RN COMPREHENSIVE ONLINE PRACTICE TEST
QUESTIONS AND VERIFIED DETAILED ANSWERS
LATEST UPDATE FOR GUARANTEED SUCCESS 2026-
2027/STUDY GUIDE
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
Condition: Epiglottis
Actions: Initiate droplet precautions and request a prescription for IV antibiotics
Monitors: Breath sounds and temperature
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
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
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
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.
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
Respiratory Rate 16/Min
QUESTIONS AND VERIFIED DETAILED ANSWERS
LATEST UPDATE FOR GUARANTEED SUCCESS 2026-
2027/STUDY GUIDE
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
Condition: Epiglottis
Actions: Initiate droplet precautions and request a prescription for IV antibiotics
Monitors: Breath sounds and temperature
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
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
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
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.
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
Respiratory Rate 16/Min
