EXIT EXAM PRACTICE Qs #1

pt has GERD + Rx ranitidine. which statement by pt indicates understanding of teaching?

nurse collecting data from an adolescent pt during physical exam. which statement by pt is nurse's priority?

pt has pulmonary tuberculosis. which isolation precaution should nurse include?

community health nurse assisting in developing pamphlet about choking hazards for toddlers. which food to include?

pt has a leg cast from 2 days ago. pt's foot is pale w/ weak pedal pulse. pt reports foot numbness. which action?

pt is in 3rd trimester of pregnancy + has ankle edema. which intervention should nurse include in plan of care?

nurse reinforcing discharge teaching with pt w/ COPD + reports maintaining adequate nutrition. which instruction?

pt just gave birth to her first child. baby is crying + she states "i cant seem to do anything right" nursing resposne?

pt has ascites d/t cirrhosis. which intervention should nurse recommend in plan?

mental health nurse caring for group of clients. which pt should nurse see first?

pt has delirium. which intervention should nurse recommend in plan of care?

nurse assisting in the care of pt w fractured femur + in buck's traction, which action to take?

nurse reinforcing teaching about intermittent cath to measure residual urine. which info should nurse include?

nurse administering pancreatic enzymes to pt w/ cystic fibrosis. which outcome is an expected therapeutic effect?

pt reports pain + Rx for ketorolac 15mg IM Q5hr PRN. pt's BP 114/55. which action should nurse take?

pt w/ paranoid schizophrenia + believes that she's being followed by FBI + pretending to be psych staff. which response?

nurse placing a dressing over a stage 1 pressure ulcer on pt's heel. which type of wound dressing should nurse use?

nurse assisting care for pt w/ increased intracranial pressure following closed head injury. which action to take?

a pt is having xanthelasma when they show their eyes are closed with a nodule on their eyelid

nurse collecting data for pt w/ hx of HTN. which finding should be reported immediately?

pt is 18 weeks of gestation + has hx of mild HTN. which finding should nurse instruct pt to monitor + report?

which behaviors by a preschooler indicates that they are ready to cooperate when nurse is collecting data? (sata)

nurse reinforcing d/c teaching to pt dx w/ tuberculosis. which instructions to include?

which lab test is most accurate of blood glucose effective management?

pt is on seizure precautions. which materials should AP place in pt's room?

pt recently dx w/ terminal illness. which is an indication of hopelessness?

nurse reinforcing teaching w/ pt undergoing radiation therapy to the neck. which instruction should nurse include?

pt suddenly develops chest pain + dyspnea. which action should nurse take first?

charge nurse is developing a performance improvement plan for an AP. which action should nurse take? (sata)

nurse reinforcing teaching w/ pt about breastfeeding who gave birth 2 days ago. which info should be included?

nurse reinforcing discharge teaching w/ faculty of pt w/ dependent personality disorder. which instruction included?

pt is 34 weeks gestation. which finding should nurse report to the provider?

community health nurse is assisting in developing a brochure about HTN. which action should nurse take?

nurse reinforcing teaching about cigarette smoking w/ pt. which a/e should nurse include in teaching?

pt has new Rx digoxin. which instruction should be including in teaching?

pt w/ terminal cancer declined tx. nurse attempts to convince pt + discusses this w/ charge nurse. which action to take?

pt has vancomycin-resistant enterococcus of the urine. which precaution should the nurse implement?

nurse reinforcing discharge teaching w/ pt who had right total hip arthroplasty. which instruction indicated?

nurse can medicate a pt against their will, w/o a court hearing, in which of the following situations?

which situation should charge nurse identify as appropriate with whom to share pt information?

pt is 37 weeks of gestation + undergoing nonstress test. which action should nurse take?

charge nurse on mental health unit supervising new nurse. which action by new nurse should be intervened?

pt is 4 hr post-op following a hemicolectomy. which finding is nurse's priority?

nurse reinforcing dietary teaching w/ pt w/ hyperemesis gravidarum. which instruction to include?

pt requires continuous O2 saturation monitoring. which factor can affect validity of readings?

nurse using a glucometer to measure pt's capillary blood glucose level. which action should nurse take?

which OTC medication interacts adversely w/ clopidogrel?

pt has impaired mobility + is at risk for falls. which fall precaution should nurse plan to implement?

pt Rx antibiotic + tells nurse that he always experiences diarrhea when he takes them. which food choice to recommend?

nurse contributing to plan of care for pt w/ dysphagia. which intervention should be included?