Exit Exam PN 2023 latest complete update A+ graded
1. A nurse is reviewing information about advance directives with a newly admitted client.
Which of the following statements by the client indicates an understanding of the information?
a. Federal legislation dictates the leg...
1. A nurse is reviewing information about advance directives with a newly admitted
client.
Which of the following statements by the client indicates an understanding of the
information?
a. Federal legislation dictates the legal guidelines for advance directives
b. Advance directives include instruction for resolving financial matters
c. Advance directives include a living well
d. My medical record should not include - answers c. Advance directives include a
living well
2. A nurse on a medical surgical unit is assisting with the admission of a client who has
advanced lung cancer. Which of the following actions regarding advance directives
should the
nurse take?
a. Ensure that an attorney has received the client's advance directives
b. Document the client's decision about end-of-life care in the medical record
c. Tell the client that a family member should serve as a health care surrogate
d. Contact the facility's risk manager to verify if the client has a living will - answers b.
Document the client's decision about end-of-life care in the medical record
#3. A nurse is reinforcing teaching with a client about advance directives and a
healthcare proxy which of the following client statements and the kids and
understanding of the teaching - answers ➢ I do not need to name a relative as my
designee in my health care proxy
4. A nurse is reinforcing teaching about advance directives with a client who has end-
stage heart
failure. Which of the following statements by the client indicates an understanding of the
teaching? - answers "I know I can change my advance directives if I need to in the
future."
,5. A nurse is caring for a client who speaks a different language than the nurse. Which
of
the following actions should the nurse take? - answers Supplement spoken language
with pictures. Or review the facility policy about the use of an
interpreter
6. A nurse is caring for a client who speaks a different language than the nurse. The
clients
partner tells the nurse that the client would like to go home against medical advice
(AMA).
Which of the ff actions should the nurse take?
a. Discharge the client and notify the health care provider
b. Request the services of an interpreter to determine the clients wishes
c. Have the client's partner sign an AMA form
d. Ask the partner to reiterate the consequences of leaving AMA to the client - answers
b. Request the services of an interpreter to determine the clients wishes
7. A nurse at long term care facility is reviewing the plan of care who has a prescription
for
mitten restraints. Which of the following tasks should the nurse assign to assistive
personnel?
a. Evaluate the need client
b. Assist the client with range of motion exercises of the hands
c. Determine the circulation status
d. Instruct the client's family about purpose mitten restraint - answers b. Assist the
client with range of motion exercises of the hands
8.A nurse in an acute mental health facility is caring for an adolescent who is exhibiting
destructive behavior. Which of the following actions should the nurse take after applying
physical restraints to the client?
a. Monitor the client's range of motion every 60 min.
b. Plan to remove the restraints as soon as the clients is calm
c. Offer the clients nutritious snack every 4 hr.
d. Ensure that the procedure has signed a prescription for restrain within 48 hr. -
answers b. Plan to remove the restraints as soon as the clients is calm
9. A nurse in a mental health facility receives a change of shift report on 4 clients. Which
of the
following clients should the nurse plan to assess first?
1. A client placed in restraints for aggressive behavior
2. A new limited client presents history of 4.5kg weight loss in the past two
months
3. Client is receiving a PRN dose of haloperidol two hours ago for increased
anxiety
4. Client will receive his first ECT treatment today - answers 1. A client placed in
restraints for aggressive behavior
,10. A nurse on a mental health unit is caring for a client who is in restraints. Which of
the
following actions should the nurse take?
-Check the client's status every hour.
-Document the client's behavior leading to the initiation of restraints.
-Obtain written consent by the client for the placement of the restraints.
-Release the client's restraints every 4 hr. - answers Check the client's status every
hour.
11. A nurse is caring of a client who is confused and is trying to pull out their IV
catheter. After
attempting other measures to prevent the client from self-harm, the nurse places wrist
restraints on the client. Which of the following actions should the nurse take?
a. Remove the restraints from the client's wrists every 2 hr.
b. Fasten the restrains ties to the bed's side rail
c. Contact the provide within 48 hr. to obtain a prescription for the restrain
d. Check that one finger will fit between the client's wrist and the restraints - answers a.
Remove the restraints from the client's wrists every 2 hr.
12. 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?1. Report the AP to the risk
manager - answers
13. A nurse is preparing to delegate client care to an assistive personnel AP. Which of
the
following information should the nurse verify prior to delegation?
a. The AP's years of experience
b. The client's length of facility stay
c. The client's age
d. The AP's job description - answers d. The AP's job description
14. A nurse in a long-term care facility is delegating care for a group of clients for the
upcoming shift which of the following tasks the nurse delegate to assistive personnel
(select all that apply) - answers Measure vital signs for a client who requires contact
precaution, record
urine output for a client who has a super pubic catheter, trees for a client
who is receiving radiation therapy to radiology
***15. A nurse on a hospice unit is caring for a client who has cancer and is in the active
phase
of dying. Which of the following findings requires intervention by the nurse?
a. Benzodiazepines are administered every 4hr
b. Supplemental oxygen in use
c. A family member remains at the client's bedside 24 hr. each day
d. An assistive personnel is encouraging intake of oral fluids - answers a.
Benzodiazepines are administered every 4hr
, 16. A nurse is caring for a client who is in stage kidney disease the client has decided to
stop dialysis treatment which of the following actions should the nurse take - answers
➢ Support the client's decision and stop the treatment
17. A nurse is administering pancreatic enzymes to a child who has cystic fibrosis.
Which
of the following outcomes should the nurse expect as a therapeutic effect of the
treatment?
- Reduced fat in the stools
- Improved respiratory function
- Decreased sodium excretion
- Improved absorption of vitamins B and C - answers - Reduced fat in the stools
18. a nurse is assisting with care of a client who is receiving chemotherapy and
radiation for
advances breast cancer. The client states "I am thinking about stopping the treatment.
Which of
the following responses should the nurse make?
a. Tell me more about what are you thinking
b. I would feel the same way if I were you
c. You'll be cancer free after you complete your treatments
d. Why do you think that would be a good choice - answers a. Tell me more about what
are you thinking
19. A nurse determines that clients who receive zolpidem postoperatively have an
increased
fall rate compared to other postoperative clients. Which of the following members of the
health care team should the nurse report these findings?
-The risk manager
-The pharmacist
-The case manager
-The surgeon - answers The risk manager
20. A nurse is caring for a client who has rheumatoid arthritis and is having difficulty with
ADLs, such as cooking and eating. The nurse should ensure that the client has a
referral to
which of the following members of the interprofessional team?
-Dentist
-Nutritionist
-Occupational therapist
-Alternative care provider - answers -Occupational therapist
21. A nurse is participating in an interprofessional client care conference for a client who
has
experienced a stroke. The nurse should identify that which of the following client care
issues
requires reporting to the interprofessional team?
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