RN Comprehensive Practice B, Exam Questions & Answers
A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the
following actions is the nurse's priority? - Assist with deep breathing and coughing
A nurse is talking with a client who has stage IV breast cancer. The nurse should
recognize which of the following statements by the client as a constructive use of a
defense mechanism? - "I told my doctor that I would like to start a support group
for other women who are sick in my community"
A nurse is caring for a client who has immunosuppression and a continuous IV
infusion. Which of the following actions should the nurse take? - Monitor the
client's mouth every 8 hr
A nurse is caring for a 2 month old infant who has Hirschsprung disease (HD).
Which of the following areas should the nurse assess for manifestations of HD? - C
The nurse should assess the infant's abdomen for distention and visible peristalsis,
which are manifestations of HD
A nurse at a mental health clinic is caring for four clients. The nurse should
recognize the following clients is using dissociation as a defense mechanism? - A
client who was abused as a child describes the abuse as if it happened to someone
else
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
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 client who channels their energy into a
new hobby following the loss of their job
A hospice nurse is consulting with a client and her family about receiving home
services. Which of the following statements should the nurse identify as an
,indication that the family understands home hospice care? - "We can expect the
hospice nurse to provide support for us after our mother's death"
A nurse is caring for a client who has active tuberculosis. Which of the following
actions should the nurse take? - Assign the client to a private room with negative
air pressure
A nurse is providing teaching to a client who is at 24 weeks of gestation and is
schedule for a 3 hour oral glucose tolerance test. Which of the following
instructions should the nurse include in the teaching? - "You will need to fast the
night before the test"
A nurse on a pediatric unit has received change of shift report for four children.
Which of the following children should the nurse assess first? - A 10 year old child
who is awaiting surgery for an appendectomy and experienced sudden relief from
pain
A nurse in a community center is providing an education session to a group of
clients about ovarian cancer. Which of the following manifestations of ovarian
cancer should the nurse include in the teaching? - Abdominal bloating
A nurse is caring for a client who is postoperative after receiving moderate
(conscious) sedation. The client suddenly becomes restless and reports feeling
lightheaded. Which of the following actions should the nurse take? - Check the
client's oxygen saturation level
A nurse is working in an emergency department is triaging four clients. Which of
the following clients should the nurse recommend for treatment first? - A middle
adult client who has unstable vital signs
A nurse is providing teaching for a client who has a fracture of the right fibula with
a short leg cast in place and a new prescription for crutches. The client is non-
weight bearing for 6 weeks. Which of the following instructions should the nurse
include in the teaching? - Use a three-point gait
, A nurse is preparing to initiate IV access for an older adult client. Which of the
following sites should the nurse select when initiating the IV for this client? -
Radial vein of the inner arm
A nurse is planning to delegate client care tasks to an 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
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? - Use
a protective cover on the scale when weighing the infant
A nurse is caring for a client who is receiving a continuous heparin infusion.
Which of the following laboratory tests should the nurse review prior to adjusting
the client's heparin? - aPTT
A nurse administers an incorrect dose of medication to a client. The nurse
recognized the error immediately and completes and incident report. Which of the
following facts related to the incident should the nurse document in the client's
medical record? - Time the medication was given
A nurse is providing education to the parent of a school age child who has asthma.
Which of the following statements by the parent indicates an understanding of the
teaching? - "I will make sure my child receives a yearly influenza immunization"
A nurse is caring for a client who has type 1 diabetes mellitus and reports severe
ankle pain after falling off a step stool at home. Which of the following
prescriptions should the nurse clarify with the provider? - Apply a cold pack to the
client's ankle for 30 min every hour
A nurse is assessing a client who has a major depressive disorder and is taking
amitriptyline. Which of the following findings should the nurse identify as an
adverse effect of the medication? - Blurred vision
A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the
following actions is the nurse's priority? - Assist with deep breathing and coughing
A nurse is talking with a client who has stage IV breast cancer. The nurse should
recognize which of the following statements by the client as a constructive use of a
defense mechanism? - "I told my doctor that I would like to start a support group
for other women who are sick in my community"
A nurse is caring for a client who has immunosuppression and a continuous IV
infusion. Which of the following actions should the nurse take? - Monitor the
client's mouth every 8 hr
A nurse is caring for a 2 month old infant who has Hirschsprung disease (HD).
Which of the following areas should the nurse assess for manifestations of HD? - C
The nurse should assess the infant's abdomen for distention and visible peristalsis,
which are manifestations of HD
A nurse at a mental health clinic is caring for four clients. The nurse should
recognize the following clients is using dissociation as a defense mechanism? - A
client who was abused as a child describes the abuse as if it happened to someone
else
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
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 client who channels their energy into a
new hobby following the loss of their job
A hospice nurse is consulting with a client and her family about receiving home
services. Which of the following statements should the nurse identify as an
,indication that the family understands home hospice care? - "We can expect the
hospice nurse to provide support for us after our mother's death"
A nurse is caring for a client who has active tuberculosis. Which of the following
actions should the nurse take? - Assign the client to a private room with negative
air pressure
A nurse is providing teaching to a client who is at 24 weeks of gestation and is
schedule for a 3 hour oral glucose tolerance test. Which of the following
instructions should the nurse include in the teaching? - "You will need to fast the
night before the test"
A nurse on a pediatric unit has received change of shift report for four children.
Which of the following children should the nurse assess first? - A 10 year old child
who is awaiting surgery for an appendectomy and experienced sudden relief from
pain
A nurse in a community center is providing an education session to a group of
clients about ovarian cancer. Which of the following manifestations of ovarian
cancer should the nurse include in the teaching? - Abdominal bloating
A nurse is caring for a client who is postoperative after receiving moderate
(conscious) sedation. The client suddenly becomes restless and reports feeling
lightheaded. Which of the following actions should the nurse take? - Check the
client's oxygen saturation level
A nurse is working in an emergency department is triaging four clients. Which of
the following clients should the nurse recommend for treatment first? - A middle
adult client who has unstable vital signs
A nurse is providing teaching for a client who has a fracture of the right fibula with
a short leg cast in place and a new prescription for crutches. The client is non-
weight bearing for 6 weeks. Which of the following instructions should the nurse
include in the teaching? - Use a three-point gait
, A nurse is preparing to initiate IV access for an older adult client. Which of the
following sites should the nurse select when initiating the IV for this client? -
Radial vein of the inner arm
A nurse is planning to delegate client care tasks to an 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
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? - Use
a protective cover on the scale when weighing the infant
A nurse is caring for a client who is receiving a continuous heparin infusion.
Which of the following laboratory tests should the nurse review prior to adjusting
the client's heparin? - aPTT
A nurse administers an incorrect dose of medication to a client. The nurse
recognized the error immediately and completes and incident report. Which of the
following facts related to the incident should the nurse document in the client's
medical record? - Time the medication was given
A nurse is providing education to the parent of a school age child who has asthma.
Which of the following statements by the parent indicates an understanding of the
teaching? - "I will make sure my child receives a yearly influenza immunization"
A nurse is caring for a client who has type 1 diabetes mellitus and reports severe
ankle pain after falling off a step stool at home. Which of the following
prescriptions should the nurse clarify with the provider? - Apply a cold pack to the
client's ankle for 30 min every hour
A nurse is assessing a client who has a major depressive disorder and is taking
amitriptyline. Which of the following findings should the nurse identify as an
adverse effect of the medication? - Blurred vision
