RN COMPREHENSIVE ONLINE PRACTICE F FULL
PRACTICE QUESTIONS WITH RATIONALES AND
NURSING CONCEPTS
◉ A nurse is administering cyclophosphamide orally to a school age
child who has neuroblastoma.
Answer: Maintain hydration with liberal fluid intake
◉ A nurse is caring for a client who has a prescription for
chloropromazine.
Answer: Decreased hallucinations
◉ A nurse is performing an admission assessment of a preschooler
who is in the acute phase of Kawasaki disease.
Answer: Fever unresponsive to antipyretics
◉ A nurse is preparing to teach about dietary management to a
client who has crohn's disease and enteroenteric fistula.
Answer: FIber
◉ A nurse is assessing a client for compartment syndrome.
Answer: Edema
,◉ A nurse in an outpatient mental health facility is assessing a child
who has autism spectrum disorder.
Answer: strict adherence to routines
◉ A nurse on a pediatric unit has received change-of-shift report for
four children. Which of the following children should the nurse
assess first?.
Answer: a 10 year old child who is awaiting surgery for an
appendectomy and experienced sudden relief from pain
◉ a nurse in an outpatient mental health clinic is working with a
client who has post traumatic stress disorder and asks the nurse to
recommend a nonpharmacological therapy to use to provide relief of
the manifestations.
Answer: Guided imagery
◉ A charge nurse assigns a newly licensed nurse to care for a client
who has a chest tube. The nurse expresses concern about having
limited experience with monitoring chest tube drainage. Which of
the following actions should the charge nurse take first to provide
teaching about chest tubes?.
Answer: Ask the nurse about their knowledge of the procedure
◉ a nurse is caring for a client who has a potassium level of 3.
, Answer: Decreased deep tendon reflexes
◉ A nurse is caring for a client who is receiving positive end
expiratory pressure via mechanical ventilation.
Answer: Tension pneumothorax
◉ A nurse is caring for a client who is 4 hr postpartum and has a
boggy uterus with heavy lochia..
Answer: Massage the uterus to expel clots
◉ A nurse manager is preparing to teach a group of newly licensed
nurses about effective time management..
Answer: Making a list of activities to complete
◉ a nurse is caring for a client who has a terminal illness and
requests no lifesaving measures if a cardiac arrest occurs..
Answer: I will provide you with information about medical
treatment to include in your living will
◉ A charge nurse observes a staff nurse document a dressing change
in a clients chart that was not performed.
Answer: Gather more information about the staff nurses actions
PRACTICE QUESTIONS WITH RATIONALES AND
NURSING CONCEPTS
◉ A nurse is administering cyclophosphamide orally to a school age
child who has neuroblastoma.
Answer: Maintain hydration with liberal fluid intake
◉ A nurse is caring for a client who has a prescription for
chloropromazine.
Answer: Decreased hallucinations
◉ A nurse is performing an admission assessment of a preschooler
who is in the acute phase of Kawasaki disease.
Answer: Fever unresponsive to antipyretics
◉ A nurse is preparing to teach about dietary management to a
client who has crohn's disease and enteroenteric fistula.
Answer: FIber
◉ A nurse is assessing a client for compartment syndrome.
Answer: Edema
,◉ A nurse in an outpatient mental health facility is assessing a child
who has autism spectrum disorder.
Answer: strict adherence to routines
◉ A nurse on a pediatric unit has received change-of-shift report for
four children. Which of the following children should the nurse
assess first?.
Answer: a 10 year old child who is awaiting surgery for an
appendectomy and experienced sudden relief from pain
◉ a nurse in an outpatient mental health clinic is working with a
client who has post traumatic stress disorder and asks the nurse to
recommend a nonpharmacological therapy to use to provide relief of
the manifestations.
Answer: Guided imagery
◉ A charge nurse assigns a newly licensed nurse to care for a client
who has a chest tube. The nurse expresses concern about having
limited experience with monitoring chest tube drainage. Which of
the following actions should the charge nurse take first to provide
teaching about chest tubes?.
Answer: Ask the nurse about their knowledge of the procedure
◉ a nurse is caring for a client who has a potassium level of 3.
, Answer: Decreased deep tendon reflexes
◉ A nurse is caring for a client who is receiving positive end
expiratory pressure via mechanical ventilation.
Answer: Tension pneumothorax
◉ A nurse is caring for a client who is 4 hr postpartum and has a
boggy uterus with heavy lochia..
Answer: Massage the uterus to expel clots
◉ A nurse manager is preparing to teach a group of newly licensed
nurses about effective time management..
Answer: Making a list of activities to complete
◉ a nurse is caring for a client who has a terminal illness and
requests no lifesaving measures if a cardiac arrest occurs..
Answer: I will provide you with information about medical
treatment to include in your living will
◉ A charge nurse observes a staff nurse document a dressing change
in a clients chart that was not performed.
Answer: Gather more information about the staff nurses actions