RN Comprehensive Online Practice 2026
B
A case manager is reviewing the medical records of several clients. For which of the
following clients should the nurse request an interprofessional care conference?
A. A client who has diabetes mellitus and has had repeated hospitalizations for diabetic
ketoacidosis
B. A client who has alcohol use disorder and has decided to start attending Alcoholics
Anonymous meetings
C. A client who was admitted for dehydration and is receiving a continuous IV infusion
D. A client who has a history of two p - ANS - A client who has diabetes mellitus and
has had repeated hospitalizations for diabetic ketoacidosis
A client who is having repeated episodes of a life-threatening complication requires an
interprofessional care conference so team members can address the client's needs to
provide care and support.
Incorrect
A client who is being proactive in the management of their alcohol use disorder does not
require an interprofessional care conference.
A client who has dehydration, which is an acute condition, does not require an
interprofessional care conference at the time of admission.
A client who has ruptured membranes at 38 weeks of gestation is not a complicated
obstetrical client and does not require an interprofessional care conference.
\A charge nurse is observing a newly licensed nurse administer enteral feeding via NG
tube. Which of the following actions by the newly licensed nurse indicates an
understanding of the procedure?
A. Instills 100 mL of air into the NG tube after checking for residual
B. Flushes the NG tube with 0.9% sodium chloride irrigation every 2 hr
C. Adds 20 mL of blue dye to each feeding to help detect aspiration
D. Keeps the head of the bed elevated to 45° for 1 hr after feedings - ANS - Keeps the
head of the bed elevated to 45° for 1 hr after feedings
The nurse should keep the client's head elevated to 30° to 45° for 1 to 2 hr after
feedings to decrease the risk for aspiration.
,Incorrect
The nurse should inject 10 to 30 mL of air into the NG tube before checking for residual
to clear the tube of any feeding. Instilling excessive air into the tube can cause
abdominal distention and discomfort.
The nurse should use 20 mL of tap water to flush the NG tube before and after each
feeding. Using 0.9% sodium chloride irrigation can lead to hypernatremia.
The nurse should avoid adding dye to the feeding to detect aspiration because using
dye can increase the risk of complications.
\A charge nurse is observing a newly licensed nurse performing a physical assessment
on a client. Which of the following actions by the nurse indicates that the charge nurse
should intervene?
A. While performing a breast examination, the newly licensed nurse discusses
techniques of breast self-examination with the client.
B. The newly licensed nurse writes detailed notes while performing the head-to-toe
assessment.
C. The newly licensed nurse uses a penlight to assess for changes in the contou - ANS
- The newly licensed nurse writes detailed notes while performing the head-to-toe
assessment.
The newly licensed nurse should record brief notes during the assessment to avoid
delays and write more detailed notes after completing the assessment.
Incorrect
Discussing self-examination techniques with the client while performing the breast
examination provides the opportunity to demonstrate correct technique. The newly
licensed nurse should use a penlight to provide adequate lighting when assessing
contours.
The newly licensed nurse should use the dorsal surface of the hand to assess skin
temperature because it is sensitive to temperature changes.
\A charge nurse is preparing to administer 0900 medications and is told by the
pharmacy staff that the medications are not available. Medication availability has been
an ongoing problem, and the charge nurse has previously discussed this issue with the
pharmacy staff. Which of the following actions should the charge nurse take first?
A. Document the actual time of medication administration.
B. Notify the risk manager.
,C. Complete an incident report.
D. Inform the nurse manager of the issue. - ANS - Inform the nurse manager of the
issue.
The greatest risk to clients is injury from not receiving medications on time and
developing a medical complication. Therefore, the priority intervention the charge nurse
should take is to follow the chain of command and contact the nurse manager.
Incorrect
The charge nurse should ensure nurses document the actual time of medication
administration to maintain each client's medical administration record. However, there is
another action that the charge nurse should take first.
The charge nurse should notify the risk manager, who will develop an interprofessional
team to improve the medication delivery process by gathering information about the
situation. However, there is another action that the charge nurse should take first.
The charge nurse should complete an incident report of the occurrence to make all facts
about the incident available to the health care facility. However, there is another action
that the charge nurse should take first.
\A charge nurse is providing an educational session about infection control for a group
of staff nurses. Which of the following statements by one of the staff nurses indicates an
understanding of isolation precautions?
A. "Droplet precautions should be initiated for a client who tests positive for measles."
B. "A client who requires airborne precautions should be placed in a negative-pressure
airflow room."
C. "Airborne precautions should be initiated for a client who has Clostridium difficile -
ANS - "A client who requires airborne precautions should be placed in a
negative-pressure airflow room."
Airborne precautions require a negative-pressure airflow room that has at least six to 12
air exchanges each hour using a HEPA filtration system.
Incorrect
The nurse should initiate airborne precautions, rather than droplet precautions, for a
client who has measles.
The nurse should initiate contact precautions, rather than airborne precautions, for a
client who has C. difficile.
, The nurse should place a client who is immunocompromised in a protective
environment, rather than a negative-pressure airflow room. A protective environment
includes a private room that has positive airflow with at least 12 air exchanges each
hour.
\A charge nurse notices that one of the nurses on the shift frequently violates unit
policies by taking an extended amount of time for break. Which of the following
statements should the charge nurse make to address this conflict?
A. "I would like to talk to you about the unit policies regarding break time."
B. "If you continue to take a long lunch break, I will have to report this to the nurse
manager."
C. "Have you thought about how your extended lunch breaks affect the other members
of our - ANS - "I would like to talk to you about the unit policies regarding break time."
The charge nurse is dealing with the conflict in a cooperative, positive manner by using
this statement to open the conversation in a nonthreatening way. The focus is on the
length of the break time and is not a personal affront.
\A client is receiving IV fluids at 150 mL/hr. Which of the following findings indicates that
the client is experiencing fluid overload?
A. Oliguria
B. Bradycardia
C. Dyspnea
D. Poor skin turgor - ANS - Dyspnea
The nurse should recognize that dyspnea indicates the client could be experiencing fluid
overload. Fluid overload can lead to the backup of fluid in the pulmonary system,
resulting in shortness of breath.
\A clinic nurse is caring for a client who is in the first trimester of pregnancy. The client
reports using acupressure bands on both wrists. Which of the following statements by
the client indicates that this therapy is having the desired effects? - ANS - "I have not
vomited as much recently."
Using an acupressure band on the wrists is a type of complementary and alternative
therapy that applies pressure to a specific part of the body and can be used to alleviate
nausea and vomiting.
B
A case manager is reviewing the medical records of several clients. For which of the
following clients should the nurse request an interprofessional care conference?
A. A client who has diabetes mellitus and has had repeated hospitalizations for diabetic
ketoacidosis
B. A client who has alcohol use disorder and has decided to start attending Alcoholics
Anonymous meetings
C. A client who was admitted for dehydration and is receiving a continuous IV infusion
D. A client who has a history of two p - ANS - A client who has diabetes mellitus and
has had repeated hospitalizations for diabetic ketoacidosis
A client who is having repeated episodes of a life-threatening complication requires an
interprofessional care conference so team members can address the client's needs to
provide care and support.
Incorrect
A client who is being proactive in the management of their alcohol use disorder does not
require an interprofessional care conference.
A client who has dehydration, which is an acute condition, does not require an
interprofessional care conference at the time of admission.
A client who has ruptured membranes at 38 weeks of gestation is not a complicated
obstetrical client and does not require an interprofessional care conference.
\A charge nurse is observing a newly licensed nurse administer enteral feeding via NG
tube. Which of the following actions by the newly licensed nurse indicates an
understanding of the procedure?
A. Instills 100 mL of air into the NG tube after checking for residual
B. Flushes the NG tube with 0.9% sodium chloride irrigation every 2 hr
C. Adds 20 mL of blue dye to each feeding to help detect aspiration
D. Keeps the head of the bed elevated to 45° for 1 hr after feedings - ANS - Keeps the
head of the bed elevated to 45° for 1 hr after feedings
The nurse should keep the client's head elevated to 30° to 45° for 1 to 2 hr after
feedings to decrease the risk for aspiration.
,Incorrect
The nurse should inject 10 to 30 mL of air into the NG tube before checking for residual
to clear the tube of any feeding. Instilling excessive air into the tube can cause
abdominal distention and discomfort.
The nurse should use 20 mL of tap water to flush the NG tube before and after each
feeding. Using 0.9% sodium chloride irrigation can lead to hypernatremia.
The nurse should avoid adding dye to the feeding to detect aspiration because using
dye can increase the risk of complications.
\A charge nurse is observing a newly licensed nurse performing a physical assessment
on a client. Which of the following actions by the nurse indicates that the charge nurse
should intervene?
A. While performing a breast examination, the newly licensed nurse discusses
techniques of breast self-examination with the client.
B. The newly licensed nurse writes detailed notes while performing the head-to-toe
assessment.
C. The newly licensed nurse uses a penlight to assess for changes in the contou - ANS
- The newly licensed nurse writes detailed notes while performing the head-to-toe
assessment.
The newly licensed nurse should record brief notes during the assessment to avoid
delays and write more detailed notes after completing the assessment.
Incorrect
Discussing self-examination techniques with the client while performing the breast
examination provides the opportunity to demonstrate correct technique. The newly
licensed nurse should use a penlight to provide adequate lighting when assessing
contours.
The newly licensed nurse should use the dorsal surface of the hand to assess skin
temperature because it is sensitive to temperature changes.
\A charge nurse is preparing to administer 0900 medications and is told by the
pharmacy staff that the medications are not available. Medication availability has been
an ongoing problem, and the charge nurse has previously discussed this issue with the
pharmacy staff. Which of the following actions should the charge nurse take first?
A. Document the actual time of medication administration.
B. Notify the risk manager.
,C. Complete an incident report.
D. Inform the nurse manager of the issue. - ANS - Inform the nurse manager of the
issue.
The greatest risk to clients is injury from not receiving medications on time and
developing a medical complication. Therefore, the priority intervention the charge nurse
should take is to follow the chain of command and contact the nurse manager.
Incorrect
The charge nurse should ensure nurses document the actual time of medication
administration to maintain each client's medical administration record. However, there is
another action that the charge nurse should take first.
The charge nurse should notify the risk manager, who will develop an interprofessional
team to improve the medication delivery process by gathering information about the
situation. However, there is another action that the charge nurse should take first.
The charge nurse should complete an incident report of the occurrence to make all facts
about the incident available to the health care facility. However, there is another action
that the charge nurse should take first.
\A charge nurse is providing an educational session about infection control for a group
of staff nurses. Which of the following statements by one of the staff nurses indicates an
understanding of isolation precautions?
A. "Droplet precautions should be initiated for a client who tests positive for measles."
B. "A client who requires airborne precautions should be placed in a negative-pressure
airflow room."
C. "Airborne precautions should be initiated for a client who has Clostridium difficile -
ANS - "A client who requires airborne precautions should be placed in a
negative-pressure airflow room."
Airborne precautions require a negative-pressure airflow room that has at least six to 12
air exchanges each hour using a HEPA filtration system.
Incorrect
The nurse should initiate airborne precautions, rather than droplet precautions, for a
client who has measles.
The nurse should initiate contact precautions, rather than airborne precautions, for a
client who has C. difficile.
, The nurse should place a client who is immunocompromised in a protective
environment, rather than a negative-pressure airflow room. A protective environment
includes a private room that has positive airflow with at least 12 air exchanges each
hour.
\A charge nurse notices that one of the nurses on the shift frequently violates unit
policies by taking an extended amount of time for break. Which of the following
statements should the charge nurse make to address this conflict?
A. "I would like to talk to you about the unit policies regarding break time."
B. "If you continue to take a long lunch break, I will have to report this to the nurse
manager."
C. "Have you thought about how your extended lunch breaks affect the other members
of our - ANS - "I would like to talk to you about the unit policies regarding break time."
The charge nurse is dealing with the conflict in a cooperative, positive manner by using
this statement to open the conversation in a nonthreatening way. The focus is on the
length of the break time and is not a personal affront.
\A client is receiving IV fluids at 150 mL/hr. Which of the following findings indicates that
the client is experiencing fluid overload?
A. Oliguria
B. Bradycardia
C. Dyspnea
D. Poor skin turgor - ANS - Dyspnea
The nurse should recognize that dyspnea indicates the client could be experiencing fluid
overload. Fluid overload can lead to the backup of fluid in the pulmonary system,
resulting in shortness of breath.
\A clinic nurse is caring for a client who is in the first trimester of pregnancy. The client
reports using acupressure bands on both wrists. Which of the following statements by
the client indicates that this therapy is having the desired effects? - ANS - "I have not
vomited as much recently."
Using an acupressure band on the wrists is a type of complementary and alternative
therapy that applies pressure to a specific part of the body and can be used to alleviate
nausea and vomiting.
