RN Comprehensive Online Practice 2026
B
A nurse is updating the plan of care for a client who is 48 hr postoperative following a
laryngectomy and is unable to speak. Which of the following actions should the nurse
plan to take first? - ANSWER-Determine the client's reading skills.
A nurse is assessing a client following a colonoscopy. Which of the following findings
should indicate to the nurse that the client is hemorrhaging - ANSWER-Rapid decrease
in BP
A nurse administers an incorrect dose of medication to a client. The nurse recognizes
the error immediately and completes an incident report. Which of the following facts
related to the incident should the nurse document in the client's medical record? -
ANSWER-Time the medication was given
A nurse is teaching a client who has a new prescription for methylphenidate. Which of
the following instructions should the nurse include in the teaching - ANSWER-Take this
medication in the morning.
A nurse is caring for a client who has chronic headaches and reports taking as many as
10 acetaminophen capsules per day. Which of the following assessment findings
indicate the client may be experiencing an acetaminophen toxicity - ANSWER-
Abdominal tenderness
A charge nurse is planning an educational session for staff nurses about working with
parents whose children have a terminal illness and are candidates for donating their
organs. Which of the following information should the nurse plan to include? -
ANSWER-The family can have the child in an open casket without fearing that the
organ donation might disfigure the child's body.
A nurse is planning care for a client who has rheumatoid arthritis and has moderate to
severe pain in multiple joints. Which of the following actions should the nurse plan to
take - ANSWER-Allow for frequent rest periods throughout the day
A nurse is caring for a client on a medical-surgical unit. Complete the following sentence
by using the list of options. - ANSWER-The nurse recognizes that the client is having a
possible febrile non-hemolytic transfusion reaction. The nurse should first stop the
transfusion and plan to administer an antipyretic.
An (AP) and a nurse are turning a client onto the right side. Which of the following
actions by the AP requires the nurse to intervene? - ANSWER-Places a pillow under the
clients right arm
, A nurse in an emergency department is caring for a child who has a fever and fluid-filled
vesicles on the trunk and extremities. Which of the following interventions should the
nurse identify as the priority? - ANSWER-Initiate transmission-based precautions
A nurse is providing colostomy care for a client using a two-piece pouching system.
Which of the following actions should the nurse take? - ANSWER-Empty the pouch
when it is 1/3 to 1/2 full.
A nurse is caring for four clients at the beginning of a shift. After recieving change of
shift report, which of the following clients should the nurse attend to first? - ANSWER-A
client who has confusion and has been attempting to get out of bed
A nurse is caring for a newborn - ANSWER-The nurse should plan to first assess the
newborn's respiratory rate, followed by the newborn's heart rate
A nurse is planning care for a client who has a deficit with cranial nerve II. Which of the
following actions should the nurse plan to take? - ANSWER-Clear objects from the
client's walking area.
A nurse is caring for a 4 year old - ANSWER-the nurse should first address the child's
urinary output, followed by the child's oxygen requirements
A nurse is preparing a sterile field to perform a sterile dressing change. Which of the
following interventions should the nurse use to maintain surfical sterile technique -
ANSWER-Maintain sterile objects withhin the line of vision
A nurse is preparing to transfer a client who has had a stroke to a rehabilitation facility.
The client's caregiver tells the nurse they are concerned about the level of care the
client will receive. Which of the following actions should the nurse take? - ANSWER-
Facilitate an interdisciplinary conference at the new facility for the caregiver.
A nurse is assessing a client for compartment syndrome. Which of the following findings
should the nurse expect? - ANSWER-Edema
A nurse is preparing to transfer a client from the ICY to the medical floor. The client has
recently been weaned from mechanical ventilation following a pneumonectomy. Which
of the following information should the nurse include in the change of shift report? -
ANSWER-The time of the client's last dose of pain medication
A nurse is assessing a toddler who has sickle cell anemia. Which of the following
findings should the nurse identify as a manifestation of vasoocclusive crisis? -
ANSWER-hematuria
A nurse is caring for a client who has COPD and becomes extremely short of breath.
Which of the following interventions by the nurse requires completion of an incident
report? - ANSWER-Increasing oxygen via nasal cannula to 6 L/min
B
A nurse is updating the plan of care for a client who is 48 hr postoperative following a
laryngectomy and is unable to speak. Which of the following actions should the nurse
plan to take first? - ANSWER-Determine the client's reading skills.
A nurse is assessing a client following a colonoscopy. Which of the following findings
should indicate to the nurse that the client is hemorrhaging - ANSWER-Rapid decrease
in BP
A nurse administers an incorrect dose of medication to a client. The nurse recognizes
the error immediately and completes an incident report. Which of the following facts
related to the incident should the nurse document in the client's medical record? -
ANSWER-Time the medication was given
A nurse is teaching a client who has a new prescription for methylphenidate. Which of
the following instructions should the nurse include in the teaching - ANSWER-Take this
medication in the morning.
A nurse is caring for a client who has chronic headaches and reports taking as many as
10 acetaminophen capsules per day. Which of the following assessment findings
indicate the client may be experiencing an acetaminophen toxicity - ANSWER-
Abdominal tenderness
A charge nurse is planning an educational session for staff nurses about working with
parents whose children have a terminal illness and are candidates for donating their
organs. Which of the following information should the nurse plan to include? -
ANSWER-The family can have the child in an open casket without fearing that the
organ donation might disfigure the child's body.
A nurse is planning care for a client who has rheumatoid arthritis and has moderate to
severe pain in multiple joints. Which of the following actions should the nurse plan to
take - ANSWER-Allow for frequent rest periods throughout the day
A nurse is caring for a client on a medical-surgical unit. Complete the following sentence
by using the list of options. - ANSWER-The nurse recognizes that the client is having a
possible febrile non-hemolytic transfusion reaction. The nurse should first stop the
transfusion and plan to administer an antipyretic.
An (AP) and a nurse are turning a client onto the right side. Which of the following
actions by the AP requires the nurse to intervene? - ANSWER-Places a pillow under the
clients right arm
, A nurse in an emergency department is caring for a child who has a fever and fluid-filled
vesicles on the trunk and extremities. Which of the following interventions should the
nurse identify as the priority? - ANSWER-Initiate transmission-based precautions
A nurse is providing colostomy care for a client using a two-piece pouching system.
Which of the following actions should the nurse take? - ANSWER-Empty the pouch
when it is 1/3 to 1/2 full.
A nurse is caring for four clients at the beginning of a shift. After recieving change of
shift report, which of the following clients should the nurse attend to first? - ANSWER-A
client who has confusion and has been attempting to get out of bed
A nurse is caring for a newborn - ANSWER-The nurse should plan to first assess the
newborn's respiratory rate, followed by the newborn's heart rate
A nurse is planning care for a client who has a deficit with cranial nerve II. Which of the
following actions should the nurse plan to take? - ANSWER-Clear objects from the
client's walking area.
A nurse is caring for a 4 year old - ANSWER-the nurse should first address the child's
urinary output, followed by the child's oxygen requirements
A nurse is preparing a sterile field to perform a sterile dressing change. Which of the
following interventions should the nurse use to maintain surfical sterile technique -
ANSWER-Maintain sterile objects withhin the line of vision
A nurse is preparing to transfer a client who has had a stroke to a rehabilitation facility.
The client's caregiver tells the nurse they are concerned about the level of care the
client will receive. Which of the following actions should the nurse take? - ANSWER-
Facilitate an interdisciplinary conference at the new facility for the caregiver.
A nurse is assessing a client for compartment syndrome. Which of the following findings
should the nurse expect? - ANSWER-Edema
A nurse is preparing to transfer a client from the ICY to the medical floor. The client has
recently been weaned from mechanical ventilation following a pneumonectomy. Which
of the following information should the nurse include in the change of shift report? -
ANSWER-The time of the client's last dose of pain medication
A nurse is assessing a toddler who has sickle cell anemia. Which of the following
findings should the nurse identify as a manifestation of vasoocclusive crisis? -
ANSWER-hematuria
A nurse is caring for a client who has COPD and becomes extremely short of breath.
Which of the following interventions by the nurse requires completion of an incident
report? - ANSWER-Increasing oxygen via nasal cannula to 6 L/min
