RN COMPREHENSIVE PRACTICE B
2025 BRAND NEW ACTUAL EXAM
WITH ANSWERS.
1. A nurse is assessing a client who has pulmonary edema.
Which of the following findings should the nurse expect? -
correct answer -Pink, frothy sputum
2. due to fluid leaking across the pulmonary capillaries and into
the lung tissue
3. A nurse is assessing a client who received 2 units of packed
RBC's 48 hr ago. Which of the following findings should
indicate to the nurse that the therapy has been effective? -
correct answer -Hemoglobin 14.9 g/dL
Normal levels -
females: 12 to 16 g/dL
males: 14 to 18 g/dL
4. A nurse has received change of shift report on four assigned
clients. For which of the following clients should the nurse
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intervene to prevent a potential food and medication
interaction? - correct answer -A client who is receiving an MAOI
and is requesting a cheeseburger for dinner
- The client's food selection contains tyramine. Clients
prescribed an MAOI must restrict intake of foods that
contain tyramine due to adverse effects, such as HTN
5. A nurse is caring for a client who had a stroke 6 hr ago. Which
of the following interventions should the nurse implement to
reduce the risk of increased ICP? - correct answer -Place the
client in a quiet environment
- Limit suctioning the client's airway to 15 seconds at a
time to reduce the risk of hypoxia and increased ICP.
Spread out nursing activities throughout the day to
minimize fatigue and the risk of increasing ICP. Avoid
flexing the client's neck to reduce the risk of reduced
cerebral venous outflow.
6. A nurse is planning care for a client who is receiving
chemotherapy and has neutropenia. Which of the following
interventions should the nurse include in the plan? - correct
answer -Avoid including raw fruits in the client's diet
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7. A school nurse 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 nurse take first? - correct answer -
Survey the scene for potential hazards to staff and children
8. A nurse is caring for a school age child who is taking valproic
acid. The nurse should expect the provider to order which of
the following diagnostic tests? - correct answer -Serum liver
enzyme levels
9. A nurse is preparing to transfer a client who has had a stroke to
a rehabilitation facility. The client's family tells the nurse they
are concerned about the level of care the client will receive.
Which of the following actions should the nurse take? - correct
answer -Facilitate an interdisciplinary conference at the new
facility for the family
10. A charge nurse 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 nurse take
first to resolve the situation? - correct answer -Ask the partner
to list specific concerns
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11. A nurse is caring for a client who has a prescription for a
continuous passive motion (CPM) machine following a total
knee arthroplasty. Which of the following actions should the
nurse take? - correct answer -Turn of the CPM machine during
mealtime
12. A nurse is providing discharge instructions about newborn
care to a client who is postpartum. Which of the following
statements indicates to the nurse that the client understands
the teaching? - correct answer -"I will cover my baby's body
when I wash her hair"
13. "I will use the bulb syringe first in her mouth and then in her
nose"
14. A nurse has just received change of shift report on four
clients. Which of the following clients should the nurse assess
first? - correct answer -A client who is postoperative with
abdominal distention and no bowel sounds
- abdominal distention and no bowel sounds indicates a
paralytic ileus