RN Comp 2025/2026 Questions With Complete Solutions
A case manager is reviewing the medical records of several
clients. For which of the following clients should the nurse
request an interprofessional care conference? Correct Answers
A client who has DM and has had repeated hospitalizations for
DKA
A charge nurse is observing a newly licensed nurse administer
enteral feedings via NG tube. Which of the following actions by
the newly licensed nurse indicated an understanding of the
procedure? Correct Answers Keeps the head of the bed
elevated to 45* for 1hr after feedings
A charge nurse is observing a newly licensed nurse performing a
physical assessment on a client. Which of the following actions
by the nurse indicates that the charge nurse should intervene?
Correct Answers The newly licensed nurse writes detailed notes
while performing the head-to-toe assessment.
A charge nurse is preparing to administer 0900 medications are
not available. Medication availability has been an ongoing
problem, and the charge nurse has previously discussed this
issue with the pharmacy staff. Which of the following actions
should the charge nurse take first? Correct Answers Inform the
nurse manager of the issue.
A charge nurse is providing an educational session about
infection control for a group of staff nurses. Which of the
following statements by one of the staff nurses indicates an
understanding of isolation precautions? Correct Answers "A
,client who requires airborne precautions should be placed in a
negative-pressure airflow room."
A charge nurse notices that one of the nurses on the shift
frequently violates unit policies by taking an extended amount
of time for break. Which of the following statements should the
charge nurse make to address this conflict? Correct Answers "I
would like to talk to you about the unit policies regarding break
time."
A client is receiving IV fluids at 150mL/hr. Which of the
following findings indicates that the client is experiencing fluid
overload? Correct Answers Dyspnea
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. Which of the following statements by the client indicates
that this therapy is having this desired effect? Correct Answers
"I have not vomited as much recently."
A community health nurse is assisting with the development of a
disaster management plan. The nurse should include which of
the following nursing responsibilities in the disaster response
stage of the plan? Correct Answers Performing a rapid needs
assessment.
A community health nurse is performing triage tagging
following a mass casualty incident. On which of the following
clients should the nurse place a black tag? Correct Answers A
client who has significant head trauma and agonal respirations
,A home health nurse is caring for a group of older adult clients.
The nurse should initiate a referral to the Program of All-
Inclusive Care for the Elderly (PACE) for which of the
following clients? Correct Answers A client whose caregiver
requests adult day care services
A mental health nurse is conducting the first of several meetings
with a client whose partner recently died. The nurse should
perform which of the following actions to establish trust during
the orientation phase of the nurse-client relationship? Correct
Answers Establish the termination date of therapy
A nurse at an urgent care clinic is assessing a client who reports
impaired vision in one eye. Which of the following reports by
the client should indicate to the nurse that the client has a
detached retina? Correct Answers Floating dark spots
A nurse has received change-of-shift report on 4 assigned
clients. For which of the following clients should the nurse
intervene to prevent a potential food and medication interaction?
Correct Answers A client who is receiving an MAOI and is
requesting a cheeseburger for dinner.
A nurse in a mental health clinic is assessing a client who has a
history of seeking counseling for relationship problems. The
client shows the nurse multiple superficial self-inflicted
lacerations on their forearms. The nurse should identify these
behaviors as characteristics of which of the following
personality disorders? Correct Answers Borderline
, A nurse in a provider's office is assessing an adolescent who has
been taking ibuprofen for 6 months to treat juvenile idiopathic
arthritis. Which of the following questions should the nurse ask
to assess for an adverse effect of this mediation? Correct
Answers "Have you had any stomach pain or bloody stools?"
A nurse in a provider's office is caring for a client.
Exhibit 1: Nurses' Notes
Day 1, 0900:
Client is 65-year-old who reports pain and burning on urination.
Client states, "I am having trouble making it to the bathroom on
time and I'm up throughout the night needing to urinate."
Client alert and oriented to person, place, and time.
Bilateral breath sounds clear. Respirations even and unlabored.
S3 auscultated. Lower extremity edema +1. Radial and pedal
pulses +2.Bowel sounds normoactive. Client reports no nausea
or vomiting.
Client has a history of type 2 diabetes mellitus, hypertension,
and COPD.
Exhibit 2: Vital Signs
0900:
Temperature 37.2° C (99° F)
Heart rate 88/min
Blood pressure 142/88 mm Hg
Respiratory rate 20/min
Oxygen saturation 92% on room air Correct Answers 4
prescriptions the nurse should anticipate
1. Collect urine specimen for culture
2. Educate client on new prescription of
sulfamethoxazole/trimethoprim
A case manager is reviewing the medical records of several
clients. For which of the following clients should the nurse
request an interprofessional care conference? Correct Answers
A client who has DM and has had repeated hospitalizations for
DKA
A charge nurse is observing a newly licensed nurse administer
enteral feedings via NG tube. Which of the following actions by
the newly licensed nurse indicated an understanding of the
procedure? Correct Answers Keeps the head of the bed
elevated to 45* for 1hr after feedings
A charge nurse is observing a newly licensed nurse performing a
physical assessment on a client. Which of the following actions
by the nurse indicates that the charge nurse should intervene?
Correct Answers The newly licensed nurse writes detailed notes
while performing the head-to-toe assessment.
A charge nurse is preparing to administer 0900 medications are
not available. Medication availability has been an ongoing
problem, and the charge nurse has previously discussed this
issue with the pharmacy staff. Which of the following actions
should the charge nurse take first? Correct Answers Inform the
nurse manager of the issue.
A charge nurse is providing an educational session about
infection control for a group of staff nurses. Which of the
following statements by one of the staff nurses indicates an
understanding of isolation precautions? Correct Answers "A
,client who requires airborne precautions should be placed in a
negative-pressure airflow room."
A charge nurse notices that one of the nurses on the shift
frequently violates unit policies by taking an extended amount
of time for break. Which of the following statements should the
charge nurse make to address this conflict? Correct Answers "I
would like to talk to you about the unit policies regarding break
time."
A client is receiving IV fluids at 150mL/hr. Which of the
following findings indicates that the client is experiencing fluid
overload? Correct Answers Dyspnea
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. Which of the following statements by the client indicates
that this therapy is having this desired effect? Correct Answers
"I have not vomited as much recently."
A community health nurse is assisting with the development of a
disaster management plan. The nurse should include which of
the following nursing responsibilities in the disaster response
stage of the plan? Correct Answers Performing a rapid needs
assessment.
A community health nurse is performing triage tagging
following a mass casualty incident. On which of the following
clients should the nurse place a black tag? Correct Answers A
client who has significant head trauma and agonal respirations
,A home health nurse is caring for a group of older adult clients.
The nurse should initiate a referral to the Program of All-
Inclusive Care for the Elderly (PACE) for which of the
following clients? Correct Answers A client whose caregiver
requests adult day care services
A mental health nurse is conducting the first of several meetings
with a client whose partner recently died. The nurse should
perform which of the following actions to establish trust during
the orientation phase of the nurse-client relationship? Correct
Answers Establish the termination date of therapy
A nurse at an urgent care clinic is assessing a client who reports
impaired vision in one eye. Which of the following reports by
the client should indicate to the nurse that the client has a
detached retina? Correct Answers Floating dark spots
A nurse has received change-of-shift report on 4 assigned
clients. For which of the following clients should the nurse
intervene to prevent a potential food and medication interaction?
Correct Answers A client who is receiving an MAOI and is
requesting a cheeseburger for dinner.
A nurse in a mental health clinic is assessing a client who has a
history of seeking counseling for relationship problems. The
client shows the nurse multiple superficial self-inflicted
lacerations on their forearms. The nurse should identify these
behaviors as characteristics of which of the following
personality disorders? Correct Answers Borderline
, A nurse in a provider's office is assessing an adolescent who has
been taking ibuprofen for 6 months to treat juvenile idiopathic
arthritis. Which of the following questions should the nurse ask
to assess for an adverse effect of this mediation? Correct
Answers "Have you had any stomach pain or bloody stools?"
A nurse in a provider's office is caring for a client.
Exhibit 1: Nurses' Notes
Day 1, 0900:
Client is 65-year-old who reports pain and burning on urination.
Client states, "I am having trouble making it to the bathroom on
time and I'm up throughout the night needing to urinate."
Client alert and oriented to person, place, and time.
Bilateral breath sounds clear. Respirations even and unlabored.
S3 auscultated. Lower extremity edema +1. Radial and pedal
pulses +2.Bowel sounds normoactive. Client reports no nausea
or vomiting.
Client has a history of type 2 diabetes mellitus, hypertension,
and COPD.
Exhibit 2: Vital Signs
0900:
Temperature 37.2° C (99° F)
Heart rate 88/min
Blood pressure 142/88 mm Hg
Respiratory rate 20/min
Oxygen saturation 92% on room air Correct Answers 4
prescriptions the nurse should anticipate
1. Collect urine specimen for culture
2. Educate client on new prescription of
sulfamethoxazole/trimethoprim
