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RN Comp Test Questions And Answers
A nurse is interviewing a client who is now without a home due to a natural disaster. After ensuring the client's safety, which of the following actions should the nurse take first? - Correct Answer ✔️ ✔️ Determine the client's perception of the personal impact of the crisis A nurse is preparing to administer an IM injection to a client who is obese. Which of the following actions should the nurse plan to take? - Correct Answer ✔️ ✔️ Use the ventrogluteal site
A nurse is preparing to transfer a client who has had a stroke to a rehabilitation facility. the client's family tells the nurse they are concerned about the level of care the client will receive. Which of the following actions should the nurse take?
- Correct Answer ✔️ ✔️ Facilitate an interdisciplinary conference at the new facility for the family. A nurse is preparing a client for a paracentesis. Which of the following actions should the nurse take? - Correct Answer ✔️ ✔️ Instruct the client to void
A nurse is working on a med-surge unit receives a telephone call requesting the status of a client for an individual who identifies themselves as the client's guardian. Which of the following actions should the nurse take? - Correct Answer ✔️ ✔️ Ask the caller for verification of their identity A nurse manager is reviewing clients' rights with the nurses on the unit. The nurse manager should tell the nurses that informed consent promotes which of the following ethical principles? - Correct Answer ✔️ ✔️ Autonomy
A nurse is caring for a client who states, "My boss accused me of stealing yesterday. I was so angry I went to the gym and worked out." The nurse should recognize the client is demonstrating which of the following defense mechanisms? - Correct Answer ✔️ ✔️ Sublimation
A nurse in a mental health clinic is assessing a client who has a history of seeking counseling for relationship problems. The client shows the nurse multiple superficial self-inflicted lacerations on their forearms. The nurse should identify these behaviors as characteristics of which of the following personality disorders?
- Correct Answer ✔️ ✔️ Borderline
A nurse in a provider's office is caring for a client.
Respiratory rate 20/min Oxygen saturation 92% on room air - Correct Answer ✔️ ✔️ Which assessment findings to report to provider... Frequency Urgency Dysuria A nurse in a provider's office is caring for a client. Exhibit 1: Nurses' Notes Day 1, 0900: Client is 65-year-old who reports pain and burning on urination. Client states, "I am having trouble making it to the bathroom on time and I'm up throughout the night needing to urinate." Client alert and oriented to person, place, and time. Bilateral breath sounds clear. Respirations even and unlabored.
S3 auscultated. Lower extremity edema +1. Radial and pedal pulses +2.Bowel sounds normoactive. Client reports no nausea or vomiting. Client has a history of type 2 diabetes mellitus, hypertension, and COPD.
Exhibit 2: Vital Signs 0900: Temperature 37.2° C (99° F) Heart rate 88/min Blood pressure 142/88 mm Hg Respiratory rate 20/min Oxygen saturation 92% on room air - Correct Answer ✔️ ✔️ 4 prescriptions the nurse should anticipate
- Collect urine specimen for culture
- Educate client on new prescription of sulfamethoxazole/trimethoprim
- Educate client on new prescription for phenazopyridine
Glucose: None (None) Ketones: None (None) Bilirubin: None (None) Blood: Trace (None) Nitrite: Positive (negative) Leukocyte esterase: Positive (Negative) RBC: 18 (less than 2) WBC: 30 (0 to 4) Urine culture: pending
Exhibit 3: Nurses' Notes Day 1, 0900: Client is 65-year-old who reports pain and burning on urination. Client states, "I am having trouble making it to the bathroom on time and I'm up throughout the night needing to urinate."
Client alert and oriented to person - Correct Answer ✔️ ✔️ The client is at highest risk for developing PYELONEPHRITIS, as evidenced by the client's URINALYSIS RESULTS A nurse in a provider's office is caring for a client. Exhibit 1: Nurses' Notes Day 1, 0900: Client is 65-year-old who reports pain and burning on urination. Client states, "I am having trouble making it to the bathroom on time and I'm up throughout the night needing to urinate." Client alert and oriented to person, place, and time.Bilateral breath sounds clear. Respirations even and unlabored.S3 auscultated. Lower extremity edema +1. Radial and pedal pulses +2.Bowel sounds normoactive. Client reports no nausea or vomiting. Client has a history of type 2 diabetes mellitus, hypertension, and COPD.
Exhibit 2: Vital Signs
Client is 65-year-old who reports pain and burning on urination. Client states, "I am having trouble making it to the bathroom on time and I'm up throughout the night needing to urinate." Client alert and oriented x 3. Bilateral breath sounds clear. Respirations even and unlabored. S3 auscultated. Lower extremity edema +1. Radial and pedal pulses +2. Bowel sounds normoactive. Client reports no nausea or vomiting. Client has a history of type 2 diabetes mellitus, hypertension, and COPD. 3 days later, 0900: Client returns to office due to orange-colored urine and diarrhea. Client reports drinking a minimum of 3 L of fluids daily as instructed and states, "I'm still going to the bathroom a lot, and I noticed that I am bruising more easily."
Exhibit 2: Vital Signs: Day 1, 0900:
Temperature 37.2° C (99° F) Heart rate 88/min B - Correct Answer ✔️ ✔️ UTI is improving...
Specific Gravity pH WBC A nurse is performing an admission assessment on a client who has a recent positive pregnancy test. The first day of their last menstrual period (LMP) was May 8. According to Naegele's rule, which of the following dates should the nurse document as the client's estimated date of birth (EDB)? - Correct Answer ✔️ ✔️ February 15
Naegele's rule Add 7 days to 1st day of menstrual period, Subtract 3 months
Correct Answer ✔️ ✔️ Use a protective cover on the scale when weighing the infant. A nurse is providing teaching to a client who has a new diagnosis of type 1 DM. The nurse should instruct the client to monitor for which of the following findings as a manifestation of hypoglycemia? - Correct Answer ✔️ ✔️ Irritability A nurse is assessing a school-age child who has bacterial meningitis. Which of the following findings should the nurse expect? - Correct Answer ✔️ ✔️ Nuchal rigidity A school nurse is notified of an emergency in which several children were injured following the collapse of playground equipment. Upon arrival at the playground, which of the following actions should the nurse take first? - Correct Answer ✔️ ✔️ Survey the scene for potential hazards to staff and children. A nurse manager is preparing an educational session for nursing staff about how to provide cost-effective care. Which of the following methods should the nurse include in the teaching? - Correct Answer ✔️ ✔️ Delegate non-nursing tasks to ancillary staff
A nurse is an ED is preparing to discharge a client who has experienced intimate partner violence. Which of the following actions should the nurse take first? - Correct Answer ✔️ ✔️ Develop a safety plan with the client
A nurse is assessing a client who has major depressive disorder and is take Amitriptyline. Which of the following findings should the nurse identify as an adverse effect of the medication? - Correct Answer ✔️ ✔️ Blurred vision
A nurse in an ED is caring for a client who is at 9 weeks of gestation and reports nausea and vomiting for the past 2 days. Which of the following findings should the nurse expect? - Correct Answer ✔️ ✔️ Urine Specific Gravity 1. A nurse is conducting group therapy with clients who has breast cancer. The nurse should recognize which of the following statements by the client as an example of altruism? - Correct Answer ✔️ ✔️ "I told my doctor that I would like to start a support group for the other people who has sick in my community." A nurse is providing teaching for a client who has a fracture of the right fibula with a short-leg cast in place and a new prescription for crutches. The client is non- weight-bearing for 6 weeks. Which of the following instructions should the nurse include in the teaching? - Correct Answer ✔️ ✔️ Use a 3-point gait.
identify as the priority? - Correct Answer ✔️ ✔️ Initiate transmission-based precautions. A nurse is providing teaching about lithium to a client who has bipolar disorder. Which of the following statements should the nurse include in the teaching? - Correct Answer ✔️ ✔️ "Notify your provider if you experience increased thirst." A nurse is assessing a client who is receiving a blood transfusion. Which of the following findings should indicate to the nurse that this client is having a hemolytic transfusion reaction? - Correct Answer ✔️ ✔️ Low back pain A nurse working in a long-term care facility is assessing an adult client. Which of the following findings places the client at risk for the development of a pressure injury? - Correct Answer ✔️ ✔️ Recent wt loss
When caring for a child, a nurse plans to use nonpharmacological interventions to enhance the effectiveness of pain medication. Which of the following strategies incorporates visualization techniques to help decrease the child's discomfort? - Correct Answer ✔️ ✔️ Blowing bubbles with liquid soap to "blow the hurt away"
A nurse manager is planning to make changes to the current scheduling system on the unit. To facility the staff's acceptance of this change, which of the following actions should the nurse manager take first? - Correct Answer ✔️ ✔️ Provide information about scheduling issues to the staff. A nurse is assessing a client who has antisocial personality disorder. Which of the following manifestations should the nurse expect? - Correct Answer ✔️ ✔️ Lack of remorse A nurse is preparing to initiate IV access for an older adult client. Which of the following sites should the nurse select when initiated the IV for this client? - Correct Answer ✔️ ✔️ Radial vein of the inner arm
A nurse is caring for a client who has a fractured femur and has had a fiberglass leg cylinder cast for 24hr. Which of the following assessment findings should the nurse identify as the priority? - Correct Answer ✔️ ✔️ the client's heel is reddened and tender. A community health nurse is performing triage tagging following a mass casualty incident. On which of the following clients should the nurse place a black tag? -
A nurse is assessing a client who has a chest tube. Which of the following findings should the nurse expect? - Correct Answer ✔️ ✔️ Occlusive dressing on the insertion site A nurse is caring for a toddler who is admitted to the pediatric unit for surgery. Which of the following should the nurse include in the toddler's plan of care? - Correct Answer ✔️ ✔️ Encourage the parents to bring toys from home.
A nurse in an ED is caring for a client who is unconscious and requires emergency medical procedures. The nurse is unable to locate members of the client's family to obtain consent. Which of the following actions should the nurse take? - Correct Answer ✔️ ✔️ Proceed with provision of medical care
A nurse manager is preparing an educational session about advocacy to a group of nurses. The nurse manager should include which of the following information in the teaching? - Correct Answer ✔️ ✔️ Advocacy is a leadership role that helps others to self-actualize. A nurse is caring for a client who has fluid volume overload. Which of the following tasks should the nurse delegate to an assistive personnel? - Correct Answer ✔️ ✔️ Measure the client's daily wt.
A nurse is preparing to administer a blood transfusion to a client. Which of the following procedures should the nurse follow to ensure proper client identification? - Correct Answer ✔️ ✔️ Verify the client and blood product information with another licensed nurse. A nurse is planning care for a client who is receiving hemodialysis via an established arteriovenous (AV) fistula in the right arm. Which of the following interventions should the nurse include in the client's plan of care? - Correct Answer ✔️ ✔️ Auscultate the affected extremity for a bruit. A nurse on a mental health unit is conducting a mental status examination (MSE) on a newly admitted client. Which of the following components of the MSE is the priority for the nurse to assess? - Correct Answer ✔️ ✔️ Ideas of self-harm
A nurse is caring for a client who is in the manic phase of bipolar disorder. Which of the following manifestations should the nurse expect? - Correct Answer ✔️ ✔️ Grandiose delusions
A nurse is teaching about adverse effects with a client who is starting to take captopril. Which of the following findings should the just identify as an adverse
