Rn Comprehensive Practice

RN COMPREHENSIVE PRACTICE EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS WITH RATIONALE 100% PASS (A+) A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the following actions is the nurse's priority? - Answer Assist with deep breathing and coughing R: Use ABC's to prioritize & minimize the risk of post-op pneumonia A nurse is conducting group therapy with clients who have breast cancer. The nurse should recognize which of the following statements by a client as an example of altruism? - Answer "I told my doctor that I would like to start a support group for other women who are sick in my community" R: This statement indicates that the client is demonstrating altruism by reaching out and helping others. A nurse is caring for a client who has immunosuppression and a continuous IV infusion. Which of the following actions should the nurse take? - Answer Monitor the client's mouth every 8 hr R: The nurse should monitor the client's mouth at least every 8 hrs for manifestations of an infection, such as sores or lesions, IV tubing s/b changed and WBC's s/b monitored every 24 hrs 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? - Answer 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? - Answer A client who was abused as a child describes the abuse as if it happened to someone else R: This is dissociation because they are separating painful events from the conscious mind and describing the events as if they happened to another person. 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? - Answer irritability R: The nurse should instruct the client to monitor for irritability, which can indicated decreased blood glucose 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? - Answer A client who channels their energy into a new hobby following the loss of their job R: sublimation is channeling negative feelings over the loss of job into a new hobby 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? - Answer "We can expect the hospice nurse to provide support for us after our mother's death" R: Hospice includes bereavement after family members death, family will administer pain meds not only nurse, respite care is still possible & it focuses on palliative care without prolonging life. A nurse is caring for a client who has active tuberculosis. Which of the following actions should the nurse take? - Answer 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? - Answer "You will need to fast the night before the test" R: fasting is used to prevent inaccuracy of test results, urine samples are collected during the test not after it, unristricted diet should be used, and blood samples are collected every hour. 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? - Answer A 10 year old child who is awaiting surgery for an appendectomy and experienced sudden relief from pain