COMPREHENSIVE EXIT EXAM ACTUAL EXAM 180
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY
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A nurse from a medical-surgical unit is floating to a postpartum unit. Which of the appropriate
assignment for the nurse to accept? - ANSWER- A client who had a cesarean delivery 24 hr ago
A client who is participating in an anger management session explains that his recent behaviors
are related to his job loss. Which of the following defense mechanisms is the client using? -
ANSWER- Rationalization
A nurse working at a crisis hotline call center receives a call from a client who states, "I cannot
take it. My life is over." Which of the following is the priority response by the nurse? -
ANSWER- Are you thinking of harming yourself?"
A nurse is reinforcing teaching with the parents of a newborn who had a circumcision. Which of
the following client statements indicates understanding of the teaching? - ANSWER- "I will
apply petroleum jelly to the penis with each diaper change."
A client's daughter calls the nurse requesting information about her mother's condition. The
client's chart does not specify that information can be released to the daughter. Which of the
,following is an appropriate response by the nurse? - ANSWER- "You will need to contact your
mother directly about her condition."
A nurse is caring for a 17-year-old client who admitted for an emergency appendectomy. Which
of the following is an appropriate action by the nurse in obtaining informed consent? -
ANSWER- Delay the procedure if the provider cannot contact the parents.
A nurse is reinforcing teaching about home care with the parents of a child who has a seizure
disorder. Which of the following instructions should the nurse include? - ANSWER- Call EMS if
a seizure lasts 5 min or more.
A nurse in a mental health unit asks a client who has schizophrenia, "How are you?" Which of
the following responses should the nurse identify as the speech alteration of echolalia? -
ANSWER- "How are you?"
A nurse is reinforcing teaching with the family of a client who is receiving palliative care for
terminal cancer. Which of the following guidelines should the nurse emphasize about appropriate
pain control measures? - ANSWER- Administer pain medication on a regular schedule.
,A nurse in an acute mental health facility observes a client having a panic attack. Which of the
following interventions should the nurse implement first? - ANSWER- Instruct the client to use
abdominal breathing.
A nurse is collecting data from a 3-month-old infant who is 6 hr postoperative following a cleft
palate repair. Which of the following pain rating tools should the nurse use? - ANSWER-
FLACC scale
A nurse is caring for a client who has a new prescription for furosemide. The client asks the
nurse about the purpose of the medication. The nurse tells the client, "This medication is a
diuretic, and you should monitor your weight while taking it." Which of the following ethical
concepts is the nurse exhibiting? - ANSWER- Veracity
A nurse is expressing concern about his assignment with the charge nurse. The nurse states that
he has more work to do than anyone else. Which of the following statements by the charge nurse
demonstrates the conflict resolution strategy of competing? - ANSWER- "We will take a look at
the assignments together and attempt to modify the workload you are concerned about."
A nurse working on a mental health unit is meeting with a client who has been on the unit for 2
days. The nurse greets the client and asks, "What has been happening with you today?" Which of
the following therapeutic techniques is the nurse using? - ANSWER- Focusing
, A nurse discovers a fire in a trash can in a client's room. Which of the following actions should
the nurse take first? - ANSWER- Walk the client to the waiting room.
A nurse is caring for a client who is postoperative following a femoral cardiac catheterization.
Which of the following actions should the nurse take during the first 30 min? - ANSWER-
Compare the bilateral peripheral pulses.
A client who has inoperable cancer tells the nurse that she does not want to pursue the
recommended treatment. She asks if the provider can force her to have the treatment. Which of
the following is an appropriate response by the nurse? - ANSWER- 'You have the right to refuse
the recommended treatment plan.’
A nurse is reinforcing teaching with a client who is about to undergo a thoracentesis. Which of
the following statements by the client indicates an understanding of the information? -
ANSWER- 'I will have a chest x-ray following the procedure.'
A nurse is reinforcing teaching with a client who has a permanent pacemaker in place. Which of
the following statements by the client indicates an understanding of the teaching? - ANSWER- 'I
will remove my microwave oven from my home.'
A nurse and an assistive personnel (AP) are caring for a client who requests a PRN pain
medication. After the nurse administers the medication, which of the following tasks should the
nurse assign to the AP? Answer: ‘Document the client's respiratory rate in 1 hr.’