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A comprehensive set of questions and answers designed to help nursing students prepare for their comprehensive exit exam. The questions cover a wide range of topics relevant to practical nursing, including postoperative care, medication administration, patient safety, and various medical conditions. Each question is accompanied by a correct answer, making it a valuable resource for self-assessment and exam preparation. This study guide is particularly useful for students seeking to reinforce their understanding of key nursing concepts and improve their test-taking skills. It provides a structured approach to reviewing essential material and identifying areas for further study, ensuring comprehensive preparation for the exam. The content is designed to be clear, concise, and directly applicable to the exam format, enhancing the learning experience and promoting student success.
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A nurse is assisting with the plan of care for a client following a transurethral resection of the prostate. Which of the following interventions should the nurse include in the plan of care? The nurse should irrigate the bladder using strict sterile technique and maintain closed catheter drainage system to minimize the rick of infection. A nurse is reviewing a client's electronic medical record and finds that an assistive per sonnel recorder the client's temperature as 35. degrees Celsius (95.5 degrees F) 2 hrs earlier. Which of the following actions should the nurse take firsT? check the clients temp A nurse is receiving change-of- shift report for four clients. Which of the following clients should the nurse see first? A client whose urinary output was 100mL for the past 12 hrs
A nurse in reinforcing teaching about weight loss with a female older adult client who is overweight. Which of the following statements should the nurse include in teaching? keep fat intake to no more that 30% of daily caloric intake. A nurse is collecting data from a client who has iron deficiency anemia. Which of the following findings should the nurse expect? difficulty concentrating A Nurse is collecting data from an older adult client who is 48 hr postoperative following abdominal surgery. The provider writes a prescription to advance the client to a re gular Diet. For which of the following findings should the nurse notify the provider? The client has absent bowel sounds A parent brings her adolescent son to an urgent care center and states. "He is high on something and needs help" The client is
A nurse is talking with a client whose son died in a motor- vehicle crash 2 weeks ago. The client states "I really thought I'd be back to my usual routines by now, but I can't think of anythingelse except my son is gone" Which of the following responses should the nurse make? Grieving for your son is hard work. It will take as much time as you need to come to terms with your loss. A nurse is assisting with monitoring a client who is at 40 weeks of gestation and is in active labor. The nurse recognizes late deceleration on the fetal monitor tracing. Whichof the following actions should the nurse take? Place the client in the lateral position. A nurse manager is providing an in- service on hand hygiene to assistive personnel. which of the following information should the nurse manager include in the in-service? Remove rings when washing hands with soap and water
A nurse is reinforcing home safety instructions with the parent of a newborn. Which of the following statements should the nurse include in the instructions? Place your baby's crib away from heat vents. A nurse is preparing to administer a client's morning medications. Which of the follow ing actions should the nurse take to verify the client's identity? Scan the facility identification board. A nurse is caring for a client following a bronchoscopy procedure. Which of the following actions should the nurse perform first? check for a gag reflex While administering a medication to a client, a nurse notices a trayed electrical cord connecting the client's continuous passive motion machine to the electrical outlet. Which of the following actions should the nurse take? Remove the device from the client's room.
hydrogen peroxide A nurse is caring for a client who has right sided heart failure. The client's partner exp resses concern the the client will die. Which of the following responses should the nurse make? "It is difficult to see someone so sick. Whathave you been told about your partner's prognosis?" A nurse in a long-term care facility is assisting with an in-service for newly hired assistive personnel about legal issues within the facility. Which of the following should the nurse include as an example of assault? Informing a client the nurse is going to administer an injection even though the client refuses. A nurse is collecting data from who is severe pain. Which of the tollowing questions should the nurse ask first? "Where is your pain located?" A nurse is reviewing the laboratory results for a client who is at
29 weeks gestation. For which of the following results should the nurse notify the provider? Platelet count 95,000 mm A nurse is performing a dressing change for a client who had abdominal surgery 5 day s ago. The nurse notes organs protruding from the incision. Which of the following act ions should the nurse take? Cover the exposed area with sterile, saline-soaked dressings. A nurse is speaking with the adult daughter of a client who has Alzheimer's disease. The daughter states, "I love my dad, but caring for him is wearing me out." Which of the following response should the nurse make? "Let's discuss how caring for your father is affecting your health. A nurse is reinforcing teaching with a client who has a type 2 diabetes mellitus and re ports waking during the night with tremors and anxiety. which of the following inform ation should the nurse provide to help the client manage his symptoms? Eat a bedtime snack
A nurse in a pediatric clinic is collecting the data from a school-age child whose injuries are inconsistent with the parent's stated cause. Which of the following actions should the nurse take? Report the suspected abuse to a appropriate agency. A nurse is collecting data from a middle adult female client who is taking melatonin. Which of the following responses to the med should the nurse expect? Improved sleep A nurse on a pediatric unit is collecting data from four newly admitted clients. Which of the following clients should the nurse identify as being at risk for urinary retention? A school-age child who has allergic rhinitis and is taking diphenhydramine. A nurse is preparing to administer purified protein derivative (PPD) to a client who has suspected TB. Which of the following actions should the nurse plan to take?
Ensure the injection produces a wheal on the skin A client who is diagnosed with Parkinson's disease verbalizes frustration due to increas e difollowingiculty with ambulation. Which of the following responses should the nurs e take? Perform active ROM with your arms and legs two times a day. A Nurse is collecting data from a client who has multiple fractures following a motor-vehicle crash. For which of the following client statements "I am so frustrated. I cannot even open my milk carton for breakfast." A nurse is reinforcing discharge teaching with a client who is postoperative following transurethral resection of the prostate. Which of the following instructions should the n urse include in the teaching? perform Kegel exercises daily.
A nurse is caring for a client who is 16 hr postoperative following a total hip arthropla sty. the client reports numbness, pain, and tingling in the followingected leg. Which of the following actions should the nurse take first? compare capillary refill in toes bilaterally A nurse is reinforcing teaching with a client who has acute diverticulitis. Which of the following statements by the client indicates an understanding of the teaching about the acute phase of diverticulitis? "I will receive the nutrient I need through my IV Fluid" A nurse in reinforcing teaching with a client about cancer prevention. The nurse shoul d include that frequent consumption of which of the following foods increases the risk of cancer? lamb
A nurse is assisting in teaching a group of stafollowing nurses about hepatitis A. Which of the following modes should the nurse include as a method of transmitting hepatitis A? consumption of contaminated foods A nurse is reinforcing teaching with a client who is bottle feeding he full-term newborn with formula. Which of the following instructions should the nurse include in the teaching? Although it is unnecessary to be rigid about feeding times, six to eight feedings every 24 hrs should support a full- term newborn's nutrition adequately. Fewer feedings in the initial weeks could delay the establishment of an adequate weight-gain pattern. A nurse is reinforcing teaching with a client who has hypothyroidism and a prescriptio n for levothyroxine. Which of the following instructions should the nurse include in th e teaching? you will need to take the medication for the rest of your life
A licensed practical nurse on a medical surgical unit is working with an RN and an As sistive personnel. Which of the following assignments should the LPN expect to receive? Administering an NG tube feeding to a client who had a stroke A nurse is caring for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the following actions should the nurse take? Offer the client headphones to listen to music. A nurse is reinforcing teaching with a client about taking warfarin to treat atrial fibrillation. Which of the following statements by the client indicates an understanding of the teaching? If I forget to take a dose, I can take it later on the same day." A nurse is working with an interpreter to explain a diagnostic procedure to a client wh o doesn't speak the same language as the nurse. Which of the following actions should the nurse take?
Ensure the interpreter is culturally compatible with the client. A nurse is reinforcing discharge teaching with a client who has dependent personality disorder. Which of the following instructions should the nurse include in the dischargeteaching? Demonstrate assertiveness. A nurse is contributing to the discharge plan for a client who had a knee arthroplasty. Which of the following actions should the nurse identify as the priority? Check the client's mobility A nurse in a long- term care facility is assisting with the admission of a client who requires oropharyngeal suctioning. Which of the following supplies does the nurse need to perform this task? Yankauer catheter|
You must miss your wife. Let's take a walk and you can tell me about her. A nurse is reinforcing teaching with a client who has a prescription for nitrogly cerin sublingual tablets Which of the following instructions should the nurse include in the teaching? take up to three tablets during a single angina episode A Nurse is caring for a client who is post op following an open reduction with internal fixation of the ankle. The client report pain and the nurse notes that the afollow ingected extremity is cool, pale, and has a weak pulse. The nurse calls the surgical assistant who responds "it has always been like that" Which of the following actions shoul d the nurse take first? notify the nursing supervisor A nurse is collecting data from a client who has Tourette syndrome. The client reports taking haloperidol 0.5 mL orally 3 times a day at home. Which of the following components of the prescription should the nurse question? dosage
A nurse is caring for a female client who has an indwelling urinary catheter. which of the following actions should the nurse take? Wipe the drainage port with an antiseptic wipe after emptying urine from bag. A nurse is reinforcing teaching with a newborn's parentsabout umbilical cord c ard. Which of the following statements by aparent indicates an understanding of the in struction? "I will give our baby sponge baths until the cord falls off A nurse who is facilitating a support group notices that one client in the group is extremely talkative, to the point where others in the group have difficulty sharing their own ideas. Which of the following strategies should the nurse use to facilitate the group process with this client? Speak privately to the client about this behavior.