NUR283 TRANSITION TO
REGISTERED NURSING PRACTICE
QUESTIONS WITH ANSWERS AND
RATIONALE
The nurse working on the mom/baby unit has become aware of the
following client situations. Which of the following clients should the
nurse INITIALLY assess?
C. a neonate who is 4 hours old, whose resting HR is 95 BPM.
Rationale – Normal HR for a newborn is 120-140 BPM – 95 is a LOW BPM
A nurse working on a medical surgical unit has just received a
handoff report on the following clients. The nurse should FIRST plan
to assess the client who has:
D. Acute pancreatitis and is reporting the development of pain on deep
inspiration
Rationale – “acute” if not caught early, will possible burst and patient will
become septic
,The nurse working on a pediatric unit is caring for the following
children who have been admitted in the past 12 hours. It would be a
priority goal for the nurse to initiate an interdisciplinary conference
for the child who:
A. 5 yr old with diagnosed cystic fibrosis at birth and has been hospitalized 4
times in the past 2 months
Rationale – This is conferencing everyone!!! PT, dietary, spiritual guidance,
everyone should be conferenced for this patient. This question is asking –
WHO / WHICH child is requiring the MOST help and resources???
The nurse working in the ED has received the following
prescriptions for a newly admitted client. Which prescriptions
should the nurse implement FIRST?
D. Initiate IV sodium and potassium for a client admitted with diarrhea and
dehydration who has a serum potassium level of 2.9.
Rationale – serum potassium of 2.9 is CRITICAL -this is a critical lab value and
should be addressed first!
A nurse is working in a community health clinic is assessing clients
who are waiting to be seen. Which client should the nurse have the
primary health care provider see FIRST?
, A. a 57 year old with graves disease with a temperature of 100.5
Rationale – Thyroid issue
A nurse is working on a pediatric cardiac unit is reviewing the
telemetry monitors for assigned clients. Which client should the
nurse INITIALLY plan to assess?
A. 2 year old toddler who is walking in the hallway and has a HR of 160 BPM
Rationale – Abnormal HR – all the other choices were normal for the child
A nurse is caring for a male client who has a deep partial thickness
and a full thickness burn to 45 % of the lower body. It would be a
PRIORITY for the nurse to notify the primary health care physician if
the client has:
D. A urinary output of 45 ml over the past two hours
Rationale – Normal urinary output per hour is 30 ml.hr. This question really
has nothing to do with “burn” and more know your normal values.
REGISTERED NURSING PRACTICE
QUESTIONS WITH ANSWERS AND
RATIONALE
The nurse working on the mom/baby unit has become aware of the
following client situations. Which of the following clients should the
nurse INITIALLY assess?
C. a neonate who is 4 hours old, whose resting HR is 95 BPM.
Rationale – Normal HR for a newborn is 120-140 BPM – 95 is a LOW BPM
A nurse working on a medical surgical unit has just received a
handoff report on the following clients. The nurse should FIRST plan
to assess the client who has:
D. Acute pancreatitis and is reporting the development of pain on deep
inspiration
Rationale – “acute” if not caught early, will possible burst and patient will
become septic
,The nurse working on a pediatric unit is caring for the following
children who have been admitted in the past 12 hours. It would be a
priority goal for the nurse to initiate an interdisciplinary conference
for the child who:
A. 5 yr old with diagnosed cystic fibrosis at birth and has been hospitalized 4
times in the past 2 months
Rationale – This is conferencing everyone!!! PT, dietary, spiritual guidance,
everyone should be conferenced for this patient. This question is asking –
WHO / WHICH child is requiring the MOST help and resources???
The nurse working in the ED has received the following
prescriptions for a newly admitted client. Which prescriptions
should the nurse implement FIRST?
D. Initiate IV sodium and potassium for a client admitted with diarrhea and
dehydration who has a serum potassium level of 2.9.
Rationale – serum potassium of 2.9 is CRITICAL -this is a critical lab value and
should be addressed first!
A nurse is working in a community health clinic is assessing clients
who are waiting to be seen. Which client should the nurse have the
primary health care provider see FIRST?
, A. a 57 year old with graves disease with a temperature of 100.5
Rationale – Thyroid issue
A nurse is working on a pediatric cardiac unit is reviewing the
telemetry monitors for assigned clients. Which client should the
nurse INITIALLY plan to assess?
A. 2 year old toddler who is walking in the hallway and has a HR of 160 BPM
Rationale – Abnormal HR – all the other choices were normal for the child
A nurse is caring for a male client who has a deep partial thickness
and a full thickness burn to 45 % of the lower body. It would be a
PRIORITY for the nurse to notify the primary health care physician if
the client has:
D. A urinary output of 45 ml over the past two hours
Rationale – Normal urinary output per hour is 30 ml.hr. This question really
has nothing to do with “burn” and more know your normal values.
