RN COMPREHENSIVE ONLINE PRACTICE STUDY
GUIDE 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ A nurse is caring for a client who is on the spinal cord injury (SCI)
unit
Nurses' Notes
Day 3, 1700
Client admitted to SCI unit 3 days ago following C7 injury. Skin is cool,
pale, and dry to touch. Respirations easy and unlabored. Lung sounds
diminished in lower lobes. Abdomen soft and nondistended with active
bowel sounds. Client passed a small amount of hard formed stool this
AM. Indwelling urinary catheter draining clear yellow urine. Deep
tendon reflexes (DTR) are biceps 1+, triceps 1+, pa. Answer: The client
is most likely experiencing manifestations of pneumonia and autonomic
dysreflexia.
The nurse should analyze cues from the client's manifestations and
determine that the client is most likely experiencing manifestations of
pneumonia and autonomic dysreflexia. A client who has a cervical SCI
is at risk for respiratory complications because spinal innervation to the
respiratory muscles is disrupted. Adventitious breath sounds in the lower
,lobes bilaterally and a decrease in oxygen saturation to less than 92%
can indicate pneumonia. The client's sudden increase in blood pressure,
bradycardia, flushing of the skin above the area of the injury, headache,
and blurred vision are manifestations of autonomic dysreflexia, which
can be a life-threatening condition.
◉ A nurse is caring for a client who has abdominal pain
Nurses' Notes
0900
Client reports loss of appetite, weight loss, and fatigue for 1 week.
Reports abdominal pain, 6 on a scale from 0 to 10, for 2 days. Client is a
perioperative nurse, returned 1 week ago from a 2-week mission trip to
an underdeveloped country
1200
Results of antibody studies obtained. Provider prescription for antiviral
medication pending.
Physical Examination
0930
Lung sounds clear bilaterally. Skin warm to touch and jau. Answer:
Hepatitis A: Client's risk from fecal-oral transmission, laboratory results,
and physical examination findings
,Hepatitis B: Antiviral treatment, laboratory results, client's risk from
bloodborne transmission, physical examination findings
Hepatitis C: Antiviral treatment, laboratory results, client's risk from
bloodborne transmission, and physical examination findings
When analyzing cues, the nurse should recognize that manifestations of
hepatitis A, hepatitis B, and hepatitis C include jaundice, yellow sclerae,
right upper quandrant pain upon palpation, dark yellow urine, and
elevated AST and ALT levels. When analyzing cues, the nurse should
also recognize the client's risk for contracting hepatitis A through the
fecal-oral route during recent travel to an underdeveloped country and
the client's occupational risk as a perioperative nurse for contracting
hepatitis B and hepatitis C through bloodborne transmission. The nurse
should recognize that the current standard of practice for
◉ A nurse is caring for a client on a medical-surgical unit
Vital Signs
0700
Temperature 37.6 C (99.7 F)
Heart rate 100/min
Respiratory rate 22/min
Blood pressure 115/70 mmHg
Oxygen saturation 98% on room air
, Nurses' Notes
1100
Client alert and oriented to person, place, and time. Client had episode of
diarrhea, provided perineal care. Noted 2 cm x 2 cm (0.8 in x 0.8 in)
painful edematous area on sacrum. Client repositioned every 4 hr.
Answer: Click to highlight the findings that require follow up. To
deselect a finding, click on the finding again.
- Noted 2 cm x 2 cm (0.8 in x 0.8 in) painful edematous area on sacrum
- Client repositioned every 4 hr
When recognizing cues, the nurse should determine that the client's
painful edematous area on their sacrum and that the client has only been
repositioned every 4 hr requires follow up. The client has manifestations
of a pressure injury that need to be addressed. The client should be
repositioned at least every 2 hr to prevent worsening of the pressure
injury and to relieve pressure from the sacral area.
◉ A nurse in an outpatient mental health clinic is caring for a client
Vital Signs
3 months ago
Blood pressure 116/68 mmHg
Heart rate 82/min
GUIDE 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◉ A nurse is caring for a client who is on the spinal cord injury (SCI)
unit
Nurses' Notes
Day 3, 1700
Client admitted to SCI unit 3 days ago following C7 injury. Skin is cool,
pale, and dry to touch. Respirations easy and unlabored. Lung sounds
diminished in lower lobes. Abdomen soft and nondistended with active
bowel sounds. Client passed a small amount of hard formed stool this
AM. Indwelling urinary catheter draining clear yellow urine. Deep
tendon reflexes (DTR) are biceps 1+, triceps 1+, pa. Answer: The client
is most likely experiencing manifestations of pneumonia and autonomic
dysreflexia.
The nurse should analyze cues from the client's manifestations and
determine that the client is most likely experiencing manifestations of
pneumonia and autonomic dysreflexia. A client who has a cervical SCI
is at risk for respiratory complications because spinal innervation to the
respiratory muscles is disrupted. Adventitious breath sounds in the lower
,lobes bilaterally and a decrease in oxygen saturation to less than 92%
can indicate pneumonia. The client's sudden increase in blood pressure,
bradycardia, flushing of the skin above the area of the injury, headache,
and blurred vision are manifestations of autonomic dysreflexia, which
can be a life-threatening condition.
◉ A nurse is caring for a client who has abdominal pain
Nurses' Notes
0900
Client reports loss of appetite, weight loss, and fatigue for 1 week.
Reports abdominal pain, 6 on a scale from 0 to 10, for 2 days. Client is a
perioperative nurse, returned 1 week ago from a 2-week mission trip to
an underdeveloped country
1200
Results of antibody studies obtained. Provider prescription for antiviral
medication pending.
Physical Examination
0930
Lung sounds clear bilaterally. Skin warm to touch and jau. Answer:
Hepatitis A: Client's risk from fecal-oral transmission, laboratory results,
and physical examination findings
,Hepatitis B: Antiviral treatment, laboratory results, client's risk from
bloodborne transmission, physical examination findings
Hepatitis C: Antiviral treatment, laboratory results, client's risk from
bloodborne transmission, and physical examination findings
When analyzing cues, the nurse should recognize that manifestations of
hepatitis A, hepatitis B, and hepatitis C include jaundice, yellow sclerae,
right upper quandrant pain upon palpation, dark yellow urine, and
elevated AST and ALT levels. When analyzing cues, the nurse should
also recognize the client's risk for contracting hepatitis A through the
fecal-oral route during recent travel to an underdeveloped country and
the client's occupational risk as a perioperative nurse for contracting
hepatitis B and hepatitis C through bloodborne transmission. The nurse
should recognize that the current standard of practice for
◉ A nurse is caring for a client on a medical-surgical unit
Vital Signs
0700
Temperature 37.6 C (99.7 F)
Heart rate 100/min
Respiratory rate 22/min
Blood pressure 115/70 mmHg
Oxygen saturation 98% on room air
, Nurses' Notes
1100
Client alert and oriented to person, place, and time. Client had episode of
diarrhea, provided perineal care. Noted 2 cm x 2 cm (0.8 in x 0.8 in)
painful edematous area on sacrum. Client repositioned every 4 hr.
Answer: Click to highlight the findings that require follow up. To
deselect a finding, click on the finding again.
- Noted 2 cm x 2 cm (0.8 in x 0.8 in) painful edematous area on sacrum
- Client repositioned every 4 hr
When recognizing cues, the nurse should determine that the client's
painful edematous area on their sacrum and that the client has only been
repositioned every 4 hr requires follow up. The client has manifestations
of a pressure injury that need to be addressed. The client should be
repositioned at least every 2 hr to prevent worsening of the pressure
injury and to relieve pressure from the sacral area.
◉ A nurse in an outpatient mental health clinic is caring for a client
Vital Signs
3 months ago
Blood pressure 116/68 mmHg
Heart rate 82/min
