Exit Exam (206 Q & As) BEST NEW EXAM SOLUTION
GUARANTEED SUCCESS, LATEST UPDATE 2025 HIGHLY RATED
&GRADED A +SCORE
A nurse is caring for a client who has a new colostomy the nurse notes that the
client appears withdrawn and looks away during ostomy care. Which of the
following actionsshould the nurse take?
a) Ask the client how they feel about the stoma
b) make a referral for the client to see an ostomy nurse
c) include the clients partner in stoma care education
d) educate the client about expected stoma appearance
A nurse is caring for a client who has a chest tube. The client asks why the fluid
in the water -seal chamber rises and falls. Which of the following statements
should the nursemake?
a) “ this means your lung is fully expanded “
b) “ this indicates a possible leak”
c) “ suction pressure that is too high causes
this”d) “ Your breathing pattern causes this”
A community health nurse is reviewing home care instructions with an older
adult client who has a new diagnosis of heart failure. Which of the following
is the prioritytopic for the nurse to review with the client?
a) Daily sodium restriction
,b) Daily exercise
routinec)Changes in
weight
d) Fluid intake record
A nurse is teaching a client about the use of transcutaneous electrical nerve
stimulation(TENS) unit. Which of the following statements should the nurse
include?
a) “Apply lotion to the site prior to attaching the electrodes”
b) “ this device requires access to a 220 volt outlet”
c) ‘ this device delivers heat via electrodes that are attached to the
effected area”d) “adjust the dial until you feel a ‘pins and needles’
sensation”
A nurse is providing teaching to a client who is postoperative following a total
hiparthroplasty. Which of the following statements should the nurse make?
a) “ use raised toilet seat to maintain your hips above the knees”
b) “ twist at the waist when standing from a seated position”
c) “move your stronger leg first when using a walker”
d) “ apply a heating pad to the operative hip to decrease pain”
A nurse is preparing to perform ocular irrigation for a client following a
chemical Splash to the eye. Which of the following actions should the nurse
plan to take first?
a) Administer proparacaine eye drops into the affected eye
b) places strip of pH paper on to the cul- de- sac of the affected eye
,c) collect information about the irritant that caused an injury (assess first)
d) instill 0.9% sodium chloride solution into the affected eye
A nurse is teaching a client who has AIDS and wishes to continue self care at
home despite living alone. Which of the following actions by the nurse
demonstrates clientadvocacy?
a) Remind the client of the importance of the medication
adherenceb) Initiate a referral for the client to a home health
agency
c) instruct the client to avoid eating raw vegetables
d) tell the client to avoid places where there are a large crowds of people
A nurse is assessing a client who has cirrhosis. Which of the following findings
is thepriority for the nurse to report?
a) Alkaline phosphate 125 units /L
b) clay-colored stools
c) platelets 70,000 / mm3
d) distended abdomen
A home health nurse is providing nutrition education for a client who has
trigeminalneuralgia. Which of the following foods should the nurse recommend?
a) Graham crackers
b) iced coffee
c) vanilla pudding
d) vegetable soup
, A nurse is teaching about food choices to a client who has chronic kidney
disease andmust limit potassium intake. Which of the following choices should
the nurse recommend as containing the least potassium?
a) Half cup non-fat yogurt
b) two tablespoons of peanut
butterc) 1 Cup white rice
d) one medium baked potato with skin
A nurse is planning care for a client who has left-sided hemiplegia following a
strokewhich of the following actions should the nurse include in the plan of
care?
a) Place a plate guard on the client’s meal tray
b) position the bedside table on the client's left side
c) remind the client to use a cane on his left side while ambulating
d) provide the client with a short handled Reacher
A nurse is administering potassium chloride via IV infusion to a client who has
severehypokalemia. Which of the following actions should the nurse take?
a) Start the infusion at 30 meq /hr
b) assess the client for a positive chvostek's sign
c) Monitor the client for adequate urine output
d) check infusion site at least every 4 hours
A nurse in the PACU is caring for a client. Which of the following assessment
is thenurses priority?