RN COMPREHENSIVE B 2019
QUESTIONS AND ANSWERS
k RN teaching dietary management to a pt with Crohns and enteroenteric fistula, what nutrient should
RN instruct pt to decrease in their diet - fiber
RN planning care for pt 48hr postop from laryngectomy and cannot speak, what action should RN plan to
take first - Determine the client's reading skills
RN is providing teaching to parents regarding SIDS, what guardian statement indicates understanding of
teaching - "I will not allow anyone to smoke near my baby"
RN caring for pt 9 wks gestation and reports N/V for the last 2 days, which of the following findings
should the RN expect - urine specific gravity 1.052
RN is planning care for pt with RA and has moderate to severe pain in joints, which of the following
actions should the RN plan to take - allow for frequent rest periods throughout the day
RN is planning care for pt with hyperthyroidism, what finding should she expect - tremors
Hospice RN consulting with fam about home health services, what family statement indicates they
understand home hospice care - "We can expect the hospice RN to provide support for us after our
mother's death"
RN caring for client with new prescip for Chlorpromazine, what finding indicates the med is effective -
decreased hallucinations
Charge RN notices nurse who frequently violates unit policies by taking extended amount of time for
break, what statement should charge RN make to address the conflict - "I would like to talk to you about
the unit policies regarding break time"
RN is teaching a pt with new prescrip for total parenteral nutrition, which of the following info should
the RN include in the teaching - "I will need to measure your weight daily"
RN is assessing a pt who has MDD and is taking amitriptyline. Which of the following findings should the
RN identify as an adverse effect of the med - Blurred vision
RN is caring for a pt who has a prescrip for continuous passive motion machine follow total knee
arthroplasty. Which of the following actions should the RN take - turn off the CPM machine during
mealtime
RN has four clients, the RN should recognize that which of the following clients is effectively using
sublimation as a defense mechanism - A client who channels their energy into a new hobby following the
loss of their job
, A RN is talking with a pt who has stage IV brst CA. The RN should recognize which of the following
statements by the client as constructive use of a defense mechanism - "I told my doctor that I would like
to start a support group for other women who are sick in my community"
A RN is providing education to the parent of a school-age child who has asthma. Which of the following
statements by the parent indicates an understanding of the teaching - "I will make sure my child receives
a yearly influenza immunization"
A RN is caring for a pt who is postop after receiving moderate sedation. The pt suddenly becomes
restless and reports feeling lightheaded. Which of the following actions should the RN take - Check the
client's oxygen saturation level
A RN on an inpatient mental health unit is monitoring a visit between a client who has a history of
aggressive behavior and the client's partner. Which of the following observations should the RN identify
as an indication for potential violence - The client is pacing around the chair in which their partner is
sitting
An antepartum RN is caring for four clients. For which of the following clients should the RN initiate
seizure precaustions - A client who is at 33 weeks of gestation and has severe gestational HTN
A RN on a medical-surgical unit is assessing a client who has had a stroke. For which of the following
findings should the RN initiate a referral for occupational therapy - Difficulty performing ADLs
A RN is developing a client education program about osteoporosis for older adult clients. The RN should
include which of the following variables as a risk factor for osteoporosis - Sedentary lifestyle
A RN is caring for a client who has a mag level of 2.7. Which of the following interventions should the RN
plan to take - Initiate continuous cardiac monitoring
A RN is caring for a client who had abdominal surgery 24 hours ago. Which of the following actions is the
RN's priority - Assist with deep breathing and coughing
A RN is teaching about adverse effects with a client who is starting to take captopril. Which of the
following findings should the RN identify as an adverse effect of the medication to report to the provider
- cough
A school RN is notified of an emergency in which several children were injured following the collapse of
playground equipment. Upon arrival at the playground, which of the following actions should the RN
take first - Survey the scene for potential hazards to staff and children
A RN is caring for a client who has acute blood loss following a trauma. The client refuses a blood
transfusion that might potentially save their life. Which of the following actions should the Rn take first -
Explore the client's reasons for refusing the treatment
A charge RN is speaking with the partner of a client. The partner states that the client is not receiving
adequate care. Which of the following actions should the charge RN take first to resolve the situation -
Ask the partner to list specific concerns
QUESTIONS AND ANSWERS
k RN teaching dietary management to a pt with Crohns and enteroenteric fistula, what nutrient should
RN instruct pt to decrease in their diet - fiber
RN planning care for pt 48hr postop from laryngectomy and cannot speak, what action should RN plan to
take first - Determine the client's reading skills
RN is providing teaching to parents regarding SIDS, what guardian statement indicates understanding of
teaching - "I will not allow anyone to smoke near my baby"
RN caring for pt 9 wks gestation and reports N/V for the last 2 days, which of the following findings
should the RN expect - urine specific gravity 1.052
RN is planning care for pt with RA and has moderate to severe pain in joints, which of the following
actions should the RN plan to take - allow for frequent rest periods throughout the day
RN is planning care for pt with hyperthyroidism, what finding should she expect - tremors
Hospice RN consulting with fam about home health services, what family statement indicates they
understand home hospice care - "We can expect the hospice RN to provide support for us after our
mother's death"
RN caring for client with new prescip for Chlorpromazine, what finding indicates the med is effective -
decreased hallucinations
Charge RN notices nurse who frequently violates unit policies by taking extended amount of time for
break, what statement should charge RN make to address the conflict - "I would like to talk to you about
the unit policies regarding break time"
RN is teaching a pt with new prescrip for total parenteral nutrition, which of the following info should
the RN include in the teaching - "I will need to measure your weight daily"
RN is assessing a pt who has MDD and is taking amitriptyline. Which of the following findings should the
RN identify as an adverse effect of the med - Blurred vision
RN is caring for a pt who has a prescrip for continuous passive motion machine follow total knee
arthroplasty. Which of the following actions should the RN take - turn off the CPM machine during
mealtime
RN has four clients, the RN should recognize that which of the following clients is effectively using
sublimation as a defense mechanism - A client who channels their energy into a new hobby following the
loss of their job
, A RN is talking with a pt who has stage IV brst CA. The RN should recognize which of the following
statements by the client as constructive use of a defense mechanism - "I told my doctor that I would like
to start a support group for other women who are sick in my community"
A RN is providing education to the parent of a school-age child who has asthma. Which of the following
statements by the parent indicates an understanding of the teaching - "I will make sure my child receives
a yearly influenza immunization"
A RN is caring for a pt who is postop after receiving moderate sedation. The pt suddenly becomes
restless and reports feeling lightheaded. Which of the following actions should the RN take - Check the
client's oxygen saturation level
A RN on an inpatient mental health unit is monitoring a visit between a client who has a history of
aggressive behavior and the client's partner. Which of the following observations should the RN identify
as an indication for potential violence - The client is pacing around the chair in which their partner is
sitting
An antepartum RN is caring for four clients. For which of the following clients should the RN initiate
seizure precaustions - A client who is at 33 weeks of gestation and has severe gestational HTN
A RN on a medical-surgical unit is assessing a client who has had a stroke. For which of the following
findings should the RN initiate a referral for occupational therapy - Difficulty performing ADLs
A RN is developing a client education program about osteoporosis for older adult clients. The RN should
include which of the following variables as a risk factor for osteoporosis - Sedentary lifestyle
A RN is caring for a client who has a mag level of 2.7. Which of the following interventions should the RN
plan to take - Initiate continuous cardiac monitoring
A RN is caring for a client who had abdominal surgery 24 hours ago. Which of the following actions is the
RN's priority - Assist with deep breathing and coughing
A RN is teaching about adverse effects with a client who is starting to take captopril. Which of the
following findings should the RN identify as an adverse effect of the medication to report to the provider
- cough
A school RN is notified of an emergency in which several children were injured following the collapse of
playground equipment. Upon arrival at the playground, which of the following actions should the RN
take first - Survey the scene for potential hazards to staff and children
A RN is caring for a client who has acute blood loss following a trauma. The client refuses a blood
transfusion that might potentially save their life. Which of the following actions should the Rn take first -
Explore the client's reasons for refusing the treatment
A charge RN is speaking with the partner of a client. The partner states that the client is not receiving
adequate care. Which of the following actions should the charge RN take first to resolve the situation -
Ask the partner to list specific concerns
