EXIT EXAM 180
[Document subtitle]
EXIT EXAM
1. 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 appropr...
1. 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.”
2. 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
3. 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
4. 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
5. 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.” (pharm pg. 64: taking
lithium with food will help decrease GI distress)
6. A nurse in the emergency department is assessing client who has major
depressive disorder. Which of the following actions should the nurse take first?
[View Exhibit]
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
7. A nurse is completing an admission assessment for a client who ahs
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
, 8. Drug Calc: Client weighs 99 lb. Prescribed diet of 1.5 g protein/kg/day. How
many grams of protein per day should the nurse include in the client’s dietary
plan?
9. 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
10. 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
(antidote: calcium gluconate)
d. Monitor the FHR via Doppler every 30 min
11. 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
12. 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
(pharm pg. 72: monitor for infection [fever, sore throat, etc.])
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
13. 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 noncoring needle
d. A 25 gauge needle
14. 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
15. 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?”
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller FLOYYD. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.99. You're not tied to anything after your purchase.
