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RN Comprehensive Online Practice 2025
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1. A nurse is assessing a client who received 2 units of packed RBCs 48 hr. ago. Which of the following findings should indicate to the nurse that the therapy has been effective? a. Hemoglobin 14.9 g/dl b. WBC count 12000/mm c. Potassium 4.8 mEq/L d. BUN 18 mg/dl 2. A nurse working in an emergency department is triaging four clients. Which of the following clients should the nurse recommend for treatment first? a. An older adult client who reports constipation of 4 days. b. A preschooler who has a skin rash. c. An adolescent who has a closed fracture d. A middle adult client who has unstable vital signs. 3. 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 (AP)? a. Palpate the degree of edema b. Regulate IV pump fluid rate. c. Measure the client’s daily weight. d. Assess the client’s vital sign. 4. A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to a client who has severe oliguria. The client weights 198 lb. What is the amount in grams the nurse should administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) a. 18 G 5. A nurse is conducting a physical examination for an adolescent and is assessing the range of motion of the legs. Which of the following images indicates the adolescent is abducting the hip joint? E. La foto que está parado de frente y solo se ven pies que están separados uno del otro hacia afuera. The image, on the adolescent is abducting the hip joint by moving the leg away from the midline of the body. (imagen with patient facing you with her right leg lifted) answer quizlet (es la imagen con el paciente frente a usted con la pierna derecha levantada).
6. A nurse is caring for a client who has hyperthyroidism. Which of the following findings should the nurse expect? a. Dry, coarse hair b. Bradycardia c. Tremors d. Periorbital edema 7. A nurse is assessing a school-age child who has bacterial meningitis. Which of the following findings should the nurse expect? a. Nuchal rigidity b. Weight gain c. Tinnitus d. Positive Trendelenburg sign. 8. A nurse is assessing a newborn’s heart rate. Which of the following actions should the nurse take? a. Assess the apical pulse is most accurate when the newborn is in a quiet state. The sound of crying obscures the heart sounds. b. Palpate the radial pulse for 30 seconds. c. Listen to the apical pulse while palpating the radial pulse. d. Auscultate the apical pulse at least 1 min. 9. A nurse is preparing to assist with a thoracentesis for a client who has pleurisy. The nurse should plan to perform which of the following actions? a. Administer a bowel preparation the night before the procedure. b. Place the client on bed rest for 24 hr after the procedure. c. Perform pulmonary function tests following the procedure. d. Instruct the client to avoid coughing during the procedure. 10. A nurse in the emergency department is assessing a preschooler who has a facial laceration. The nurse should identify which of the following findings as a potential indication of child sexual abuse? a. A child exhibits discomfort while walking. b. The child has thin extremities. c. The child has bruises on the upper back. d. The child is wearing a stained shirt.
16. A nurse is caring for a client who has a clogged percutaneous gastrostomy feeding tube. Which of the following actions should the nurse take first? a. Obtain a prescription for the client to receive an enzyme product. b. Aspirate the client’s tube. c. Flush the client’s tube with 30 ml of water. d. Change the position of the client. 17. A home health care nurse is developing a teaching plan for a client who has a new ileostomy. Which of the following instructions should the nurse include? a. Limit intake of fluids to 1,000 ml daily b. Take a laxative if no stool has passed after 12 hr. c. Empty the appliance when it is one-third to one-half full. d. Change the entire pouch system every 1 to 2 days. 18. A nurse is reviewing the laboratory report of a client who has end-stage kidney disease and received hemodialysis 24 hr ago. Which of the following laboratory values should the nurse report to the provider? a. Platelets 268,000/mm b. Calcium 9,2 mg/dL c. WBC 5,200/mm d. Sodium 148mEq/L 19. A nurse is caring for four clients. Which of the following tasks should the nurse delegate to an assistive personnel (AP)? a. Evaluate dietary intake for a client who has anorexia. b. Measure the vital signs of a client who just returned from the PACU. c. Arrange the lunch tray for a client who has a hip fracture. d. Assess I&O for a client who is receiving dialysis. 20. A nurse is preparing a client for a paracentesis. Which of the following actions should the nurse take? a. Instruct the client to void. b. Position the client on their left side. c. Insert an IV catheter. d. Prepare the client for moderate (Conscious) sedation.
21. A nurse has received change-of-shift report on for assigned clients. For which of the following clients should the nurse intervene to prevent a potential food and medication interaction? a. A client who is receiving verapamil and has a continuous infusion of total parenteral nutrition (TPN b. A client who is taking phenytoin and is requesting a milkshake. c. A client who is receiving a diet high in potassium-rich foods and furosemide by mouth. d. A client who is receiving an MAOI and is requesting a cheeseburger for dinner. 22. A nurse is planning care for a client who has rheumatoid arthritis and has moderate to severe pain in multiple joints. Which of the following actions should the nurse plan to take? a. Perform ADLs for the client to promote rest. b. Allow for frequent rest periods throughout the day. c. Use heat to reduce joint inflammation. d. Develop a daily schedule for acetaminophen up to 6 g/day that covers peak periods of pain. 23. A nurse is caring for a client who is receiving continuous bladder irrigation following a transurethral resection of the prostate. The client reports bladder spasms, and the nurse observes a decreased urinary output. Which of the following actions should the nurse take? a. Increase tension on the urinary catheter. b. Irrigate the catheter with 0.9% sodium chloride irrigation. c. Assist the client to ambulate. d. Remove the urinary catheter immediately. 24. A nurse is assessing a client who has COPD. Which of the following findings should the nurse expect? a. Weight gain. b. Decrease in anteroposterior diameter of the chest. c. HCO3 24 mEq/L. d. pH 7. 25. A nurse in a community center is providing an educational session to a group of clients about ovarian cancer. Which of the following manifestations of ovarian cancer should the nurse include in the teaching? a. Diarrhea. b. Urinary retention. c. Purulent discharge. d. Abdominal bloating
b. "I am only 40 years old, so I don't need to worry about this yet." c. "I will need a lawyer's help to draw up the documents." D. "I understand that my family can alter my advance directives if I become incapacitated."
32. A nurse is assessing a client following a vaginal delivery and notes heavy lochia and a boggy fundus. Which of the following medications should the nurse expect to administer? a. Nalbuphine b. Terbutaline c. Oxytocin d. Magnesium sulfate 33. A nurse manager is planning to use a democratic leadership style with the nurses on the unit. Which of the following actions by the nurse manager demonstrates a democratic leadership style? a. Avoids initiating change b. Seeks input from the other nurses c. Makes decisions quickly d. Limits the amount of feedback to the sta_ 34. A nurse is assigning task roles for a group of clients in a community mental health clinic. Which of the following tasks should the nurse assign to the member of the group functioning as the orienteer? a. Measuring the group's work against the assigned objectives b. Noting the progress of the group toward assigned goals c. Sharing experiences as an authority d. Offering new and fresh ideas on an issue 35. A nurse is creating a plan of care for a newly admitted child. Which of the following actions should the nurse include in the plan? (Click on the"Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.) a. Initiate droplet isolation precautions. b. Keep the child on NPO status for 12 c. Maintain the child on bed rest for 24 hr. d. Administer high-dose antibiotic therapy. 36. A nurse is caring for a newborn immediately after delivery. Which of the following interventions should the nurse implement to prevent heat loss by conduction? a. Dry the newborn immediately after birth. b. Maintain an ambient room temperature of 24° C (75.2° F). c. Use a protective cover on the scale when weighing the infant. d. Place the newborn's bassinet away from outside windows.
37. A nurse is caring for a client who had abdominal surgery 24 hr. ago. Which of the following actions is the nurse's priority? a. Assess fluid intake every 24 hr. b. Ambulate three times a day. c. Assist with deep breathing and coughing. d. Monitor the incision site for findings of infection. 38. A nurse in an outpatient mental health clinic is caring for four clients. The nurse should recognize that which of the following clients is effectively using sublimation as a defense mechanism? a. A client who transfers their anger about their job onto their family and then apologizes b. A client who misses provider appointments because they say they are too busy c. A client who channels their energy into a new hobby following the loss of their job d. A client whose partner died 4 years ago sets a place for him at dinner each night 39. A nurse is assessing for correct placement of a client's NG feeding tube prior to administering a bolus feeding. Which of the following actions should the nurse take? a. Insert air in the tube and listen for gurgling sounds in the epigastric area. b. Aspirate contents from the tube and verify the pH level. c. Review the medical record for previous x-ray verification of placement. d. Auscultate the lungs for adventitious breath sounds. 40. An antepartum nurse is caring for four clients. For which of the following clients should the nurse initiate seizure precautions? a. A client who is at 33 weeks of gestation and has severe gestational hypertension b. A client who is at 16 weeks of gestation and has a hydatidiform mole c. A client who is at 28 weeks of gestation and is experiencing vaginal bleeding d. A client who is at 36 weeks of gestation and has a positive group B streptococcal culture 41. A nurse is providing discharge teaching to a client who is to receive home oxygen therapy. Which of the following instructions should the nurse include in the teaching? Check the functioning of oxygen equipment once each week. Wear clothing made with cotton fabrics while oxygen is in use Apply petroleum-based lubricant to the nares as needed. Store full oxygen tanks on their side.
Decreased esophageal reflux
46. 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? "Expect to have blurred vision while taking this medication." "Notify your provider if you experience increased thirst." "You should take this medication on an empty stomach." "You might be unable to have an orgasm while taking this medication." 47. A nurse is caring for a client who has a fecal impaction. Which of the following actions should the nurse take when digitally evacuating the stool? Place the client in the lithotomy position. Elicit a vagal response by performing gentle rectal stimulation. Administer oral bisacodyl 30 min prior to the procedure. Insert a lubricated gloved finger and advance along the rectal wall 48. A nurse is planning to delegate client care tasks to an assistive personnel (AP). Which of the following tasks should the nurse plan to delegate to the AP? Perform gastrostomy feedings through a client's established gastrostomy tube Administer a glycerin suppository to a client who is constipated. Provide instructions about client care to a family member over the telephone. Teach a client how to measure their own blood pressure. 49. 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? Delegate non-nursing tasks to ancillary staff. Stock client rooms with extra supplies. Assign dedicated equipment to each client's room. Change continuous IV infusion tubing every 24 hr.
50. A nurse on an inpatient mental health unit is monitoring a visit between a client who has a history of aggressive behavior and the client's partner. Which of the following observations should the nurse identify as an indication for potential violence? The client is taking numerous deep, measured breaths. The client is calmly telling their partner that "the staff here is so controlling." The client is sitting with their head in their hands and appears to be crying The client is pacing around the chair in which their partner is sitting. 51. A nurse is caring for a client who has signed an informed consent form to receive electroconvulsive therapy (ECT). The client states to the nurse, "I'm not sure about this now. I'm afraid it's too risky." Which of the following responses should the nurse make? "Perhaps you think the ECT is dangerous, but I've seen it have good results." "You have the right to change your mind about this procedure at any time." "Everyone gets a little nervous about this procedure as the time for it approaches." "Your doctor wouldn't have suggested ECT if they didn't think it would help you." 52. A rural community health nurse is developing a plan to improve health care delivery for migrant farmworkers. To identify health services data for this minority group, the nurse should gather information from which of the following sources? Agency for Healthcare Research and Quality. National Institutes of Health Department of Agriculture World Health Organization 53. A nurse is assessing a newborn following a vaginal delivery. Which of the following findings should the nurse report to the provider? Heart rate 136/min Nasal flaring Transient strabismus Overlapping of sutures
58. A nurse is providing discharge instructions about newborn care to a client who is postpartum. Which of the following statements indicates to the nurse that the client understands the teaching? (Select all that apply.) "I will breastfeed my baby on a schedule of every 4 hours." "I will bathe my baby daily." "I will place my baby on her stomach for sleeping." "I will cover my baby's body when I wash her hair." "I will use the bulb syringe first in her mouth and then in her nose." 59. 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? Mood Speech Ideas of self-harm Memory loss 60. A nurse is preparing to administer lactated Ringer's 1,500 mL IV to infuse at 50 mL/hr. The drop factor of the manual IV tubing is 15 gtt/mL. The nurse should set the manual IV infusion to deliver how many gtt/min? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) 13 gtt/min 61. A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes mellitus. The nurse should instruct the client to monitor for which of the following findings as a manifestation of hypoglycemia? Irritability Increased Urination Vomiting Facial flushing
62. A nurse is providing teaching to a client who is scheduled for electroconvulsive therapy (ECT). The nurse should inform the client that which of the following findings is an adverse effect of ECT? Agitation Short-term memory loss Post-treatment seizures Incontinence of the bowel and bladder 63. A charge nurse notices that one of the nurses on the shift frequently violates unit policies by taking an extended amount of time for break. Which of the following statements should the charge nurse make to address this con conflict? "I would like to talk to you about the unit policies regarding break time." "If you continue to take a long lunch break, I will have to report this to the nurse manager." "Have you thought about how your extended lunch breaks affect the other members of our team?" "Did you inform the other members of your team about when you left and returned from break?" 64. A nurse in an emergency department 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? Hgb 15 g/dL Specific gravity 1. Urine osmolality 300 mOsm/kg Hct 44%
68. A nurse is assessing a client for compartment syndrome. Which of the following findings should the nurse expect? Fever Shortened femoral neck Edema Dark brown urine 69. A nurse is providing discharge teaching about disease management for a client who has a new diagnosis of type 1 diabetes mellitus. Which of the following activities is the nurse's priority? Instruct the client about the importance of regular medical appointments. Encourage the client to participate in daily exercise. Explain proper foot care techniques to the client. Ensure that the client understands the medication regimen. 70. A nurse at an urgent care clinic is assessing a client who reports impaired vision in one eye. Which of the following reports by the client should indicate to the nurse that the client has a detached retina? Halos around lights Floating dark spots Pain in the affected eye Blurred vision
71. A nurse on a medical-surgical unit is assessing a client how has had a stroke. For which of the following findings should the nurse initiate a referral for occupational therapy? Difficulty performing ADLs Inability to swallow clear liquids Elevated blood glucose levels Unsteady gait when ambulating 72. A nurse is assessing a client following a colonoscopy. Which of the following findings should indicate to the nurse that the client is hemorrhaging? Sudden drop in heart rate Rapid decrease in blood pressure Client reports a feeling of abdominal fullness Client reports pain as 8 on a scale of 0 to 10 73. A nurse is caring for a client who recently signed an informed consent form to donate a kidney to her sibling who has end-stage kidney disease. The donor states to the nurse, “I don’t want my brother to die, but what if I need this kidney one day? Which of the following responses should the nurse make? “I understand your hesitation, but I’m very proud of you for making the right decision” Organ donation from for a first-degree relative is your brother’s best chance of survival” “You’re afraid that your other kidney will fail at some point after the organ donation” “I know this process won’t be easy, but you should focus on saving your brother’s life” 74. A nurse is assessing a client who has pulmonary edema. Which of the following findings should the nurse expect? Pink, frothy sputum Bradycardia Flushed, dry skin Wheezing
C (abdomen)
79. A nurse is admitting a client to the psychiatric unit after attempting suicide. The client states, “My family does not care whether I live or die.” Which of the following responses should the nurse make? “I’m sure your family does not want you to die” “Why would you believe such things?” “How does this make you feel?” “You should talk to your family about your feelings” 80. A nurse is providing discharge teaching for the parents of a preschool-age child who has a new prescription for amoxicillin/clavulanate suspension. Which of the following instructions should the nurse include in the teaching? (Select all that apply.) “You will give the medication every 4 hours.” “Shake the medication bottle well before each dose is given.” “Store the medication in the refrigerator.” “Report diarrhea to the provider immediately.” “Discard the unused portion of medication after 21 days.” 81. A nurse on a medical-surgical unit is caring for a client who has a new diagnosis of terminal cancer. The client tells the nurse that they would like to go home to be with family and loves ones. Which of the following actions should the nurse take? Contact the facility chaplain to visit with the client Explain the process of leaving the facility against medical advice. Therefore, the nurse should notify the provider of the client’s wishes. Make a referral for social services Encourage the client to continue with inpatient care
82. A nurse is assessing a client who has a chest tube. Which of the following findings should the nurse expect? Drainage system located above the client’s chest level. Continuous bubbling in the water -seal chamber Occlusive dressing on the insertion site Drainage of 125 mL/hr 83. 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? Facilitate an interdisciplinary conference at the new facility for the family Refer the client and family to social worker for assistance and follow -up meeting. Reassure the client’s family that the same provider care at the new facility. Tell the family that the rehabilitation facility has an excellent client care record 84. A nurse is assessing a client who has major depressive disorder and is taking amitriptyline. Which of the following findings should the nurse identify as an adverse effect of the medication? Diarrhea Frequent urination Excessive salivation Blurred vision 85. A charge nurse is providing an educational session about infection control for a group of staff nurses. Which of the following statement by one of staff nurses indicates an understanding of isolation precaution? Droplet precautions should be initiated for a client who tests positive for measles. A client who requires airborne precautions should be placed in a negative pressure airflow room Airborne precautions should be initiated for a client who has clostridium difficile A client who is immunocompromised should be placed in negative – pressure airflow room
