Chamberlain Exit Exam /Actual Questions & Answers A+
Grade.
A charge nurse on a medical surgical unit is assisting with the emergency response
plan following an external disaster in the community. In anticipation of multiple client
admissions, which of the following current clients should the nurse recommend for early
discharge?
a. A client who is receiving heparin for DVT
b. A client who is 1 day postoperative following a vertebroplasty
c. A client who has COPD and a respiratory rate of 44/min
d. A client who has cancer with a sealed implant for radiation therapy - CORRECT
ANSWERS -a. A client who is receiving heparin for DVT
A nurse is caring for a client who has ESRD. The client's adult child asks the nurse
about becoming a living kidney donor for her father. Which of the following conditions in
the child's medical history should the nurse identify as a contraindication to the
procedure?
a. Osteoarthritis
b. HTN
c. Amputation
d. Primary glaucoma - CORRECT ANSWERS -b. HTN
A nurse is caring for a client who is 4 days postpartum. Which of the following
assessment findings should the nurse expect? (SATA)
a. Foul perineal odor
b. Fundus displaced to the right
c. Lochia serosa
d. Fundus 4 cm (1.6 in) below the umbilicus
e. Postpartum chill - CORRECT ANSWERS -c. Lochia serosa
d. Fundus 4 cm (1.6 in) below the umbilicus
A nurse is caring for a child who has cystic fibrosis and requires postural drainage.
Which of the following actions should the nurse take?
a. Perform the procedure twice a day
b. Hold hand to perform percussions on the child
c. Administer a bronchodilator after the procedure
d. Perform the procedure prior to meals - CORRECT ANSWERS -a. Perform the
procedure twice a day
A nurse is caring for a client who has given informed consent for ECT. Just before the
procedure, the client tells the nurse she is considering not going forward with the
treatment. Which of the following statements by the nurse is appropriate?
a. "You don't have to go through with the treatment."
b. "Most people who have this procedure feel better following the treatment."
,c. "It's okay to be nervous before this treatment."
d. "Your doctor wouldn't have ordered this treatment unless it was necessary." -
CORRECT ANSWERS -a. "You don't have to go through with the treatment."
While performing a routine assessment, a nurse notices fraying on the electrical cord of
a client's CPM device. Which of the following actions should the nurse take first?
a. Report the defect to the equipment maintenance staff.
b. Ensure the device inspection sticker is current
c. Remove the device from the room
d. Initiate a requisition for a replacement CPM device - CORRECT ANSWERS -c.
Remove the device from the room
A nurse is caring for a client who is postoperative and has a new prescription for
hydromorphone. Which of the following actions should the nurse take?
a. Document administration of the medication upon removal from the medication
dispensing system
b. Withhold the medication if the client does not appear to be in pain.
c. Count the current number of unit doses available in the medication dispensing system
d. Withhold the medication if the client has a fever - CORRECT ANSWERS -c. Count
the current number of unit doses available in the medication dispensing system
A nurse performing a change-of-shift assessment. Which of the following clients has the
priority finding?
a. Type 2 DM and a blood glucose of 250 mg/dL
b. Pneumonia with a productive cough and a fever of 38.8° C (101.8° F)
c. 2 hr. post cast placement and has 2+ pitting edema and pallor
d. First-degree heart block and a heart rate of 62/min - CORRECT ANSWERS -c. 2 hr.
post cast placement and has 2+ pitting edema and pallor
A nurse in an outpatient mental health facility is providing teaching to a group of
adolescents. Which of the following statements by a client indicates an understanding of
the teaching?
a. "I will limit my alcohol use to one drink daily while taking disulfiram."
b. "I will avoid foods containing tyramine while taking fluoexetine."
c. "I will take the sustained-release methylphenidate every morning."
d. "I will take my lithium on an empty stomach." - CORRECT ANSWERS -c. "I will take
the sustained-release methylphenidate every morning."
A nurse in the emergency department is assessing client who has major depressive
disorder. Which of the following actions should the nurse take first?
a. Administer Zofran to the client for nausea
b. Implement seizure precautions for the client
c. Encourage the client to verbalize feelings
d. Obtain the client's weight - CORRECT ANSWERS -b. Implement seizure precautions
for the client
,A nurse is completing an admission assessment for a client who has narcissistic
personality disorder. Which of the following should the nurse expect?
a. Suspicious of others
b. Exhibits separation anxiety
c. Ritualistic behavior
d. Preoccupied with aging - CORRECT ANSWERS -d. Preoccupied with aging
A nurse is planning care for a group of clients and is working with one LPN and one AP.
Which of the following actions should the nurse take first to manage her time
effectively?
a. Develop an hourly time frame for tasks
b. Schedule daily activities
c. Determine goals of the day
d. Delegate tasks to the AP - CORRECT ANSWERS -c. Determine goals of the day
A nurse is developing a plan of care for a client who has preeclampsia and is to receive
magnesium sulfate via continuous IV infusion. Which of the following actions should the
nurse include in the plan?
a. Restrict the client's total fluid intake to 250 mL/hr.
b. Measure the client's urine output every hour
c. Give the client protamine if signs of magnesium sulfate toxicity occur
d. Monitor the FHR via Doppler every 30 min - CORRECT ANSWERS -b. Measure the
client's urine output every hour
A nurse is caring for a group of clients. Which of the following wounds should the nurse
expect to heal by primary intention?
a. Infected laceration
b. Stage II pressure ulcer
c. Approximated surgical incision
d. Partial-thickness burn - CORRECT ANSWERS -c. Approximated surgical incision
A nurse in an acute mental health care facility is prioritizing care for multiple clients.
Which of the following clients should the nurse see first?
a. Client taking clozapine to treat schizophrenia and reports sore throat
b. Client has OCD and is upset about a change in daily routine
c. Client has narcissistic personality disorder and is mocking others during group
therapy
d. Client who has depressive disorder and requires assistance with ADLs - CORRECT
ANSWERS -a. Client taking clozapine to treat schizophrenia and reports sore throat
A nurse is caring for a client who has an implanted venous access port. Which of the
following should the nurse use to assess the port?
a. An angiocatheter
b. A butterfly needle
c. A non-coring needle
d. A 25 gauge needle - CORRECT ANSWERS -c. A non-coring needle
, A nurse is caring for a client who has pneumonia and tells the nurse, "I feel like an
elephant is sitting on my chest." The client is weak and unable to walk. After the nurse
indicates chest pain protocol, which of the following is the priority diagnostic test?
a. PT and INR
b. 12 lead ECG
c. Chest X-ray
d. Serum potassium - CORRECT ANSWERS -b. 12 lead ECG
A nurse is assessing the growth and development of a 3 y/o child. Which of the
following questions should the nurse ask the parent to determine if the child is exhibiting
typical developmental expectations?
a. "Can your child draw a stick figure?"
b. "Can your child catch and throw a small ball?"
c. "Can your child ride a tricycle?"
d. "Can your child name five colors?" - CORRECT ANSWERS -c. "Can your child ride a
tricycle?"
A nurse is preparing to assess fetal heart tones for a client who is at 12 weeks of
gestation. Which of the following actions should the nurse take?
a. Measure the fundal height to determine the placement of the ultrasound stethoscope
b. Perform Leopold maneuvers prior to auscultating the FHR
c. Position the ultrasound stethoscope above the symphysis pubis to assess the FHR
d. Place the client in a side-lying position prior to assessing the FHR - CORRECT
ANSWERS -c. Position the ultrasound stethoscope above the symphysis pubis to
assess the FHR
A nurse is assessing a client who has a chest tube with a water seal drainage system.
Upon assessment, the nurse notes tidaling in the water seal. Which of the following is
an explanation for the tidaling?
a. There is a loop of tubing below the drainage system
b. The system is working properly
c. The lung has re-expanded
d. The tubing is partially obstructed by clots - CORRECT ANSWERS -b. The system is
working properly
A home care nurse is making a follow up visit with a client who has COPD and is using
a compressed oxygen system in his home. Which of the following action should the
nurse take?
a. Ensure that the client checks the gauge weekly
b. Store the oxygen tank wrench in a locked cabinet
c. Have the client store smaller tanks under his bed
d. Place the oxygen tank away from curtains or drapes - CORRECT ANSWERS -d.
Place the oxygen tank away from curtains or drapes
Grade.
A charge nurse on a medical surgical unit is assisting with the emergency response
plan following an external disaster in the community. In anticipation of multiple client
admissions, which of the following current clients should the nurse recommend for early
discharge?
a. A client who is receiving heparin for DVT
b. A client who is 1 day postoperative following a vertebroplasty
c. A client who has COPD and a respiratory rate of 44/min
d. A client who has cancer with a sealed implant for radiation therapy - CORRECT
ANSWERS -a. A client who is receiving heparin for DVT
A nurse is caring for a client who has ESRD. The client's adult child asks the nurse
about becoming a living kidney donor for her father. Which of the following conditions in
the child's medical history should the nurse identify as a contraindication to the
procedure?
a. Osteoarthritis
b. HTN
c. Amputation
d. Primary glaucoma - CORRECT ANSWERS -b. HTN
A nurse is caring for a client who is 4 days postpartum. Which of the following
assessment findings should the nurse expect? (SATA)
a. Foul perineal odor
b. Fundus displaced to the right
c. Lochia serosa
d. Fundus 4 cm (1.6 in) below the umbilicus
e. Postpartum chill - CORRECT ANSWERS -c. Lochia serosa
d. Fundus 4 cm (1.6 in) below the umbilicus
A nurse is caring for a child who has cystic fibrosis and requires postural drainage.
Which of the following actions should the nurse take?
a. Perform the procedure twice a day
b. Hold hand to perform percussions on the child
c. Administer a bronchodilator after the procedure
d. Perform the procedure prior to meals - CORRECT ANSWERS -a. Perform the
procedure twice a day
A nurse is caring for a client who has given informed consent for ECT. Just before the
procedure, the client tells the nurse she is considering not going forward with the
treatment. Which of the following statements by the nurse is appropriate?
a. "You don't have to go through with the treatment."
b. "Most people who have this procedure feel better following the treatment."
,c. "It's okay to be nervous before this treatment."
d. "Your doctor wouldn't have ordered this treatment unless it was necessary." -
CORRECT ANSWERS -a. "You don't have to go through with the treatment."
While performing a routine assessment, a nurse notices fraying on the electrical cord of
a client's CPM device. Which of the following actions should the nurse take first?
a. Report the defect to the equipment maintenance staff.
b. Ensure the device inspection sticker is current
c. Remove the device from the room
d. Initiate a requisition for a replacement CPM device - CORRECT ANSWERS -c.
Remove the device from the room
A nurse is caring for a client who is postoperative and has a new prescription for
hydromorphone. Which of the following actions should the nurse take?
a. Document administration of the medication upon removal from the medication
dispensing system
b. Withhold the medication if the client does not appear to be in pain.
c. Count the current number of unit doses available in the medication dispensing system
d. Withhold the medication if the client has a fever - CORRECT ANSWERS -c. Count
the current number of unit doses available in the medication dispensing system
A nurse performing a change-of-shift assessment. Which of the following clients has the
priority finding?
a. Type 2 DM and a blood glucose of 250 mg/dL
b. Pneumonia with a productive cough and a fever of 38.8° C (101.8° F)
c. 2 hr. post cast placement and has 2+ pitting edema and pallor
d. First-degree heart block and a heart rate of 62/min - CORRECT ANSWERS -c. 2 hr.
post cast placement and has 2+ pitting edema and pallor
A nurse in an outpatient mental health facility is providing teaching to a group of
adolescents. Which of the following statements by a client indicates an understanding of
the teaching?
a. "I will limit my alcohol use to one drink daily while taking disulfiram."
b. "I will avoid foods containing tyramine while taking fluoexetine."
c. "I will take the sustained-release methylphenidate every morning."
d. "I will take my lithium on an empty stomach." - CORRECT ANSWERS -c. "I will take
the sustained-release methylphenidate every morning."
A nurse in the emergency department is assessing client who has major depressive
disorder. Which of the following actions should the nurse take first?
a. Administer Zofran to the client for nausea
b. Implement seizure precautions for the client
c. Encourage the client to verbalize feelings
d. Obtain the client's weight - CORRECT ANSWERS -b. Implement seizure precautions
for the client
,A nurse is completing an admission assessment for a client who has narcissistic
personality disorder. Which of the following should the nurse expect?
a. Suspicious of others
b. Exhibits separation anxiety
c. Ritualistic behavior
d. Preoccupied with aging - CORRECT ANSWERS -d. Preoccupied with aging
A nurse is planning care for a group of clients and is working with one LPN and one AP.
Which of the following actions should the nurse take first to manage her time
effectively?
a. Develop an hourly time frame for tasks
b. Schedule daily activities
c. Determine goals of the day
d. Delegate tasks to the AP - CORRECT ANSWERS -c. Determine goals of the day
A nurse is developing a plan of care for a client who has preeclampsia and is to receive
magnesium sulfate via continuous IV infusion. Which of the following actions should the
nurse include in the plan?
a. Restrict the client's total fluid intake to 250 mL/hr.
b. Measure the client's urine output every hour
c. Give the client protamine if signs of magnesium sulfate toxicity occur
d. Monitor the FHR via Doppler every 30 min - CORRECT ANSWERS -b. Measure the
client's urine output every hour
A nurse is caring for a group of clients. Which of the following wounds should the nurse
expect to heal by primary intention?
a. Infected laceration
b. Stage II pressure ulcer
c. Approximated surgical incision
d. Partial-thickness burn - CORRECT ANSWERS -c. Approximated surgical incision
A nurse in an acute mental health care facility is prioritizing care for multiple clients.
Which of the following clients should the nurse see first?
a. Client taking clozapine to treat schizophrenia and reports sore throat
b. Client has OCD and is upset about a change in daily routine
c. Client has narcissistic personality disorder and is mocking others during group
therapy
d. Client who has depressive disorder and requires assistance with ADLs - CORRECT
ANSWERS -a. Client taking clozapine to treat schizophrenia and reports sore throat
A nurse is caring for a client who has an implanted venous access port. Which of the
following should the nurse use to assess the port?
a. An angiocatheter
b. A butterfly needle
c. A non-coring needle
d. A 25 gauge needle - CORRECT ANSWERS -c. A non-coring needle
, A nurse is caring for a client who has pneumonia and tells the nurse, "I feel like an
elephant is sitting on my chest." The client is weak and unable to walk. After the nurse
indicates chest pain protocol, which of the following is the priority diagnostic test?
a. PT and INR
b. 12 lead ECG
c. Chest X-ray
d. Serum potassium - CORRECT ANSWERS -b. 12 lead ECG
A nurse is assessing the growth and development of a 3 y/o child. Which of the
following questions should the nurse ask the parent to determine if the child is exhibiting
typical developmental expectations?
a. "Can your child draw a stick figure?"
b. "Can your child catch and throw a small ball?"
c. "Can your child ride a tricycle?"
d. "Can your child name five colors?" - CORRECT ANSWERS -c. "Can your child ride a
tricycle?"
A nurse is preparing to assess fetal heart tones for a client who is at 12 weeks of
gestation. Which of the following actions should the nurse take?
a. Measure the fundal height to determine the placement of the ultrasound stethoscope
b. Perform Leopold maneuvers prior to auscultating the FHR
c. Position the ultrasound stethoscope above the symphysis pubis to assess the FHR
d. Place the client in a side-lying position prior to assessing the FHR - CORRECT
ANSWERS -c. Position the ultrasound stethoscope above the symphysis pubis to
assess the FHR
A nurse is assessing a client who has a chest tube with a water seal drainage system.
Upon assessment, the nurse notes tidaling in the water seal. Which of the following is
an explanation for the tidaling?
a. There is a loop of tubing below the drainage system
b. The system is working properly
c. The lung has re-expanded
d. The tubing is partially obstructed by clots - CORRECT ANSWERS -b. The system is
working properly
A home care nurse is making a follow up visit with a client who has COPD and is using
a compressed oxygen system in his home. Which of the following action should the
nurse take?
a. Ensure that the client checks the gauge weekly
b. Store the oxygen tank wrench in a locked cabinet
c. Have the client store smaller tanks under his bed
d. Place the oxygen tank away from curtains or drapes - CORRECT ANSWERS -d.
Place the oxygen tank away from curtains or drapes
