RENR PRACTICE TEST 5
1. When assessing a community, the nurse identifies which factor as a community characteristic for violence?
a. Lack of family cohesion
b. High crime rate
c. Social isolation
d. Substance abuse
2. A nurse working at a battered woman’s shelter is counseling a pregnant woman who has just entered the
shelter. When assessing the client’s history, which information would the client most likely report?
a. A history of abuse before pregnancy
b. A history of child abuse
c. A history of multiple pregnancies
d. A history of substance abuse
3. A nurse is counseling a client who has just ended an abusive relationship. Which emotion would the client
most likely display?
a. Anger
b. Apathy
c. Grief
d. Guilt
4. A community health nurse visits a home and notices multiple bruises on a 4-year-old child. The mother
reports that her husband is an alcoholic and is currently sleeping. What is the most appropriate action for the
nurse to take?
a. Question the mother about sexual abuse.
b. Initiate interventions directed at family violence.
c. Report the case of suspected child abuse to authorities.
d. Refer the mother to a social worker 5. Which rhythm is this?
a.Asystole
b.Ventricular Fibrillation
c.Sinus Tachycardia
d.Sinus bradycardia
6. Which role would be most appropriate for an undergraduate-level prepared nurse working with a mental health population?
a. Prescribe medications and have hospital admission privileges.
b. Work as a case manager for large groups of persons with mental illness.
c. Assess clients in acute psychiatric hospital settings.
d. Provide basic primary, secondary, and tertiary services.
7. A nurse is counseling a client following an unexpected loss. If given adequate support and adaptation, the client will most likely:
a. Recover from the crisis and become mentally ill
b. Avoid the loss and potential mental illness
c. Be able to ignore the grief
d. Resume previous lifestyle in spite of sadness
8. What is the purpose of implementing total quality management?
a. To provide quality care within an organization
b. To provide cost-efficient care across all age groups
c. To provide necessary care to clients in a cost-effective system
d. To provide efficient systems of primary care 9. What rhythm this represent?
a.Ventricular Fibrillation
b.Sinus Tachycardia
c.Sinus Bradycardia
d.Atrial Fibrillation
10. A public health agency is transitioning from a traditional management model for quality assurance to a total
quality management (TQM) approach. What change will occur within the agency?
a. Increased administrative authority
b. Increased participation by all staff
c. Additional focus on quality assurance
d. Specialized accountability for services provided
11. A nurse is caring for several clients. Which of the following clients are NOT at risk for having a pulmonary
embolism? a.A client who has a BMI of 30
b.A female client who is postmenopausal
c.A client who has a fractured femur
d.A client who has chronic atrial fibrillation
12. A nurse is reviewing prescriptions for a client who has acute dyspnea and diaphoresis. The client states that
she is anxious because she feels that she cannot get enough air. Vital signs are: heart rate 117/min, respiratory
rate 38/min, temperature 38.4° C (101.2° F), and blood pressure 100/54 mm Hg. Which of the following actions
is the priority action at this time? A. Notify the provider.
B. Administer heparin via IV infusion.
C. Administer oxygen therapy.
D. Obtain a spiral CT scan.
13. A nurse is caring for a client who has a new prescription for heparin therapy. Which of the following
statements by the client should indicate an immediate concern for the nurse?
A. “I am allergic to morphine.”
B. “I take antacids several times a day.”
C. “I had a blood clot in my leg several years ago.”
D. “It hurts to take a deep breath.”
14. A nurse is assessing a client who has a pulmonary embolism. Which of the clinical manifestations should the
nurse expect NOT to find? A. Bradypnea
B. Pleural friction rub
C. Petechiae
D. Tachycardia
15. The nurse is assessing the client’s electrocardiography (ECG). What does the P wave on the ECG tracing
represent?
A.Depolarization of the atria
B.Contraction of the atria
C.Contraction of the ventricles
D.Depolarization of the ventricles
1. When assessing a community, the nurse identifies which factor as a community characteristic for violence?
a. Lack of family cohesion
b. High crime rate
c. Social isolation
d. Substance abuse
2. A nurse working at a battered woman’s shelter is counseling a pregnant woman who has just entered the
shelter. When assessing the client’s history, which information would the client most likely report?
a. A history of abuse before pregnancy
b. A history of child abuse
c. A history of multiple pregnancies
d. A history of substance abuse
3. A nurse is counseling a client who has just ended an abusive relationship. Which emotion would the client
most likely display?
a. Anger
b. Apathy
c. Grief
d. Guilt
4. A community health nurse visits a home and notices multiple bruises on a 4-year-old child. The mother
reports that her husband is an alcoholic and is currently sleeping. What is the most appropriate action for the
nurse to take?
a. Question the mother about sexual abuse.
b. Initiate interventions directed at family violence.
c. Report the case of suspected child abuse to authorities.
d. Refer the mother to a social worker 5. Which rhythm is this?
a.Asystole
b.Ventricular Fibrillation
c.Sinus Tachycardia
d.Sinus bradycardia
6. Which role would be most appropriate for an undergraduate-level prepared nurse working with a mental health population?
a. Prescribe medications and have hospital admission privileges.
b. Work as a case manager for large groups of persons with mental illness.
c. Assess clients in acute psychiatric hospital settings.
d. Provide basic primary, secondary, and tertiary services.
7. A nurse is counseling a client following an unexpected loss. If given adequate support and adaptation, the client will most likely:
a. Recover from the crisis and become mentally ill
b. Avoid the loss and potential mental illness
c. Be able to ignore the grief
d. Resume previous lifestyle in spite of sadness
8. What is the purpose of implementing total quality management?
a. To provide quality care within an organization
b. To provide cost-efficient care across all age groups
c. To provide necessary care to clients in a cost-effective system
d. To provide efficient systems of primary care 9. What rhythm this represent?
a.Ventricular Fibrillation
b.Sinus Tachycardia
c.Sinus Bradycardia
d.Atrial Fibrillation
10. A public health agency is transitioning from a traditional management model for quality assurance to a total
quality management (TQM) approach. What change will occur within the agency?
a. Increased administrative authority
b. Increased participation by all staff
c. Additional focus on quality assurance
d. Specialized accountability for services provided
11. A nurse is caring for several clients. Which of the following clients are NOT at risk for having a pulmonary
embolism? a.A client who has a BMI of 30
b.A female client who is postmenopausal
c.A client who has a fractured femur
d.A client who has chronic atrial fibrillation
12. A nurse is reviewing prescriptions for a client who has acute dyspnea and diaphoresis. The client states that
she is anxious because she feels that she cannot get enough air. Vital signs are: heart rate 117/min, respiratory
rate 38/min, temperature 38.4° C (101.2° F), and blood pressure 100/54 mm Hg. Which of the following actions
is the priority action at this time? A. Notify the provider.
B. Administer heparin via IV infusion.
C. Administer oxygen therapy.
D. Obtain a spiral CT scan.
13. A nurse is caring for a client who has a new prescription for heparin therapy. Which of the following
statements by the client should indicate an immediate concern for the nurse?
A. “I am allergic to morphine.”
B. “I take antacids several times a day.”
C. “I had a blood clot in my leg several years ago.”
D. “It hurts to take a deep breath.”
14. A nurse is assessing a client who has a pulmonary embolism. Which of the clinical manifestations should the
nurse expect NOT to find? A. Bradypnea
B. Pleural friction rub
C. Petechiae
D. Tachycardia
15. The nurse is assessing the client’s electrocardiography (ECG). What does the P wave on the ECG tracing
represent?
A.Depolarization of the atria
B.Contraction of the atria
C.Contraction of the ventricles
D.Depolarization of the ventricles
