RN COMPREHENSIVE ONLINE
PRACTICE 153 REAL EXAM
QUESTIONS AND CORRECT
ANSWERS
A nurse is teaching a client who is at 20 weeks of gestation about common
discomforts associated with pregnancy. Which of the following statements by
the client indicates an understanding of the teaching?
"I will wear a supportive bra overnight."
A nurse is providing teaching to a client who has a new prescription for
phenelzine. Which of the following foods should the client avoid while taking
this medication?
Liver
A nurse on a burn unit is planning care for a client who has deep partial-
thickness burns. The client has been stabilized and has a secure airway.
Which of the following goals should the nurse prioritize during the
resuscitation phase?
The client's fluid intake will be equivalent to the client's output.
A nurse is caring for a client who is receiving a continuous intravenous
infusion and notes the site is warm with a palpable cord along the vein.
Which of the following actions should the nurse take?
Apply a warm compress to the intravenous site.
,A nurse is caring for a newborn whose parent asks why the baby is receiving
vitamin K. The nurse should explain to the parent that the newborn should
receive vitamin K to prevent which of the following?
Bleeding
A nurse is caring for a client who is in the fourth stage of labor and is
receiving oxytocin via continuous IV infusion. Which of the following
assessments is the nurse's priority?
Amount of vaginal bleeding
A nurse is caring for a client who speaks a different language than they do.
Which of the following actions should the nurse take to improve
communication?
Use a telephone interpreter contracted by the agency.
A nurse is preparing an in-service for coworkers about preventing
musculoskeletal injuries. Which of the following statements should the nurse
include?
"You should maintain a wide base of support when moving objects."
A nurse is reviewing the urinalysis report of a client who has acute
glomerulonephritis. Which of the following findings should the nurse expect?
Protein
,A nurse is administering cyclophosphamide orally to a school-age child who
has neuroblastoma. Which of the following actions should the nurse take
when administering this medication?
Maintain hydration with liberal fluid intake.
A nurse is caring for a 10-year-old child who is postoperative following
cardiac surgery.
The client is at the highest risk for developing
as evidenced by
acute kidney injury
urine output
A nurse is providing discharge instructions to a client who has a new
prescription for warfarin. Which of the following client statements should the
nurse identify as an indication that the client understands the teaching?
I should report a change in the color of my stools."
A nurse is assessing a client following a lumbar puncture. Which of the
following findings should be reported to the provider immediately?
Clear drainage from the puncture site
, A nurse is conducting a physical examination for an adolescent and is
assessing the range of motion of the legs. Which of the following images
indicates the adolescent is abducting the hip joint?
moving the leg away from the midline of the body.
A nurse is caring for a client who has an endotracheal tube in place and has
excessive secretions requiring suctioning using an open suction system.
Which of the following actions should the nurse take?
Provide 100% oxygen before and after endotracheal suctioning.
A nurse is admitting a client who reports suicidal behaviors. Which of the
following actions should the nurse take to ensure a safe environment?
Search items brought to the client by visitors
A school nurse is notified of an emergency in which several children were
injured following the collapse of playground equipment. Upon arrival at the
playground, which of the following actions should the nurse take first?
Survey the scene for potential hazards to staff and children.
A nurse is planning care for a client who has dementia and requires
assistance with bathing. Which of the following interventions should the
nurse plan to include to promote dignity and privacy?
Explain each step of the bathing process before performing it.
PRACTICE 153 REAL EXAM
QUESTIONS AND CORRECT
ANSWERS
A nurse is teaching a client who is at 20 weeks of gestation about common
discomforts associated with pregnancy. Which of the following statements by
the client indicates an understanding of the teaching?
"I will wear a supportive bra overnight."
A nurse is providing teaching to a client who has a new prescription for
phenelzine. Which of the following foods should the client avoid while taking
this medication?
Liver
A nurse on a burn unit is planning care for a client who has deep partial-
thickness burns. The client has been stabilized and has a secure airway.
Which of the following goals should the nurse prioritize during the
resuscitation phase?
The client's fluid intake will be equivalent to the client's output.
A nurse is caring for a client who is receiving a continuous intravenous
infusion and notes the site is warm with a palpable cord along the vein.
Which of the following actions should the nurse take?
Apply a warm compress to the intravenous site.
,A nurse is caring for a newborn whose parent asks why the baby is receiving
vitamin K. The nurse should explain to the parent that the newborn should
receive vitamin K to prevent which of the following?
Bleeding
A nurse is caring for a client who is in the fourth stage of labor and is
receiving oxytocin via continuous IV infusion. Which of the following
assessments is the nurse's priority?
Amount of vaginal bleeding
A nurse is caring for a client who speaks a different language than they do.
Which of the following actions should the nurse take to improve
communication?
Use a telephone interpreter contracted by the agency.
A nurse is preparing an in-service for coworkers about preventing
musculoskeletal injuries. Which of the following statements should the nurse
include?
"You should maintain a wide base of support when moving objects."
A nurse is reviewing the urinalysis report of a client who has acute
glomerulonephritis. Which of the following findings should the nurse expect?
Protein
,A nurse is administering cyclophosphamide orally to a school-age child who
has neuroblastoma. Which of the following actions should the nurse take
when administering this medication?
Maintain hydration with liberal fluid intake.
A nurse is caring for a 10-year-old child who is postoperative following
cardiac surgery.
The client is at the highest risk for developing
as evidenced by
acute kidney injury
urine output
A nurse is providing discharge instructions to a client who has a new
prescription for warfarin. Which of the following client statements should the
nurse identify as an indication that the client understands the teaching?
I should report a change in the color of my stools."
A nurse is assessing a client following a lumbar puncture. Which of the
following findings should be reported to the provider immediately?
Clear drainage from the puncture site
, A nurse is conducting a physical examination for an adolescent and is
assessing the range of motion of the legs. Which of the following images
indicates the adolescent is abducting the hip joint?
moving the leg away from the midline of the body.
A nurse is caring for a client who has an endotracheal tube in place and has
excessive secretions requiring suctioning using an open suction system.
Which of the following actions should the nurse take?
Provide 100% oxygen before and after endotracheal suctioning.
A nurse is admitting a client who reports suicidal behaviors. Which of the
following actions should the nurse take to ensure a safe environment?
Search items brought to the client by visitors
A school nurse is notified of an emergency in which several children were
injured following the collapse of playground equipment. Upon arrival at the
playground, which of the following actions should the nurse take first?
Survey the scene for potential hazards to staff and children.
A nurse is planning care for a client who has dementia and requires
assistance with bathing. Which of the following interventions should the
nurse plan to include to promote dignity and privacy?
Explain each step of the bathing process before performing it.
