FINAL EXIT QUESTIONS AND
CORRECT ANSWERS
WhichA2clientA2informationA2isA2mostA2importantA2toA2theA2practicalA2nurseA2(PN)A2toA2con
siderA2whenA2providingA2instructionsA2toA2theA2unlicensedA2assistiveA2personnelA2(UAP)A2
aboutA2providingA2morningA2careA2toA2aA2postoperativeA2client?A2-A2Ans--
OrientedA2toA2personA2only
TheA2practicalA2nurseA2(PN)A2isA2caringA2forA2aA2clientA2withA2coronaryA2arteryA2diseaseA2
whoA2isA2admittedA2withA2intermittentA2chestA2pain.A2TheA2admissionA2laboratoryA2resultsA
2indicateA2elevationsA2inA2troponinA2IA2creatinineA2phosphokinaseA2myoglobulinA2isoenzy
meA2(CK-
MB)A2levels.A2WhatA2shouldA2theA2PNA2considerA2theA2mostA2significantA2riskA2forA2thisA2cli
entA2onA2theA2secondA2dayA2ofA2admission?A2-A2Ans--
TheA2clientA2isA2atA2riskA2forA2recurrentA2long-
termA2anginaA2painA2andA2subsequentA2myocardialA2infarction
TheA2practicalA2nurseA2(PN)A2explainsA2toA2aA2clientA2howA2toA2obtainA2aA2spectrumA2spec
imenA2andA2theA2clientA2indicatesA2understandingA2theA2procedure.A2AfterA2theA2PNA2leav
esA2theA2room,A2theA2clientA2obtainsA2theA2specimenA2andA2notifiesA2theA2PN.A2WhenA2the
A2PNA2arrivesA2toA2collectA2theA2specimenA2itA2appearsA2asA2seenA2inA2theA2pictureA2whatA
2actionA2shouldA2theA2PNA2take?A2-A2Ans--
TheA2PNA2shouldA2teachA2theA2clientA2howA2toA2obtainA2aA2sputumA2specimenA2andA2ifA2th
eA2clientA2doesA2notA2correctlyA2collectA2theA2specimenA2thenA2theA2PNA2shouldA2assistA2t
heA2clientA2inA2obtainingA2anotherA2specimenA2coughedA2directlyA2intoA2aA2sterileA2cup
TheA2practicalA2nurseA2PNA2andA2unlicensedA2assistiveA2personnelA2(UAP)A2areA2providin
gA2careA2forA2aA2clientA2whoA2exhibitsA2signsA2ofA2neglectA2syndromeA2followingA2aA2strok
eA2affectingA2theA2rightA2hemisphere.A2WhichA2actionA2shouldA2theA2PNA2implement?A2-
A2Ans--
InstructA2theA2UAPA2toA2protectA2theA2clientsA2leftA2sideA2whenA2transferringA2toA2aA2chair
TheA2chestA2X-
rayA2forA2aA2clientA2whoA2isA2admittedA2forA2pneumoniaA2showsA2pleuralA2effusionA2withA2d
eceasedA2airA2flowA2inA2theA2entireA2leftA2upperA2lobe.A2WhatA2shouldA2theA2practicalA2nur
seA2(PN)A2expectA2toA2hearA2whenA2auscultatingA2theA2leftA2upperA2lobe?A2-A2Ans--
AbsentA2orA2diminishedA2breastA2sounds
TheA2practicalA2nurseA2(PN)A2anA2unlicensedA2assistiveA2personnelA2(UAP)A2forA2feedbac
kA2aboutA2anA2assignedA2clientA2insteadA2ofA2responding,A2theA2UAPA2walksA2awayA2fromA
2theA2PN,A2ignoringA2theA2question.A2WhatA2actionA2isA2bestA2forA2theA2PNA2toA2take?A2-
A2Ans--
, ApproachA2theA2UAPA2toA2discussA2theA2behaviorA2andA2obtainA2theA2informationA2neede
dA2aboutA2theA2client
InA2assessingA2aA22-year-
oldA2boyA2withA2croup,A2theA2practicalA2nurseA2PNA2findsA2thatA2heA2hasA2becomeA2increa
singlyA2irritableA2andA2hasA2developedA2tachypneaA2andA2restingA2stridor.A2WhichA2interve
ntionA2isA2bestA2forA2theA2PNA2toA2implement?A2-A2Ans--
InstructA2theA2motherA2toA2playA2withA2theA2childA2forA2stimulationA2andA2distraction
TheA2practicalA2nurseA2PNA2isA2caringA2forA2aA2clientA2withA2influenzaA2whoA2requiresA2dro
pletA2precautions.A2WhichA2actionA2shouldA2theA2PNA2takeA2afterA2enteringA2theA2clientsA2r
oomA2toA2provideA2care?A2-A2Ans--CloseA2theA2doorA2toA2theA2clientsA2room
.A2AA2fullA2termA224-
hourA2oldA2infantA2inA2theA2nurseryA2regurgitatesA2andA2suddenlyA2turnsA2cyanotic.A2Whic
hA2immediateA2interventionA2shouldA2theA2practicalA2nurseA2PNA2implement?A2-A2Ans--
SuctionA2theA2oralA2andA2nasalA2passages
WhenA2obtainingA2aA2capillaryA2bloodA2sampleA2forA2glucoseA2measurement,A2whichA2inte
rventionA2shouldA2theA2practicalA2nurseA2(PN)A2implement?A2-A2Ans--
DetermineA2whichA2fingerA2wasA2usedA2previously
WhileA2assistingA2theA2RNA2withA2theA2admissionA2ofA2aA2toddler,A2whichA2interventionA2sh
ouldA2theA2practicalA2nurseA2(PN)A2implementA2toA2makeA2theA2experienceA2leastA2stressf
ulA2forA2theA2child?A2-A2Ans--DoA2aA2completeA2headA2toA2doA2examA2inA2sequence
AA2clientA2isA2scheduledA2toA2receiveA2aA2sublingualA2tabletA2andA2hasA2difficultyA2swallow
ingA2tablets.A2WhichA2isA2theA2bestA2nursingA2action?A2-A2Ans--
PlaceA2theA2tabletA2underA2theA2client'sA2tongue
AnA2olderA2adultA2femaleA2isA2admittedA2withA2syncopeA2andA2laboratoryA2findingsA2indicat
eA2thatA2herA2hemoglobinA2isA28.0A2grams/
dl.A2SheA2hasA2aA2recentA2historyA2ofA2headachesA2andA2frequentA2falls.A2AdmissionA2pres
criptionA2ordersA2includesA2continuationA2ofA2allA2homeA2medication.A2WhichA2medication
A2shouldA2theA2practicalA2nurseA2(PN)A2withholdA2untilA2consultingA2withA2theA2chargeA2nur
se?A2-A2Ans--Aspirin
TheA2spouseA2ofA2aA2hospitalizedA2clientA2askedA2theA2practicalA2nurseA2PNA2forA2acetami
nophenA2forA2tensionA2headache.A2WhichA2actionA2shouldA2theA2PNA2take?A2-A2Ans--
ExplainA2thatA2medicationA2canA2onlyA2beA2prescribedA2toA2clients
TheA2practicalA2nurseA2PNA2isA2providingA2careA2forA2aA2clientA2whoA2isA2NPOA2afterA2aA2s
mallA2bowlA2resection.A2TheA2clientsA2NGA2tubeA2isA2connectedA2toA2lowA2intermittentA2suc
tion.A2TheA2clientA2reportsA2dizzinessA2andA2tinglingA2inA2digits.A2WhichA2assessmentA2find
ingA2byA2theA2PNA2shouldA2beA2reportedA2toA2theA2healthA2careA2provider?A2-A2Ans--
HyperactiveA2bowelA2soundsA2onA2assessment
CORRECT ANSWERS
WhichA2clientA2informationA2isA2mostA2importantA2toA2theA2practicalA2nurseA2(PN)A2toA2con
siderA2whenA2providingA2instructionsA2toA2theA2unlicensedA2assistiveA2personnelA2(UAP)A2
aboutA2providingA2morningA2careA2toA2aA2postoperativeA2client?A2-A2Ans--
OrientedA2toA2personA2only
TheA2practicalA2nurseA2(PN)A2isA2caringA2forA2aA2clientA2withA2coronaryA2arteryA2diseaseA2
whoA2isA2admittedA2withA2intermittentA2chestA2pain.A2TheA2admissionA2laboratoryA2resultsA
2indicateA2elevationsA2inA2troponinA2IA2creatinineA2phosphokinaseA2myoglobulinA2isoenzy
meA2(CK-
MB)A2levels.A2WhatA2shouldA2theA2PNA2considerA2theA2mostA2significantA2riskA2forA2thisA2cli
entA2onA2theA2secondA2dayA2ofA2admission?A2-A2Ans--
TheA2clientA2isA2atA2riskA2forA2recurrentA2long-
termA2anginaA2painA2andA2subsequentA2myocardialA2infarction
TheA2practicalA2nurseA2(PN)A2explainsA2toA2aA2clientA2howA2toA2obtainA2aA2spectrumA2spec
imenA2andA2theA2clientA2indicatesA2understandingA2theA2procedure.A2AfterA2theA2PNA2leav
esA2theA2room,A2theA2clientA2obtainsA2theA2specimenA2andA2notifiesA2theA2PN.A2WhenA2the
A2PNA2arrivesA2toA2collectA2theA2specimenA2itA2appearsA2asA2seenA2inA2theA2pictureA2whatA
2actionA2shouldA2theA2PNA2take?A2-A2Ans--
TheA2PNA2shouldA2teachA2theA2clientA2howA2toA2obtainA2aA2sputumA2specimenA2andA2ifA2th
eA2clientA2doesA2notA2correctlyA2collectA2theA2specimenA2thenA2theA2PNA2shouldA2assistA2t
heA2clientA2inA2obtainingA2anotherA2specimenA2coughedA2directlyA2intoA2aA2sterileA2cup
TheA2practicalA2nurseA2PNA2andA2unlicensedA2assistiveA2personnelA2(UAP)A2areA2providin
gA2careA2forA2aA2clientA2whoA2exhibitsA2signsA2ofA2neglectA2syndromeA2followingA2aA2strok
eA2affectingA2theA2rightA2hemisphere.A2WhichA2actionA2shouldA2theA2PNA2implement?A2-
A2Ans--
InstructA2theA2UAPA2toA2protectA2theA2clientsA2leftA2sideA2whenA2transferringA2toA2aA2chair
TheA2chestA2X-
rayA2forA2aA2clientA2whoA2isA2admittedA2forA2pneumoniaA2showsA2pleuralA2effusionA2withA2d
eceasedA2airA2flowA2inA2theA2entireA2leftA2upperA2lobe.A2WhatA2shouldA2theA2practicalA2nur
seA2(PN)A2expectA2toA2hearA2whenA2auscultatingA2theA2leftA2upperA2lobe?A2-A2Ans--
AbsentA2orA2diminishedA2breastA2sounds
TheA2practicalA2nurseA2(PN)A2anA2unlicensedA2assistiveA2personnelA2(UAP)A2forA2feedbac
kA2aboutA2anA2assignedA2clientA2insteadA2ofA2responding,A2theA2UAPA2walksA2awayA2fromA
2theA2PN,A2ignoringA2theA2question.A2WhatA2actionA2isA2bestA2forA2theA2PNA2toA2take?A2-
A2Ans--
, ApproachA2theA2UAPA2toA2discussA2theA2behaviorA2andA2obtainA2theA2informationA2neede
dA2aboutA2theA2client
InA2assessingA2aA22-year-
oldA2boyA2withA2croup,A2theA2practicalA2nurseA2PNA2findsA2thatA2heA2hasA2becomeA2increa
singlyA2irritableA2andA2hasA2developedA2tachypneaA2andA2restingA2stridor.A2WhichA2interve
ntionA2isA2bestA2forA2theA2PNA2toA2implement?A2-A2Ans--
InstructA2theA2motherA2toA2playA2withA2theA2childA2forA2stimulationA2andA2distraction
TheA2practicalA2nurseA2PNA2isA2caringA2forA2aA2clientA2withA2influenzaA2whoA2requiresA2dro
pletA2precautions.A2WhichA2actionA2shouldA2theA2PNA2takeA2afterA2enteringA2theA2clientsA2r
oomA2toA2provideA2care?A2-A2Ans--CloseA2theA2doorA2toA2theA2clientsA2room
.A2AA2fullA2termA224-
hourA2oldA2infantA2inA2theA2nurseryA2regurgitatesA2andA2suddenlyA2turnsA2cyanotic.A2Whic
hA2immediateA2interventionA2shouldA2theA2practicalA2nurseA2PNA2implement?A2-A2Ans--
SuctionA2theA2oralA2andA2nasalA2passages
WhenA2obtainingA2aA2capillaryA2bloodA2sampleA2forA2glucoseA2measurement,A2whichA2inte
rventionA2shouldA2theA2practicalA2nurseA2(PN)A2implement?A2-A2Ans--
DetermineA2whichA2fingerA2wasA2usedA2previously
WhileA2assistingA2theA2RNA2withA2theA2admissionA2ofA2aA2toddler,A2whichA2interventionA2sh
ouldA2theA2practicalA2nurseA2(PN)A2implementA2toA2makeA2theA2experienceA2leastA2stressf
ulA2forA2theA2child?A2-A2Ans--DoA2aA2completeA2headA2toA2doA2examA2inA2sequence
AA2clientA2isA2scheduledA2toA2receiveA2aA2sublingualA2tabletA2andA2hasA2difficultyA2swallow
ingA2tablets.A2WhichA2isA2theA2bestA2nursingA2action?A2-A2Ans--
PlaceA2theA2tabletA2underA2theA2client'sA2tongue
AnA2olderA2adultA2femaleA2isA2admittedA2withA2syncopeA2andA2laboratoryA2findingsA2indicat
eA2thatA2herA2hemoglobinA2isA28.0A2grams/
dl.A2SheA2hasA2aA2recentA2historyA2ofA2headachesA2andA2frequentA2falls.A2AdmissionA2pres
criptionA2ordersA2includesA2continuationA2ofA2allA2homeA2medication.A2WhichA2medication
A2shouldA2theA2practicalA2nurseA2(PN)A2withholdA2untilA2consultingA2withA2theA2chargeA2nur
se?A2-A2Ans--Aspirin
TheA2spouseA2ofA2aA2hospitalizedA2clientA2askedA2theA2practicalA2nurseA2PNA2forA2acetami
nophenA2forA2tensionA2headache.A2WhichA2actionA2shouldA2theA2PNA2take?A2-A2Ans--
ExplainA2thatA2medicationA2canA2onlyA2beA2prescribedA2toA2clients
TheA2practicalA2nurseA2PNA2isA2providingA2careA2forA2aA2clientA2whoA2isA2NPOA2afterA2aA2s
mallA2bowlA2resection.A2TheA2clientsA2NGA2tubeA2isA2connectedA2toA2lowA2intermittentA2suc
tion.A2TheA2clientA2reportsA2dizzinessA2andA2tinglingA2inA2digits.A2WhichA2assessmentA2find
ingA2byA2theA2PNA2shouldA2beA2reportedA2toA2theA2healthA2careA2provider?A2-A2Ans--
HyperactiveA2bowelA2soundsA2onA2assessment