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UTAH VALLEY UNIVERSITY EXIT EXAM QUESTIONS, Exams of Nursing

Utah Valley University (UVU)Nursing

⦁ A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the following findings should the nurse report to the provider? ⦁ WBC count 8,000/mm3. ⦁ Platelets 150,000/mm3. ⦁ Aspartate aminotransferase 10 units/L. ⦁ E rythrocyte sedimentation rate 75 mm/hr

Typology: Exams

2022/2023

Available from 08/21/2023

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UTAH VALLEY UNIVERSITY
EXIT EXAM QUESTIONS
• A nurse is reviewing the laboratory results of a client who has
rheumatoid arthritis. Which of the following findings should the nurse
report to the provider?
• WBC count 8,000/mm3.
• Platelets 150,000/mm3.
• Aspartate aminotransferase 10 units/L.
• E rythrocyte sedimentation rate 75 mm/hr
• A nurse is caring for a client who has generalized petechiae and
ecchymoses. The nurse should expect a prescription for which of the
following laboratory tests?
• Platelet count.
• Potassium level.
• Creatine clearance.
• Prealbumin.
• A nurse is caring for a client following application of a cast. Which of the
following actions should the nurse take first?
• Place an ice pack over the cast.
• P alpate the pulse distal to the cast.
• Teach the client to keep the cast clean and dry.
• Position the casted extremity on a pillow.
• A nurse is caring for a client who has vision loss. Which of the following
actions should the nurse take? (Select all that apply)
• Keep objects in the
client’s room in the same
place.
• Ensure there is high-wattage
lighting in the client’s room.
C . Approach the client from the side.
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UTAH VALLEY UNIVERSITY

EXIT EXAM QUESTIONS

  • A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the following findings should the nurse report to the provider?
  • WBC count 8,000/mm3.
  • Platelets 150,000/mm3.
  • Aspartate aminotransferase 10 units/L.
  • E rythrocyte sedimentation rate 75 mm/hr
  • A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expect a prescription for which of the following laboratory tests?
  • Platelet count.
  • Potassium level.
  • Creatine clearance.
  • Prealbumin.
  • A nurse is caring for a client following application of a cast. Which of the following actions should the nurse take first?
  • Place an ice pack over the cast.
  • P alpate the pulse distal to the cast.
  • Teach the client to keep the cast clean and dry.
  • Position the casted extremity on a pillow.
    • A nurse is caring for a client who has vision loss. Which of the following actions should the nurse take? (Select all that apply)
  • Keep objects in the client’s room in the same place.
  • Ensure there is high-wattage lighting in the client’s room. C. Approach the client from the side.

D. Allow extra time for the client to perform tasks. E. Touch the client gently to announce presence.

  • A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions about the disease. To research the nurse should identify that which of the following electronic database has the most comprehensive collection of nursing (Unable to read) articles?
  • MEDLINE
  • C INAHL.
  • ProQuest.
  • Health Source.
  • A nurse in an emergency department is assessing newly admitted client who is experiencing drooling and hoarseness following a burn injury. Which of the following should actions should the nurse take first?
  • Obtain a baseline ECG.
  • Obtain a blood specimen for ABG analysis.
  • Insert an 18-gauge IV catheter.
  • A dminister 100% humidified oxygen.
  • A nurse is planning care for a client who has unilateral paralysis and dysphagia following a right hemispheric stroke. Which of the following interventions should the nurse include in the plan?
  • Place food on the left side of the client’s mouth when he is ready to eat.
  • Provide total care in performing the client’s ADLs.
  • Maintain the client on bed rest.
  • P lace the client’s left arm on a pillow while he is sitting.
  • A nurse is caring for a client who is in a seclusion room following violent behavior. The client continues to display aggressive behavior. Which of the following actions should the nurse take?
  • Place the cap from the solution sterile side up on clean surface
  • Open the outermost flap of the sterile kit toward the body→ flap AWAY from the body's first
  • Place the sterile dressing within 1.25 cm (0.5in) of the edge of the sterile field → 2.5 cm (1-inch) border around any sterile drape or wrap that is considered contaminated.
  • Set up the sterile field 5 cm (2 in) below waist level→ it says BELOW waist level; should be ABOVE waist level
  • 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?
  • Eat a light snack before bedtime
  • Stay in bed at least 1 hr if unable to fall asleep
  • Take a 1 hr nap during the day
  • Perform exercises prior to bedtime
  • A home health nurse is preparing for an initial visit with an older adult client who lives alone. Which of the following actions should the nurse take first?
  • Educate the client about current medical diagnosis
  • Refer the client to a meal delivery program
  • Identify environmental hazards in the home
  • Arrange for client transportation to follow-up appointments Rationale Priority: Assess first.
  • A nurse is assessing the remote memory of an older adult client who has mild dementia. Which of the following questions should the nurse ask the client?
  • “Can you tell me who visited you today?”
  • “What high school did you graduate from
  • “Can you list your current medications?”
  • “What did you have for breakfast yesterday?”
  • A nurse is providing teaching to an adolescent who has type 1 diabetes mellitus. Which of the following goals should the nurse include in the teaching
  • HbA1c level greater than 8%- 6.5 - 8 is the target reference. >
  • Blood glucose level greater than 200 mg/dL at bedtime
  • Blood glucose level less than 60 mg/dL before breakfast- < 70 = HYPOGLYCEMIC d. HbA1c level less than 7%
  • A nurse is caring for a client who is receiving phenytoin for management of grand mal seizures and has a new prescription for isoniazid and rifampin. Which of the following should the nurse conclude if the client develops ataxia and incoordination?
    • The client is experiencing an adverse reaction to rifampin
    • The client’s seizure disorder is no longer under control - The client is showing evidence of phenytoin toxicity c. The client is having adverse effects due to combination antimicrobial therapy
  • A nurse is caring for a client who is 1 hr postoperative following rhinoplasty. Which of the following manifestations requires immediate action by the nurse?
    • Increase in frequency of swallowing→ may indicate bleeding
    • Moderate sanguineous drainage on the drip pad
    • Bruising to the face→ side effect
    • Absent gag reflex→ possibly due to anesthesia given. (1 hour postoperative) Rationale “Requires immediate action” choose the worst possibility that could lead to. ABC
  • A nurse is planning care for a preschool-age child who is in the acute phase Kawasaki disease. Which of the following interventions should the nurse include in the plan of care? a. Give scheduled doses of acetaminophen every 6 hr b. Monitor the child’s cardiac status
    • Administer antibiotics via intermittent IV bolus for 24 hr
    • Provide stimulation with children of the same age in the playroom
  • A nurse is planning an educational program for high school students about cigarette smoking. Which of the following potential consequences of smoking is most likely to discourage adolescents from using tobacco?
    • Use of tobacco might lead to alcohol and drug abuse
    • Smoking in adolescence increases the risk of developing lung cancer later in life
    • Use of tobacco decreases the level of athletic ability
    • Smoking in adolescence increases the risk of lifelong addiction

the nurse make?

  • “Describe your feelings to me about being pregnant”
  • “You should discuss your feelings about being pregnant with your provider”
  • “Have you discussed these feelings with your partner?”
  • “When did you start having these feelings?”
  • A nurse is planning care for a client who has a prescription for a bowel- training program following a spinal cord injury. Which of the following actions should the nurse include in the plan of care?
  • Encourage a maximum fluid intake of 1,500 ml per day.
  • Increase the amount of refined grains in the client’s diet.
  • Provide the client with a cold drink prior to defecation.
  • Administer a rectal suppository 30 minutes prior to scheduled defecation times.
  • A nurse is performing physical therapy for a client who has Parkinson’s disease. Which of the following statements by the client indicates the need for a referral to physical therapy?
  • “I have been experiencing more tremors in my left arm than before”
  • “I noticed that I am having a harder time holding on to my toothbrush”
  • “ Lately, I feel like my feet are freezing up, as they are stuck to the ground”
  • “Sometimes, I feel I am making a chewing motion when I’m not eating”
  • A nurse is reviewing laboratory data for a client who has chronic kidney disease. Which of the following findings should the nurse expect?
  • Increased creatine.
  • Increased hemoglobin.
  • Increased bicarbonate.
  • Increased calcium.
  • A nurse is administering a scheduled medication to a client. The client reports that the medication appears different than what they take at home. Which of the following responses should the nurse take?
  • “Did the doctor discuss with you that there was a change in this medication?”
  • “I recommend that you take this medication as prescribed”
  • “Do you know why this medication is being prescribed to you?”
  • “ I will call the pharmacist now to check on this medication”
  • A charge nurse is recommending postpartum client discharge following a local disaster. Which of the following should the nurse recommend for discharge?
  • A 42-year-old client who has preeclampsia and a BP of 166/110 mm Hg.
  • A 15-year-old client who delivered via emergency cesarean birth 1 day ago.
  • A client who received 2 units of packed RBCs 6 hr. ago for a postpartum hemorrhage.
  • A client who delivered precipitously 36 hr. ago and has a second-degree perineal laceration.
  • A nurse in a provider’s office is reviewing the laboratory results of a group of clients. Which to report? - Herpes simplex.
  • Human papillomavirus
  • Candidiasis
  • C hlamydia
  • A nurse is providing discharge teaching for a group of clients. The nurse should recommend a referral to a dietitian
  • A client who has a prescription for warfarin and states “I will need to limit how much spinach I eat”.
  • A client who has gout and states, “I can continue to eat anchovies on my pizza.”
  • A client who has a prescription for spironolactone and states “I will reduce my intake of foods that contain potassium”.
  • A client who has (Unable to read) and states “I’ll plan to take my calcium carbonate with a full glass of water”.
  • A nurse is preparing to measure a temperature of an infant. Which of the following action should the nurse take? A. Place the tip of the thermometer under the center of the infant’s axilla. B. Pull the pinna of the infant’s ear forward before inserting the probe. B. Insert the probe 3.8 cm (1.5in) into the infant’s rectum.

p a m C. C o l c h i c i n D. Codeine.

  • A nurse is caring for a client who is to receive a transfusion of packed RBCs. Which of the following actions should the nurse take? A. Prime IV tubing with 0.9% sodium chloride.
  • Use a 24-gauge IV catheter
  • Obtain filter less IV tubing.
  • Place blood in the warmer for 1 hr.
  • A nurse is caring for a toddler who has acute lymphocytic leukemia. In which of the following should the toddler participate?
  • Looking at alphabet flashcards.
  • P laying with a large plastic truck.
  • Use scissors cut out paper shapes.
  • Watching a cartoon in the dayroom.
  • A nurse is caring for a client who has chronic pancreatitis. Which of the following

dietary recommendations should the nurse make?

  • Coffee with creamer.
  • Lettuce with sliced avocados.
  • B roiled skinless chicken breast with brown rice.
  • Warm toast with margarine.
  • A nurse is caring for a client who is in active labor and requests pain management. Which of the following actions should the nurse take? - Administer ondansetron. - Place the client in a warm shower. - Apply fundal pressure during contractions. - Assist the client to a supine position.
  • A nurse in an emergency department is performing triage for multiple clients following a disaster in the community. To which of the following types of injuries should the nurse assign the highest priority? - Below-the knee amputation - Fractured tibia - 95% full-thickness body burn - 10cm (4in) laceration to the forearm
  • A nurse manager is updating protocols for the use of belt restraints. Which of the following guidelines should the nurse include? - Remove the client’s restraint every 4hr - Document the client’s condition every 15 min - Attach the restrain to the bed’s side rails - Request a PRN restrain prescription for clients who are aggressive
  • A nurse is teaching an in-service about nursing leadership. Which of the following information should the nurse include about an effective leader? - Acts as an advocate for the nursing unit. - (Unable to read) for the unit - Priorities staff request over client needs. - Provides routine client care and documentation.
  • A nurse is reviewing the laboratory findings of a client who has diabetes mellitus and reports that she has been following her (unable to read) care. The nurse should identify which of the following findings indicates a need to revise the client’s plan of care.

following responses by the nurse is appropriate? (SATA)

  • Hospice will take good care of your mom, so I wouldn’t worry about that. D. Tell her not to worry. She still has plenty of time left.
  • A nurse is reviewing the medical records of four clients. The nurse should identify that which of the following client findings follow up care?
  • A client who is taking bumetanide and has potassium level of 3.6 mEq/L (normal)
  • A client who is scheduled for colonoscopy and taking sodium phosphate d. A client who is taking warfarin and has INR of 1.8 (normal if taking warfarin)
  • A community health nurse receives a referral for a family home visit. Which of the following tasks should the nurse perform first?
  • Implement the nursing process
  • Schedule a time for the home visit
  • Contact the family by phone
  • A nurse is caring for a client who will undergo a procedure. The client states he does not want the provider to discuss the results with his partner. Which of the following is an appropriate response for the nurse to make?
  • Your partner can be a great source of support for you at this time
  • Is there a reason you don’t want your partner to know about your procedure?
  • The provider will be tactful when talking to your partner
  • A nurse is discussing a weight loss with a client who is concerned about losing 6.8 kg (15lb) from an original weight of 9o.7 (200 lb). The nurse should identify the weight of the following total percentage? b. 15% c. 8.1% d. 13.3%
  • A nurse is caring for a client who is 4 hr postpartum and reports that she cannot urinate. Which of the following interventions should the nurse implement? a. Perform fundal massage (massage if fundus is boggy)
  • Insert an indwelling urinary catheter.
  • Apply cold therapy to the client’s perineal area.( warm)
  • A nurse is providing discharge teaching to a client who has cancer and a prescription for a fentanyl 25 mcg /hr transdermal patch. Which of the following instructions should the nurse include in the teaching?
  • Apply patch to your forearm
  • Avoid high-fiber foods while taking this medication
  • Remove the patch for 8 hours every day to reduce the risk for tolerance.
  • A nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship. Which of the following statements should the nurse make during this phase?
  • We should discuss resources to implement in your daily life
  • Let me show you simple relaxation exercises to manage stress.
  • Let’s talk about how you can change your response to stress
  • A nurse is providing discharge teaching to a client who has a new prescription for phenelzine. The nurse should instruct the client that it is safe to eat which of the following foods while taking this medication? a. Avocados
  • Pepperoni pizza
  • Smoked salmon
  • A nurse is receiving a change-of-shift report for an adult female client who is postoperative. Which of the following client information should the nurse report?
  • (Unable to read)
  • (Unable to read)
  • A nswer might be lower platelets.
  • (Unable to read)
  • A nurse manager is developing a protocol for an urgent care clinic that often cares for clients who do not speak the same language as clinical staff. Which of the following instructions should the nurse include?
  • Use the client’s children to provide interpretation.
  • ( Answer was the nurse was going to do the interpretation)

Which of the following information should the nurse include?

  • Critical pathways have unlimited timeframe for completion
  • (Unable to read) decrease health care costs.
  • (Unable to read) critical pathway if variances (Unable to read)
  • (Unable to read) are used to create the critical pathway.
  • A nurse is reviewing the medical record of a client who has schizophrenia. Which of the following should the nurse report to the provider? Exhibit 1 Blood pressure: 102/56 mm Hg. Heart rate: 95/min Respiratory rate: 18/min Temperature: 37.4C (99.3F) Exhibit 2 Medication Administration Record Clozapine 150 mg PO twice daily Benztropine 0.5 mg PO twice daily as needed for tremors. Exhibit 3 Nurse’s notes: Client reports feeling dizzy when changing positions, Reports weight gain of 1kg (2.2 lb.) in the past month. Also reports a sore throat for the past 3 days and dry mouth. Client ate 75% of breakfast and reports slightly nauseous.
  • Dietary intake
  • Heart rate.
  • Sore throat.
  • Blood pressure.
  • A charge nurse is educating a group of unit nurses about delegating client tasks to assistive personnel
  • “The nurse is legally responsible for the actions of the AP”.
  • “An AP can perform tasks outside of his range if he has been trained”.
  • “An experienced AP can delegate to another AP”.
  • “An RN evaluates the client needs to determine tasks to delegate”
  • A nurse is assessing a client who is in active labor. Which of the

following findings should the nurse report to the provider?

  • Contractions lasting 80 seconds B. FHR baseline 170/min C. Early decelerations in the FHR D. Temperature 37.4C (99.3)
  • A nurse working in a rehabilitation facility is developing a discharge plan for a client who has left-sided hemiplegia the following actions is the nurse’s priority?
  • Consult with a case manager about insurance coverage.
  • Counsel caregivers about respite care options.
  • Ensure that the client has a referral for physical therapy.
  • Refer the client to a local stroke support group.
  • A nurse in a mental health unit is planning room assignments for four clients. Which of the following client should be closest to the nurse’s station?
  • A client who has an anxiety disorder and is experiencing moderate anxiety.
  • A client who has somatic symptom disorder and reports chronic pain.
  • A client who has depressive disorder and reports feeling hopeless.
  • A client who has bipolar disorder and impaired social interactions.
  • A nurse is preparing to measure a temperature of an infant. Which of the following action should the nurse take?
  • Place the tip of the thermometer under the center of the infant’s axilla.
  • Pull the pinna of the infant’s ear forward before inserting the probe.
  • Insert the probe 3.8 cm (1.5in) into the infant’s rectum.
  • Insert the thermometer in front of the infant’s tongue.
  • A nurse is planning care for a client who has bipolar disorder and is experiencing mania. Which of the following interventions should the nurse include in the plan?
  • Encourage the client to spend time in the day room
  • Withdraw the client’s TV privileges is the does not attend group therapy
  • Encourage the client to take frequent rest periods
  • Place the cline in seclusion when he exhibits signs of anxiety
  • A nurse is admitting medications to a group of clients.

following conditions in the client’s history is a contradiction to the use of oral contraceptives?

  • Hyperthyroidism.
  • Thrombophlebitis.
  • Diverticulosis.
  • Hypocalcemia.
  • A nurse is admitting a client who has schizophrenia and experiences auditory hallucinations. The client states, “It’s hard not to listen to the voices.” Which of the following questions should the nurse ask the client?
  • “Do you understand that the voices are not real?”
  • “Why do you think the voices are talking to you?”
  • “Have you tried going to a private place when this occurs?”
  • “What helps you ignore what you are hearing?”
  • A charge nurse is teaching a group of newly licensed nurses about the correct use of restraints. Which of the following should the nurse include in the teaching?
  • Placing a belt restraint on a school-age child who has seizures.
  • Securing wrist restraints to the bed rails for an adolescent.
  • Applying elbow immobilizers of an infant receiving cleft lip injury
  • Keeping the side rails of a toddler’s crib elevated.
  • A nurse is preparing to mix NPH and regular insulin in the same syringe. Which of the following
  • Inject air into the NPH insulin vial.
  • (Unable to read)
  • Withdraw the prescribed dose of regular insulin
  • Withdraw the prescribed dose of NPH insulin
  • A Nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship. Which of the following statements should the nurse make during this phase? a. “Let’s talk about how you can change your response to stress.” B. “We should establish our roles in the initial session.” C. “Let me show you simple relaxation exercises to manage stress.” D. “We should discuss resources to implement in your daily life.”
  • A nurse is caring for a client who is 4 hr postpartum and reports that she cannot urinate. Which of the following interventions should the nurse implement?

a. Perform fundal massage ( massage if fundus is boggy)

  • Insert an indwelling urinary catheter.
  • Apply cold therapy to the client’s perineal area.( warm)
  • A nurse is providing discharge teaching to a client who has cancer and a prescription for a fentanyl 25 mcg /hr transdermal patch. Which of the following instructions should the nurse include in the teaching?
  • Apply patch to your forearm
  • Avoid high-fiber foods while taking this medication
  • Remove the patch for 8 hours every day to reduce the risk for tolerance.
  • A nurse working on a surgical unit is developing a care plan for a client who has paraplegia. The client has an area of non-blanchable erythema over his ischium. Which of the following interventions should the nurse include in the care plan?
  • Place the client upright on a donut-shaped cushion
  • Assess pressure points every 24 hr.- must assess
  • Turn and reposition the client every 3 hrs. while in bed. - must be q 2 hours in bed, 1 hour in chair.
  • A nurse is working with a client who has an anxiety disorder and is in the orientation phase of the therapeutic relationship. Which of the following statements should the nurse make during this phase?
  • We should discuss resources to implement in your daily life
  • Let me show you simple relaxation exercises to manage stress.
  • Let’s talk about how you can change your response to stress
  • A nurse is providing discharge teaching to a client who has a new prescription for phenelzine. The nurse should instruct the client that it is safe to eat which of the following foods while taking this medication? a. Avocados
  • Pepperoni pizza
  • Smoked salmon
  • A nurse is caring for a client who is experiencing mild anxiety. Which of the following findings should the nurse expect?
  • Feelings of dread
  • Purposeless activity