RN MILESTONE EXAM QUESTION AND ANSWERS
2024 RETAKE EXAM
1. Which of the following is the most important action in
preventing the spread of infection? a) Wearing gloves
b) Hand hygiene
c) Using a gown
d) Wearing a mask
2. Which of the following symptoms might indicate a
patient is experiencing hypoglycemia?
a) Bradycardia
b) Diaphoresis
c) Dry skin
d) Hypertension
3. A patient with a history of congestive heart failure is
receiving Lasix (furosemide). What lab value should the
nurse monitor?
a) Calcium
b) Potassium
c) Sodium
d) Magnesium
4. Which of the following is a priority intervention for a
patient experiencing chest pain?
a) Administer oxygen
b) Give an aspirin
c) Notify the physician
d) Ask the patient to rate the pain
5. What is the normal range for an adult's respiratory
rate?
a) 8-12 breaths per minute
b) 12-20 breaths per minute
c) 20-28 breaths per minute
d) 24-30 breaths per minute
6. Which of the following is a symptom of left-sided heart
failure?
a) Peripheral edema
b) JVD (Jugular Vein Distention)
c) Pulmonary congestion
d) Hepatomegaly
7. When performing a sterile dressing change, which of
the following actions violates sterility?
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a) Opening sterile gloves with bare hands
b) Touching the outer edges of a sterile package
c) Keeping sterile gloves above the waist
d) Pouring solution on the sterile field
8. A patient is scheduled for a blood transfusion. What is
the most important action before administering blood?
a) Obtain baseline vital signs
b) Check the patient’s blood type and cross-match
c) Administer a diuretic
d) Warm the blood before transfusion
9. Which is an early sign of hypoxia?
a) Cyanosis
b) Restlessness
c) Bradycardia
d) Confusion
10. What is the best position to place a patient in for a
thoracentesis?
a) Supine
b) Prone
c) Sitting upright leaning forward
d) Side-lying
11. Which of the following interventions is appropriate
for a patient experiencing dehydration?
a) Restrict fluids
b) Administer diuretics
c) Encourage oral fluids
d) Place the patient in a Trendelenburg position
12. A patient with a deep vein thrombosis (DVT) is
prescribed heparin. What lab value should the nurse
monitor?
a) INR (International Normalized Ratio)
b) PT (Prothrombin Time)
c) aPTT (Activated Partial Thromboplastin Time)
d) Hematocrit
13. Which dietary recommendation is best for a
patient with hypertension?
a) Increase sodium intake
b) Reduce caffeine consumption
c) Increase red meat consumption
d) Reduce carbohydrate intake
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14. A patient is receiving IV fluids. Which of the
following findings suggests fluid overload?
a) Hypotension
b) Bradycardia
c) Crackles in the lungs
d) Dry mucous membranes
15. Which of the following is a common side effect of
opioid analgesics?
a) Diarrhea
b) Hypertension
c) Constipation
d) Polyuria
16. The nurse is caring for a patient with COPD. What
is the most appropriate oxygen delivery system for this
patient?
a) Non-rebreather mask
b) Nasal cannula
c) Venturi mask
d) Simple mask
17. Which of the following medications is most likely
to cause nephrotoxicity?
a) Amoxicillin
b) Ibuprofen
c) Acetaminophen
d) Warfarin
18. What is the normal range for serum potassium?
a) 2.5-4.0 mEq/L
b) 3.5-5.0 mEq/L
c) 4.5-6.0 mEq/L
d) 1.5-3.0 mEq/L
19. A patient with diabetes is learning to self-
administer insulin. What is the best site for insulin
absorption?
a) Abdomen
b) Thigh
c) Deltoid
d) Gluteus maximus
20. What is the most important assessment for a
patient post-surgery who is receiving opioid
analgesics?
a) Heart rate