Exit exam 1 Latest Questions And Answers Graded A+!!!
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Course
EXCM
Institution
EXCM
A nurse is observing an AP take a client's tympanic temperature. Which of the following actions should the nurse identify as an indication that the AP understands how to perform the procedure
The AP points the probe posteriorly
The AP positions the client facing her
The AP pulls the pinna ...
Exit exam 1 Latest Questions And
Answers Graded A+!!!
A nurse is observing an AP take a client's tympanic temperature. Which of the following actions
should the nurse identify as an indication that the AP understands how to perform the procedure
The AP points the probe posteriorly
The AP positions the client facing her
The AP pulls the pinna up and back
The AP inserts the probe with a straight forward motion - ANS The AP pulls the pinna up
and back
A nurse is contributing to the plan of care for a client who has COPD. which of the following
interventions should the nurse make?
Provide the client with 3 large meals each day
Limit fluid intake to 1,000 mL daily
Place the client in an orthopneic position
Encourage the client to cough and deep breathe once every 8 hour - ANS Place the client
in an orthopneic position
A nurse is collecting data from a client who is taking an oral contraceptive. Which of the
following findings is a contraindication for the use of oral contraceptives
Irregular menstrual cycles
Hx of mononucleosis 1 year ago
Headaches with aura
GERD - ANS Headaches with aura
,A nurse is reinforcing teaching with a client who had primary open-angle glaucoma and a new
prescription for timolol eye drops. Which of the following statements indicates an understanding
of the teaching
I should take a zinc supplement while taking this med
I should check my heart rate while taking this medication
This medication will darken the color of my eyes
This medication will dilate my eyes - ANS I should check my heart rate while taking this
medication
A nurse is caring for a client who is visibly upset and tearful about a recent terminal diagnosis.
Which of the following responses should the nurse make
When you feel better, we'll talk about your treatment options
I'm going to contact your family so they can be with you
I'm sorry you have to deal with this
I will stay with you for a while - ANS I'm sorry you have to deal with this
A charge nurse is reinforcing teaching with a newly licensed nurse about the nurse's role in
obtaining informed consent. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching
When i sign the consent form, i am stating that the client appears to be competent to give
consent
I will sign the consent form to indicate that the client has received written materials explaining
the procedure
It is my responsibility to obtain informed consent from the client prior to the procedure
I will provide the client with an explanation of the procedure before i sign the consent form -
ANS It is my responsibility to obtain informed consent from the client prior to the procedure
A nurse is caring for a 3 year old child who has acute bacterial conjunctivitis of the right eye and
has been prescribed bacitracin ophthalmic ointment. Which of the following actions should the
nurse take
Instruct guardian to apply erythromycin ophthalmic ointment every morning for 14 days
,Wipe any excess medication from the inner canthus outward
Place and occlusive dressing on the affected eye to prevent the spread of infection
Gently massage the eyelid to facilitate absorption of the medication - ANS Wipe any
excess medication from the inner canthus outward
A nurse in a provider's office is collecting data from a client who was just diagnosed with
tuberculosis. Which of the following actions should the nurse take first
Notify the local health department
Contact those who live with the client
Communicate with personnel about the need for prophylaxis
Place a mask on the client - ANS Place a mask on the client
A nurse delegates a task to an AP and the AP refuses to complete the assigned task. Which of
the following actions should the nurse take
Report the AP to the risk manager
Discuss the AP's concerns about performing the task
Assign the task to another AP
Perform the task on behalf of the AP - ANS Discuss the AP's concerns about performing
the task
A nurse is contributing to the plan of care for a client who has prolonged exposure to cold
weather and has a core body temperature 32.5 C (90.5 F). Which of the following data is the
priority for the nurse to monitor
Pain sensation
Muscle strength
Heart rhythm
Urinary output - ANS Pain sensation
, A nurse is reinforcing teaching with a client who has GERD and a prescription for pantoprazole.
Which of the following statements indicates an understanding of the teaching
I will need to remain upright or 1 hour after taking the medication
I can take antacids at the same time as this medication
I should expect to have diarrhea while taking this medication
I have to take this medication on an empty stomach - ANS I have to take this medication
on an empty stomach
A nurse is collecting data from a client who is receiving IV therapy. The nurse suspects fluid
infiltration. Which of the following findings should the nurse expect at the insertion site
Pruritus
Edema
Blood
Erythema - ANS Edema
A nurse is making client care assignments for an AP. which of the following tasks should the
nurse assign to the AP
Feed a client who has difficulty swallowing liquids following a stroke
Evaluate the need to suction the airway of a client who has a new tracheostomy
Inspect the incision of a client who is postoperative following a leg amputation
Complete post mortem care for a client who has died - ANS Complete post mortem care
for a client who has died
A nurse is collecting data from a client who has acute cholecystitis. Which of the following
findings should the nurse expect
Increased abdominal discomfort prior to meals
Discomfort with urination
Pain radiating to the jaw
Pain in the right upper abdomen - ANS Pain in the right upper abdomen
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