EXIT EXAM 2025 ACTUAL EXAM
CURRENTLY TESTING COMPLETE 180
QUESTIONS WITH DETAILED VERIFIED
ANSWERS /A+ STUDY MATERIAL
1. A nurse is caring for a client who has bipolar disorder
and is experiencing acute mania. The nurse obtained a
verbal prescription for restraints. Which of the following
should the actions the nurse take?
A. Request a renewal of the prescription every 8 hr.
B. Check the client’s peripheral pulse rate every 30 min
C. Obtain a prescription for restraint within 4 hr.
D. Document the client’s condition every 15 minutes
2. A nursing planning care for a school-age child who is
4 hr postoperative following perforated appendicitis.
Which of the following actions should the nurse include
in the plan of care?
a. Offer small amounts of clear liquids 6 hr following surgery
(assess for gag reflex first)
b. Give cromolyn nebulizer solution every 6 hr (for asthma)
c. Apply a warm compress to the operative site every 4 hr
d. Administer analgesics on a scheduled basis for the first 24 hr
3. A nurse is receiving change-of-shift report for a group
,of clients. Which of the following clients should the nurse
plan to assess first?
a. A client who has sinus arrhythmia and is receiving cardiac
monitoring
b. A client who has diabetes mellitus and a hemoglobin A1C of
6.8%
c. A client who has epidural analgesia and weakness in the
lower extremities
d. A client who has a hip fracture and a new onset of tachypnea
4. A nurse is preparing to apply a transdermal
nicotine patch for a client. Which of the following
actions should the nurse tak e?
a. Shave hairy areas of skin prior to application (
apply to hairless, clean & dry areas to promote
absorption; avoid oily or broken skin)
b. Wear gloves to apply the patch to the client’s skin
c. Apply the patch within 1 hr of removing it from the
protective pouch (apply immediately)
d. Remove the previous patch and place it in a tissue
(fold patch in half with sticky sides pressed
together)
5. A nurse has just received change-of-shift report for
four clients. Which of the following clients should the
nurse assess first?
a. A client who was just given a glass of orange juice for a low
blood glucose level
b. A client who is schedule for a procedure in 1 hr (can wait)
c. A client who has 100 mL fluid remaining in his IV bag (can
, wait)
d. A client who received a pain medication 30 min ago for
postoperative pain
6. A nurse is caring for a client who is receiving
intermittent enteral tube feedings. Which of the following
places the client at risk for aspiration?
a. A history of gastroesophageal reflux disease
, b. Receiving a high osmolarity formula
c. Sitting in a high-Fowler’s position during the feeding
d. A residual of 65 mL 1hr postprandial
7. A nurse is reviewing the laboratory results for a client
who has Cushing’s disease. The nurse should expect the
client to have an increase in which of the following
laboratory values?
a. Serum glucose level- increased
b. Serum calcium level-decreased
c. Lymphocyte count- decreased immune system.
d. Serum potassium level- decreased
. 8. A nurse is caring for a client who has severe
preeclampsia and is receiving magnesium sulfate
intravenously. The nurse discontinues the magnesium
sulfate after the client displaces toxicity. Which of
the following actions should the nurse take? a. Position
the client supine
b. Prepare an IV bolus of dextrose 5% in water
c. Administer methylergonovine IM
d. Administer calcium gluconate IV
Calcium gluconate is given for magnesium sulfate toxicity.
Always have an injectable form of calcium gluconate
available when administering magnesium sulfate by IV.