Exit Exam (All 55 Qs) TB w/Pics Included!! A+
1. "The practical nurse (PN) notices that a client's urine is pale yellow,with a cloudy appeara
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nce,
andhasafoulodor.WhichassessmentshouldthePNcompletenext?" ANS B.Ask the client about
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rinary frequency l
2. 2."The practicalnurse (PN)is caringfor aclientwith a newprescription for fluticasone furoat
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e nasal spray prescribed for the client's allergy symptoms. While reinforcing instructions abo
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ut self-
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administration of the nasal spray, the PN should emphasize the need for the client to take whi l l l l l l l l l l l l l l l l
ch action before self-administration?"
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A. Gently blow the nose l l l
B. Check glucose level before and after administration l l l l l l
C. Exhale through the mouth l l l
D. Deep breathe and cough ANS A.Gently blow the nose
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3. 3."An older adultclientwho resides in a long-
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termcare facility has a friend ofthe opposite sex who often visits in the evenings.The practical
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nurse (PN) enterstheclient'sroomtoadministermedicationsandfindsthecoupleinbed togeth
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er.Which action should the PN take?"
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A. Report the incident to the family l l l l l
B. Exit the room and quietly close the door.
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C. Ask when the nurse should return
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D. Request that the friend get up and leave ANS B.Exit the room and quietly close the door.
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4. 4."Several residents of a long-
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term care facility are receiving eye drops to treat glaucoma.The practical nurse (PN) shoul
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d caution the unlicensed
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assistivepersonnel(UAPs)caringfortheseclientstoobserveforwhicheffect because it places t
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e clients at risk for falls?
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A. Pupillary constriction l
B. Increased heart rate l l
C. Conjunctival redness l
D. Elevated blood pressure ANS A.Pupillary constriction l l l ll l l
,5. 5.Which action by a practical nurse (PN) indicates the best understanding of the principles r
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elated to medical asepsis and effective handwashing?"
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A. Dry the hands above the wrists first to dry from clean to dirty
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B. Use antibacterial hand gel instead of handwashing between clients
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C. Turn the water volume to a low level to decrease splashing.
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D. Holdthehands lower than theelbows to promote microbe removal ANS D.Hold the hands lo
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wer than the elbows to promote microbe removal
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6. 6."The practical nurse (PN) is removing the personal protective equipment (PPE) worn whe
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n caring for a client.Which PPE should be removed first?"
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, A. Disposable gloves l
B. gloves
C. Face Mask l
D. Cap ANS B.gloves l ll l
7. 7."Thepracticalnurse(PN)palpates aclient'sradialpulseandnotes that the pulsedisappears
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whenlightpressureisapplied.HowshouldthePNdocument this finding?"
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A. Palpate skin beats l l
B. Measuring pulse l
C. Light preassure applied to pulse l l l l
D. Thready pulse volume ANS D.Thready pulse volume l l l ll l l l
8. 8. "The practical nurse (PN) is caring for a primigravida five hours after a vaginaldelivery.
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WhichfindingshouldthePNreportimmediatelytothecharge nurse?"
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A. Firm fundus between umbillicus and the symphysis l l l l l l
B. Heart rate of 90 bpm l l l l
C. Rubra lochia saturating three perineal pads per hour. l l l l l l l
D. Pelvical pain ANS C.Rubra lochia saturating three perineal pads per hour. l l ll l l l l l l l l
9. 9.Following the dressing change of an abdominal surgical wound,a client expressesconc
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erntothepracticalnurse(PN)aboutthescarthatmightresult from the wound.Which response i
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s best for the PN to provide?"
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A. You can always wear clothing to cover the scar l l l l l l l l
B. I have heard that rubbing cocoa butter on the scar can help
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C. Tell me more about your concerns regarding an abdominal scar
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D. Iknow you are frightened about how your scar will appear ANS C.Tell me more about your c
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oncerns regarding an abdominal scar l l l l
10. 10.The practical nurse (PN) is making a home visit to an older adult client whowas recentl
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y diagnosed with Herpes zoster.The client reports the onset of severe burning pain along the ri
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ght side of the trunk.Which action should the PN take?"
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A. Administer a prescribed PRN dose of analgesic l l l l l l
B. Notify the nursing supervisor of the uncontrolled pain l l l l l l l
C. Give the next prescribed dose of antiviral medication l l l l l l l
D. Obtain an oxygen tank for home administration ANS A.Administer a prescribed PRN dose
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of analgesic l
11. 11. "When preparing to change a client's sterile dressing, the practical nurse(PN)opensa
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packageofgauzepadsasseeninthepicture.Whichaction should the PN take next?"
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A. Apply a new pair of gloves l l l l l