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RN COMPREHENSIVE ONLINE PRACTICE B 2025| BRAND
NEW ACTUAL EXAM WITH 100% VERIFIED QUESTIONS AND
CORRECT SOLUTIONS| GUARANTEED VALUE PACK| ACE
YOUR GRADES.
A nurse is caring for a 5-year-old child
Physical Examination:
1510:
Upon visual inspection, throat is inflamed, tonsils appear pink,
reddened and epiglottis is edematous and cherry red in
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appearance. Skin appears pale. Stridor noted upon inspiration
with diminished bilateral lung sounds.
Nurse's Notes:
1500
Child accompanied to emergency department by caregiver.
Caregiver states child has a sore throat and reports the child has
"pain on swallowing" and denies cough. Child is agitated and lean
- correct answer - Condition: Epiglottis
Actions: Initiate droplet precautions and request a prescription for
IV antibiotics
Monitors: Breath sounds and temperature
The nurse should anticipate initiating droplet precautions and
requesting a prescription for IV antibiotics. The child is most likely
experiencing epiglottis because of the clinical manifestations of a
high fever, inflammation and redness of the throat, pale skin,
stridor with inspiration, painful swallowing, no cough, is sitting in
tripod position, and drooling. The nurse should monitor the child's
temperature and breath sounds.
A nurse is caring for a client who is on the spinal cord injury (SCI)
unit
Nurses' Notes
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Day 3, 1700
Client admitted to SCI unit 3 days ago following C7 injury. Skin is
cool, pale, and dry to touch. Respirations easy and unlabored.
Lung sounds diminished in lower lobes. Abdomen soft and
nondistended with active bowel sounds. Client passed a small
amount of hard formed stool this AM. Indwelling urinary catheter
draining clear yellow urine. Deep tendon reflexes (DTR) are
biceps 1+, triceps 1+, pa - correct answer - The client is most
likely experiencing manifestations of pneumonia and autonomic
dysreflexia.
The nurse should analyze cues from the client's manifestations
and determine that the client is most likely experiencing
manifestations of pneumonia and autonomic dysreflexia. A client
who has a cervical SCI is at risk for respiratory complications
because spinal innervation to the respiratory muscles is disrupted.
Adventitious breath sounds in the lower lobes bilaterally and a
decrease in oxygen saturation to less than 92% can indicate
pneumonia. The client's sudden increase in blood pressure,
bradycardia, flushing of the skin above the area of the injury,
headache, and blurred vision are manifestations of autonomic
dysreflexia, which can be a life-threatening condition.
A nurse is caring for a client who has abdominal pain
Nurses' Notes
0900
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Client reports loss of appetite, weight loss, and fatigue for 1 week.
Reports abdominal pain, 6 on a scale from 0 to 10, for 2 days.
Client is a perioperative nurse, returned 1 week ago from a 2-
week mission trip to an underdeveloped country
1200
Results of antibody studies obtained. Provider prescription for
antiviral medication pending.
Physical Examination
0930
Lung sounds clear bilaterally. Skin warm to touch and jau - correct
answer - Hepatitis A: Client's risk from fecal-oral transmission,
laboratory results, and physical examination findings
Hepatitis B: Antiviral treatment, laboratory results, client's risk
from bloodborne transmission, physical examination findings
Hepatitis C: Antiviral treatment, laboratory results, client's risk
from bloodborne transmission, and physical examination findings
When analyzing cues, the nurse should recognize that
manifestations of hepatitis A, hepatitis B, and hepatitis C include
jaundice, yellow sclerae, right upper quandrant pain upon
palpation, dark yellow urine, and elevated AST and ALT levels.
When analyzing cues, the nurse should also recognize the client's
risk for contracting hepatitis A through the fecal-oral route during
RN COMPREHENSIVE ONLINE PRACTICE B 2025| BRAND
NEW ACTUAL EXAM WITH 100% VERIFIED QUESTIONS AND
CORRECT SOLUTIONS| GUARANTEED VALUE PACK| ACE
YOUR GRADES.
A nurse is caring for a 5-year-old child
Physical Examination:
1510:
Upon visual inspection, throat is inflamed, tonsils appear pink,
reddened and epiglottis is edematous and cherry red in
, Page | 2
appearance. Skin appears pale. Stridor noted upon inspiration
with diminished bilateral lung sounds.
Nurse's Notes:
1500
Child accompanied to emergency department by caregiver.
Caregiver states child has a sore throat and reports the child has
"pain on swallowing" and denies cough. Child is agitated and lean
- correct answer - Condition: Epiglottis
Actions: Initiate droplet precautions and request a prescription for
IV antibiotics
Monitors: Breath sounds and temperature
The nurse should anticipate initiating droplet precautions and
requesting a prescription for IV antibiotics. The child is most likely
experiencing epiglottis because of the clinical manifestations of a
high fever, inflammation and redness of the throat, pale skin,
stridor with inspiration, painful swallowing, no cough, is sitting in
tripod position, and drooling. The nurse should monitor the child's
temperature and breath sounds.
A nurse is caring for a client who is on the spinal cord injury (SCI)
unit
Nurses' Notes
, Page | 3
Day 3, 1700
Client admitted to SCI unit 3 days ago following C7 injury. Skin is
cool, pale, and dry to touch. Respirations easy and unlabored.
Lung sounds diminished in lower lobes. Abdomen soft and
nondistended with active bowel sounds. Client passed a small
amount of hard formed stool this AM. Indwelling urinary catheter
draining clear yellow urine. Deep tendon reflexes (DTR) are
biceps 1+, triceps 1+, pa - correct answer - The client is most
likely experiencing manifestations of pneumonia and autonomic
dysreflexia.
The nurse should analyze cues from the client's manifestations
and determine that the client is most likely experiencing
manifestations of pneumonia and autonomic dysreflexia. A client
who has a cervical SCI is at risk for respiratory complications
because spinal innervation to the respiratory muscles is disrupted.
Adventitious breath sounds in the lower lobes bilaterally and a
decrease in oxygen saturation to less than 92% can indicate
pneumonia. The client's sudden increase in blood pressure,
bradycardia, flushing of the skin above the area of the injury,
headache, and blurred vision are manifestations of autonomic
dysreflexia, which can be a life-threatening condition.
A nurse is caring for a client who has abdominal pain
Nurses' Notes
0900
, Page | 4
Client reports loss of appetite, weight loss, and fatigue for 1 week.
Reports abdominal pain, 6 on a scale from 0 to 10, for 2 days.
Client is a perioperative nurse, returned 1 week ago from a 2-
week mission trip to an underdeveloped country
1200
Results of antibody studies obtained. Provider prescription for
antiviral medication pending.
Physical Examination
0930
Lung sounds clear bilaterally. Skin warm to touch and jau - correct
answer - Hepatitis A: Client's risk from fecal-oral transmission,
laboratory results, and physical examination findings
Hepatitis B: Antiviral treatment, laboratory results, client's risk
from bloodborne transmission, physical examination findings
Hepatitis C: Antiviral treatment, laboratory results, client's risk
from bloodborne transmission, and physical examination findings
When analyzing cues, the nurse should recognize that
manifestations of hepatitis A, hepatitis B, and hepatitis C include
jaundice, yellow sclerae, right upper quandrant pain upon
palpation, dark yellow urine, and elevated AST and ALT levels.
When analyzing cues, the nurse should also recognize the client's
risk for contracting hepatitis A through the fecal-oral route during
