Answers - Exit exam practice questions

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1. A nurse is caring for a client who is at 33 weeks gestation following an amniocentesis. The nurse should monitor the client for which of the following complications? d. Contractions 2. A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse include? d. Eat a light snack before bedtime 3. A nurse on a telemetry unit is caring for a client who becomes unconscious and whose monitor displays ventricular tachycardia. Which of the following actions should the nurse first take determining the client does not have a palpable pulse? b. Defibrillate 4. A nurse is admitting a client who is one week postpartum and reports excessive vaginal bleeding. The nurse does not speak the same language as the client the client’s partner and 10-year-old child are accompanying her. Which of the following actions should the nurse take to gather the client’s admission data? c. Request a female interpreter through the facility 5. A nurse is caring for a client who is febrile. To reduce the client’s fever, the nurse applies cooling blanket. Which of the following indicates the client is having an adverse rxn to the cooling? d. Shivering 6. A nurse is caring for a client who has deep-vein thrombosis of the left lower extremity. Which of the following actions should the nurse take? (Exhibit) a. Position the client with the affected extremity lower than the heart 7. A nurse is reviewing assessment data from several clients. For which of the following clients should the nurse recommend referral to a dietitian? b. A client who has a nonhealing leg ulcer 8. A nurse is providing discharge teaching to a client who has chronic kidney disease and is receiving hemodialysis. Which of the following instructions should the nurse include in the teaching? a. Eat 1g/kg of protein per day 9. A nurse is caring for a client who is receiving intermittent enteral tube feedings. Which of the following places the client at risk for aspiration? b. History of gastroesophageal reflux disease (GERD) 10. A nurse is providing prenatal teaching to a client who is 12 weeks of gestation. The nurse should tell the client she will undergo which of the following screening test at 16 weeks of gestation? d. Maternal serum alpha-fetoprotein ( performed ideally at 16 to 18 weeks) 11. A nurse is caring for a client who is on bed rest. The nurse should recognize that which of the following findings is a complication of immobility? 1 c. Swollen area on calf 12. A nurse in an acute care mental health facility is participating in a medication- education group. The leader of the group uses laissez-faire leadership style. Which of the following actions should the nurse expect from the leader during the session? c. The leader allows the group to discuss whatever they would like regarding their medications. 13. A nurse is providing teaching about digoxin administration to the parents of a toddler who has heart failure. Which of the following statements should the nurse include in the teaching? d. “Have your child drink a small glass of water after swallowing the medication.” 14. A nurse is providing teaching to a client who has a depressive disorder and a new prescription for phenelzine. Which of the following foods should the nurse instruct the client to avoid? c. Cottage Cheese d. Smoked Salmon

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