Exam (elaborations)

RN COMPREHENSIVE ONLINE PRACTICE 2024 B QUESTIONS AND DETAILED ANSWERS

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RN COMPREHENSIVE ONLINE PRACTICE 2024 B QUESTIONS AND DETAILED ANSWERS

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RN COMPREHENSIVE

Course

RN COMPREHENSIVE

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RN COMPREHENSIVE ONLINE
PRACTICE 2024 B QUESTIONS AND
DETAILED ANSWERS
AVnurseVisVcaringVforVaV5-year-oldVchild

PhysicalVExamination:

1510:

UponVvisualVinspection,VthroatVisVinflamed,VtonsilsVappearVpink,VreddenedVandVepiglottisVisVedematousVan
dVcherryVredVinVappearance.VSkinVappearsVpale.VStridorVnotedVuponVinspirationVwithVdiminishedVbilateralVl
ungVsounds.

Nurse'sVNotes:

1500

ChildVaccompaniedVtoVemergencyVdepartmentVbyVcaregiver.VCaregiverVstatesVchildVhasVaVsoreVthroatVandV
reportsVtheVchildVhasV"painVonVswallowing"VandVdeniesVcough.VChildVisVagitatedVandVleanV-
VcorrectVanswer-Condition:VEpiglottis

Actions:VInitiateVdropletVprecautionsVandVrequestVaVprescriptionVforVIVVantibiotics

Monitors:VBreathVsoundsVandVtemperature

TheVnurseVshouldVanticipateVinitiatingVdropletVprecautionsVandVrequestingVaVprescriptionVforVIVVantibiotic
s.VTheVchildVisVmostVlikelyVexperiencingVepiglottisVbecauseVofVtheVclinicalVmanifestationsVofVaVhighVfever,Vin
flammationVandVrednessVofVtheVthroat,VpaleVskin,VstridorVwithVinspiration,VpainfulVswallowing,VnoVcough,Vi
sVsittingVinVtripodVposition,VandVdrooling.VTheVnurseVshouldVmonitorVtheVchild'sVtemperatureVandVbreathVs
ounds.

AVnurseVisVcaringVforVaVclientVwhoVisVonVtheVspinalVcordVinjuryV(SCI)Vunit

Nurses'VNotes

DayV3,V1700

,ClientVadmittedVtoVSCIVunitV3VdaysVagoVfollowingVC7Vinjury.VSkinVisVcool,Vpale,VandVdryVtoVtouch.VRespiratio
nsVeasyVandVunlabored.VLungVsoundsVdiminishedVinVlowerVlobes.VAbdomenVsoftVandVnondistendedVwithVa
ctiveVbowelVsounds.VClientVpassedVaVsmallVamountVofVhardVformedVstoolVthisVAM.VIndwellingVurinaryVcath
eterVdrainingVclearVyellowVurine.VDeepVtendonVreflexesV(DTR)VareVbicepsV1+,VtricepsV1+,VpaV-
VcorrectVanswer-

TheVclientVisVmostVlikelyVexperiencingVmanifestationsVofVpneumoniaVandVautonomicVdysreflexia.

TheVnurseVshouldVanalyzeVcuesVfromVtheVclient'sVmanifestationsVandVdetermineVthatVtheVclientVisVmostVlik
elyVexperiencingVmanifestationsVofVpneumoniaVandVautonomicVdysreflexia.VAVclientVwhoVhasVaVcervicalVSC
IVisVatVriskVforVrespiratoryVcomplicationsVbecauseVspinalVinnervationVtoVtheVrespiratoryVmusclesVisVdisrupte
d.VAdventitiousVbreathVsoundsVinVtheVlowerVlobesVbilaterallyVandVaVdecreaseVinVoxygenVsaturationVtoVlessVt
hanV92%VcanVindicateVpneumonia.VTheVclient'sVsuddenVincreaseVinVbloodVpressure,Vbradycardia,VflushingV
ofVtheVskinVaboveVtheVareaVofVtheVinjury,Vheadache,VandVblurredVvisionVareVmanifestationsVofVautonomicV
dysreflexia,VwhichVcanVbeVaVlife-threateningVcondition.

AVnurseVisVcaringVforVaVclientVwhoVhasVabdominalVpain

Nurses'VNotes

0900

ClientVreportsVlossVofVappetite,VweightVloss,VandVfatigueVforV1Vweek.VReportsVabdominalVpain,V6VonVaVscale
VfromV0VtoV10,VforV2Vdays.VClientVisVaVperioperativeVnurse,VreturnedV1VweekVagoVfromVaV2-

weekVmissionVtripVtoVanVunderdevelopedVcountry

1200

ResultsVofVantibodyVstudiesVobtained.VProviderVprescriptionVforVantiviralVmedicationVpending.

PhysicalVExamination

0930

LungVsoundsVclearVbilaterally.VSkinVwarmVtoVtouchVandVjauV-VcorrectVanswer-
HepatitisVA:VClient'sVriskVfromVfecal-
oralVtransmission,VlaboratoryVresults,VandVphysicalVexaminationVfindings

HepatitisVB:VAntiviralVtreatment,VlaboratoryVresults,Vclient'sVriskVfromVbloodborneVtransmission,VphysicalV
examinationVfindings

,HepatitisVC:VAntiviralVtreatment,VlaboratoryVresults,Vclient'sVriskVfromVbloodborneVtransmission,VandVphysi
calVexaminationVfindings

WhenVanalyzingVcues,VtheVnurseVshouldVrecognizeVthatVmanifestationsVofVhepatitisVA,VhepatitisVB,VandVhe
patitisVCVincludeVjaundice,VyellowVsclerae,VrightVupperVquandrantVpainVuponVpalpation,VdarkVyellowVurine,
VandVelevatedVASTVandVALTVlevels.VWhenVanalyzingVcues,VtheVnurseVshouldValsoVrecognizeVtheVclient'sVriskV

forVcontractingVhepatitisVAVthroughVtheVfecal-
oralVrouteVduringVrecentVtravelVtoVanVunderdevelopedVcountryVandVtheVclient'sVoccupationalVriskVasVaVperi
operativeVnurseVforVcontractingVhepatitisVBVandVhepatitisVCVthroughVbloodborneVtransmission.VTheVnurseV
shouldVrecognizeVthatVtheVcurrentVstandardVofVpracticeVfor

AVnurseVisVcaringVforVaVclientVonVaVmedical-surgicalVunit

VitalVSigns

0700

TemperatureV37.6VCV(99.7VF)

HeartVrateV100/min

RespiratoryVrateV22/min

BloodVpressureV115/70VmmHg

OxygenVsaturationV98%VonVroomVair

Nurses'VNotes

1100

ClientValertVandVorientedVtoVperson,Vplace,VandVtime.VClientVhadVepisodeVofVdiarrhea,VprovidedVperinealVc
are.VNotedV2VcmVxV2VcmV(0.8VinVxV0.8Vin)VpainfulVedematousVareaVonVsacrum.VClientVrepositionedVeveryV4V
hr.V-VcorrectVanswer-
ClickVtoVhighlightVtheVfindingsVthatVrequireVfollowVup.VToVdeselectVaVfinding,VclickVonVtheVfindingVagain.

-VNotedV2VcmVxV2VcmV(0.8VinVxV0.8Vin)VpainfulVedematousVareaVonVsacrum

-VClientVrepositionedVeveryV4Vhr

WhenVrecognizingVcues,VtheVnurseVshouldVdetermineVthatVtheVclient'sVpainfulVedematousVareaVonVtheirVsa
crumVandVthatVtheVclientVhasVonlyVbeenVrepositionedVeveryV4VhrVrequiresVfollowVup.VTheVclientVhasVmanif

, estationsVofVaVpressureVinjuryVthatVneedVtoVbeVaddressed.VTheVclientVshouldVbeVrepositionedVatVleastVever
yV2VhrVtoVpreventVworseningVofVtheVpressureVinjuryVandVtoVrelieveVpressureVfromVtheVsacralVarea.

AVnurseVinVanVoutpatientVmentalVhealthVclinicVisVcaringVforVaVclient

VitalVSigns

3VmonthsVago

BloodVpressureV116/68VmmHg

HeartVrateV82/min

RespiratoryVrateV16/min

TemperatureV36.7VCV(98.1VF)

SaO2V97%VonVroomVair

Today:

BloodVpressureV128/76VmmHg

HeartVrateV104/min

RespiratoryVrateV22/min

TemperatureV37.4V(99.4VF)

SaO2V97%VonVroomVair

Nurses'VNotes

3VmonthsVago

ClientVrecentlyVadmittedVwithVnewVdiagnosisVofVschizophrenia.VReceivedVinpatientVtreatmentVforV10VdaysV
andVwasVdischargedV1VweekVago.V-VcorrectVanswer-
SelectVtheV3VfindingsVthatVrequireVimmediateVfollowVup:

-VAuditoryVhallucinations

-VSpeech

-VRestlessness

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Written in: 2024/2025
Type: Exam (elaborations)
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RN COMPREHENSIVE ONLINE PRACTICE 2024 B QUESTIONS AND DETAILED ANSWERS

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