EXIT EXAM #2 - 10.26.23
Question 1
A client with type 1 diabetes mellitus is to begin an exercise program, and the nurse is providing instructions regarding the program. Which instruction would the nurse include in the teaching plan?
Try to exercise before mealtimes.
Administer insulin after exercising.
Take a blood glucose test before exercising.
Exercise is best performed during peak times of insulin.
Question 2
Which individuals are most likely to be at risk for development of psoriasis? Select all that apply.
An individual with darker skin
A client experiencing menopause
A client with a family history of the disorder
An individual who has experienced a significant amount of emotional distress
A client with a thin body frame who adheres to a regular exercise program
Question 3
The nurse is obtaining a health history from a client and is assessing for risk factors associated with osteoporosis. The nurse would be most concerned if which data were obtained? Select all that apply.
The client reports that they don't exercise much at all.
The client reports that they smoke a few cigarettes a day.
The client reports that they are taking phenytoin to treat a seizure disorder.
The client reports that they consume calcium and vitamin foods and supplements daily.
The client reports that they take a daily low dose of prednisone to treat a chronic respiratory condition.
Question 4
The nurse has provided teaching for an adult client about screening for colon cancer. Which statement by the client indicates that education was effective?
"I need to have an annual fecal occult blood test."
"I need to have an annual colonoscopy when I become 60."
"I will have a colonoscopy before the fecal occult blood test."
"I will not need to have further fecal occult blood tests after a colonoscopy."
Question 5
A 27-year-old client is undergoing evaluation of lumps in the breasts. In determining whether the client could have fibrocystic breast disorder, the nurse would ask the client whether the breast lumps seem to become more prominent or troublesome at which time?
After menses
Before menses
During menses
At any time, regardless of the menstrual cycle
Question 6
The nurse is teaching a group of adults about the warning signs of cancer. Which signs and symptoms would the nurse mention to the group? Select all that apply.
Areas of alopecia
Sores that do not heal
Nagging cough or hoarseness
Indigestion or difficulty swallowing
Change in bowel or bladder habits
Absence or decreased frequency of menses
Question 7
A nurse is developing a care plan for a client with an injury to the frontal lobe of the brain. Which nursing actions would be included as part of the care plan? Select all that apply.
Speak clearly and slowly because the client will have difficulty with sensory data.
Orient the client to the person, place, and time as needed because the client will have memory problems
Keep instructions simple and brief because the client will have difficulty concentrating
Assess vital signs frequently throughout the nursing shift because vital bodily functions will be affected
Assist with bathing and toileting because the client will have vision disturbances.
Question 8
The nurse is caring for a client with hypoxia. What is the nurse's consideration with regard to the client experiencing brain cell death?
The client may have brain cell death in 3 to 6 minutes.
The client may have brain cell death in 6 to 9 minutes.
The client may have brain cell death in 1 to 3 minutes.
The client may have brain cell death in 9 to 12 minutes.
Question 9
Which area of the brain controls the alert or waking state of the body?
Limbic system
reticular activating system
Cerebral hemispheres
Hypothalamus
Question 10
The nurse has been assigned to care for various clients. Which client is at the highest risk for a fluid and electrolyte imbalance?
A 45-year-old client who had a laparoscopic appendectomy 24 hours ago and is being advanced to a regular diet.
A 66-year-old client who had an open cholecystectomy with a T-tube placed that is draining 125 mL of bile per shift.
An 82-year-old client who receives all nutrition via tube feedings and whose medications include carvedilol and torsemide.
A 79-year-old client admitted with a diagnosis of pneumonia.
Question 11
Which could be a potential cause of respiratory acidosis?
Hyperventilation
Hypoventilation
Vomiting
Diarrhea
Question 12
The nurse is caring for a client in the early stages of sepsis. The client is not responding well to fluid resuscitation measures and has a worsening hemodynamic status. Which nursing intervention is most appropriate for the nurse to implement?
Administer norepinephrine as prescribed.
Initiate enteral feedings as prescribed.
Begin a continuous IV infusion of insulin per protocol.
Administer recombinant human activated protein C (rhAPC) as prescribed.
Question 13
A client is being cared for in the Neurological Intensive Care Unit following a spinal cord injury. Which assessment finding indicates that the client may be experiencing neurogenic shock?
HR, 120 bpm; BP, 88/58 mm Hg
Cool, moist skin
HR, 48 bpm; BP, 90/60 mm Hg
Shortness of breath
Question 14
When the nurse observes that the client's systolic blood pressure is less than 80 mm Hg, respirations are rapid and shallow, heart rate is over 150 beats per minute, and urine output is less than 30 cc/hour, the nurse recognizes that the client is demonstrating which stage of shock?
Compensatory
Refractory
Irreversible
Progressive
Question 15
The nurse would include which interventions in the plan of care for a client with hypothyroidism? Select all that apply.
Provide a cool environment for the client.
Instruct the client to consume a high-fat diet.
Instruct the client about thyroid replacement therapy.
Encourage the client to consume fluids and high-fiber foods in the diet.
Inform the client that iodine preparations will be prescribed to treat the disorder.
Instruct the client to contact the primary health care provider (PHCP) if episodes of chest pain occur.
Question 16
The nurse is caring for a client who just returned from the recovery room after undergoing abdominal surgery. The nurse would monitor for which early sign of hypovolemic shock?
Sleepiness
Increased Pulse Rate
Increased Depth of Respirations
Increased Orientation to Surroundings
Question 17
The nurse is planning care for a client experiencing dystocia determines that the priority is which action?
Position changes and providing comfort measures
Explanations to the client about what is happening
Monitoring for changes in the condition of the birthing parent and fetus
Encouraging the use of breathing techniques learned in childbirth preparation classes
Question 18
The nurse is assigned to care for four clients. In planning the client's rounds, which client would the nurse assess first?
A postoperative client preparing for discharge with new medication
A client requiring daily dressing changes of a recent surgical incision
A client scheduled for a Chest X-ray after the insertion of a nasogastric tube
A client with asthma who requested a breathing treatment during the previous shift
Question 19
The nurse employed in an ER is assigned to triage clients coming to the emergency department for treatment on the evening shift. The nurse would assign priority to which patient?
A client complaining of muscle aches, a headache, and a history of seizures
A client who twisted their ankle when rollerblading and is requesting medication for pain
A client with a minor laceration on the index finger sustained while cutting an eggplant
A client with chest pain states that they just ate pizza that was made with very spicy sauce
Question 20
In which stage of HIV does the CD4 level drop below 200
Stage 3
Stage 2
Stage 1
Stage 4
Question 21
In a patient with a recent intra-abdominal injury, has pain in the left shoulder. The nurse knows the patient is probably suffering for an Injury to the…
Spleen
Kidney
Liver
Lung
Question 22
A client with a chest injury has suffered from a flail chest. Which of the following signs is most indicative of this injury?
Dyspnea, Especially on Exhalation
Paradoxical Chest Movement
Cyanosis around the Lips
Hypotension and Slowed HR
Question 23
Patients with renal failure would most likely have problems with which pharmacokinetic process?
Excretion
Absorption
Metabolism
Distribution
Question 24
Which of the following represents Atrial Depolarization?
Q Wave
R Wave
P Wave
T Wave
Question 25
Which of the following represents Ventricular Repolarization?
P Wave
Q Wave
U Wave
T Wave
Question 26
Which of the following represents Ventricular Depolarization?
QRS Complex
QT Interval
ST Segment
P Wave
Question 27
Which of the following are most likely to be noted in the nurses notes when documenting signs of Phlebitis in a patients IV? Select all that apply.
Edema around the IV site
Cool to touch
Warm to touch
Pain at IV sites
Vein appears inflamed
Question 28
Which of the following diseases require airborne precautions?
Chicken Pox
Rubella
Pertussis
Influenza
Question 29
A client in the ED with a diagnosis of Severe Acute Respiratory Syndrome (SARS) is about to be transferred into an isolation room. Which of the following actions should the nurse do FIRST before beginning the transfer?
Put on gown, goggles, N95 mask and gloves on the client
Place a surgical mask on the client
Place airborne precaution equipment inside the room
Caution the people in the hall that the nurse is transporting a client with SARS
Question 30
The nurse is caring for a 36-year-old gravida with severe preeclampsia. Which of the following safety interventions must be implemented? Select all that apply.
Ensure the client is receiving a minimum of 200 mL/hr. of fluids
Ensure seizure precautions are in place
Ensure unit has supply of magnesium sulfate and calcium gluconate
Ensure the client stays at home and monitors blood pressure and urinary protein daily
Ensure a quiet and non-stimulating hospital room environment