RN Comp Practice 2023 A
A price nurse assigns a newly certified nurse to take care of a affected person who has a chest
tube. The nurse expresses problem about having confined enjoy with tracking chest tube
drainage. Which of the following ought to the fee nurse take first to offer coaching?
A. Refer the nurse to the manner manual
B. Use a diagram to explain the procedure
C. Demonstrate the technique
D. Ask the nurse approximately their knowledge of the manner - ANS-D. Ask the nurse
approximately their know-how of the system
-The first action the rate nurse need to take the usage of the nursing process is to evaluate the
nurse's information approximately the procedure. By assessing, the price nurse can pick out the
nurse's gaining knowledge of desires.
A price nurse is planning an educational session for workforce nurses about operating with dad
and mom whose kids have a terminal illness and are candidates for donating their organs.
Which of the subsequent records should the nurse plan to consist of?
A. Choosing to donate organs can delay the timing of the child's funeral.
B. The family can have the kid in an open casket with out fearing that the organ donation might
disfigure the kid's body.
C. The family ought to recognize that an post-mortem is obligatory prior to organ donation.
D. The nurse ought to introduce the option of organ donation to the mother and father while first
discussing the child's impending death. - ANS-B. The circle of relatives can have the kid in an
open casket with out fearing that the organ donation might disfigure the kid's frame.
-Removal of organs does not damage or violate the kid's body in a manner that would save you
an open casket funeral.
-Donation does now not affect or delay funeral time/expenses.
-A pathologist will carry out an post-mortem following an unattended loss of life or on the
request of the circle of relatives.
-Discussion about donation should take area one at a time from discussion of child's prognosis.
A rate nurse is making plans take care of a affected person who has mechanical restraints in
area. Which of the following interventions ought to the nurse include the plan?
,A. Remove the patient's restraints whilst drowsing
B. Document the affected person's repute q60 min.
C. Check for a brand new prescription q6hrs.
D. Provide a body of workers member to live with the affected person - ANS-D. Provide a staff
member to live with the patient continuously.
-A workforce member need to continue to be constantly with a patient who's in restraints or view
the affected person via audiovisual gadget, if necessary, because of hazard of harm.
-The nurse have to now not take away restraints until the patient is calm, on top of things, and
able to follow simple instructions.
-Assess the affected person for physical needs, safety, and comfort q15-30 min and document
the findings.
-HCP need to renew a prescription for restraints q4hrs for sufferers 18yrs<, q2hrs for children
9-17yrs, and q1hr for kids <9yrs.
A charge nurse is speaking with the partner of a patient. The partner states the patient is not
receiving adequate care. Which of the following actions should the charge nurse take first to
resolve the situation?
A. Evaluate the changes the partner requests.
B. Review the patient's plan of care.
C. Analyze other reports of poor care to look for trends.
D. Ask the partner to list specific concerns. - ANS-D. Ask the partner to list specific concerns.
-The first action the nurse should take, using the nursing process, is to assess the situation by
asking the partner to list specific concerns.
A charge nurse observes a staff nurse document a dressing change in the patient's chart that
was not performed. What should the charge nurse do first?
A. Ensure the staff nurse changes the dressing
B. Notify the nurse manager
C. Complete an incident report
D. Gather more information about the staff nurse's actions - ANS-D. Gather more information
about the staff nurse's actions
-First step is to assess the reasons for the staff nurse's negligent actions. After discussing
actions, then the charge nurse should decide the next course of action.
A charge nurse overhears two staff nurses in the hall discussing the nutritional status of a
patient with anorexia. What should the charge nurse do?
,A. Apologize to the patient for the nurses' actions.
B. Advise the nurses they are being insubordinate.
C. Tell the nurses to stop the discussion.
D. Document the incident in the medical record. - ANS-C. Tell the nurses to stop the discussion.
-Prevents any further breach of confidentiality
A community health nurse is reviewing the medical records of four newly diagnoses patients.
The nurse should identify which of the following patients as having a nationally notifiable
infectious condition?
A. A patient who is pregnant and has CMV
B. An adolescent patient who has foodborne botulism
C. A child who has erythema infectiosum
D. A young adult who has HSV-1 - ANS-B. An adolescent patient who has foodborne botulism
-The nurse should report botulism to the CDC because this information is necessary for the
prevention and control of this disease. Patients who ingest the toxin can develop dysphagia,
drooping eyelids, and vision changes. In 12-36hrs can develop neurologic symptoms such as
symmetric, flaccid paralysis and cranial nerve impairment.
A home health nurse is evaluation a school-age child who has cystic fibrosis. The nurse should
initiate a request for a high-frequency chest compression vest in response to which of the
following parent statements?
A. "My child doesn't like to sit still for nebulizer treatments."
B. "I think that my child has been running a fever over the last couple of days."
C. "My child only has a small amount of mucus after percussion therapy."
D. "I am concerned about my child's future participation in team sports." - ANS-C. "My child has
only a small amount of mucus after percussion therapy."
-The nurse should recommend a high-frequency vest for a child who has inadequate results
from other airway clearance therapy techniques. Older children often require other techniques in
addition to percussion and postural drainage to achieve adequate mucus expectoration.
-The nurse should teach the parent techniques for administration for nebulizer treatments to the
child.
-The nurse should follow-up on reports of fever, as this could indicate a pulmonary infection.
-The nurse should discuss participation in sports activities in relation to the child's current
physical and pulmonary health.
, A home health nurse is providing teaching about infection prevention to a patient that has
cancer and is receiving chemo. Which statements indicate understanding?
A. "I will leave my drinking water out of my refrigerator for at least 1hr so it will be room temp."
B. "I will clean my toothbrush in my dishwasher once a month.
C. "I will take my temp once a week and let my HCP know if it's high."
D. "I will walk for short distances throughout the day." - ANS-D. "I will walk for short distances
throughout the day."
-The patient should ambulate short distances as tolerated throughout the day. Helps reduce
pulmonary stasis and prevent the development of respiratory infections.
-Consuming liquids that have been standing at room temp for longer than 1hr increases the risk
for infection.
-Clean toothbrushes in dishwasher once per week to reduce the risk for transmission of
bacteria.
-Take temp once a day to monitor for infections.
A home health nurse is teaching a patient who has a new ileostomy. What should be included?
A. Limit intake of fluids to 1000 mL/day
B. Take a laxative if no stool has passed after 12hrs.
C. Empty the appliance when it is one-third to one-half full.
D. Change entire pouch system q1-2 days - ANS-C. Empty the appliance when it is one-third to
one-half full.
-Prevents stool leakage and skin irritation
-Recommend fluid intake of at least 1,920 mL
-If no stool has passed after 6-12hrs, contact HCP
-Change system q3-7 days to prevent skin irritation
A hospice nurse is consulting with a patient and family about receiving home services. Which
statements indicate understanding of hospice care?
A. "We can expect the hospice nurse to provide support for us after our mother's death."
B. "A hospice nurse will come the house each time our mother needs pain medication."
C. "Now that my mother is receiving hospice services, we will not be able to get respite care."
D. "Hospice care focuses on arranging treatment that will prolong our mother's life." - ANS-A.
"We can expect the hospice nurse to provide support for us after our mother's death."
A price nurse assigns a newly certified nurse to take care of a affected person who has a chest
tube. The nurse expresses problem about having confined enjoy with tracking chest tube
drainage. Which of the following ought to the fee nurse take first to offer coaching?
A. Refer the nurse to the manner manual
B. Use a diagram to explain the procedure
C. Demonstrate the technique
D. Ask the nurse approximately their knowledge of the manner - ANS-D. Ask the nurse
approximately their know-how of the system
-The first action the rate nurse need to take the usage of the nursing process is to evaluate the
nurse's information approximately the procedure. By assessing, the price nurse can pick out the
nurse's gaining knowledge of desires.
A price nurse is planning an educational session for workforce nurses about operating with dad
and mom whose kids have a terminal illness and are candidates for donating their organs.
Which of the subsequent records should the nurse plan to consist of?
A. Choosing to donate organs can delay the timing of the child's funeral.
B. The family can have the kid in an open casket with out fearing that the organ donation might
disfigure the kid's body.
C. The family ought to recognize that an post-mortem is obligatory prior to organ donation.
D. The nurse ought to introduce the option of organ donation to the mother and father while first
discussing the child's impending death. - ANS-B. The circle of relatives can have the kid in an
open casket with out fearing that the organ donation might disfigure the kid's frame.
-Removal of organs does not damage or violate the kid's body in a manner that would save you
an open casket funeral.
-Donation does now not affect or delay funeral time/expenses.
-A pathologist will carry out an post-mortem following an unattended loss of life or on the
request of the circle of relatives.
-Discussion about donation should take area one at a time from discussion of child's prognosis.
A rate nurse is making plans take care of a affected person who has mechanical restraints in
area. Which of the following interventions ought to the nurse include the plan?
,A. Remove the patient's restraints whilst drowsing
B. Document the affected person's repute q60 min.
C. Check for a brand new prescription q6hrs.
D. Provide a body of workers member to live with the affected person - ANS-D. Provide a staff
member to live with the patient continuously.
-A workforce member need to continue to be constantly with a patient who's in restraints or view
the affected person via audiovisual gadget, if necessary, because of hazard of harm.
-The nurse have to now not take away restraints until the patient is calm, on top of things, and
able to follow simple instructions.
-Assess the affected person for physical needs, safety, and comfort q15-30 min and document
the findings.
-HCP need to renew a prescription for restraints q4hrs for sufferers 18yrs<, q2hrs for children
9-17yrs, and q1hr for kids <9yrs.
A charge nurse is speaking with the partner of a patient. The partner states the patient is not
receiving adequate care. Which of the following actions should the charge nurse take first to
resolve the situation?
A. Evaluate the changes the partner requests.
B. Review the patient's plan of care.
C. Analyze other reports of poor care to look for trends.
D. Ask the partner to list specific concerns. - ANS-D. Ask the partner to list specific concerns.
-The first action the nurse should take, using the nursing process, is to assess the situation by
asking the partner to list specific concerns.
A charge nurse observes a staff nurse document a dressing change in the patient's chart that
was not performed. What should the charge nurse do first?
A. Ensure the staff nurse changes the dressing
B. Notify the nurse manager
C. Complete an incident report
D. Gather more information about the staff nurse's actions - ANS-D. Gather more information
about the staff nurse's actions
-First step is to assess the reasons for the staff nurse's negligent actions. After discussing
actions, then the charge nurse should decide the next course of action.
A charge nurse overhears two staff nurses in the hall discussing the nutritional status of a
patient with anorexia. What should the charge nurse do?
,A. Apologize to the patient for the nurses' actions.
B. Advise the nurses they are being insubordinate.
C. Tell the nurses to stop the discussion.
D. Document the incident in the medical record. - ANS-C. Tell the nurses to stop the discussion.
-Prevents any further breach of confidentiality
A community health nurse is reviewing the medical records of four newly diagnoses patients.
The nurse should identify which of the following patients as having a nationally notifiable
infectious condition?
A. A patient who is pregnant and has CMV
B. An adolescent patient who has foodborne botulism
C. A child who has erythema infectiosum
D. A young adult who has HSV-1 - ANS-B. An adolescent patient who has foodborne botulism
-The nurse should report botulism to the CDC because this information is necessary for the
prevention and control of this disease. Patients who ingest the toxin can develop dysphagia,
drooping eyelids, and vision changes. In 12-36hrs can develop neurologic symptoms such as
symmetric, flaccid paralysis and cranial nerve impairment.
A home health nurse is evaluation a school-age child who has cystic fibrosis. The nurse should
initiate a request for a high-frequency chest compression vest in response to which of the
following parent statements?
A. "My child doesn't like to sit still for nebulizer treatments."
B. "I think that my child has been running a fever over the last couple of days."
C. "My child only has a small amount of mucus after percussion therapy."
D. "I am concerned about my child's future participation in team sports." - ANS-C. "My child has
only a small amount of mucus after percussion therapy."
-The nurse should recommend a high-frequency vest for a child who has inadequate results
from other airway clearance therapy techniques. Older children often require other techniques in
addition to percussion and postural drainage to achieve adequate mucus expectoration.
-The nurse should teach the parent techniques for administration for nebulizer treatments to the
child.
-The nurse should follow-up on reports of fever, as this could indicate a pulmonary infection.
-The nurse should discuss participation in sports activities in relation to the child's current
physical and pulmonary health.
, A home health nurse is providing teaching about infection prevention to a patient that has
cancer and is receiving chemo. Which statements indicate understanding?
A. "I will leave my drinking water out of my refrigerator for at least 1hr so it will be room temp."
B. "I will clean my toothbrush in my dishwasher once a month.
C. "I will take my temp once a week and let my HCP know if it's high."
D. "I will walk for short distances throughout the day." - ANS-D. "I will walk for short distances
throughout the day."
-The patient should ambulate short distances as tolerated throughout the day. Helps reduce
pulmonary stasis and prevent the development of respiratory infections.
-Consuming liquids that have been standing at room temp for longer than 1hr increases the risk
for infection.
-Clean toothbrushes in dishwasher once per week to reduce the risk for transmission of
bacteria.
-Take temp once a day to monitor for infections.
A home health nurse is teaching a patient who has a new ileostomy. What should be included?
A. Limit intake of fluids to 1000 mL/day
B. Take a laxative if no stool has passed after 12hrs.
C. Empty the appliance when it is one-third to one-half full.
D. Change entire pouch system q1-2 days - ANS-C. Empty the appliance when it is one-third to
one-half full.
-Prevents stool leakage and skin irritation
-Recommend fluid intake of at least 1,920 mL
-If no stool has passed after 6-12hrs, contact HCP
-Change system q3-7 days to prevent skin irritation
A hospice nurse is consulting with a patient and family about receiving home services. Which
statements indicate understanding of hospice care?
A. "We can expect the hospice nurse to provide support for us after our mother's death."
B. "A hospice nurse will come the house each time our mother needs pain medication."
C. "Now that my mother is receiving hospice services, we will not be able to get respite care."
D. "Hospice care focuses on arranging treatment that will prolong our mother's life." - ANS-A.
"We can expect the hospice nurse to provide support for us after our mother's death."
