IDEAL PROFESSIONAL INSTITUTE EXIT EXAM QUESTION

IDEAL PROFESSIONAL INSTITUTE EXIT EXAM QUESTION 1. The nurse is teaching a client about self-examination. The client asks the nurse where masses are most often found. Which response(s) by the nurse are most appropriate? Select all that apply. A.​ In the axilla B.​ Beneath the nipple C. Lower inner quadrant D.​ Upper outer quadrant E. Lower outer quadrant 2. The nurse is assessing a client with herpes zoster. Which characteristic(s) does not the nurse expect to note when assessing the lesions of this infection? Select all that apply. A​ . Clustered skin vesicles B. A generalized body rash C. Small blue-white spots with a red base D. A fiery red edematous rash on the cheeks E.​ Grouped vesicles on an erythematous base. 13. which action should the nurse take to monitor the effects of an acute stressor on a hospitalized patient (Select all that apply)? A. Assess for bradycardia B. Ask about epigastric pain C. Observe for increased appetite D. Check for elevated blood glucose levels E. Monitor for a decrease in respiratory rate 15. The health care provider plans to titrate a patient-controlled analgesia (PCA. Machine to provide pain relief for a patient with acute surgical pain who has never received opioids in the past. Which of the following nursing actions regarding opioid administration are appropriate at this time(select all that apply)? A. Assessing for signs that the patient is becoming addicted to the opioid B. Monitoring for therapeutic and adverse effects of opioid administration C. Emphasizing that the risk of some opioid side effects increases over time D. Educating the patient about how analgesics improve postoperative activity levels. E. Teaching about the need to decrease opioid doses by the second postoperative day18. On the examination the following question will ask to put in order: A patient who has an infected abdominal wound develops a temperature of 104 degree F. ( 40 C. All the following interventions are included in the patient’s plan of care. In which order should the nurse perform the following actions? A. Sponge patient with water. ​ 3 B. Administer intravenous antibiotics. ​ 1 C. Perform wet to dry dressing change.​ 4 D. Administer acetaminophen (Tylenol) ​ 2 29. The nurse that which of the following clients are at risk to develop pneumonia? Select all that apply. A​ . A 16 year old male who has experimented with cigarettes B. A 25 year old female diagnosed with cystic fibrosis C. A 36 year old male diagnosed with Addison’s disease D. A 47 old male diagnosed with hypertension E.​ A 68 year old with a fracture rib due to an auto accident F.​ A 79 year old female in Buck’s traction due to a fractured hip 38. The nurse is developing a discharge-teaching plan for the client diagnosed with congestive heartfailure. Which intervention should be included in the plan? Select all that apply. A. Notify health care provider of more than 1 pound a week B.​ Teach client how to count the radial pulse when taking digoxin, a cardiac glycoside C.​ Instruct client to remove the salt shaker from the dinner table D. Encourage client to monitor urine output for change in color to become dark E. Discuss the importance of taking the loop diuretic Furosemide at bedtime 39. The nurse Is caring diagnosed with myocardial infarction who is experiencing chest pain. Which interventions should the nurse implement? Select all that apply. A. Administer morphine via IV B.​ Administer an aspirin orally C.​ Apply oxygen via nasal cannula D. Place the client in a supine positionE. Administer nitroglycerin subcutaneously 40. Which client teaching should the nurse implement for the client diagnosed with coronary artery disease? Select all that apply. A.​ Encourage a low-fat, low-cholesterol diet B.​ Instruct client to walk 30 minutes a day C. Decrease the salt intake to 2 grams a day D.​ Refer to counselor for stress reduction techniques E.​ Increase fiber in the diet 41.Which signs and symptoms should the nurse assess in any client who has a long term valvular heart disease? Select all that apply. A.​ Paroxysmal nocturnal dyspnea B.​ Orthopnea C​ . Cough D. Pericardial friction rub E. Pulsusparadous 42. The client is in ventricular fibrillation. Which interventions should the nurse implement? Select all that apply. A​ . Start cardiopulmonary resuscitation B. Prepare to administer the antidysrhythmic adenosine IVP C.​ Prepare to defibrillate the client D.​ Bring the crash cart to the bedside E.​ Prepare to administer the antidysrhythmicamiodarone IVP43. The health care provider orders a medication in a dose that us considered toxic. The nurse administers the medication to the client, who later suffers cardiac arrest and dies. What consequence can the nurse expect from this situation? Select all that apply. A.​ The health care provider can be charged with negligence, being the person who ordered the dose B. As the employing agency, only the hospital can be charged with negligence C. The nurse and physician may be terminated from employment to prevent a charge of negligence to the hospital; D. Negligence will not be charged, as this event could happen to any reasonable person E​ . The nurse can be charged with negligence for administering the toxic dose 45. Which action would the nurse take to maintain medical asepsis when caring for a client with diabetes mellitus on the medical nursing unit wh