Nur Exit Exam 2025 With 100% Correct
Answers
414. The nurse is changing a client's IV tubing and closes the roller clamp on the new tubing setup when
the bag of solution is....which action should the nurse take to ensure adequate filling of the drip
chamber? - correct answers ✔✔• Compress the drip chamber
An Insulin infusion for a client with diabetes mellitus who is experiencing hyperglycemic
hyperosmolar...in addition to the client's glucose, which laboratory value is most important for the nurse
to monitor? - correct answers ✔✔• Serum potassium
416. A young adult who is hit with a baseball bat on the temporal area of the left skull is conscious when
admitted to the ED and is transferred to the Neurological Unit to be monitored for signs of closed head
injury. Which assessment finding is indicative of a developing epidural hematoma? - correct answers
✔✔• Altered consciousness within the first 24 hours after injury.
417. In planning strategies to reduce a client's risk for complications following orthopedic surgery, the
nurse recognizes which pathology as the underlying cause of osteomyelitis? - correct answers ✔✔•
infectious process
418. A client with bipolar disorder began taking valproic acid (Depakote) 250 mg PO three times daily
two months ago. Which finding provides the best indication that the medication regimen is effective? -
correct answers ✔✔• The family reports a great reduction in client's maniac behavior
419. Which intervention should the nurse implement during the administration of vesicant
chemotherapeutic agent via an IV site in the client's arm? - correct answers ✔✔• Assess IV site
frequently for signs of extravasation
420. A client with a serum sodium level of 125 meq/mL should benefit most from the administration of
which intravenous solution? - correct answers ✔✔• 0.9% sodium chloride solution (normal saline)
,421. A client with Alzheimer's disease falls in the bathroom. The nurse notifies the charge nurse and
completes a fall follow-up assessment. What assessment finding warrants immediate intervention by the
nurse? - correct answers ✔✔• Left forearm hematoma
422. The nurse is triaging clients in an urgent care clinic. The client with which symptoms should be
referred to the health care provider immediately? - correct answers ✔✔• headache, photophobia, and
nuchal rigidity
423. An adult male is brought to the emergency department by ambulance following a motorcycle
accident. He was not wearing a helmet and presents with periorbital bruising and bloody drainage from
both ears. Which assessment finding warrants immediate intervention by the nurse? - correct answers
✔✔• nausea and projectile vomit
424. After placement of a left subclavian central venous catheter (CVC), the nurse receives report of the
x-ray findings that indicate the CVC tip is in the client's superior vena cava. Which action should the
nurse implement? - correct answers ✔✔• Initiate intravenous fluid as prescribed
425. The nurse has received funding to design a health promotion project for African-American women
who are at risk for developing breast cancer. Which resource is most important in designing this
program? - correct answers ✔✔• Participation of community leaders in planning the program
426. The home care nurse provide self-care instruction for a client chronic venous insufficiency cause by
deep vein thrombosis. Which instructions should the nurse include in the client's discharge teaching
plan? Select all that apply - correct answers ✔✔• Avoid prolonged standing or sitting
• Use recliner for long period of sitting
• continue wearing elastic stocking
427. The nurse is interviewing a client with schizophrenia. Which client behavior requires immediate
intervention? - correct answers ✔✔• Muscle spasms of the back and neck
428. A male client was transferred yesterday from the emergency department to the telemetry unit
because he had ST depression and resolved chest pain. When his EKG monitor alarms for ventricular
tachycardia (VT), what action should the nurse take first? - correct answers ✔✔• Determine the client's
responsiveness and respirations
, 429. A client with a large pleural effusion undergoes a thoracentesis. Following the procedure, which
assessment finding warrants immediate intervention by the nurse? - correct answers ✔✔• The client has
asymmetrical chest wall expansion
431. The nurse is preparing a client for discharge from the hospital following a liver transplant. Which
instruction is most important for the nurse to include in this client's discharge teaching plan? - correct
answers ✔✔• Monitor for an elevated temperature
432. The nurse is conducting health assessments. Which assessment finding increases a 56-year-old
woman's risk for developing osteoporosis? - correct answers ✔✔• 20 pack-year history of cigarette
smoking
433. A young couple who has been unsuccessful in conceiving a child for over a year is seen in the family
planning clinic. During an initial visit, which intervention is most important for the nurse to implement? -
correct answers ✔✔• Determine current sexual practice
434. The nurse administers an oral antiviral to a client with shingles. Which finding is most important for
the nurse report to the health care provider? - correct answers ✔✔elevated liver function tests
435. A client in the intensive care unit is being mechanically ventilated, has an indwelling urinary
catheter in place, and is exhibiting signs of restlessness. Which action should the nurse take first? -
correct answers ✔✔• Auscultated bilateral breath sounds
436. The nurse makes a supervisory home visit to observe an unlicensed assistive personnel (UAP) who is
providing personal care for a client with Alzheimer's disease. The nurse observes that whenever the
client gets upset, the UAP changes the subject. What action should the nurse take in response to this
observation? - correct answers ✔✔• Affirm that the UAP is using and effective strategy to reduce the
client's anxiety.
437. An older female who ambulate with a quad-cane prefer to use a wheel chair because she has a
halting and unsteady gait at times. Which interventions should the nurse implement? (Select all that
apply) - correct answers ✔✔• Move personal items within client's reach
• Lower bed to the lower possible position
• Give directions to call for assistance
• Assist client to the bathroom in 2 hours.
Answers
414. The nurse is changing a client's IV tubing and closes the roller clamp on the new tubing setup when
the bag of solution is....which action should the nurse take to ensure adequate filling of the drip
chamber? - correct answers ✔✔• Compress the drip chamber
An Insulin infusion for a client with diabetes mellitus who is experiencing hyperglycemic
hyperosmolar...in addition to the client's glucose, which laboratory value is most important for the nurse
to monitor? - correct answers ✔✔• Serum potassium
416. A young adult who is hit with a baseball bat on the temporal area of the left skull is conscious when
admitted to the ED and is transferred to the Neurological Unit to be monitored for signs of closed head
injury. Which assessment finding is indicative of a developing epidural hematoma? - correct answers
✔✔• Altered consciousness within the first 24 hours after injury.
417. In planning strategies to reduce a client's risk for complications following orthopedic surgery, the
nurse recognizes which pathology as the underlying cause of osteomyelitis? - correct answers ✔✔•
infectious process
418. A client with bipolar disorder began taking valproic acid (Depakote) 250 mg PO three times daily
two months ago. Which finding provides the best indication that the medication regimen is effective? -
correct answers ✔✔• The family reports a great reduction in client's maniac behavior
419. Which intervention should the nurse implement during the administration of vesicant
chemotherapeutic agent via an IV site in the client's arm? - correct answers ✔✔• Assess IV site
frequently for signs of extravasation
420. A client with a serum sodium level of 125 meq/mL should benefit most from the administration of
which intravenous solution? - correct answers ✔✔• 0.9% sodium chloride solution (normal saline)
,421. A client with Alzheimer's disease falls in the bathroom. The nurse notifies the charge nurse and
completes a fall follow-up assessment. What assessment finding warrants immediate intervention by the
nurse? - correct answers ✔✔• Left forearm hematoma
422. The nurse is triaging clients in an urgent care clinic. The client with which symptoms should be
referred to the health care provider immediately? - correct answers ✔✔• headache, photophobia, and
nuchal rigidity
423. An adult male is brought to the emergency department by ambulance following a motorcycle
accident. He was not wearing a helmet and presents with periorbital bruising and bloody drainage from
both ears. Which assessment finding warrants immediate intervention by the nurse? - correct answers
✔✔• nausea and projectile vomit
424. After placement of a left subclavian central venous catheter (CVC), the nurse receives report of the
x-ray findings that indicate the CVC tip is in the client's superior vena cava. Which action should the
nurse implement? - correct answers ✔✔• Initiate intravenous fluid as prescribed
425. The nurse has received funding to design a health promotion project for African-American women
who are at risk for developing breast cancer. Which resource is most important in designing this
program? - correct answers ✔✔• Participation of community leaders in planning the program
426. The home care nurse provide self-care instruction for a client chronic venous insufficiency cause by
deep vein thrombosis. Which instructions should the nurse include in the client's discharge teaching
plan? Select all that apply - correct answers ✔✔• Avoid prolonged standing or sitting
• Use recliner for long period of sitting
• continue wearing elastic stocking
427. The nurse is interviewing a client with schizophrenia. Which client behavior requires immediate
intervention? - correct answers ✔✔• Muscle spasms of the back and neck
428. A male client was transferred yesterday from the emergency department to the telemetry unit
because he had ST depression and resolved chest pain. When his EKG monitor alarms for ventricular
tachycardia (VT), what action should the nurse take first? - correct answers ✔✔• Determine the client's
responsiveness and respirations
, 429. A client with a large pleural effusion undergoes a thoracentesis. Following the procedure, which
assessment finding warrants immediate intervention by the nurse? - correct answers ✔✔• The client has
asymmetrical chest wall expansion
431. The nurse is preparing a client for discharge from the hospital following a liver transplant. Which
instruction is most important for the nurse to include in this client's discharge teaching plan? - correct
answers ✔✔• Monitor for an elevated temperature
432. The nurse is conducting health assessments. Which assessment finding increases a 56-year-old
woman's risk for developing osteoporosis? - correct answers ✔✔• 20 pack-year history of cigarette
smoking
433. A young couple who has been unsuccessful in conceiving a child for over a year is seen in the family
planning clinic. During an initial visit, which intervention is most important for the nurse to implement? -
correct answers ✔✔• Determine current sexual practice
434. The nurse administers an oral antiviral to a client with shingles. Which finding is most important for
the nurse report to the health care provider? - correct answers ✔✔elevated liver function tests
435. A client in the intensive care unit is being mechanically ventilated, has an indwelling urinary
catheter in place, and is exhibiting signs of restlessness. Which action should the nurse take first? -
correct answers ✔✔• Auscultated bilateral breath sounds
436. The nurse makes a supervisory home visit to observe an unlicensed assistive personnel (UAP) who is
providing personal care for a client with Alzheimer's disease. The nurse observes that whenever the
client gets upset, the UAP changes the subject. What action should the nurse take in response to this
observation? - correct answers ✔✔• Affirm that the UAP is using and effective strategy to reduce the
client's anxiety.
437. An older female who ambulate with a quad-cane prefer to use a wheel chair because she has a
halting and unsteady gait at times. Which interventions should the nurse implement? (Select all that
apply) - correct answers ✔✔• Move personal items within client's reach
• Lower bed to the lower possible position
• Give directions to call for assistance
• Assist client to the bathroom in 2 hours.
