QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
To measure the required length on nasogastric tube, measure from
the patient's:
A. Ear to xiphisternum
B. Nose to ear to xiphisternum
C. Nose to xiphisternum
D. Angle of the jaw to xiphisternum -
correct answer ✅B. Nose to ear to xiphisternum
The contents aspirated after insertion of the nasogastric tube
should be of:
A. Low ph
B. High ph
C. Variable ph
D. None of the above -
correct answer ✅A. Low ph
Prior to inserting a nasogastric tube, you should:
,MCN 2 RLE P1 ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
A. Measure the required length
B. Gain the patient's consent
C. Lubricate the tube
D. All of the above -
correct answer ✅D. All of the above
A nurse has identified that the patient has overflow incontinence.
What is a major factor that contributes to this clinical
manifestation?
A. Coughing
B. Mobility deficits
C. Prostate enlargement
D. Urinary tract infection -
correct answer ✅C. Prostate enlargement
,MCN 2 RLE P1 ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
A patient's urine is cloudy. Is amber. And has an unpleasant odor.
What problem may this information indicate that requires the nurse
to make a focused assessment?
A. Urinary retention
B. Urinary tract infection
C. Ketone bodies in the urine
D. High urinary calcium level -
correct answer ✅B. Urinary tract infection
A nurse is caring for a debilitated female patient with nocturia.
Which nursing intervention is the priority when planning to meet
this patient's needs?
A. encouraging the use of bladder training exercises
B. providing assistance with toileting every four hours
C. positioning a bedside commode near the bed
D. teaching the avoidance of fluids after 5pm -
correct answer ✅C. positioning a bedside commode near the bed
, MCN 2 RLE P1 ACTUAL EXAM
QUESTIONS AND CORRECT
DETAILED ANSWERS (VERIFIED
ANSWERS)
A practitioner orders a urine specimen for culture and sensitivity via
a straight catheter for a patient. What should the nurse do when
collecting this urine specimen?
A. use a sterile specimen container
B. collect urine from the catheter port
C. inflate the balloon with 10ml of sterile water
D. have the patient void before collecting the specimen -
correct answer ✅A. use a sterile specimen container
A client who has an indwelling catheter reports I need to urinate.
Which of the following interventions should the nurse perform?
A. Check to see whether the catheter is patent
B. Reassure the client that it is not possible for her to urinate
C. Re-catheterize the bladder with a larger gauge catheter
D. Collect a urine specimen for analysis -
correct answer ✅A. Check to see whether the catheter is patent