EXIT EXAM
A nurse, an emergency department complete an assessment on an
adolescent client that has conduct disorder. The client threaten
suicide to a teacher at school which of the following statements
should the nurse include in the assessment. - ✔✔ CORRECT
ANSWER ✔✔ -Tell me how often do you drink alcohol?
A nurse is observing bonding to the client, her newborn, which of the
following actions by the client requires the nurse to intervene - ✔✔
CORRECT ANSWER ✔✔ -Viewing the newborn's actions to be
uncooperative
,A nurse is caring for a client who is taking levothyroxine, which of the
following finding should indicate that the medication was effective -
✔✔ CORRECT ANSWER ✔✔ -Weight loss
A nurse is planning, discharge teaching for cord care for a parent of a
newborn which instructions would you include in the teaching - ✔✔
CORRECT ANSWER ✔✔ -Keep the cord dry until it falls off (cord
should be kept clean and dry to prevent infection)
A nurse is assessing a client in PACU, which of the following findings
indicates decreased cardiac output - ✔✔ CORRECT ANSWER ✔✔ -
oliguria
A nurse is assisting with mass, casualty triage explosion at a local
factory which of the following client. Should the nurse identify as a
,priority. - ✔✔ CORRECT ANSWER ✔✔ -A client with indications of
hypovolemic shock
A nurse is receiving report on for clients which of the following
client should the nurse assess first - ✔✔ CORRECT ANSWER ✔✔
-A client who is chronic kidney disease with cloudy, diasylate
outflow
A nurse is caring for a client just received the first dose of lisinopril.
The following is appropriate nursing intervention. - ✔✔ CORRECT
ANSWER ✔✔ -Provide standby assist with the client from bed
A nurse is caring for a client who is in labor, and is receiving
electronics fetal monitoring. The nurse is reviewing the monitor
tracing in notes early decelerations, which of the following should
the nurse expect - ✔✔ CORRECT ANSWER ✔✔ -Head compression
, A nurse is caring for a client who has chronic kidney disease. The
nurse should identify which of the following laboratory values as an
indication of hemodialysis. - ✔✔ CORRECT ANSWER ✔✔
Glomerular filtration rate of 14 ML/minute
A nurse is caring for an infant who has prescription for continuous
pulse oximetry. The following is an appropriate action for the nurse
to take. - ✔✔ CORRECT ANSWER ✔✔ -Heat the skin one minute
prior to placing the program
A nurse in a mental health facility receives a change of shift report on
four clients which of the following client. Should the nurse plan to
assess first. - ✔✔ CORRECT ANSWER ✔✔ -Client placed in restraints
to the aggressive behavior