**RN COMPREHENSIVE ONLINE
PRACTICE 2024 A QUESTIONS AND
DETAILED ANSWERS
AVchargeVnurseVisVplanningVanVeducationalVsessionVforVstaffVnursesVaboutVworkingVwithVparentsVwhoseVchi
ldrenVhaveVaVterminalVillnessVandVareVcandidatesVforVdonatingVtheirVorgans.VWhichVofVtheVfollowingVinfor
mationVshouldVtheVnurseVplanVtoVinclude?V-VcorrectVanswer-
TheVfamilyVcanVhaveVtheVchildVinVanVopenVcasketVwithoutVfearingVthatVtheVorganVdonationVmightVdisfigureV
theVchild'sVbody.
OrganVdonationVdoesVnotVaffectVorVdelayVfuneralVtimeVorVexpenses.
OrganVdonationVshouldVbeVdiscussedVseparatelyVfromVtheVdiscussionVofVtheVchild'sVimpendingVdeath.
AVnurseVinVaVprovider'sVofficeVisVcaringVforVaVclientVwhoVhasVaVnewVdiagnosisVofVtypeV2VdiabetesVmellitus.
CompleteVtheVfollowingVsentenceVbyVusingVtheVlistsVofVoptions.
0800:VClientVhasVaV2VcmVxV3VcmVvascularVulcerVnotedVonVrightVankle.VTheVsiteVwasVcleanedVwithV0.9%Vsodi
umVchlorideVandVdressingVcoveredVwithVhydrogelVfoam.VCapillaryVrefillVgreaterVthanV5VsecondsVbilaterally.V
DorsalisVpedisVpulsesV1+Vbilaterally.
EducationVwasVprovidedVtoVtheVclientVaboutVwoundVcareVandVdietVtoVcontrolVglucoseVlevels.V
0830:V
GlucoseV175Vmg/dLV(74-1-06Vmg/dL)
HbA1cV9%V(lessVthanV7%)
WBCVcountV9,500V(5,000-10,000)
HctV44%V(42-52%)
hGBV15Vg/dLV(14-18Vg/dL)
,PotassiumV3.6VmEq/LV(3.5-5.0VmEq/L)V-VcorrectVanswer-DropdownV1:VDelayedVwoundVhealing
DropdownV2:VGlucoseVlevel
TheVclientVisVatVriskVforVdevelopingVdelayedVwoundVhealingVdueVtoVglucoseVlevel.
TheVnurseVshouldVidentifyVthatVtheVclientVisVatVriskVforVdelayedVwoundVhealingVdueVtoVaVglucoseVlevelVthatV
isVaboveVtheVexpectedVreferenceVrange.VTheVnurseVshouldVeducateVtheVclientVonVwoundVcareVandVproperV
nutritionVtoVcontrolVtheirVglucoseVlevelsVwithVtypeV2Vdiabetes.
AVnurseVisVcaringVforVaVclientVwhoVisVinVtheVspinalVcordVinjuryV(SCI)Vunit.
CompleteVtheVfollowingVsentenceVbyVusingVtheVlistVofVoptions.
DayV1,V1700:VClientVadmittedVtoVSCIV3VdaysVagoVfollowingVC7Vinjury.V
UrinaryVoutputV800VmLVinVindwellingVurinaryVcatheterVoverVlastV12Vhours.
1700:
LungVsoundsVdiminishedVinVlowerVlobes.VDeepVtendonVreflexesV(DTR)VareVbicepsV1+,VtricepsV1+,VpatellaV0,V
andVankleV0Vbilaterally.VSkinVisVcool,Vpale,VandVdryVtoVtouch.
2200:V
TemperatureV37.2VCV(99.0F)
HRV74/min
RRV20/min
BPV110/60
O2V95%VonVroomVair
,DayV2V0600:VClientVhasVaVnonproductiveVcough.VUrinaryVoutputV100mLVinVindwellingVurinaryVcatheterVove
rVlastV6Vhours
0600:VAdventitiousVlungVsoundsVauscultatedVinVlowerVlobesVandVbilaterally.VAbdomenVdistendedVwithVhyp
oactiveVbowelVsounds.V
0600:V
TemperatureV37.8CV(100F)
HRV54/min
RRV26/min
BPV96/60
O2V90%VonVroomVairV-VcorrectVanswer-DropdownV1:VOxygenVsaturation
DropdownV2:VUrinaryVoutput
TheVnurseVshouldVaddressVtheVclient'sVoxygenVsaturationVfollowedVbyVtheVclient'sVurinaryVoutput.
ImpairedVfunctioningVofVtheVintercostalVmusclesVandVnervesVofVtheVdiaphragmVincreasesVtheVriskVofVatelec
tasisVandVpneumoniaVforVtheVclientVwhoVhasVaVSCI.VUrinaryVoutputVofV30mL/hrVorVlessVforVmoreVthanV2Vho
ursVrequiresVassessment.VIncreasedVriskVofVautonomicVdysreflexiaVfromVurinaryVretentionVandVshouldVobs
erveVclientVforVabdominalVdistention,VassessVforVbladderVdistention,VandVcheckVtheVurinaryVcatheterVtubin
gVforVobstruction.
AVnurseVisVprovidingVteachingVaboutVimprovingVnutritionVforVaVclientVwhoVhasVmultipleVsclerosis.VWhichVof
VtheVfollowingVinstructionsVshouldVtheVnurseVinclude?VSelectVallVthatVapply.V-VcorrectVanswer-
"AVspeechVpathologistVwillVbeVperformingVaVswallowingVstudyVforVyou."
"YouVshouldVrestVbeforeVeatingVaVmeal."
"ThickenVyourVbeveragesVbeforeVdrinking."
, AspirationVisVatVincreasedVriskVdueVtoVMultipleVsclerosis.VMSVpatientsVoftenVreportVweaknessVandVareVeasil
yVfatigued.
AVnurseVisVcaringVforVaVpreschoolerVonVtheVpediatricVunit.
AfterVreviewingVtheVassessmentVfindings,VwhichVofVtheVfollowingVactionsVshouldVtheVnurseVtake?
SelectVtheV4VactionsVtheVnurseVshouldVtake.V-VcorrectVanswer-DiscontinueVtheVIVVmedication.
AdministerV0.9%VsodiumVchlorideVIV.
AdministerVepinephrineVIM.
MonitorVvitalVsignsVfrequently.
AVnurseVisVcaringVforVaVclientVwhoVisVonV24-hrVobservation.
CompleteVtheVfollowingVsentenceVbyVusingVtheVlistsVofVoptions.V-VcorrectVanswer-
DropdownV1:VHemorrhage
DropdownV2:VThrombocytopenia
AVnurseVisVcaringVforVaVclient.
CompleteVtheVdiagramVbyVdraggingVfromVtheVchoicesVbelowVtoVspecifyVwhatVconditionVtheVclientVisVmostVl
ikelyVexperiencing,V2VactionsVtheVnurseVshouldVtakeVtoVaddressVthatVcondition,VandV2VparametersVtheVnurs
eVshouldVmonitorVtoVassessVtheVclient'sVprogress.V-VcorrectVanswer-
MonitorVtheVclient'sVphysicalVmanifestations.
AssessVtheVclientVforVaVsecondaryVgainVfromVillness.
PRACTICE 2024 A QUESTIONS AND
DETAILED ANSWERS
AVchargeVnurseVisVplanningVanVeducationalVsessionVforVstaffVnursesVaboutVworkingVwithVparentsVwhoseVchi
ldrenVhaveVaVterminalVillnessVandVareVcandidatesVforVdonatingVtheirVorgans.VWhichVofVtheVfollowingVinfor
mationVshouldVtheVnurseVplanVtoVinclude?V-VcorrectVanswer-
TheVfamilyVcanVhaveVtheVchildVinVanVopenVcasketVwithoutVfearingVthatVtheVorganVdonationVmightVdisfigureV
theVchild'sVbody.
OrganVdonationVdoesVnotVaffectVorVdelayVfuneralVtimeVorVexpenses.
OrganVdonationVshouldVbeVdiscussedVseparatelyVfromVtheVdiscussionVofVtheVchild'sVimpendingVdeath.
AVnurseVinVaVprovider'sVofficeVisVcaringVforVaVclientVwhoVhasVaVnewVdiagnosisVofVtypeV2VdiabetesVmellitus.
CompleteVtheVfollowingVsentenceVbyVusingVtheVlistsVofVoptions.
0800:VClientVhasVaV2VcmVxV3VcmVvascularVulcerVnotedVonVrightVankle.VTheVsiteVwasVcleanedVwithV0.9%Vsodi
umVchlorideVandVdressingVcoveredVwithVhydrogelVfoam.VCapillaryVrefillVgreaterVthanV5VsecondsVbilaterally.V
DorsalisVpedisVpulsesV1+Vbilaterally.
EducationVwasVprovidedVtoVtheVclientVaboutVwoundVcareVandVdietVtoVcontrolVglucoseVlevels.V
0830:V
GlucoseV175Vmg/dLV(74-1-06Vmg/dL)
HbA1cV9%V(lessVthanV7%)
WBCVcountV9,500V(5,000-10,000)
HctV44%V(42-52%)
hGBV15Vg/dLV(14-18Vg/dL)
,PotassiumV3.6VmEq/LV(3.5-5.0VmEq/L)V-VcorrectVanswer-DropdownV1:VDelayedVwoundVhealing
DropdownV2:VGlucoseVlevel
TheVclientVisVatVriskVforVdevelopingVdelayedVwoundVhealingVdueVtoVglucoseVlevel.
TheVnurseVshouldVidentifyVthatVtheVclientVisVatVriskVforVdelayedVwoundVhealingVdueVtoVaVglucoseVlevelVthatV
isVaboveVtheVexpectedVreferenceVrange.VTheVnurseVshouldVeducateVtheVclientVonVwoundVcareVandVproperV
nutritionVtoVcontrolVtheirVglucoseVlevelsVwithVtypeV2Vdiabetes.
AVnurseVisVcaringVforVaVclientVwhoVisVinVtheVspinalVcordVinjuryV(SCI)Vunit.
CompleteVtheVfollowingVsentenceVbyVusingVtheVlistVofVoptions.
DayV1,V1700:VClientVadmittedVtoVSCIV3VdaysVagoVfollowingVC7Vinjury.V
UrinaryVoutputV800VmLVinVindwellingVurinaryVcatheterVoverVlastV12Vhours.
1700:
LungVsoundsVdiminishedVinVlowerVlobes.VDeepVtendonVreflexesV(DTR)VareVbicepsV1+,VtricepsV1+,VpatellaV0,V
andVankleV0Vbilaterally.VSkinVisVcool,Vpale,VandVdryVtoVtouch.
2200:V
TemperatureV37.2VCV(99.0F)
HRV74/min
RRV20/min
BPV110/60
O2V95%VonVroomVair
,DayV2V0600:VClientVhasVaVnonproductiveVcough.VUrinaryVoutputV100mLVinVindwellingVurinaryVcatheterVove
rVlastV6Vhours
0600:VAdventitiousVlungVsoundsVauscultatedVinVlowerVlobesVandVbilaterally.VAbdomenVdistendedVwithVhyp
oactiveVbowelVsounds.V
0600:V
TemperatureV37.8CV(100F)
HRV54/min
RRV26/min
BPV96/60
O2V90%VonVroomVairV-VcorrectVanswer-DropdownV1:VOxygenVsaturation
DropdownV2:VUrinaryVoutput
TheVnurseVshouldVaddressVtheVclient'sVoxygenVsaturationVfollowedVbyVtheVclient'sVurinaryVoutput.
ImpairedVfunctioningVofVtheVintercostalVmusclesVandVnervesVofVtheVdiaphragmVincreasesVtheVriskVofVatelec
tasisVandVpneumoniaVforVtheVclientVwhoVhasVaVSCI.VUrinaryVoutputVofV30mL/hrVorVlessVforVmoreVthanV2Vho
ursVrequiresVassessment.VIncreasedVriskVofVautonomicVdysreflexiaVfromVurinaryVretentionVandVshouldVobs
erveVclientVforVabdominalVdistention,VassessVforVbladderVdistention,VandVcheckVtheVurinaryVcatheterVtubin
gVforVobstruction.
AVnurseVisVprovidingVteachingVaboutVimprovingVnutritionVforVaVclientVwhoVhasVmultipleVsclerosis.VWhichVof
VtheVfollowingVinstructionsVshouldVtheVnurseVinclude?VSelectVallVthatVapply.V-VcorrectVanswer-
"AVspeechVpathologistVwillVbeVperformingVaVswallowingVstudyVforVyou."
"YouVshouldVrestVbeforeVeatingVaVmeal."
"ThickenVyourVbeveragesVbeforeVdrinking."
, AspirationVisVatVincreasedVriskVdueVtoVMultipleVsclerosis.VMSVpatientsVoftenVreportVweaknessVandVareVeasil
yVfatigued.
AVnurseVisVcaringVforVaVpreschoolerVonVtheVpediatricVunit.
AfterVreviewingVtheVassessmentVfindings,VwhichVofVtheVfollowingVactionsVshouldVtheVnurseVtake?
SelectVtheV4VactionsVtheVnurseVshouldVtake.V-VcorrectVanswer-DiscontinueVtheVIVVmedication.
AdministerV0.9%VsodiumVchlorideVIV.
AdministerVepinephrineVIM.
MonitorVvitalVsignsVfrequently.
AVnurseVisVcaringVforVaVclientVwhoVisVonV24-hrVobservation.
CompleteVtheVfollowingVsentenceVbyVusingVtheVlistsVofVoptions.V-VcorrectVanswer-
DropdownV1:VHemorrhage
DropdownV2:VThrombocytopenia
AVnurseVisVcaringVforVaVclient.
CompleteVtheVdiagramVbyVdraggingVfromVtheVchoicesVbelowVtoVspecifyVwhatVconditionVtheVclientVisVmostVl
ikelyVexperiencing,V2VactionsVtheVnurseVshouldVtakeVtoVaddressVthatVcondition,VandV2VparametersVtheVnurs
eVshouldVmonitorVtoVassessVtheVclient'sVprogress.V-VcorrectVanswer-
MonitorVtheVclient'sVphysicalVmanifestations.
AssessVtheVclientVforVaVsecondaryVgainVfromVillness.
