RN COMPREHENSIVE 2019 A EXAM.
A nurse is teaching the parents of a preschooler about sleep promotion.
Parents report child reluctance in going to bed "I'm not tired". Statement
shows parental understanding? - CorreCt Answers -"we should read a story
together before bed every night"
An RN is planning care for a group of clients and is working with an LPN
and an AP. What tasks should the RN delegate to the LPN? - CorreCt
Answers -insert a NG tube
A nurse in an emergency department is admitting a client who has cardiac
tamponade. Which assessment finding should the nurse expect? - CorreCt
Answers -pulsus paradoxus
A nurse is assessing a client who has delirium. Which manifestation should
the nurse expect? - CorreCt Answers -rapid speech
A nurse working in a long term care facility is assessing an adult client.
Which of the following findings places the client at risk for developing a
pressure injury? - CorreCt Answers -recent weight loss
A nurse is caring for a client who had a recent stroke. Prior to transferring
the client to the bedside commode, which action should the nurse take
first? - CorreCt Answers -assess for functional limitations
A community health nurse is reviewing the medical records of four newly
diagnosed clients. The nurse should identify which of the following clients
,as having a nationally notifiable infectious condition? - CorreCt Answers -
an adolescent with foodborne botulism
A nurse is performing trach care for a client post op following a
laryngectomy. Which of the following actions should the nurse take when
suctioning the client's airway? - CorreCt Answers -apply suction for 10
seconds
A nurse is caring for a client who has a STI that must be reported to the
state health department. Which of the following actions should the nurse
take? - CorreCt Answers -explain to the client why this information will be
shared
A nurse is caring for an adolescent client who has a new diagnosis of
terminal cancer. When discussing the client's prognosis with the parents,
the nurse should recognize which of the following responses by the parents
as an example of rationalization? - CorreCt Answers -"Maybe this is better
for our child because we don't want any suffering through chemotherapy
treatments"
A nurse is assessing a client who has obstructive sleep apnea. Which
complication should the nurse monitor? - CorreCt Answers -hypertension
A nurse is conducting visual acuity testing using the Snellen letter chart for
a school-age child who has eye glasses. Which of the following instructions
should the nurse give to the child? - CorreCt Answers -"you should keep
both eyes open during the test"
, A nurse is preparing to administer a long-acting insulin to a client who has
DM. Which of the following actions should the nurse plan to take first? -
CorreCt Answers -check the dose with another nurse
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. Client statement
indicates this therapy is giving the desired effect? - CorreCt Answers -"I
haven't vomited as much recently"
A nurse is planning care for a client who is receiving heparin to treat a L leg
DVT. Nursing intervention? - CorreCt Answers -elevate the leg
A nurse is teaching about child safety measures. What statement indicates
understanding? - CorreCt Answers -avoid sun exposure 10am-2pm
A home health nurse is teaching about infection prevention to a cancer pt
on chemo. Which statement indicates understanding? - CorreCt Answers -
"I'll walk short distances throughout the day"
A nurse is providing dietary teaching to the parents of a 6 month old. What
instructions should the nurse give? - CorreCt Answers -introduce new foods
over 5-7 days
A charge nurse is planning care for a client in mechanical restraints. What
interventions? - CorreCt Answers -provide a staff member to stay with the
client continuously
A nurse is teaching the parents of a preschooler about sleep promotion.
Parents report child reluctance in going to bed "I'm not tired". Statement
shows parental understanding? - CorreCt Answers -"we should read a story
together before bed every night"
An RN is planning care for a group of clients and is working with an LPN
and an AP. What tasks should the RN delegate to the LPN? - CorreCt
Answers -insert a NG tube
A nurse in an emergency department is admitting a client who has cardiac
tamponade. Which assessment finding should the nurse expect? - CorreCt
Answers -pulsus paradoxus
A nurse is assessing a client who has delirium. Which manifestation should
the nurse expect? - CorreCt Answers -rapid speech
A nurse working in a long term care facility is assessing an adult client.
Which of the following findings places the client at risk for developing a
pressure injury? - CorreCt Answers -recent weight loss
A nurse is caring for a client who had a recent stroke. Prior to transferring
the client to the bedside commode, which action should the nurse take
first? - CorreCt Answers -assess for functional limitations
A community health nurse is reviewing the medical records of four newly
diagnosed clients. The nurse should identify which of the following clients
,as having a nationally notifiable infectious condition? - CorreCt Answers -
an adolescent with foodborne botulism
A nurse is performing trach care for a client post op following a
laryngectomy. Which of the following actions should the nurse take when
suctioning the client's airway? - CorreCt Answers -apply suction for 10
seconds
A nurse is caring for a client who has a STI that must be reported to the
state health department. Which of the following actions should the nurse
take? - CorreCt Answers -explain to the client why this information will be
shared
A nurse is caring for an adolescent client who has a new diagnosis of
terminal cancer. When discussing the client's prognosis with the parents,
the nurse should recognize which of the following responses by the parents
as an example of rationalization? - CorreCt Answers -"Maybe this is better
for our child because we don't want any suffering through chemotherapy
treatments"
A nurse is assessing a client who has obstructive sleep apnea. Which
complication should the nurse monitor? - CorreCt Answers -hypertension
A nurse is conducting visual acuity testing using the Snellen letter chart for
a school-age child who has eye glasses. Which of the following instructions
should the nurse give to the child? - CorreCt Answers -"you should keep
both eyes open during the test"
, A nurse is preparing to administer a long-acting insulin to a client who has
DM. Which of the following actions should the nurse plan to take first? -
CorreCt Answers -check the dose with another nurse
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. Client statement
indicates this therapy is giving the desired effect? - CorreCt Answers -"I
haven't vomited as much recently"
A nurse is planning care for a client who is receiving heparin to treat a L leg
DVT. Nursing intervention? - CorreCt Answers -elevate the leg
A nurse is teaching about child safety measures. What statement indicates
understanding? - CorreCt Answers -avoid sun exposure 10am-2pm
A home health nurse is teaching about infection prevention to a cancer pt
on chemo. Which statement indicates understanding? - CorreCt Answers -
"I'll walk short distances throughout the day"
A nurse is providing dietary teaching to the parents of a 6 month old. What
instructions should the nurse give? - CorreCt Answers -introduce new foods
over 5-7 days
A charge nurse is planning care for a client in mechanical restraints. What
interventions? - CorreCt Answers -provide a staff member to stay with the
client continuously
