry cough
B. Hypotension
C. Thrombocytopenia
Hyperglycemia - Answer-B. Hypotension
1. A nurse is reviewing the laboratory values of a client who has COPD. Which of the
following findings should the nurse report to the provider?
A. WBC 13.000/mm2
B. Potassium 3.7 mEq/L
C. Iron 150 mcg/dL
D. Hgb 20 g/dL. - Answer-A. WBC 13.000/mm2
Rationale: COPD patients are at risk of lung infection. An elevated white blood cell
(WBC) count
should be reported to rule out lung infection.
1. A nurse is monitoring a client who is postoperative following a thyroidectomy.
Which of the following findings should indicate to the nurse that the client is
developing a thyroid storm?
A. Increased incision and drainage
B. Decreased body temperature
C. Hypertension
D. Bradycardia - Answer-C. Hypertension
1. A nurse is planning care for four clients. Which of the following tasks should the
nurse ask the charge nurse to reassign to an RN?
A. Administering a subcutaneous insulin injection
B. Removing an NG tube
C. Collecting a sputum culture
D. Providing discharge teaching about home IV medication therapy - Answer-D.
Providing discharge teaching about home IV medication therapy
1. A nurse in a family practice office routinely reviews clients' immunization status at
their annual physical examination visits. For which of the following clients should the
nurse recommend a human papillomavirus immunization?
, A. A teenage boy
B. A preschool-age girl
C. An older adult woman
D. A middle adult man - Answer-A. A teenage boy
1. A nurse is caring for a 2-year-old child who has Clostridium difficile. Which of the
following actions should the nurse take?
A. Initiate contact precautions.
B. Place child in a room that has a HEPA filtration system.
C. Use an N95 respirator.
D. Instruct the parents to avoid bringing fresh flowers into the room. - Answer-A.
Initiate contact precautions.
A nurse is giving a change-of-shift report on a group of clients. Which of the following
statements should the nurse make? (Select all that apply.).
A. The dient in room 204 has a new prescription for IV gentamicin.
B. The client in room 205 has had several visitors today
C. The client in room 203 will undergo surgery at 0900 tomorrow.
D. The client in room 204 received some pain medicine earlier today.
E. The client in room 205 is scheduled for a dressing change at 800,"
Rationale: the specified procedure is mentioned with specific time - Answer-A. The
dient in room 204 has a new prescription for IV gentamicin
C. The client in room 203 will undergo surgery at 0900 tomorrow.
A nurse overhears two assistive personnel discussing a client's medical history in the
hallway. Which of the following actions should the nurse take first?
A. Participate in an in-service about client confidentiality.
B. Tell the staff members to stop their discussion.
C. Report the incident to the charge nurse.
D. Speak to the staff members in private about client confidentiality. - Answer-B. Tell
the staff members to stop their discussion.
A nurse is reinforcing teaching with a client who has GERD and a prescription for
pantoprazole. Which of the following statements indicates an understanding of the
teaching?
A. "I will need to remain upright for 1 hour after taking the medication."
B. I have to take this medication on an empty stomach."
C. "I should expect to have diarrhea while taking this medication."
D. "I can take antacids at the same time as this medication. - Answer-A. "I will need
to remain upright for 1 hour after taking the medication."
A nurse is assisting with preparing a client who is to have a central venous catheter
inserted for the administration of total parenteral nutrition (TPN). Which of the
following actions should the nurse take?
A. Use clean technique when changing the catheter dressing.
B. Prepare the client for a chest x-ray to verify catheter placement.
C. Place the client in Sims position for catheter insertion
D. verify the amount of TPN solution the client is receiving every 4 hr - Answer-B.
Prepare the client for a chest x-ray to verify catheter placement.
