RN COMPREHENSIVE
RN COMPREHENSIVE EXAM QUESTIONS AND ANSWERS LATEST
UPDATE.
A nurse is caring for a 5-year-old child
Physical Examination:
1510:
Upon visual inspection, throat is inflamed, tonsils appear pink,
reddened and epiglottis is edematous and cherry red in appearance.
Skin appears pale. Stridor noted upon inspiration with diminished
bilateral lung sounds.
Nurse's Notes:
1500
Child accompanied to emergency department by caregiver. Caregiver
states child has a sore throat and reports the child has "pain on
swallowing" and denies cough. Child is agitated and lean Answer
>>>>>>>Condition: Epiglottis
Actions: Initiate droplet precautions and request a prescription for IV
antibiotics
Monitors: Breath sounds and temperature
,RN COMPREHENSIVE
The nurse should anticipate initiating droplet precautions and
requesting a prescription for IV antibiotics. The child is most likely
experiencing epiglottis because of the clinical manifestations of a high
fever, inflammation and redness of the throat, pale skin, stridor with
inspiration, painful swallowing, no cough, is sitting in tripod position,
and drooling. The nurse should monitor the child's temperature and
breath sounds.
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 no distended 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
,RN COMPREHENSIVE
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 jay Answer
>>>>>>>Hepatitis A: Client's risk from fecal-oral transmission,
laboratory results, and physical examination findings
, RN COMPREHENSIVE
Hepatitis B: Antiviral treatment, laboratory results, client's risk from
blood borne transmission, physical examination findings
Hepatitis C: Antiviral treatment, laboratory results, client's risk from
blood borne 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 sclera,
right upper quadrant 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 blood borne 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
RN COMPREHENSIVE EXAM QUESTIONS AND ANSWERS LATEST
UPDATE.
A nurse is caring for a 5-year-old child
Physical Examination:
1510:
Upon visual inspection, throat is inflamed, tonsils appear pink,
reddened and epiglottis is edematous and cherry red in appearance.
Skin appears pale. Stridor noted upon inspiration with diminished
bilateral lung sounds.
Nurse's Notes:
1500
Child accompanied to emergency department by caregiver. Caregiver
states child has a sore throat and reports the child has "pain on
swallowing" and denies cough. Child is agitated and lean Answer
>>>>>>>Condition: Epiglottis
Actions: Initiate droplet precautions and request a prescription for IV
antibiotics
Monitors: Breath sounds and temperature
,RN COMPREHENSIVE
The nurse should anticipate initiating droplet precautions and
requesting a prescription for IV antibiotics. The child is most likely
experiencing epiglottis because of the clinical manifestations of a high
fever, inflammation and redness of the throat, pale skin, stridor with
inspiration, painful swallowing, no cough, is sitting in tripod position,
and drooling. The nurse should monitor the child's temperature and
breath sounds.
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 no distended 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
,RN COMPREHENSIVE
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 jay Answer
>>>>>>>Hepatitis A: Client's risk from fecal-oral transmission,
laboratory results, and physical examination findings
, RN COMPREHENSIVE
Hepatitis B: Antiviral treatment, laboratory results, client's risk from
blood borne transmission, physical examination findings
Hepatitis C: Antiviral treatment, laboratory results, client's risk from
blood borne 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 sclera,
right upper quadrant 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 blood borne 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
