275 Exit Exam PN Questions with 100%
Correct Answers 2022
1. A nurse is reviewing information about advance directives with a newly admitted
client.
Which of the following statements by the client indicates an unde
...
275 Exit Exam PN Questions with 100%
Correct Answers 2022
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 >>>>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 >>>>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 >>>>➢ 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 endstage heart
failure. Which of the following statements by the client indicates an understanding of the
teaching? >>>>"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? >>>>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 >>>>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 >>>>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. >>>>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 >>>>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. >>>>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
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