RN Exit v2 test | QUESTIONS AND ANSWERS | 2025/2026| LATEST
UPDATE
Terms in this set (158)
The nurse assumes care of a A. Assess for signs of fluid volume deficit
postoperative adult client with
type 2 diabetes mellitus and
learns that the client has a
current blood glucose level of
720 mg/dL. When assessing
the client, what is the priority?
A. Assess for signs of fluid volume
deficit
B. Observe wound drainage
characteristics
C. Measure the level of acute pain
D. Determine when the client last ate
A male client tells the nurse A. Encourage the client to obtain a complete physical exam, since
that he is concerned that he may these symptoms are consistent with an ulcer
have a stomach ulcer, because
he is experiencing heartburn
and dull gnawing pain that is
relieved when he eats. Which is
the best response by the
nurse?
A. Encourage the client to
obtain a complete physical
exam, since these symptoms
are consistent with an ulcer
B. Assure the client that his
symptoms may only reflect
reflux, since ulcer pain is not
relieved with food
C. Instruct the client that these
mild symptoms can generally be
controlled with changes in his
diet
D. Advise the client that he
needs to seek immediate
medical evaluation and
treatment of these symptoms
,A male client with stomach D. Increase the infusion rate of Lactated Ringer's solution
cancer returns to the unit
following a total gastrectomy.
He has a nasogastric tube to
suction and is receiving Lactated
Ringer's solution at 75 mL/hr
IV. One hour after admission to
the unit, the nurse notes 300mL
of blood in the suction canister, the
client's heart rate is 155
beats/minute, and his blood
pressure is 78/48 mmHg. In
addition to reporting the
findings to the surgeon, which
action should the nurse
implement first?
A. Measure and document the
client's urinary output
B. Request the client's
reserved unit of packed red
blood cells
C. Prepare for placement of
a central venous catheter
D. Increase the infusion rate of
Lactated Ringer's solution
A heparin infusion is prescribed -1st: calculate the weight = 220/2.2= 100kg
for a client who weighs 220 -Then calculate total dose in units = 18units x 100kg = 1800 units/hr
pounds. After administering a - 25000 units - in
bolus dose of 80 units/kg, the 250 1800 units ---in
nurse calculates the infusion rate X ml
for the heparin solution as 18 x = 1800 x 250/25000 =18 mL/hr
units/kg/hour. The available
solution is Heparin Sodium
25,000 Units in 5% Dextrose
Injection 250 mL. The nurse
should program the infusion
pump to deliver how many
mL/hour?
An adult male who fell 20 feet A. Add sterile water to the suction control chamber
from the roof of his home has
multiple injuries, including a
right pneumothorax. Chest
tubes were inserted in the
emergency department prior to
his transfer to the intensive
care unit (ICU). The nurse notes
that the suction control
,chamber is bubbling at the -
10cm H2O mark, which
fluctuation in the water seal,
and over the past hour 75 mL
of bright red blood is measured
in the collection chamber. Which
intervention should the nurse
implement?
A. Add sterile water to the
suction control chamber
B. Give blood from the collection
chamber as autotransfusion
C. Manipulate blood in tubing to
drain into chamber
D. Increase wall suction to
eliminate fluctuation in
water seal
, An adult male was diagnosed with B. Explain that the client will start to lose consciousness and the
stage IV lung cancer three body systems will slow down
weeks ago. His wife
approaches the nurse and asks
how she will know that her
husband's death is imminent
because their two adult children
want to be there when he dies.
Which is the best response by
the nurse?
A. Gather information regarding
how long it will take for the
children to arrive
B. Explain that the client will
start to lose consciousness and
the body systems will slow
down
C. Reassure the spouse that the
healthcare provider will notify
when to call the children
D. Offer to discuss the client's health
status
with each of the adult children
The charge nurse of a critical D. An 82-year-old client with Alzheimer's disease and a newly-
care unit is informed at the fractured femur who has a Foley catheter and soft wrist
beginning of the shift that less restraints applied
than the optimal number of
registered nurses will be working
that shift. In planning
assignments, which client
should receive the most care
hours by a registered nurse
(RN)?
A. A 48-year-old marathon runner
with a central venous catheter
who is experiencing nausea and
vomiting due to electrolyte
disturbance following a race
B. A 34-year-old admitted today
after an emergency
appendectomy who has a
peripheral intravenous catheter
and a Foley catheter
C. A 63-year-old chain smoker
admitted with chronic bronchitis
who is receiving oxygen via
UPDATE
Terms in this set (158)
The nurse assumes care of a A. Assess for signs of fluid volume deficit
postoperative adult client with
type 2 diabetes mellitus and
learns that the client has a
current blood glucose level of
720 mg/dL. When assessing
the client, what is the priority?
A. Assess for signs of fluid volume
deficit
B. Observe wound drainage
characteristics
C. Measure the level of acute pain
D. Determine when the client last ate
A male client tells the nurse A. Encourage the client to obtain a complete physical exam, since
that he is concerned that he may these symptoms are consistent with an ulcer
have a stomach ulcer, because
he is experiencing heartburn
and dull gnawing pain that is
relieved when he eats. Which is
the best response by the
nurse?
A. Encourage the client to
obtain a complete physical
exam, since these symptoms
are consistent with an ulcer
B. Assure the client that his
symptoms may only reflect
reflux, since ulcer pain is not
relieved with food
C. Instruct the client that these
mild symptoms can generally be
controlled with changes in his
diet
D. Advise the client that he
needs to seek immediate
medical evaluation and
treatment of these symptoms
,A male client with stomach D. Increase the infusion rate of Lactated Ringer's solution
cancer returns to the unit
following a total gastrectomy.
He has a nasogastric tube to
suction and is receiving Lactated
Ringer's solution at 75 mL/hr
IV. One hour after admission to
the unit, the nurse notes 300mL
of blood in the suction canister, the
client's heart rate is 155
beats/minute, and his blood
pressure is 78/48 mmHg. In
addition to reporting the
findings to the surgeon, which
action should the nurse
implement first?
A. Measure and document the
client's urinary output
B. Request the client's
reserved unit of packed red
blood cells
C. Prepare for placement of
a central venous catheter
D. Increase the infusion rate of
Lactated Ringer's solution
A heparin infusion is prescribed -1st: calculate the weight = 220/2.2= 100kg
for a client who weighs 220 -Then calculate total dose in units = 18units x 100kg = 1800 units/hr
pounds. After administering a - 25000 units - in
bolus dose of 80 units/kg, the 250 1800 units ---in
nurse calculates the infusion rate X ml
for the heparin solution as 18 x = 1800 x 250/25000 =18 mL/hr
units/kg/hour. The available
solution is Heparin Sodium
25,000 Units in 5% Dextrose
Injection 250 mL. The nurse
should program the infusion
pump to deliver how many
mL/hour?
An adult male who fell 20 feet A. Add sterile water to the suction control chamber
from the roof of his home has
multiple injuries, including a
right pneumothorax. Chest
tubes were inserted in the
emergency department prior to
his transfer to the intensive
care unit (ICU). The nurse notes
that the suction control
,chamber is bubbling at the -
10cm H2O mark, which
fluctuation in the water seal,
and over the past hour 75 mL
of bright red blood is measured
in the collection chamber. Which
intervention should the nurse
implement?
A. Add sterile water to the
suction control chamber
B. Give blood from the collection
chamber as autotransfusion
C. Manipulate blood in tubing to
drain into chamber
D. Increase wall suction to
eliminate fluctuation in
water seal
, An adult male was diagnosed with B. Explain that the client will start to lose consciousness and the
stage IV lung cancer three body systems will slow down
weeks ago. His wife
approaches the nurse and asks
how she will know that her
husband's death is imminent
because their two adult children
want to be there when he dies.
Which is the best response by
the nurse?
A. Gather information regarding
how long it will take for the
children to arrive
B. Explain that the client will
start to lose consciousness and
the body systems will slow
down
C. Reassure the spouse that the
healthcare provider will notify
when to call the children
D. Offer to discuss the client's health
status
with each of the adult children
The charge nurse of a critical D. An 82-year-old client with Alzheimer's disease and a newly-
care unit is informed at the fractured femur who has a Foley catheter and soft wrist
beginning of the shift that less restraints applied
than the optimal number of
registered nurses will be working
that shift. In planning
assignments, which client
should receive the most care
hours by a registered nurse
(RN)?
A. A 48-year-old marathon runner
with a central venous catheter
who is experiencing nausea and
vomiting due to electrolyte
disturbance following a race
B. A 34-year-old admitted today
after an emergency
appendectomy who has a
peripheral intravenous catheter
and a Foley catheter
C. A 63-year-old chain smoker
admitted with chronic bronchitis
who is receiving oxygen via
