RN Comprehensive Online Practice 2023 B questions and solutions latest update

RN Comprehensive Online Practice 2023 B
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1. A nurse is caring for a 5- Condition: Epiglottis
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year-old child Actions:Initiate droplet precautions and request a
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prescription for IV antibiotics X. X. X. X.




PhysicalExamination: Monitors:Breath sounds and temperature X
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1510:
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Upon visual inspec- The nurse should anticipate initiating droplet pre-
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tion, throat is in-
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flamed,tonsilsappear otics.Thechildismostlikelyexperiencingepiglottis
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pink, reddened and
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epiglottis is edema-
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tous and cherry red
X. skin, stridor with inspiration, painful swallowing, no
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in appearance. Skin
X. cough,issittingintripodposition,anddrooling.The X. X. X
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appears pale. Stridor nurse should monitor the child's temperature and
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noteduponinspiration breath sounds.
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with diminished bilat-
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eral lung sounds.
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Nurse'sNotes: X
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1500
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Child accompanied to X. X.




emergencydepart-
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ment by caregiver.
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Caregiverstateschild X
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has a sore throat
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and reports the child
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has "pain on swallow-
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ing"anddeniescough.
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Child is agitated and
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lean
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2. A nurse is caring for a The client is most likely experiencing manifesta- tions
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client who is on the
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spinalcordinjury(SCI) X
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unit
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manifestationsanddeterminethattheclientismost X. X. X. X. X. X. X. X.




Nurses'Notes likely experiencing manifestations of pneumonia and
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Day 3, 1700
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Client admitted to SCI SCI is at risk for respiratory complications because
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unit 3 days ago fol-
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, RN Comprehensive Online Practice 2023 B
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lowingC7injury.Skin is X
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cool, pale, and
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dry to touch. Respi- X. X. X. saturation to less than 92% can indicate pneumo-
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rations easy and un-
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labored.Lungsounds
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. bradycardia, flushing of the skin above the area of
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diminished in low-
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er lobes. Abdomen
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soft and nondistend-
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ed with active bowel
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sounds. Client passed
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a small amount of hard
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formed stool this AM.
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Indwelling urinary
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catheterdrainingclear
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yellowurine.Deepten-
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don reflexes (DTR) are
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biceps 1+, triceps 1+,
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pa
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3. A nurse is caring for a Hepatitis A: Client's risk from fecal-oral transmis-
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client who has abdom- sion, laboratory results, and physical examination
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inal pain
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Nurses'Notes X
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0900
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Client reports loss of X. X. X. examination findings
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appetite, weight loss,
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and fatigue for 1
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week.Reports abdom-
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inal pain, 6 on a scale
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from 0 to 10, for 2 days.
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Client is a pe-
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rioperative nurse, re-
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turned 1 week ago
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from a 2-week mission
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trip to an underdevel-
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oped country
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client's risk for contracting hepatitis A through the
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1200 fecal-oral route during recent travel to an underde-
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, RN Comprehensive Online Practice 2023 B
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Results of anti- veloped country and the client's occupational risk
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body studies obtained. as a perioperative nurse for contracting hepatitis B
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Providerprescription and hepatitis C through bloodborne transmission. X
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for antiviral medica-
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tion pending.
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Physical Examination X
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0930
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Lung sounds clear bi- X. X. X.




laterally. Skin warm to
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touch and jau
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4. A nurse is caring for a
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client on a med- ical-
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surgical unit X. - Noted 2 cm x 2 cm (0.8 in x0.8 in)painful edema- tous
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area on sacrum
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VitalSigns X
. - Client repositioned every 4 hr X. X. X. X.




0700
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Temperature 37.6 C When recognizing cues, the nurse should deter- X. X. X. X. X. X. X. X.




(99.7 F) mine that the client's painful edematous area on
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Heart rate 100/min theirsacrumandthattheclienthasonlybeenrepo-
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Respiratory rate
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22/min
X. manifestations of a pressure injury that need to be X. X. X. X. X. X. X. X. X.




Bloodpressure 115/70 addressed.The client should be repositioned at least
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mmHg
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Oxygensaturation injury and to relieve pressure from the sacral area.
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98% on room air
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Nurses'Notes X
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1100
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Client alert and orient- X. X. X.




ed to person, place,
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and time. Client had
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episode of diarrhea,
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providedperinealcare.
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Noted 2 cm x 2 cm X. X. X. X. X.




(0.8 in x 0.8 in) painful
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edematous area on
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X. X.

, RN Comprehensive Online Practice 2023 B
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sacrum.Clientreposi- X
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tioned every 4 hr.
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5. A nurse in an out-
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patient mentalhealth
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clinic is caring for a
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client
X. - Restlessness

Vital Signs When recognizing cues, the nurse should identify
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3 months ago
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Bloodpressure 116/68 tions,andpressuredspeech require immediatefol-
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mmHg
X. lowup.Thesefindingsareindicationsofpsychosis. X. X
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Heart rate 82/min The nurse should notify the provider for additional
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Respiratory rate
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16/min
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Temperature36.7C
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(98.1 F) X.




SaO2 97% on room air X. X. X. X.




Today:
Bloodpressure 128/76 X. X.




mmHg
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Heart rate 104/min X. X.




Respiratory rate
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22/min
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Temperature37.4(99.4 X
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F)
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SaO2 97% on room air X. X. X. X.




Nurses'Notes X
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3 months ago
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Client recently admit- X. X.




tedwithnewdiagnosis
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of schizophrenia. Re-
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ceived inpatient treat-
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ment for 10 days and
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wasdischarged1week
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ago.
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