RN COMPREHENSIVE ONLINE PRACTICE 2023-
2024| COMPLETE DOCUMENTS| 100% CORRECT
1 .A nurse is assessing a client who received 2 units of packed RBCs 48
hours ago. Which of the following findings should indicate to the nurse that
the therapyhas been effective?
Hemoglobin 14.9 g/dl
The nurse should identify that packed RBCs are administered to clients
who have adecreased level of hemoglobin or hematocrit. This hemoglobin
level is within the expected reference range of 14 to 18 g/dl for males and
12 to 16 g/dl for females, indicating the therapy has been effective.
2 .A nurse working in a n emergency department is triaging four clients.
Which ofthe following clients should the nurse recommend for treatment
first?
A middle adult client who has unstable vital signs.
Using the stable versus unstable approach to client care, the nurse should
recommend priority treatment for the client who has unstable vital signs
because this client requires immediate treatment to reduce the risk of
further injury or possible death.
3. A nurse is caring for a client who has fluid volume overload. Which
of thefollowing tasks should the nurse delegate to the CNA?
Measure the client’s daily weight
It is within the CNAs range of function to measure a client’s daily weight,
so the nurseshould delegate this task to them.
4. A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min
as a test dose to a client who has severe oliguria. The client weighs 198lb.
What is theamount in grams the nurse should administer?
18 g
,5. A nurse is conducting a physical examination for an adolescent
and isassessing the range of motion of the legs. Which of the following
images indicates the adolescent is abducting the hip joint?
In the correct image, the adolescent is abduction the hip joint by moving the
leg awayfrom the midline of the body.
6. A nurse is caring for a client who has hyperthyroidism. Which of
the followingfindings should the nurse expect?
Tremors
, Tremors are a manifestation of hyperthyroidism, along with
tachycardia, diaphoresis,weight loss, insomnia, and exophthalmia.
7. A nurse is assessing a school-aged child who has bacterial
meningitis. Whichof the following findings should the nurse expect?
Nuchal rigidity
This is a manifestation of bacterial meningitis.
8. A nurse is assessing a newborn’s heart rate. Which of the
following actionsshould the nurse take?
Auscultate the apical pulse at least 1 min.
The nurse should auscultate the apical pulse to obtain an accurate
assessment of heartrate and rhythm. Auscultation of a newborn’s heart
sounds can be difficult because of the rapid rate and the transmission of
respiratory sounds.
9. A nurse is preparing to assist with a thoracentesis for a client who has
pleurisy.The nurse should plan to perform which of the following actions?
Instruct the client to avoid coughing during the procedure.
It is important for the nurse to remind the client to avoid coughing and to
lie still during athoracentesis to avoid puncturing the pleura.
10. A nurse in the ED is assessing a preschooler who has a facial laceration.
The nurse should identify which of the following findings as a potential
indication ofchild sexual abuse?
The child exhibits discomfort while walking.
The nurse should identify this finding as a potential indication of child sexual
abuse.
11. A nurse is preparing to teach about dietary management to a client
who hasCrohn’s disease and an entero enteric fistula. Which of the
following nutrients should the nurse instruct the client to decrease in their
diet?
Fiber
The nurse should instruct the client to consume a low-fiber diet to reduce
diarrhea andinflammation.
, 12. A nurse is caring for a client who has a prescription for a continuous
2024| COMPLETE DOCUMENTS| 100% CORRECT
1 .A nurse is assessing a client who received 2 units of packed RBCs 48
hours ago. Which of the following findings should indicate to the nurse that
the therapyhas been effective?
Hemoglobin 14.9 g/dl
The nurse should identify that packed RBCs are administered to clients
who have adecreased level of hemoglobin or hematocrit. This hemoglobin
level is within the expected reference range of 14 to 18 g/dl for males and
12 to 16 g/dl for females, indicating the therapy has been effective.
2 .A nurse working in a n emergency department is triaging four clients.
Which ofthe following clients should the nurse recommend for treatment
first?
A middle adult client who has unstable vital signs.
Using the stable versus unstable approach to client care, the nurse should
recommend priority treatment for the client who has unstable vital signs
because this client requires immediate treatment to reduce the risk of
further injury or possible death.
3. A nurse is caring for a client who has fluid volume overload. Which
of thefollowing tasks should the nurse delegate to the CNA?
Measure the client’s daily weight
It is within the CNAs range of function to measure a client’s daily weight,
so the nurseshould delegate this task to them.
4. A nurse is preparing to administer mannitol 0.2g/kg IV bolus over 5 min
as a test dose to a client who has severe oliguria. The client weighs 198lb.
What is theamount in grams the nurse should administer?
18 g
,5. A nurse is conducting a physical examination for an adolescent
and isassessing the range of motion of the legs. Which of the following
images indicates the adolescent is abducting the hip joint?
In the correct image, the adolescent is abduction the hip joint by moving the
leg awayfrom the midline of the body.
6. A nurse is caring for a client who has hyperthyroidism. Which of
the followingfindings should the nurse expect?
Tremors
, Tremors are a manifestation of hyperthyroidism, along with
tachycardia, diaphoresis,weight loss, insomnia, and exophthalmia.
7. A nurse is assessing a school-aged child who has bacterial
meningitis. Whichof the following findings should the nurse expect?
Nuchal rigidity
This is a manifestation of bacterial meningitis.
8. A nurse is assessing a newborn’s heart rate. Which of the
following actionsshould the nurse take?
Auscultate the apical pulse at least 1 min.
The nurse should auscultate the apical pulse to obtain an accurate
assessment of heartrate and rhythm. Auscultation of a newborn’s heart
sounds can be difficult because of the rapid rate and the transmission of
respiratory sounds.
9. A nurse is preparing to assist with a thoracentesis for a client who has
pleurisy.The nurse should plan to perform which of the following actions?
Instruct the client to avoid coughing during the procedure.
It is important for the nurse to remind the client to avoid coughing and to
lie still during athoracentesis to avoid puncturing the pleura.
10. A nurse in the ED is assessing a preschooler who has a facial laceration.
The nurse should identify which of the following findings as a potential
indication ofchild sexual abuse?
The child exhibits discomfort while walking.
The nurse should identify this finding as a potential indication of child sexual
abuse.
11. A nurse is preparing to teach about dietary management to a client
who hasCrohn’s disease and an entero enteric fistula. Which of the
following nutrients should the nurse instruct the client to decrease in their
diet?
Fiber
The nurse should instruct the client to consume a low-fiber diet to reduce
diarrhea andinflammation.
, 12. A nurse is caring for a client who has a prescription for a continuous
