RN Comp Practice 2025 A
A charge nurse assigns a newly licensed nurse to care for a patient who has a chest tube. The
nurse expresses concern about having limited experience with monitoring chest tube drainage.
To provide instruction, which of the following should the charge nurse begin with? A. Refer the
nurse to the procedure manual
B. Use a diagram to show how the process works. C. Demonstrate the procedure
D. Ask the nurse about their knowledge of the procedure - ANS-D. Ask the nurse about their
knowledge of the procedure
-The first action the charge nurse should take using the nursing process is to assess the
nurse's knowledge about the procedure. By assessing, the charge nurse can identify the
nurse's learning needs.
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 ought to be included in the nurse's plan? A. Choosing to donate
organs can delay the timing of the child's funeral.
B. The family can have the child in an open casket without fearing that the organ donation
might disfigure the child's body.
C. The family ought to be aware that organ donation necessitates an autopsy. D. The nurse
should introduce the option of organ donation to the parents when first discussing the child's
impending death. - ANS-B. The family can have the child in an open casket without fearing that
the organ donation might disfigure the child's body.
-Removal of organs does not damage or violate the child's body in a way that would prevent an
open casket funeral.
-Donation does not affect or delay funeral time/expenses.
An autopsy will be carried out by a pathologist in the event of an unattended death or upon the
request of the family. -Discussion about donation should take place separately from discussion
of child's prognosis.
A patient with mechanical restraints is being planned for by a charge nurse. Which of the
following interventions should the nurse include the plan?
A. Remove the patient's restraints while sleeping
B. Document the patient's status q60 min.
C. Check for a new prescription q6hrs.
D. Provide a staff member to stay with the patient - ANS-D. Provide a member of staff who will
constantly be with the patient. -Due to the risk of injury, a staff member must remain with a
patient in a restraint for an extended period of time or, if necessary, view the patient through
audiovisual equipment. -The nurse should not remove restraints until the patient is calm, in
control, and able to follow simple commands.
-Assess the patient for physical needs, safety, and comfort q15-30 min and document the
findings.
, -HCP must renew a prescription for restraints q4hrs for patients 18yrs<, q2hrs for children
9-17yrs, and q1hr for children <9yrs.
A patient's partner is being talked to by a charge nurse. The partner states the patient is not
receiving adequate care. To resolve the situation, which of the following actions should the
charge nurse begin with? A. Evaluate the changes the partner requests.
B. Examine the treatment plan for the patient. C. Analyze other reports of poor care to look for
trends.
D. Ask the partner to list specific concerns. - ANS-D. Ask the partner to list specific concerns.
-The first action the nurse should take, using the nursing process, is to assess the situation by
asking the partner to list specific concerns.
A charge nurse observes a staff nurse document a dressing change in the patient's chart that
was not performed. What should the charge nurse do first?
A. Keep the dressing changed by the staff nurse. B. Notify the nurse manager
C. Complete a report on the incident. D. Gather more information about the staff nurse's
actions - ANS-D. Gather more information about the staff nurse's actions
-First step is to assess the reasons for the staff nurse's negligent actions. The charge nurse
should decide what to do next after discussing the actions. A charge nurse overhears two staff
nurses in the hallway discussing a patient with anorexia's nutritional status. What should the
charge nurse do?
A. Remorse the nurses' actions to the patient. B. Advise the nurses they are being
insubordinate.
C. Order the nurses to stop talking. D. Document the incident in the medical record. - ANS-C.
Order the nurses to stop talking. -Prevents additional confidentiality breaches A community
health nurse is reviewing the medical records of four newly diagnoses patients. Which of the
following patients should the nurse identify as having an infectious disease that can be reported
nationally? A. A patient who is pregnant and has CMV
B. A patient of adolescence with food-borne botulism C. A child with infectious erythema D. a
young adult infected with HSV-1 and ANS-B. A patient of adolescence with food-borne botulism
-The nurse should report botulism to the CDC because this information is necessary for the
prevention and control of this disease. Patients who ingest the toxin can develop dysphagia,
drooping eyelids, and vision changes. In 12-36hrs can develop neurologic symptoms such as
symmetric, flaccid paralysis and cranial nerve impairment.
A child with cystic fibrosis in school is being evaluated by a home health nurse. The nurse
should initiate a request for a high-frequency chest compression vest in response to which of
the following parent statements?
A. "My child doesn't like to sit still for nebulizer treatments."
B. "I think that my child has been running a fever over the last couple of days."
C. "My child only has a small amount of mucus after percussion therapy."
D. "I am concerned about my child's future participation in team sports." - ANS-C. "My child
has only a small amount of mucus after percussion therapy."
-The nurse should recommend a high-frequency vest for a child who has inadequate results
from other airway clearance therapy techniques. In order to achieve adequate mucus
expectoration, older children frequently require additional techniques in addition to percussion
,and postural drainage. -The nurse should teach the parent techniques for administration for
nebulizer treatments to the child.
-The nurse should follow-up on reports of fever, as this could indicate a pulmonary infection.
-The nurse should discuss participation in sports activities in relation to the child's current
physical and pulmonary health.
A home health nurse is providing teaching about infection prevention to a patient that has
cancer and is receiving chemo. Which statements indicate understanding?
A. "I will allow my drinking water to reach room temperature by leaving it out of my refrigerator
for at least one hour." B. "I will clean my toothbrush in my dishwasher once a month.
C. "I will take my temp once a week and let my HCP know if it's high."
D. "I will walk for short distances throughout the day." - ANS-D. "I will walk for short distances
throughout the day."
-The patient should ambulate short distances as tolerated throughout the day. Helps reduce
pulmonary stasis and prevent the development of respiratory infections.
The risk of infection is increased when liquids are consumed that have been at room
temperature for more than one hour. -Clean toothbrushes in dishwasher once per week to
reduce the risk for transmission of bacteria.
-Take temperature once daily to check for infections. A patient with a new ileostomy is receiving
instruction from a home health nurse. What should be included?
A. Limit intake of fluids to 1000 mL/day
B. If after 12 hours there is no stool, take a laxative. C. When the appliance is one-third to
one-half full, empty it. D. Change entire pouch system q1-2 days - ANS-C. When the appliance
is one-third to one-half full, empty it. -Prevents stool leakage and skin irritation
-Recommend fluid intake of at least 1,920 mL
-If no stool has passed after 6-12hrs, contact HCP
- Change the system every three to seven days to avoid skin irritation. A hospice nurse is
discussing the possibility of receiving home services with a patient's family. What statements
demonstrate comprehension of hospice care? A. "After our mother's death, we can expect the
hospice nurse to support us." B. When our mother requires pain medication, a hospice nurse
will visit the house. C. "Now that my mother is receiving hospice services, we will not be able to
get respite care."
D. "Hospice care focuses on arranging treatment that will prolong our mother's life." - ANS-A.
"After our mother's death, we can expect the hospice nurse to support us." -Bereavement
services and respite care are included in hospice. -Nurse will teach family how to administer
pain medications but is also available on call 24hrs/day.
-Hospice focuses on providing palliative, psychosocial, and spiritual care without the intent of
prolonging life.
A night shift nurse is giving change-of-report to the day shift nurse on a patient who is ready for
discharge. What should the nurse prioritize communicating to the oncoming nurse?
A. Patient needs assistance when transferring from bed to wheelchair
B. Patient will have a visit by a home health nurse tomorrow
C. Patient's partner will bring clothes prior to discharge
D. Patient needs encouragement to engage in personal hygiene activities - ANS-A. Patient
needs assistance when transferring from bed to wheelchair
, -The greatest risk to this patient is injury due to a fall.
A nurse administers an incorrect dose of medication to a patient. The nurse recognize the error
immediately and completes an incident report. Which of the following information about the
incident ought to be recorded in the patient's medical record by the nurse? A. Completion of the
incident report
B. Time the medication was given
C. Reason for the medication error
D. ANS-B: notification to the pharmacist. Time the medication was given
-Document the time, the name of the medication, the dose, and the route in which the
medication was given on the med administration record. Document the time that the incorrect
medication was administered to the patient in the incident report, as this is a fact directly related
to the occurrence.
A nurse tending to a patient who recently had a stroke. Prior to transferring the patient to the
bedside commode, which of the following actions should the nurse take first?
A. Ask for help with a two-person assist transfer.
B. Examine the patient for any physical limitations. C. Request a mechanical lift device.
D. Medicate the patient for pain. - ANS-B. Assess the patient for functional limitations.
-When using the nursing process, the first action the nurse should take is to assess the
patient's functional limitations to determine how much the patient can assist with the transfer.
A nurse in a clinic receives a call from a guardian whose child has varicella, and asks when the
child can return to school. What should the nurse say?
A. "When the lesions no longer itch."
B. "Three days after the lesions appear."
C. "When crusts have formed on every lesion."
D. "When the lesions disappear." - ANS-C. "When crusts have formed on every lesion."
-When crusts form over the lesions, the child is no longer contagious.
Ovarian cancer education is being provided to a group of patients by a nurse in a community
center. Which manifestation should be included in the teaching?
A. Diarrhea
B. Urinary retention
C. Purulent discharge
D. Abdominal bloating - ANS-D. Abdominal bloating
-Manifestations include: abdominal bloating, pelvic/abdominal pain, early satiety, and urinary
frequency/urgency
A nurse in a mental facility is caring for four patients. Which is an example of sublimation, used
as a defense mechanism?
A. Patient transfers their anger about their job onto their family and then apologizes
B. Patient misses provider appointments because they are "too busy"
C. Patient channels their energy into a new hobby following the loss of their job
D. Patient's partner died 4yrs ago and they still set a place for them at dinner every night -
ANS-C. Patient channels their energy into a new hobby following the loss of their job
-Sublimation: channeling negative feelings from a loss into something new
-Displacement: transferring anger to a less threatening source
-Rationalization: justifies actions
A charge nurse assigns a newly licensed nurse to care for a patient who has a chest tube. The
nurse expresses concern about having limited experience with monitoring chest tube drainage.
To provide instruction, which of the following should the charge nurse begin with? A. Refer the
nurse to the procedure manual
B. Use a diagram to show how the process works. C. Demonstrate the procedure
D. Ask the nurse about their knowledge of the procedure - ANS-D. Ask the nurse about their
knowledge of the procedure
-The first action the charge nurse should take using the nursing process is to assess the
nurse's knowledge about the procedure. By assessing, the charge nurse can identify the
nurse's learning needs.
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 ought to be included in the nurse's plan? A. Choosing to donate
organs can delay the timing of the child's funeral.
B. The family can have the child in an open casket without fearing that the organ donation
might disfigure the child's body.
C. The family ought to be aware that organ donation necessitates an autopsy. D. The nurse
should introduce the option of organ donation to the parents when first discussing the child's
impending death. - ANS-B. The family can have the child in an open casket without fearing that
the organ donation might disfigure the child's body.
-Removal of organs does not damage or violate the child's body in a way that would prevent an
open casket funeral.
-Donation does not affect or delay funeral time/expenses.
An autopsy will be carried out by a pathologist in the event of an unattended death or upon the
request of the family. -Discussion about donation should take place separately from discussion
of child's prognosis.
A patient with mechanical restraints is being planned for by a charge nurse. Which of the
following interventions should the nurse include the plan?
A. Remove the patient's restraints while sleeping
B. Document the patient's status q60 min.
C. Check for a new prescription q6hrs.
D. Provide a staff member to stay with the patient - ANS-D. Provide a member of staff who will
constantly be with the patient. -Due to the risk of injury, a staff member must remain with a
patient in a restraint for an extended period of time or, if necessary, view the patient through
audiovisual equipment. -The nurse should not remove restraints until the patient is calm, in
control, and able to follow simple commands.
-Assess the patient for physical needs, safety, and comfort q15-30 min and document the
findings.
, -HCP must renew a prescription for restraints q4hrs for patients 18yrs<, q2hrs for children
9-17yrs, and q1hr for children <9yrs.
A patient's partner is being talked to by a charge nurse. The partner states the patient is not
receiving adequate care. To resolve the situation, which of the following actions should the
charge nurse begin with? A. Evaluate the changes the partner requests.
B. Examine the treatment plan for the patient. C. Analyze other reports of poor care to look for
trends.
D. Ask the partner to list specific concerns. - ANS-D. Ask the partner to list specific concerns.
-The first action the nurse should take, using the nursing process, is to assess the situation by
asking the partner to list specific concerns.
A charge nurse observes a staff nurse document a dressing change in the patient's chart that
was not performed. What should the charge nurse do first?
A. Keep the dressing changed by the staff nurse. B. Notify the nurse manager
C. Complete a report on the incident. D. Gather more information about the staff nurse's
actions - ANS-D. Gather more information about the staff nurse's actions
-First step is to assess the reasons for the staff nurse's negligent actions. The charge nurse
should decide what to do next after discussing the actions. A charge nurse overhears two staff
nurses in the hallway discussing a patient with anorexia's nutritional status. What should the
charge nurse do?
A. Remorse the nurses' actions to the patient. B. Advise the nurses they are being
insubordinate.
C. Order the nurses to stop talking. D. Document the incident in the medical record. - ANS-C.
Order the nurses to stop talking. -Prevents additional confidentiality breaches A community
health nurse is reviewing the medical records of four newly diagnoses patients. Which of the
following patients should the nurse identify as having an infectious disease that can be reported
nationally? A. A patient who is pregnant and has CMV
B. A patient of adolescence with food-borne botulism C. A child with infectious erythema D. a
young adult infected with HSV-1 and ANS-B. A patient of adolescence with food-borne botulism
-The nurse should report botulism to the CDC because this information is necessary for the
prevention and control of this disease. Patients who ingest the toxin can develop dysphagia,
drooping eyelids, and vision changes. In 12-36hrs can develop neurologic symptoms such as
symmetric, flaccid paralysis and cranial nerve impairment.
A child with cystic fibrosis in school is being evaluated by a home health nurse. The nurse
should initiate a request for a high-frequency chest compression vest in response to which of
the following parent statements?
A. "My child doesn't like to sit still for nebulizer treatments."
B. "I think that my child has been running a fever over the last couple of days."
C. "My child only has a small amount of mucus after percussion therapy."
D. "I am concerned about my child's future participation in team sports." - ANS-C. "My child
has only a small amount of mucus after percussion therapy."
-The nurse should recommend a high-frequency vest for a child who has inadequate results
from other airway clearance therapy techniques. In order to achieve adequate mucus
expectoration, older children frequently require additional techniques in addition to percussion
,and postural drainage. -The nurse should teach the parent techniques for administration for
nebulizer treatments to the child.
-The nurse should follow-up on reports of fever, as this could indicate a pulmonary infection.
-The nurse should discuss participation in sports activities in relation to the child's current
physical and pulmonary health.
A home health nurse is providing teaching about infection prevention to a patient that has
cancer and is receiving chemo. Which statements indicate understanding?
A. "I will allow my drinking water to reach room temperature by leaving it out of my refrigerator
for at least one hour." B. "I will clean my toothbrush in my dishwasher once a month.
C. "I will take my temp once a week and let my HCP know if it's high."
D. "I will walk for short distances throughout the day." - ANS-D. "I will walk for short distances
throughout the day."
-The patient should ambulate short distances as tolerated throughout the day. Helps reduce
pulmonary stasis and prevent the development of respiratory infections.
The risk of infection is increased when liquids are consumed that have been at room
temperature for more than one hour. -Clean toothbrushes in dishwasher once per week to
reduce the risk for transmission of bacteria.
-Take temperature once daily to check for infections. A patient with a new ileostomy is receiving
instruction from a home health nurse. What should be included?
A. Limit intake of fluids to 1000 mL/day
B. If after 12 hours there is no stool, take a laxative. C. When the appliance is one-third to
one-half full, empty it. D. Change entire pouch system q1-2 days - ANS-C. When the appliance
is one-third to one-half full, empty it. -Prevents stool leakage and skin irritation
-Recommend fluid intake of at least 1,920 mL
-If no stool has passed after 6-12hrs, contact HCP
- Change the system every three to seven days to avoid skin irritation. A hospice nurse is
discussing the possibility of receiving home services with a patient's family. What statements
demonstrate comprehension of hospice care? A. "After our mother's death, we can expect the
hospice nurse to support us." B. When our mother requires pain medication, a hospice nurse
will visit the house. C. "Now that my mother is receiving hospice services, we will not be able to
get respite care."
D. "Hospice care focuses on arranging treatment that will prolong our mother's life." - ANS-A.
"After our mother's death, we can expect the hospice nurse to support us." -Bereavement
services and respite care are included in hospice. -Nurse will teach family how to administer
pain medications but is also available on call 24hrs/day.
-Hospice focuses on providing palliative, psychosocial, and spiritual care without the intent of
prolonging life.
A night shift nurse is giving change-of-report to the day shift nurse on a patient who is ready for
discharge. What should the nurse prioritize communicating to the oncoming nurse?
A. Patient needs assistance when transferring from bed to wheelchair
B. Patient will have a visit by a home health nurse tomorrow
C. Patient's partner will bring clothes prior to discharge
D. Patient needs encouragement to engage in personal hygiene activities - ANS-A. Patient
needs assistance when transferring from bed to wheelchair
, -The greatest risk to this patient is injury due to a fall.
A nurse administers an incorrect dose of medication to a patient. The nurse recognize the error
immediately and completes an incident report. Which of the following information about the
incident ought to be recorded in the patient's medical record by the nurse? A. Completion of the
incident report
B. Time the medication was given
C. Reason for the medication error
D. ANS-B: notification to the pharmacist. Time the medication was given
-Document the time, the name of the medication, the dose, and the route in which the
medication was given on the med administration record. Document the time that the incorrect
medication was administered to the patient in the incident report, as this is a fact directly related
to the occurrence.
A nurse tending to a patient who recently had a stroke. Prior to transferring the patient to the
bedside commode, which of the following actions should the nurse take first?
A. Ask for help with a two-person assist transfer.
B. Examine the patient for any physical limitations. C. Request a mechanical lift device.
D. Medicate the patient for pain. - ANS-B. Assess the patient for functional limitations.
-When using the nursing process, the first action the nurse should take is to assess the
patient's functional limitations to determine how much the patient can assist with the transfer.
A nurse in a clinic receives a call from a guardian whose child has varicella, and asks when the
child can return to school. What should the nurse say?
A. "When the lesions no longer itch."
B. "Three days after the lesions appear."
C. "When crusts have formed on every lesion."
D. "When the lesions disappear." - ANS-C. "When crusts have formed on every lesion."
-When crusts form over the lesions, the child is no longer contagious.
Ovarian cancer education is being provided to a group of patients by a nurse in a community
center. Which manifestation should be included in the teaching?
A. Diarrhea
B. Urinary retention
C. Purulent discharge
D. Abdominal bloating - ANS-D. Abdominal bloating
-Manifestations include: abdominal bloating, pelvic/abdominal pain, early satiety, and urinary
frequency/urgency
A nurse in a mental facility is caring for four patients. Which is an example of sublimation, used
as a defense mechanism?
A. Patient transfers their anger about their job onto their family and then apologizes
B. Patient misses provider appointments because they are "too busy"
C. Patient channels their energy into a new hobby following the loss of their job
D. Patient's partner died 4yrs ago and they still set a place for them at dinner every night -
ANS-C. Patient channels their energy into a new hobby following the loss of their job
-Sublimation: channeling negative feelings from a loss into something new
-Displacement: transferring anger to a less threatening source
-Rationalization: justifies actions
