COMPREHENSIVE EXIT EXAM ACTUAL EXAM 180
QUESTIONS AND CORRECT DETAILED ANSWERS
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A nurse is preparing to administer TPN with added fat supplements to a client who has malnutrition.
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Which of the following action should the nurse take ?
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a- piggyback 0.9 sodium chloride with TPN solutions mi mi mi mi mi mi
b- check for allergy to eggs
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c- Discuss the TPS solution for 12 hours
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d- monitor for hypoglycemia - answer-check for allergey to eggs
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A charge nurse is discussing the use of applying ice to a clients injured knee with a newly licensed nurse.
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Which of the following should the nurse identify as a benefit (A/)
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a) Systemic analgesic effect mi mi
b) increase in your metabolism mi mi mi
c) Decreased capillary permeability mi mi
d) Vasodilation - answer-Decreased capillary permeability mi mi mi mi
Nurse is developing discharge care plans for client who has osteoporosis. To prevent injury the nurse
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should instruct the client to?
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a) Perform weight bearing exercises 5 of 28
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b) Avoid crossing the legs beyond the midline
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c) Avoid sitting in one position for prolonged periods
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d) Split affected area - answer-To perform weight bearing exercises
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A nurse on acute med-surgical unite is performing assessments on a group of clients. Which is the
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highest priority?
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a) The client has surgical hypoparathyroidism and positive Trousseau's sign
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,b) A client who was Clostridium difficile with acute diarrhea
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, c) A client who is acute kidney injury and urine with a low specific gravity
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d) The client who has oral cancer and reports a sore on his gums - answer-The client has surgical
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hypoparathyroidism and positive trousseaus sign
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Nurses caring for a client was congestive heart failure. Which of the following prescriptions for the
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provider should the nurse anticipate?
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a) Call the provider to clients respiratory rate is less 18/min
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b) Give the client 500 mL IV bolus of 0.9 sodium chloride over 1 hr
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c) Give the client enalapril 2.5 mg PO twice daily
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d) Call the provider if the clients pulse rate is less than 80/min - answer-Give the client enapril 2.5 mg PO
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twice daily
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A nurse is caring for a client who has a prescription for sertraline to treat depression. Which of the
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following statements by the client indicates an understanding of the medication treatment plan?
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a) I will be able starting this medication with feel better
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b) I can expect to urinate frequently while on this medication
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c) I understand I may experience difficulty sleeping on this medication
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d) I should decrease my sodium intake while on this medication - answer-I understand i may experience
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difficulty sleeping on this medication
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A nurse has been caring for a female client who has bruises on her arms that she explains are a result of
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physical abuse by her husband. The client states " i don't know how much longer i can take this but i am
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afraid he will hurt me if i leave." Which of the following is an appropriate nursing intervention ?
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a) Offer to speak to the client's husband regarding his abuse behavior.
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b) Help the client to recognize the signs of escalation of abuse behavior
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c) Assist the client to identify personal behaviors that trigger abusive behavior
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d) Assist the client to Reports abusive behavior to the proper authority - answer-Help the client to
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recognize the signs of escalation of abuse behavior.
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A client was having suicidal thoughts tells the nurse "it just does not seem worth it anymore. Why not end
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my misery?" Which of the following responses for the nurses is appropriate?
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a) Why do you think your life is not worth it anymore?
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, b) Do you have a plan to end your life?
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c) I need to know what you mean my misery
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d) You can trust me and tell me what you're thinking - answer-Do you have a plan to end your life?
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A nurse is caring for a client who has schizophrenia. Which of the following assessment findings should
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the nurse expect?
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a) Decreased level consciousness mi mi
b) Unable to identify common objects mi mi mi mi
c) Poor problem solving ability
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d) Preoccupation was somatic disturbances - answer-Poor problem solving skills mi mi mi mi mi mi mi mi
A nurse is caring for a client who has deep vein thrombosis of the left lower extremity. Which of the
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following action should the nurse take? There are 3 tabs that contain separate categories of data?
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a) Position the client with the affected extremity lower than the heart b) Administration of
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acetaminophen
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c) Massage the affected extremity every 4 hrs. mi mi mi mi mi mi
d) Withhold heparin IV infusion - answer-Withold heparin IV infusion
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Is caring for clients was a new prescription for enoxaparin for the prevention of DVT. Which of the
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following is an appropriate action by the nurse?
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a) Expel air bubble at the top of the pre filled syringe
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b) Massage the injection site to evenly distribute the medication
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c) Inject the medication the lateral abdominal wall
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d) Administer an NSAID for injection site discomfort - answer-Inject the medication the lateral
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abdominal wall
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Nurses caring for 4 clients. Which of the following client data should the nurse report to the provider?
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a) A client who has a pleurisy and reports pain of 6 on a scale of 0 to 10 when coughing
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b) Client was a total of 110 mL of serosanguineous fluid from the Jackson Pratt drain within the first 24
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hour following surgery
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c) Client who is 4 hrs postoperative and has a heart rate of 98 per minute
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