RN Comprehensive B 2019 Questions with
complete solution
RN teaching dietary management to a pt with Crohns and enteroenteric fistula,
what nutrient should RN instruct pt to decrease in their diet - ANSWER-fiber
RN planning care for pt 48hr postop from laryngectomy and cannot speak, what
action should RN plan to take first - ANSWER-Determine the client's reading
skills
RN is providing teaching to parents regarding SIDS, what guardian statement
indicates understanding of teaching - ANSWER-"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 - ANSWER-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 - ANSWER-allow for
frequent rest periods throughout the day
RN is planning care for pt with hyperthyroidism, what finding should she expect -
ANSWER-tremors
Hospice RN consulting with fam about home health services, what family
statement indicates they understand home hospice care - ANSWER-"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 - ANSWER-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 - ANSWER-"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 - ANSWER-"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 -
ANSWER-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 -
ANSWER-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 - ANSWER-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 - ANSWER-"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 - ANSWER-"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 - ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-Explore the client's
reasons for refusing the treatment
complete solution
RN teaching dietary management to a pt with Crohns and enteroenteric fistula,
what nutrient should RN instruct pt to decrease in their diet - ANSWER-fiber
RN planning care for pt 48hr postop from laryngectomy and cannot speak, what
action should RN plan to take first - ANSWER-Determine the client's reading
skills
RN is providing teaching to parents regarding SIDS, what guardian statement
indicates understanding of teaching - ANSWER-"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 - ANSWER-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 - ANSWER-allow for
frequent rest periods throughout the day
RN is planning care for pt with hyperthyroidism, what finding should she expect -
ANSWER-tremors
Hospice RN consulting with fam about home health services, what family
statement indicates they understand home hospice care - ANSWER-"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 - ANSWER-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 - ANSWER-"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 - ANSWER-"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 -
ANSWER-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 -
ANSWER-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 - ANSWER-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 - ANSWER-"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 - ANSWER-"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 - ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-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 - ANSWER-Explore the client's
reasons for refusing the treatment
