NURSING EXIT STUDY GUIDE QUESTIONS AND ANSWERS

NURSING EXIT STUDY GUIDE QUESTIONS AND ANSWERS 1. A nurse is caring for a client who is requesting assistance with smoking cessation. The nurse should anticipate a prescription for which of the following medications? a. Bupropion b. Naltrexone c. Methadone d. Disulfiram 2. A nurse is collecting data from a client who has diabetic ketoacidosis. Which of the following findings should the nurse expect? a. Fruity breath odor b. Clammy skin c. Bounding pulse d. Elevated blood pressure 3. A nurse is collecting data from a client who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the flowing actions should the nurse take? Click on the exhibit button for additional information about the client there are three tabs that contain separate categories of data? a. Apply cold compress to painful areas b. Limit fluid intake c. Recommend a transfusion of packed RBCs d. Request antibiotic therapy 4. A nurse is contributing to the development of an in-service training about the difference in mental health beliefs across various cultural groups. Which of the following culture-bound syndrome should the nurse include when discussing Navajo Indian cultural beliefs? a. Neurasthenia b. Ghost sickness c. Susto d. Hwa-byung 5. A nurse is assisting with the care of a client who has schizophrenia and auditory hallucination. Which of the following response should the nurse take? a. I’m sure the voices will go away soon b. Tell me what medications you are taking c. Let’s talk about what the voices are saying to you. d. You should talk to your counselor about the voices 6. A nurse is discussing informed consent with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates and understanding of the information? a. A client can withdraw consent at any time after signing the informed consent form b. A client must provide a written refusal for a procedure for which he has already signed and informed consent c. A client who is involuntary admitted to a mental health unit cannot withdraw consent for treatment d. A client must sign an against medical Advice form if he withdraws consent 7. A nurse is reinforcing teaching with a client who has hypertension about decreasing sodium intake. Which of the following foods should the nurse recommend? a. 1 oz cheddar cheese b. 1 baked potato c. 1 average dill pickle d. 1 cup of canned bean soup 8. A nurse is caring for a client who is postoperative following the transurethral resection of the prostate. The nurse notes bright red urinary drainage. After notifying the surgeon, which of the following actions should the nurse take? a. Limit fluid intake to 1,000 mL per day b. Increase the flow rate of the bladder irrigation. c. Administer a diuretic medication. d. Request a prescription to obtain the clients BUN level 9. A nurse is reinforcing teaching with another nurse about how to change an ostomy appliance for a client who has a sigmoid colostomy. Which of the following instructions should the nurse include in the teaching? a. Change the client’s ostomy appliance 1 hr after breakfast b. Empty the client’s ostomy pouch before removing the skin barrier c. Create an opening on the barrier that is 1.27 cm (0.5 in) larger than the client’s stoma d. Use a moisturizing soap to clean the skin around the client’s stoma 10. A charge nurse is observing a newly licensed nurse perform a dressing change on a peripheral IV site. For which of the following actions by the newly licensed nurse should the charge nurse intervene? a. Uses adhesive remover to eliminate residue from the skin * b. Uses sterile gloves to remove the old dressing c. Uses a sterile transparent dressing to cover the site d. Uses an antiseptic swab to cleanse the insertion site