RN Comprehensive Online Practice
2025 B Questions and Answers
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 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 - ....ANSWER ...-Condition: Epiglottis
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,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
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 -
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,....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
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
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, 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 - ....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
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 4
2025 B Questions and Answers
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 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 - ....ANSWER ...-Condition: Epiglottis
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 1
,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
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 -
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 2
,....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
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
....COPYRIGHT ©️ 2025 ALL RIGHTS RESERVED...TRUSTED & VERIFIED 3
, 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 - ....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
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