RN Registration | NANB - Test Questions And Answers | Accurate
And Well Detailed | Complete Guide & Rationales | A+ Material |
Newest Update
Core Domains:
Professional Practice and Ethics
Clinical Judgment and Decision-Making
Legal and Regulatory Frameworks
Health Promotion and Disease Prevention
Pharmacology and Therapeutics
Leadership, Collaboration, and Delegation
Introduction:This comprehensive assessment is designed to prepare
candidates for the RN Registration examination administered by the
Nurses Association of New Brunswick. The evaluation assesses essential
clinical knowledge, critical thinking, and professional competencies
required for safe, competent entry-level nursing practice. Candidates will
encounter a rigorous blend of multiple-choice questions and complex
clinical scenarios that test both theoretical knowledge and practical
application. Special emphasis is placed on real-world decision-making,
patient advocacy, interprofessional collaboration, and adherence to
professional standards and ethical guidelines to ensure optimal client
outcomes across diverse healthcare environments.
Question 1
A registered nurse is caring for an adult client who exhibits sudden-onset
confusion, diaphoresis, and tremors. The client's capillary blood glucose
reading is 2.8 mmol/L. Which immediate intervention should the nurse
implement?
A. Administer 10 units of regular insulin subcutaneously
B. 🟢 Provide 15 grams of fast-acting oral carbohydrates
C. Encourage the client to ambulate to stimulate appetite
D. Recheck the blood glucose level in two hours
🔴 Explanation: A blood glucose reading of 2.8 mmol/L indicates
hypoglycemia. The Rule of 15 dictates providing 15 grams of fast-acting
carbohydrates immediately, followed by rechecking the glucose level in
15 minutes.
Question 2
,While reviewing a care plan for a client with a newly inserted chest tube,
which finding requires immediate notification of the primary healthcare
provider?
A. Gentle bubbling in the water-seal chamber during inspiration and
expiration
B. Tidaling of the fluid level in the water-seal chamber with respirations
C. 🟢 Continuous, vigorous bubbling observed in the water-seal chamber
D. Serosanguineous drainage totaling 50 mL over the past two hours
🔴 Explanation: Continuous, vigorous bubbling in the water-seal chamber
indicates an air leak within the system or patient circuit, which requires
immediate intervention. Gentle bubbling and tidaling are expected normal
findings.
Question 3
A nurse manager is planning care for a unit experiencing high patient
acuity. Which client task is appropriate to delegate to an experienced
unlicensed assistive personnel (UAP)?
A. Assessing the surgical wound of a client who returned from the
operating room two hours ago
B. Educating a newly diagnosed diabetic client on self-injection
techniques
C. 🟢 Measuring and recording the output from an indwelling urinary
catheter
D. Evaluating the effectiveness of administered pain medication for a
postoperative client
🔴 Explanation: Measuring and recording routine urinary output is within
the scope of practice for a UAP. Assessment, education, and evaluation
require professional nursing judgment and cannot be delegated.
Question 4
A client scheduled for surgery expresses severe anxiety and states they
no longer wish to proceed with the operation. The nurse's primary ethical
and professional obligation is to:
A. Reassure the client that the surgery is routine and low risk
B. Notify the surgeon immediately and support the client's right to refuse
C. Explain that the consent form has already been signed and witnessed
D. Administer a prescribed PRN anxiolytic medication to calm the client
,🔴 Explanation: Clients retain the legal and ethical right to withdraw
informed consent at any time prior to a procedure. The nurse must
support this autonomy and notify the surgical team immediately.
Question 5
An older adult client is admitted with dehydration and electrolyte
imbalances. Which laboratory value requires immediate reporting to the
healthcare team?
A. Sodium of 138 mEq/L
B. Hemoglobin of 135 g/L
C. 🟢 Potassium of 2.9 mEq/L
D. Chloride of 102 mEq/L
🔴 Explanation: A serum potassium level of 2.9 mEq/L indicates severe
hypokalemia, which places the client at high risk for fatal cardiac
dysrhythmias and demands urgent intervention.
Question 6
A nurse is preparing to administer digoxin to a client with heart failure.
Which assessment finding should cause the nurse to withhold the
medication and notify the prescriber?
A. Blood pressure of 120/80 mmHg
B. Respiratory rate of 16 breaths per minute
C. 🟢 Apical pulse rate of 52 beats per minute
D. Serum creatinine of 88 micromoles per liter
🔴 Explanation: Digoxin slows the heart rate. If the apical pulse is below
60 beats per minute in an adult, the nurse must withhold the medication
and notify the healthcare provider to prevent toxicity.
Question 7
A client with chronic kidney disease has a serum phosphorus level of 1.8
mmol/L and is prescribed calcium carbonate. What is the primary
mechanism of action for this medication in this clinical context?
A. To directly stimulate parathyroid hormone release
B. 🟢 To bind dietary phosphate in the gastrointestinal tract
C. To alkalinize the urine and prevent renal calculi
D. To enhance the renal excretion of potassium ions
, 🔴 Explanation: Calcium carbonate acts as a phosphate binder in the
gastrointestinal tract, preventing systemic absorption of dietary
phosphorus in clients with chronic renal failure.
Question 8
A community health nurse is designing an intervention program aimed at
reducing cardiovascular disease incidence in a high-risk neighborhood.
This initiative represents which level of prevention?
A. Tertiary prevention
B. Quaternary prevention
C. 🟢 Primary prevention
D. Secondary prevention
🔴 Explanation: Primary prevention focuses on health promotion and
disease prevention before a condition develops, such as educational
programs on diet and exercise for high-risk populations.
Question 9
An adolescent client presents to the emergency department with acute
right lower quadrant abdominal pain, nausea, and low-grade fever. Upon
palpation, the nurse notes rebound tenderness at McBurney's point.
Which action should the nurse avoid?
A. Maintaining the client on strict NPO status
B. Monitoring vital signs every 15 to 30 minutes
C. 🟢 Applying a heating pad to the client's abdomen for comfort
D. Preparing the client for possible emergency surgery
🔴 Explanation: Applying heat to an inflamed appendix can cause
vasodilation, increased blood flow, and potential rupture. Heat application
is strictly contraindicated when appendicitis is suspected.
Question 10
A nurse is assessing a client who has experienced a severe left
hemispheric stroke. Which clinical manifestation is the nurse most likely
to observe?
A. Impulsive behavior and poor situational judgment
B. Neglect of the left side of the body and spatial perceptual deficits
C. 🟢 Aphasia and cautious, slow behavioral style
D. Left-sided hemiplegia and anosognosia
And Well Detailed | Complete Guide & Rationales | A+ Material |
Newest Update
Core Domains:
Professional Practice and Ethics
Clinical Judgment and Decision-Making
Legal and Regulatory Frameworks
Health Promotion and Disease Prevention
Pharmacology and Therapeutics
Leadership, Collaboration, and Delegation
Introduction:This comprehensive assessment is designed to prepare
candidates for the RN Registration examination administered by the
Nurses Association of New Brunswick. The evaluation assesses essential
clinical knowledge, critical thinking, and professional competencies
required for safe, competent entry-level nursing practice. Candidates will
encounter a rigorous blend of multiple-choice questions and complex
clinical scenarios that test both theoretical knowledge and practical
application. Special emphasis is placed on real-world decision-making,
patient advocacy, interprofessional collaboration, and adherence to
professional standards and ethical guidelines to ensure optimal client
outcomes across diverse healthcare environments.
Question 1
A registered nurse is caring for an adult client who exhibits sudden-onset
confusion, diaphoresis, and tremors. The client's capillary blood glucose
reading is 2.8 mmol/L. Which immediate intervention should the nurse
implement?
A. Administer 10 units of regular insulin subcutaneously
B. 🟢 Provide 15 grams of fast-acting oral carbohydrates
C. Encourage the client to ambulate to stimulate appetite
D. Recheck the blood glucose level in two hours
🔴 Explanation: A blood glucose reading of 2.8 mmol/L indicates
hypoglycemia. The Rule of 15 dictates providing 15 grams of fast-acting
carbohydrates immediately, followed by rechecking the glucose level in
15 minutes.
Question 2
,While reviewing a care plan for a client with a newly inserted chest tube,
which finding requires immediate notification of the primary healthcare
provider?
A. Gentle bubbling in the water-seal chamber during inspiration and
expiration
B. Tidaling of the fluid level in the water-seal chamber with respirations
C. 🟢 Continuous, vigorous bubbling observed in the water-seal chamber
D. Serosanguineous drainage totaling 50 mL over the past two hours
🔴 Explanation: Continuous, vigorous bubbling in the water-seal chamber
indicates an air leak within the system or patient circuit, which requires
immediate intervention. Gentle bubbling and tidaling are expected normal
findings.
Question 3
A nurse manager is planning care for a unit experiencing high patient
acuity. Which client task is appropriate to delegate to an experienced
unlicensed assistive personnel (UAP)?
A. Assessing the surgical wound of a client who returned from the
operating room two hours ago
B. Educating a newly diagnosed diabetic client on self-injection
techniques
C. 🟢 Measuring and recording the output from an indwelling urinary
catheter
D. Evaluating the effectiveness of administered pain medication for a
postoperative client
🔴 Explanation: Measuring and recording routine urinary output is within
the scope of practice for a UAP. Assessment, education, and evaluation
require professional nursing judgment and cannot be delegated.
Question 4
A client scheduled for surgery expresses severe anxiety and states they
no longer wish to proceed with the operation. The nurse's primary ethical
and professional obligation is to:
A. Reassure the client that the surgery is routine and low risk
B. Notify the surgeon immediately and support the client's right to refuse
C. Explain that the consent form has already been signed and witnessed
D. Administer a prescribed PRN anxiolytic medication to calm the client
,🔴 Explanation: Clients retain the legal and ethical right to withdraw
informed consent at any time prior to a procedure. The nurse must
support this autonomy and notify the surgical team immediately.
Question 5
An older adult client is admitted with dehydration and electrolyte
imbalances. Which laboratory value requires immediate reporting to the
healthcare team?
A. Sodium of 138 mEq/L
B. Hemoglobin of 135 g/L
C. 🟢 Potassium of 2.9 mEq/L
D. Chloride of 102 mEq/L
🔴 Explanation: A serum potassium level of 2.9 mEq/L indicates severe
hypokalemia, which places the client at high risk for fatal cardiac
dysrhythmias and demands urgent intervention.
Question 6
A nurse is preparing to administer digoxin to a client with heart failure.
Which assessment finding should cause the nurse to withhold the
medication and notify the prescriber?
A. Blood pressure of 120/80 mmHg
B. Respiratory rate of 16 breaths per minute
C. 🟢 Apical pulse rate of 52 beats per minute
D. Serum creatinine of 88 micromoles per liter
🔴 Explanation: Digoxin slows the heart rate. If the apical pulse is below
60 beats per minute in an adult, the nurse must withhold the medication
and notify the healthcare provider to prevent toxicity.
Question 7
A client with chronic kidney disease has a serum phosphorus level of 1.8
mmol/L and is prescribed calcium carbonate. What is the primary
mechanism of action for this medication in this clinical context?
A. To directly stimulate parathyroid hormone release
B. 🟢 To bind dietary phosphate in the gastrointestinal tract
C. To alkalinize the urine and prevent renal calculi
D. To enhance the renal excretion of potassium ions
, 🔴 Explanation: Calcium carbonate acts as a phosphate binder in the
gastrointestinal tract, preventing systemic absorption of dietary
phosphorus in clients with chronic renal failure.
Question 8
A community health nurse is designing an intervention program aimed at
reducing cardiovascular disease incidence in a high-risk neighborhood.
This initiative represents which level of prevention?
A. Tertiary prevention
B. Quaternary prevention
C. 🟢 Primary prevention
D. Secondary prevention
🔴 Explanation: Primary prevention focuses on health promotion and
disease prevention before a condition develops, such as educational
programs on diet and exercise for high-risk populations.
Question 9
An adolescent client presents to the emergency department with acute
right lower quadrant abdominal pain, nausea, and low-grade fever. Upon
palpation, the nurse notes rebound tenderness at McBurney's point.
Which action should the nurse avoid?
A. Maintaining the client on strict NPO status
B. Monitoring vital signs every 15 to 30 minutes
C. 🟢 Applying a heating pad to the client's abdomen for comfort
D. Preparing the client for possible emergency surgery
🔴 Explanation: Applying heat to an inflamed appendix can cause
vasodilation, increased blood flow, and potential rupture. Heat application
is strictly contraindicated when appendicitis is suspected.
Question 10
A nurse is assessing a client who has experienced a severe left
hemispheric stroke. Which clinical manifestation is the nurse most likely
to observe?
A. Impulsive behavior and poor situational judgment
B. Neglect of the left side of the body and spatial perceptual deficits
C. 🟢 Aphasia and cautious, slow behavioral style
D. Left-sided hemiplegia and anosognosia
