RN MILESTONE EXAM QUESTION AND ANSWERS 2024 RETAKE EXAM

RN MILESTONE EXAM QUESTION AND ANSWERS 2024 RETAKE EXAM What test is commonly used by nurses to assess developmental tasks in infants? • A. Apgar Score • B. Denver Developmental Screening Test • C. Glasgow Coma Scale • D. Babinski Reflex Test A patient with unstable angina is advised to take nitroglycerin before climbing stairs. What is the purpose of this recommendation? • A. To increase blood pressure before activity • B. To prevent angina attacks during physical exertion • C. To improve respiratory function • D. To reduce the risk of falling A 36-week gestation woman has a heart rate of 90, and the fetal heart rate (FHR) disappears at the start of a contraction but returns after 2 seconds. What does this suggest? • A. Amniotic fluid problem • B. Normal fetal response • C. Maternal dehydration • D. Placental abruption An older adult with Alzheimer’s disease and poor vision is unable to finish their meal. What should the nurse do? • A. Increase the meal portion size • B. Provide a well-lit environment and offer assistance • C. Change the type of food served • D. Reduce the frequency of meals Which of the following is a characteristic of Kawasaki disease? • A. High fever and rash • B. Joint pain and swelling • C. Low blood pressure and confusion If a patient scheduled for a c-section consumes juice, what risk is associated with this action? • A. Increased risk of infection • B. Increased risk of aspiration • C. Delayed healing • D. Elevated blood sugar levels When caring for an infant with Wilms tumor, what should the nurse be cautious about? • A. Encouraging the infant to walk • B. Handling the abdomen carefully, avoiding palpation • C. Using harsh soaps during bathing • D. Allowing the infant to play with small toys In a milieu therapy program on a behavioral unit, what is an essential nursing intervention? • A. Allowing clients to set their own schedules • B. Ensuring clients follow a structured daily routine • C. Avoiding any form of structured activity • D. Encouraging clients to stay in their rooms According to Maslow’s hierarchy of needs, which stage involves the fulfillment of personal growth and potential? • A. Physiological needs • B. Safety needs • C. Esteem needs • D. Self-actualization For a patient feeling at risk of relapse due to drug use, what should the nurse teach them? A. How to recognize and avoid triggers B. How to increase medication dosage C. How to engage in physical exercise D. How to reduce sleep duration Which of the following interventions are appropriate for managing seizures? (Select all that apply) – A. Ensuring safety during the seizure – B. Administering anticonvulsant medication – C. Documenting the duration and type of seizure – D. Restraining the patient during the seizure What is the nursing priority for a patient with sickle cell disease? – A. Pain management – B. Nutritional support – C. Fluid restriction – D. Respiratory therapy If a patient with a low suction tube begins to vomit, what should the nurse do? – A. Increase the suction pressure immediately – B. Check and adjust the suction settings as needed – C. Discontinue suctioning immediately – D. Administer anti-nausea medication What is the purpose of weight-bearing range of motion (ROM) exercises for patients? – A. To improve joint function and bone density – B. To increase muscle bulk – C. To enhance flexibility – D. To decrease blood pressure