RN Comprehensive
RN teaching dietary management to a pt with Crohns and enteroenteric fistula, what
nutrient should RN instruct pt to decrease in their diet - ANS-fiber
RN planning care for pt 48hr postop from laryngectomy and cannot speak, what action
should RN plan to take first - ANS-Determine the client's reading skills
RN is providing teaching to parents regarding SIDS, what guardian statement indicates
understanding of teaching - ANS-"I will not allow anyone to smoke near my baby"
RN caring for pt 9 wks gestation and reports N/V for the last 2 days, which of the
following findings should the RN expect - ANS-urine specific gravity 1.052
RN is planning care for pt with RA and has moderate to severe pain in joints, which of
the following actions should the RN plan to take - ANS-allow for frequent rest periods
throughout the day
RN is planning care for pt with hyperthyroidism, what finding should she expect -
ANS-tremors
Hospice RN consulting with fam about home health services, what family statement
indicates they understand home hospice care - ANS-"We can expect the hospice RN to
provide support for us after our mother's death"
RN caring for client with new prescip for Chlorpromazine, what finding indicates the med
is effective - ANS-decreased hallucinations
Charge RN notices nurse who frequently violates unit policies by taking extended
amount of time for break, what statement should charge RN make to address the
conflict - ANS-"I would like to talk to you about the unit policies regarding break time"
RN is teaching a pt with new prescrip for total parenteral nutrition, which of the following
info should the RN include in the teaching - ANS-"I will need to measure your weight
daily"
RN is assessing a pt who has MDD and is taking amitriptyline. Which of the following
findings should the RN identify as an adverse effect of the med - ANS-Blurred vision
,RN is caring for a pt who has a prescrip for continuous passive motion machine follow
total knee arthroplasty. Which of the following actions should the RN take - ANS-turn off
the CPM machine during mealtime
RN has four clients, the RN should recognize that which of the following clients is
effectively using sublimation as a defense mechanism - ANS-A client who channels
their energy into a new hobby following the loss of their job
A RN is talking with a pt who has stage IV brst CA. The RN should recognize which of
the following statements by the client as constructive use of a defense mechanism -
ANS-"I told my doctor that I would like to start a support group for other women who are
sick in my community"
A RN 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 -
ANS-"I will make sure my child receives a yearly influenza immunization"
A RN is caring for a pt who is postop after receiving moderate sedation. The pt suddenly
becomes restless and reports feeling lightheaded. Which of the following actions should
the RN take - ANS-Check the client's oxygen saturation level
A RN on an inpatient mental health unit is monitoring a visit between a client who has a
history of aggressive behavior and the client's partner. Which of the following
observations should the RN identify as an indication for potential violence - ANS-The
client is pacing around the chair in which their partner is sitting
An antepartum RN is caring for four clients. For which of the following clients should the
RN initiate seizure precaustions - ANS-A client who is at 33 weeks of gestation and has
severe gestational HTN
A RN on a medical-surgical unit is assessing a client who has had a stroke. For which of
the following findings should the RN initiate a referral for occupational therapy -
ANS-Difficulty performing ADLs
A RN is developing a client education program about osteoporosis for older adult
clients. The RN should include which of the following variables as a risk factor for
osteoporosis - ANS-Sedentary lifestyle
A RN is caring for a client who has a mag level of 2.7. Which of the following
, interventions should the RN plan to take - ANS-Initiate continuous cardiac monitoring
A RN is caring for a client who had abdominal surgery 24 hours ago. Which of the
following actions is the RN's priority - ANS-Assist with deep breathing and coughing
A RN is teaching about adverse effects with a client who is starting to take captopril.
Which of the following findings should the RN identify as an adverse effect of the
medication to report to the provider - ANS-cough
A school RN is notified of an emergency in which several children were injured following
the collapse of playground equipment. Upon arrival at the playground, which of the
following actions should the RN take first - ANS-Survey the scene for potential hazards
to staff and children
A RN is caring for a client who has acute blood loss following a trauma. The client
refuses a blood transfusion that might potentially save their life. Which of the following
actions should the Rn take first - ANS-Explore the client's reasons for refusing the
treatment
A charge RN is speaking with the partner of a client. The partner states that the client is
not receiving adequate care. Which of the following actions should the charge RN take
first to resolve the situation - ANS-Ask the partner to list specific concerns
A RN on a peds unit has received change of shift report for four children. Which of the
following children should the RN assess first - ANS-A 10-year-old child who is awaiting
surgery for an appendectomy and experienced sudden relief from pain
A RN is preparing to administer an IM injection to a client who is obese. Which of the
following actions should the Rn plan to take - ANS-Use the ventrogluteal site
A RN is planning care for a client who is receiving chem and has neutropenia. Which of
the following interventions should the RN include in the plan - ANS-Avoid including raw
fruits in the client's diet
A RN on a mental health unit is conducting a mental status exam on a newly admitted
client. Which of the following components of the MSE is the priority for the RN to assess
- ANS-Ideas of self-harm
A RN is caring for a client who has a new prescrip for clonidine. The RN should inform
the client that which of the following findings is an adverse effect of this med - ANS-Dry
RN teaching dietary management to a pt with Crohns and enteroenteric fistula, what
nutrient should RN instruct pt to decrease in their diet - ANS-fiber
RN planning care for pt 48hr postop from laryngectomy and cannot speak, what action
should RN plan to take first - ANS-Determine the client's reading skills
RN is providing teaching to parents regarding SIDS, what guardian statement indicates
understanding of teaching - ANS-"I will not allow anyone to smoke near my baby"
RN caring for pt 9 wks gestation and reports N/V for the last 2 days, which of the
following findings should the RN expect - ANS-urine specific gravity 1.052
RN is planning care for pt with RA and has moderate to severe pain in joints, which of
the following actions should the RN plan to take - ANS-allow for frequent rest periods
throughout the day
RN is planning care for pt with hyperthyroidism, what finding should she expect -
ANS-tremors
Hospice RN consulting with fam about home health services, what family statement
indicates they understand home hospice care - ANS-"We can expect the hospice RN to
provide support for us after our mother's death"
RN caring for client with new prescip for Chlorpromazine, what finding indicates the med
is effective - ANS-decreased hallucinations
Charge RN notices nurse who frequently violates unit policies by taking extended
amount of time for break, what statement should charge RN make to address the
conflict - ANS-"I would like to talk to you about the unit policies regarding break time"
RN is teaching a pt with new prescrip for total parenteral nutrition, which of the following
info should the RN include in the teaching - ANS-"I will need to measure your weight
daily"
RN is assessing a pt who has MDD and is taking amitriptyline. Which of the following
findings should the RN identify as an adverse effect of the med - ANS-Blurred vision
,RN is caring for a pt who has a prescrip for continuous passive motion machine follow
total knee arthroplasty. Which of the following actions should the RN take - ANS-turn off
the CPM machine during mealtime
RN has four clients, the RN should recognize that which of the following clients is
effectively using sublimation as a defense mechanism - ANS-A client who channels
their energy into a new hobby following the loss of their job
A RN is talking with a pt who has stage IV brst CA. The RN should recognize which of
the following statements by the client as constructive use of a defense mechanism -
ANS-"I told my doctor that I would like to start a support group for other women who are
sick in my community"
A RN 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 -
ANS-"I will make sure my child receives a yearly influenza immunization"
A RN is caring for a pt who is postop after receiving moderate sedation. The pt suddenly
becomes restless and reports feeling lightheaded. Which of the following actions should
the RN take - ANS-Check the client's oxygen saturation level
A RN on an inpatient mental health unit is monitoring a visit between a client who has a
history of aggressive behavior and the client's partner. Which of the following
observations should the RN identify as an indication for potential violence - ANS-The
client is pacing around the chair in which their partner is sitting
An antepartum RN is caring for four clients. For which of the following clients should the
RN initiate seizure precaustions - ANS-A client who is at 33 weeks of gestation and has
severe gestational HTN
A RN on a medical-surgical unit is assessing a client who has had a stroke. For which of
the following findings should the RN initiate a referral for occupational therapy -
ANS-Difficulty performing ADLs
A RN is developing a client education program about osteoporosis for older adult
clients. The RN should include which of the following variables as a risk factor for
osteoporosis - ANS-Sedentary lifestyle
A RN is caring for a client who has a mag level of 2.7. Which of the following
, interventions should the RN plan to take - ANS-Initiate continuous cardiac monitoring
A RN is caring for a client who had abdominal surgery 24 hours ago. Which of the
following actions is the RN's priority - ANS-Assist with deep breathing and coughing
A RN is teaching about adverse effects with a client who is starting to take captopril.
Which of the following findings should the RN identify as an adverse effect of the
medication to report to the provider - ANS-cough
A school RN is notified of an emergency in which several children were injured following
the collapse of playground equipment. Upon arrival at the playground, which of the
following actions should the RN take first - ANS-Survey the scene for potential hazards
to staff and children
A RN is caring for a client who has acute blood loss following a trauma. The client
refuses a blood transfusion that might potentially save their life. Which of the following
actions should the Rn take first - ANS-Explore the client's reasons for refusing the
treatment
A charge RN is speaking with the partner of a client. The partner states that the client is
not receiving adequate care. Which of the following actions should the charge RN take
first to resolve the situation - ANS-Ask the partner to list specific concerns
A RN on a peds unit has received change of shift report for four children. Which of the
following children should the RN assess first - ANS-A 10-year-old child who is awaiting
surgery for an appendectomy and experienced sudden relief from pain
A RN is preparing to administer an IM injection to a client who is obese. Which of the
following actions should the Rn plan to take - ANS-Use the ventrogluteal site
A RN is planning care for a client who is receiving chem and has neutropenia. Which of
the following interventions should the RN include in the plan - ANS-Avoid including raw
fruits in the client's diet
A RN on a mental health unit is conducting a mental status exam on a newly admitted
client. Which of the following components of the MSE is the priority for the RN to assess
- ANS-Ideas of self-harm
A RN is caring for a client who has a new prescrip for clonidine. The RN should inform
the client that which of the following findings is an adverse effect of this med - ANS-Dry
