lOMoARcPSD|26582732
Exit Exam Study Guide Fundamentals concepts in
nursing 2025
1. Labs; evaluate nutritional status? – Serum Albumin
2. Carbidopa – Levodopa, teaching to include? – Change positions slowly
3. To prevent neural tube defects? – Folate
4. Dementia, Nursing Action to reduce risk of injury? – Assist the client to the toilet frequently
5. Febrile patient: to reduce fever applies cooling blanket, Adverse reaction finding? – Shivering
6. Community health, family home visit, First Nursing Action? – Clarify the source of the referral
7. Thyroidectomy, complication that indicates need for further assessment? – Laryngeal Stridor
8. Diarrhea, intermittent enteral feedings, nursing action? – Administer feedings at slower rate
9. 3-day old newborn, congenital heart defect, intervention to decrease cardiac demand? – Maintain
the infant’s temperature at 37 C.
10. Fine hair, exophthalmos, intolerance to heat, endocrine disorders associated with finding? –
Hyperthyroidism
11. Fetal Heart Tones, 12 weeks gestation, Nursing action? – Leopold’s Maneuver
12. Toddler w/ Retinoblastoma, Expected Finding? – White eye reflex
13. Toddler w/ Coarctation of the Aorta, Expected Finding? – Weak Femoral Pulses
14. Nutritional care plan, Pt. W/ COPD and Severe Dyspnea; Nursing Action to promote intake? – Limit
Fluid Intake with meals
15. Postpartum, Methylergonovine Contraindication? – Hypertension
16. Teaching about Exercise, 28 weeks gestation, Indicates Understanding? – Drink more water after
exercise.
17. Teaching, parents of infant w/ positional Plagiocephaly, Indicates Understanding? – “I should keep
the helmet on my baby for 23 hours a day.”
18. Teaching Self-Administration; Insulin Glargine, Type 1 DM, Indicates Understanding? – “I will not
mix this insulin with other types of insulin.”
19. Metoprolol; monitor and Report to Provider? – Bradycardia
20. Teaching parents of a newborn, Genetic Screening, Include in Teaching? – “This test should be
performed after your baby is 24 hours old.”
21. Misoprostol: for Labor Induction, Include in Teaching? – “You will have intermittent fetal
monitoring while you receive the medication.”
22. Plan of Care, Pt. W/ Preeclampsia and to receive Mag Sulfate, Nursing Action? – Measure the
client’s urine output every hour.
23. ER, Which Pt. To see First? – Hypertension and reports a headache
24. Monitoring Newly Licensed Nurse, Indicates Need for Intervention? – Crushes a sublingual tablet
to administer into a client’s feeding tube
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25. Rheumatoid Arthritis, 1-day postop Total Hip Arthroplasty. Med that delays wound healing? –
Prednisone
26. Psych unit, pt. Muttering “The voices are telling me to jump.” Appropriate Response? – “I
understand that the voices are frightening you, but I do not hear any voices.”
27. Change of shift. Client w/ Priority Finding? – 2 hours post cast placement with +2 pitting edema
and pallor.
28. Punctures IV bag, medication leaks onto counter. Medication for biohazard spill protocol? –
Doxorubicin Hydrochloride
29. School-age child, postop received Morphine IV bolus 10 min ago, Priority Finding? – Bradypnea
30. Psychotherapy: wants to obtain therapist’s notes, Appropriate Response? – “We can provide a copy
of your records, but the therapist’s notes are not included.”
31. Electrical cord frayed, First Nursing Action? – Remove the device from the room
32. Migraines past 4 months, First Nursing Action? – Review the child’s electronic pain diary.
33. Group of clients, Greatest risk for developing Acute Post Streptococcal Glomerulonephritis? –
7year-old boy who is recovering from Impetigo
34. Pulmonary Embolism, Manifestations? – Dyspnea
35. Change of shift, Client to Assess First? – A client who has a hip fracture and new onset of
Tachypnea
36. Chest tube w/ water seal drainage. Tidaling noted, explanation? – The system is working properly.
37. New staff Teaching, Risk Factors to becoming Violent? – Previous violent behavior.
38. Indwelling Urinary Catheter – Male, Nursing Action? – Lift the penis so that it is perpendicular to
the client’s body.
39. Labs prior to surgery, Which to Report? – Sodium 160
40. 6-year-old; Sickle Cell Anemia management, Importance of which factor? – Adequate hydration
41. Coworker is impaired, Charge Nurse First Action? – Report to the charge nurse
42. 11 weeks gestation, Immunization to recommend? – Influenza
43. Intermittent Enteral Feedings, places client at Aspiration Risk? – History of GERD
44. Child, new onset of Seizures. Undergoing ECG. Teaching? – “Ensure the child’s hair is clean and
without conditioner before preprocedure.”
45. 99 lb. Patient. 1.5g protein/kg/day. How many g per day? (Round to nearest whole) – 68 g/day.
46. Cardiac Catheterization, tasks to do prior to procedure? – Obtain a CBC with differential
47. 33 weeks gestation following amniocentesis, monitor for which complication? – Contractions
48. Change of Shift. Assess which Patient First? – A client who has leukemia and platelet level of
95 ,000/mm 3
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49. Modified Radical Mastectomy, Closed Suction Drain. Nursing Action? – Position the client’s
affected extremity below heart level.
50. Bipolar disorder, experiencing mania. Interventions to include? – Encourage the client to take
frequent rest periods.
51. Electroconvulsive Therapy: Refusing treatment now. Appropriate Response? – “You don’t have
to go through with the treatment.”
52. Labs. Osteomyelitis, receiving Tobramycin, Adverse Effect Finding? – BUN 30 mg/dl
53. Pneumonia pt. “I feel like an elephant is sitting on my chest.” Weak and unable to walk after pain
protocol. Priority diagnostic test? – 12- Leak EKG
54. Indwelling Urinary Catheter. Nursing Action? – Provide perineal hygiene after defecation.
55. Contraindication to Oral Contraceptive use. Include in Teaching? – Fibrocystic breast disease
56. ER, new diagnosis of acute MI. Treated with thrombolytic, aspirin, and IV heparin. Finding that
indicates satisfactory response to intervention? – Q wave is noted on the cardiac monitor tracing.
57. Acute Angle-closure Glaucoma. Expected Findings? – Severe Periocular Pain.
58. Following abdominal surgery. Finding to report? – Urinary output 20 ml/hr.
59. X
60. Bed rest patient. Which is a complication of Immobility? – Swollen area on calf.
61. PICC in arm. Intervention that is appropriate in plan of care? – Measure the arm circumference
above insertion site daily.
62. Client is homeless and has Decubitus Ulcer. Nursing Action? – Contact the facility’s case
management department.
63. Charge nurse evaluating advance directives. Statement from Newly Licensed Nurse that Indicates
Understanding? – “I have to witness a client’s signature on his advance directives.”
64. X
65. Long-term care facility. Managing older adult client. Occasional choking during meals. Refer to? –
Speech-language pathologist.
66. X
67. History of Atrial Fibrillation. Places client at risk for? – Pulmonary emboli.
68. X
69. RN working w/ LVN and UAP. Delegation to manage time efficiently? – Determine goals of the
day.
70. Thrombocytopenia. Teaching following chemotherapy. Indicates understanding? – “I will wipe my
nose instead of blowing it.”
71. 3-year-old. Typical developmental expectations? – “Can your child ride a tricycle?”
72. 41 weeks gestations. NST. Include in Teaching? – “You will have a Doppler transducer applied to
your abdomen during the test.”
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73. Acute mania. Food to provide? – Peanut butter sandwich
74. COPD patient. Using compressed oxygen system in home. Nursing Action? – Place the oxygen
tank away from curtains or drapes.
75. Nursing activity that requires use of sterile gloves? – Performing tracheostomy care.
76. L&D, new onset of contractions, which finding indicates False Labor? – Intermittent, painless
contractions.
77. Discharge Teaching. Parents of toddler w/ Cystic Fibrosis. Include in Teaching? – Perform chest
percussion and postural drainage twice a day.”
78. ER. Labs. First Nursing Action? – Elevate head of bed to 30 degrees.
79. Delegating to AP. Which is in the scope of practice? – Performing postmortem care.
80. Cefazolin. First Administration. Nursing Action? – Review the client’s allergy history.
81. Depressive disorders. Phenelzine. Food to avoid? – Smoked Salmon
82. Emergency Response. Client to recommend for early discharge? – A client who is 1-day postop
following Vertebroplasty
83. Schizophrenia. Auditory Hallucinations, Action to include in plan of care? – Ask the client
directly what he is hearing.
84. Child. Acute care medical unit. Labs for Rheumatic Fever? – Elevated sedimentation rate and
Creactive protein.
85. Seizure disorder. Phenytoin. Which instruction is appropriate? – “Increase your intake of Vitamin D
while taking this medication.”
86. Leaving because facility prohibits smoking. Nursing Action? – Inform the client of the risks
involved if she leaves
87. SATA – C. Diff. Nursing Action? – Change gloves after contact with infectious material. Wear a
gown when providing care.
88. Home safety. Indicates effective teaching? – “I have grab bars next to my tub.”
89. Acute mental health facility. Which patient do you see first? – A client who is taking Clozapine to
treat Schizophrenia and reports Sore Throat
90. X
91. SATA - 4 days postpartum; Assessment Findings? - Fundus displaced to the right. Lochia serosa.
92. Preparing to feed client with Dysphagia. Nursing Action? – Sit at or below the client’s eye level
during feedings.
93. A nurse manager updates protocol for use of belt restrains. Nursing Guidelines to include? –
Document the client’s restraint every 4 hours.
94. Preop assessment. Reports allergy to several foods. Which food indicates Latex Allergy? – Banana
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Exit Exam Study Guide Fundamentals concepts in
nursing 2025
1. Labs; evaluate nutritional status? – Serum Albumin
2. Carbidopa – Levodopa, teaching to include? – Change positions slowly
3. To prevent neural tube defects? – Folate
4. Dementia, Nursing Action to reduce risk of injury? – Assist the client to the toilet frequently
5. Febrile patient: to reduce fever applies cooling blanket, Adverse reaction finding? – Shivering
6. Community health, family home visit, First Nursing Action? – Clarify the source of the referral
7. Thyroidectomy, complication that indicates need for further assessment? – Laryngeal Stridor
8. Diarrhea, intermittent enteral feedings, nursing action? – Administer feedings at slower rate
9. 3-day old newborn, congenital heart defect, intervention to decrease cardiac demand? – Maintain
the infant’s temperature at 37 C.
10. Fine hair, exophthalmos, intolerance to heat, endocrine disorders associated with finding? –
Hyperthyroidism
11. Fetal Heart Tones, 12 weeks gestation, Nursing action? – Leopold’s Maneuver
12. Toddler w/ Retinoblastoma, Expected Finding? – White eye reflex
13. Toddler w/ Coarctation of the Aorta, Expected Finding? – Weak Femoral Pulses
14. Nutritional care plan, Pt. W/ COPD and Severe Dyspnea; Nursing Action to promote intake? – Limit
Fluid Intake with meals
15. Postpartum, Methylergonovine Contraindication? – Hypertension
16. Teaching about Exercise, 28 weeks gestation, Indicates Understanding? – Drink more water after
exercise.
17. Teaching, parents of infant w/ positional Plagiocephaly, Indicates Understanding? – “I should keep
the helmet on my baby for 23 hours a day.”
18. Teaching Self-Administration; Insulin Glargine, Type 1 DM, Indicates Understanding? – “I will not
mix this insulin with other types of insulin.”
19. Metoprolol; monitor and Report to Provider? – Bradycardia
20. Teaching parents of a newborn, Genetic Screening, Include in Teaching? – “This test should be
performed after your baby is 24 hours old.”
21. Misoprostol: for Labor Induction, Include in Teaching? – “You will have intermittent fetal
monitoring while you receive the medication.”
22. Plan of Care, Pt. W/ Preeclampsia and to receive Mag Sulfate, Nursing Action? – Measure the
client’s urine output every hour.
23. ER, Which Pt. To see First? – Hypertension and reports a headache
24. Monitoring Newly Licensed Nurse, Indicates Need for Intervention? – Crushes a sublingual tablet
to administer into a client’s feeding tube
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
25. Rheumatoid Arthritis, 1-day postop Total Hip Arthroplasty. Med that delays wound healing? –
Prednisone
26. Psych unit, pt. Muttering “The voices are telling me to jump.” Appropriate Response? – “I
understand that the voices are frightening you, but I do not hear any voices.”
27. Change of shift. Client w/ Priority Finding? – 2 hours post cast placement with +2 pitting edema
and pallor.
28. Punctures IV bag, medication leaks onto counter. Medication for biohazard spill protocol? –
Doxorubicin Hydrochloride
29. School-age child, postop received Morphine IV bolus 10 min ago, Priority Finding? – Bradypnea
30. Psychotherapy: wants to obtain therapist’s notes, Appropriate Response? – “We can provide a copy
of your records, but the therapist’s notes are not included.”
31. Electrical cord frayed, First Nursing Action? – Remove the device from the room
32. Migraines past 4 months, First Nursing Action? – Review the child’s electronic pain diary.
33. Group of clients, Greatest risk for developing Acute Post Streptococcal Glomerulonephritis? –
7year-old boy who is recovering from Impetigo
34. Pulmonary Embolism, Manifestations? – Dyspnea
35. Change of shift, Client to Assess First? – A client who has a hip fracture and new onset of
Tachypnea
36. Chest tube w/ water seal drainage. Tidaling noted, explanation? – The system is working properly.
37. New staff Teaching, Risk Factors to becoming Violent? – Previous violent behavior.
38. Indwelling Urinary Catheter – Male, Nursing Action? – Lift the penis so that it is perpendicular to
the client’s body.
39. Labs prior to surgery, Which to Report? – Sodium 160
40. 6-year-old; Sickle Cell Anemia management, Importance of which factor? – Adequate hydration
41. Coworker is impaired, Charge Nurse First Action? – Report to the charge nurse
42. 11 weeks gestation, Immunization to recommend? – Influenza
43. Intermittent Enteral Feedings, places client at Aspiration Risk? – History of GERD
44. Child, new onset of Seizures. Undergoing ECG. Teaching? – “Ensure the child’s hair is clean and
without conditioner before preprocedure.”
45. 99 lb. Patient. 1.5g protein/kg/day. How many g per day? (Round to nearest whole) – 68 g/day.
46. Cardiac Catheterization, tasks to do prior to procedure? – Obtain a CBC with differential
47. 33 weeks gestation following amniocentesis, monitor for which complication? – Contractions
48. Change of Shift. Assess which Patient First? – A client who has leukemia and platelet level of
95 ,000/mm 3
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
49. Modified Radical Mastectomy, Closed Suction Drain. Nursing Action? – Position the client’s
affected extremity below heart level.
50. Bipolar disorder, experiencing mania. Interventions to include? – Encourage the client to take
frequent rest periods.
51. Electroconvulsive Therapy: Refusing treatment now. Appropriate Response? – “You don’t have
to go through with the treatment.”
52. Labs. Osteomyelitis, receiving Tobramycin, Adverse Effect Finding? – BUN 30 mg/dl
53. Pneumonia pt. “I feel like an elephant is sitting on my chest.” Weak and unable to walk after pain
protocol. Priority diagnostic test? – 12- Leak EKG
54. Indwelling Urinary Catheter. Nursing Action? – Provide perineal hygiene after defecation.
55. Contraindication to Oral Contraceptive use. Include in Teaching? – Fibrocystic breast disease
56. ER, new diagnosis of acute MI. Treated with thrombolytic, aspirin, and IV heparin. Finding that
indicates satisfactory response to intervention? – Q wave is noted on the cardiac monitor tracing.
57. Acute Angle-closure Glaucoma. Expected Findings? – Severe Periocular Pain.
58. Following abdominal surgery. Finding to report? – Urinary output 20 ml/hr.
59. X
60. Bed rest patient. Which is a complication of Immobility? – Swollen area on calf.
61. PICC in arm. Intervention that is appropriate in plan of care? – Measure the arm circumference
above insertion site daily.
62. Client is homeless and has Decubitus Ulcer. Nursing Action? – Contact the facility’s case
management department.
63. Charge nurse evaluating advance directives. Statement from Newly Licensed Nurse that Indicates
Understanding? – “I have to witness a client’s signature on his advance directives.”
64. X
65. Long-term care facility. Managing older adult client. Occasional choking during meals. Refer to? –
Speech-language pathologist.
66. X
67. History of Atrial Fibrillation. Places client at risk for? – Pulmonary emboli.
68. X
69. RN working w/ LVN and UAP. Delegation to manage time efficiently? – Determine goals of the
day.
70. Thrombocytopenia. Teaching following chemotherapy. Indicates understanding? – “I will wipe my
nose instead of blowing it.”
71. 3-year-old. Typical developmental expectations? – “Can your child ride a tricycle?”
72. 41 weeks gestations. NST. Include in Teaching? – “You will have a Doppler transducer applied to
your abdomen during the test.”
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
73. Acute mania. Food to provide? – Peanut butter sandwich
74. COPD patient. Using compressed oxygen system in home. Nursing Action? – Place the oxygen
tank away from curtains or drapes.
75. Nursing activity that requires use of sterile gloves? – Performing tracheostomy care.
76. L&D, new onset of contractions, which finding indicates False Labor? – Intermittent, painless
contractions.
77. Discharge Teaching. Parents of toddler w/ Cystic Fibrosis. Include in Teaching? – Perform chest
percussion and postural drainage twice a day.”
78. ER. Labs. First Nursing Action? – Elevate head of bed to 30 degrees.
79. Delegating to AP. Which is in the scope of practice? – Performing postmortem care.
80. Cefazolin. First Administration. Nursing Action? – Review the client’s allergy history.
81. Depressive disorders. Phenelzine. Food to avoid? – Smoked Salmon
82. Emergency Response. Client to recommend for early discharge? – A client who is 1-day postop
following Vertebroplasty
83. Schizophrenia. Auditory Hallucinations, Action to include in plan of care? – Ask the client
directly what he is hearing.
84. Child. Acute care medical unit. Labs for Rheumatic Fever? – Elevated sedimentation rate and
Creactive protein.
85. Seizure disorder. Phenytoin. Which instruction is appropriate? – “Increase your intake of Vitamin D
while taking this medication.”
86. Leaving because facility prohibits smoking. Nursing Action? – Inform the client of the risks
involved if she leaves
87. SATA – C. Diff. Nursing Action? – Change gloves after contact with infectious material. Wear a
gown when providing care.
88. Home safety. Indicates effective teaching? – “I have grab bars next to my tub.”
89. Acute mental health facility. Which patient do you see first? – A client who is taking Clozapine to
treat Schizophrenia and reports Sore Throat
90. X
91. SATA - 4 days postpartum; Assessment Findings? - Fundus displaced to the right. Lochia serosa.
92. Preparing to feed client with Dysphagia. Nursing Action? – Sit at or below the client’s eye level
during feedings.
93. A nurse manager updates protocol for use of belt restrains. Nursing Guidelines to include? –
Document the client’s restraint every 4 hours.
94. Preop assessment. Reports allergy to several foods. Which food indicates Latex Allergy? – Banana
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