RN Comprehensive Online Practice 2025 B with
Questions and Verified Detailed Answers, 100%
Guarantee Pass ||Complete A+ Guide
1. A nurse is assessing a newborn who is 3 days old.
Click to highlight the findings that require follow up. Flow sheet: Day 3 of
Life, 0800:
Temperature 36.40 C (97.50 F)
Heart rate 140/min Respiratory
rate 48/min
Weight 2.5 kg (5 lb 9 oz); 12% weight loss
Nurses' Notes
Day 3 of Life, 0800:
,Skin color consistent with newborn's genetic background. Respirations easy and
unlabored. Abdomen soft with active bowel sounds. Mild tremors noted when awake.
Anterior fontanel level and soft. Large ecchymotic caput succedaneum noted on posterio
scalp. Small amount of bloody mucus discharge noted from vagina. Breastfeeding every 3
5 hr for 5 to 10 min. Client reports nipple discomfort throughout the feeding.
...Ans>> When recognizing cues, the nurse should identify that a temperature of 36.40 C
(97.50 F) is below the expected reference range. Hypothermia can lead to the occurrence
hypoglycemia and respiratory distress.
The newborn breastfeeding for short intervals, nipple discomfort, and a weight loss of
greater than 10% of birth weight can indicate inadequate transfer of breastmilk, which
can result in hypoglycemia. The presence of mild tremors can be a manifes- tation of
hypoglycemia.
2. A nurse is caring for a client who is postoperative following
administration of general anesthesia.
0830: Temperature 36.9° C (98.5° F) Heart rate 134/min Respiratory rate 28/min Blood
pressure 92/52 mm Hg Oxygen saturation 89% on room air
Client is postoperative following an inguinal hernia repair. Apical pulse 134/min and
irregular Client reports dyspnea.
Arterial blood gases (ABGs) pH 7.30 (7.35 to 7.45) PCO2 64 mm Hg (35 to 45
mm Hg) HCO3- 26 mEq/L (21 to 28 mEq/L) PO2 80 mm Hg (80 to 100 mm Hg)
,Complete the diagram by dragging from the choices below to specify what condition the
client is most likely experiencing, 2 actions the nurse should take to address that
condition, and 2 parameters the nurse should monitor to assess the client's progress.
...Ans>> Upon recognizing and analyzing the client cues of tachycardia, tachypnea,
hypotension, and irregular heart rhythm, the nurse's priority hypothesis should
be that this client is most likely experiencing malignant hyperthermia and that it is
important to generate solutions and take actions that will correct dysrhythmias,
provide oxygen to tissues, correct electrolyte imbalances, and
reverse metabolic and respiratory acidosis.
Therefore, the nurse should prepare to administer dantrolene and administer oxy- gen.
The nurse should monitor the PC02 level on the client's ABGs for hypercapnia and observe
the client for muscle rigidity of the jaw and chest muscles.
, 3. A nurse is providing teaching to the guardians of a newborn about mea- sures to
prevent sudden unexpected infant death (SUID). Which of the following guardian
statements indicates an understanding of the teaching?
...Ans>> "l will not allow anyone to smoke near my baby."
Also, place the baby in a supine position, no pillows , or bumper pads in the crib.
4. A nurse is updating the plan of care for a client who is 48 hr postoperative following
a laryngectomy and is unable to speak. Which of the following actions should the nurse
plan to take first?
...Ans>> Determine the client's reading skills.
5. A nurse is caring for a client who is postoperative following an
appendectomy.
2000: Client reports abdominal pain as 10 on a scale of 0 to 10. Client reports nausea, no
vomiting.
Heart rate 110/min Respiratory rate 24/min Blood pressure 158/88 mm Hg O2 saturatio
93% on room air
Which of the following 4 client findings should the nurse report to the provider?
Heart rate Pain
level
Oxygen saturation
Vomiting
Questions and Verified Detailed Answers, 100%
Guarantee Pass ||Complete A+ Guide
1. A nurse is assessing a newborn who is 3 days old.
Click to highlight the findings that require follow up. Flow sheet: Day 3 of
Life, 0800:
Temperature 36.40 C (97.50 F)
Heart rate 140/min Respiratory
rate 48/min
Weight 2.5 kg (5 lb 9 oz); 12% weight loss
Nurses' Notes
Day 3 of Life, 0800:
,Skin color consistent with newborn's genetic background. Respirations easy and
unlabored. Abdomen soft with active bowel sounds. Mild tremors noted when awake.
Anterior fontanel level and soft. Large ecchymotic caput succedaneum noted on posterio
scalp. Small amount of bloody mucus discharge noted from vagina. Breastfeeding every 3
5 hr for 5 to 10 min. Client reports nipple discomfort throughout the feeding.
...Ans>> When recognizing cues, the nurse should identify that a temperature of 36.40 C
(97.50 F) is below the expected reference range. Hypothermia can lead to the occurrence
hypoglycemia and respiratory distress.
The newborn breastfeeding for short intervals, nipple discomfort, and a weight loss of
greater than 10% of birth weight can indicate inadequate transfer of breastmilk, which
can result in hypoglycemia. The presence of mild tremors can be a manifes- tation of
hypoglycemia.
2. A nurse is caring for a client who is postoperative following
administration of general anesthesia.
0830: Temperature 36.9° C (98.5° F) Heart rate 134/min Respiratory rate 28/min Blood
pressure 92/52 mm Hg Oxygen saturation 89% on room air
Client is postoperative following an inguinal hernia repair. Apical pulse 134/min and
irregular Client reports dyspnea.
Arterial blood gases (ABGs) pH 7.30 (7.35 to 7.45) PCO2 64 mm Hg (35 to 45
mm Hg) HCO3- 26 mEq/L (21 to 28 mEq/L) PO2 80 mm Hg (80 to 100 mm Hg)
,Complete the diagram by dragging from the choices below to specify what condition the
client is most likely experiencing, 2 actions the nurse should take to address that
condition, and 2 parameters the nurse should monitor to assess the client's progress.
...Ans>> Upon recognizing and analyzing the client cues of tachycardia, tachypnea,
hypotension, and irregular heart rhythm, the nurse's priority hypothesis should
be that this client is most likely experiencing malignant hyperthermia and that it is
important to generate solutions and take actions that will correct dysrhythmias,
provide oxygen to tissues, correct electrolyte imbalances, and
reverse metabolic and respiratory acidosis.
Therefore, the nurse should prepare to administer dantrolene and administer oxy- gen.
The nurse should monitor the PC02 level on the client's ABGs for hypercapnia and observe
the client for muscle rigidity of the jaw and chest muscles.
, 3. A nurse is providing teaching to the guardians of a newborn about mea- sures to
prevent sudden unexpected infant death (SUID). Which of the following guardian
statements indicates an understanding of the teaching?
...Ans>> "l will not allow anyone to smoke near my baby."
Also, place the baby in a supine position, no pillows , or bumper pads in the crib.
4. A nurse is updating the plan of care for a client who is 48 hr postoperative following
a laryngectomy and is unable to speak. Which of the following actions should the nurse
plan to take first?
...Ans>> Determine the client's reading skills.
5. A nurse is caring for a client who is postoperative following an
appendectomy.
2000: Client reports abdominal pain as 10 on a scale of 0 to 10. Client reports nausea, no
vomiting.
Heart rate 110/min Respiratory rate 24/min Blood pressure 158/88 mm Hg O2 saturatio
93% on room air
Which of the following 4 client findings should the nurse report to the provider?
Heart rate Pain
level
Oxygen saturation
Vomiting
