QUESTIONS AND ANSWERS (LATEST
UPDATE 2026)
Sarah, 36 years old has been admitted to the psychiatric intensive care unit and is on
form one... Expires in two days... Will contact a lawyer if not allowed to leave unit.
Which statement by the nurse indicates she understands the legalities of a form one
CORRECT ANSWERYou may not leave the unit but you may contact your lawyer
The RPN explains to patient William the benefits of taking his prescribe medication's.
William understands the benefits and risks but still refuses to take it. He believes the
side effects outweigh the benefits of the medication. How can the RPN serve this
situation CORRECT ANSWERDocument Williams refusal to take the medication
David, the client diagnosed with schizophrenia, has been taking Respridol Which is an
antipsychotic medication for two months but recently the dogs has been increased and
he has also been receiving many PRN doses of hardol, A high potency antipsychotic
drug. During the daily assessment The practical nurse got a temperature of 39°, muscle
rigidity and confusion. The following reaction by the nurse indicates an understanding of
the probable cause of this reaction. CORRECT ANSWERHold the anti-psychotic and
request the doctor ordered CBC and CPK level stats
The client presents with cirrhosis of the liver secondary to alcohol abuse. What
assessment findings finals will indicate hypertension. CORRECT ANSWERASCITES
and hematemesis
Mr. Jones is an 82-year-old man in the community, is becoming physically weak, having
trouble washing and dressing himself, is a continuous risk for fall, has little family
support nearby and is becoming increasingly forgetful. Up until this point he has been
managing his own medication and getting his meals. His family comes in from out of
town and is a poll to see the condition he is living in, they arrange for a PSW to Take
care of his meals and help him bathe and dress daily. They ask the community nurse
when she is no longer able to stay in his home. What is the best response? CORRECT
ANSWERHe or his representative can apply through community care access centre and
be placed on a waiting list for a long-term care bed
Mrs. O 24 years old has undergone a C-section and has had an epidural. She has just
entered the postop room. What is the nurses initial action? CORRECT
ANSWERAssess level of consciousness
,The nurse obtaining Albumin from the blood bank, the nurse must be aware that this
blood product is most appropriate for a client with which condition? CORRECT
ANSWERDeficiency of plasma proteins
Mr. crib 44 years old has been readmitted with Crohn's disease because he is on total
parenteral nutrition. He has had blood work done daily. Mr. crib ask the RP and what his
electrolyte results are today. What is the nurses best course of action? CORRECT
ANSWERGive him his electrolyte results
The emergency management of a client with chest pain focusses on which of the
following priority goals CORRECT ANSWERProviding adequate analgesic to relieve
pain
Mr. Van 66 years old was admitted to the hospital with congestive heart failure this
morning. He has developed crackles in his lower lobes of his lungs and he is feeling
short of breath and anxious. Which of the following medications were best relieve the
priority problem in the situation? CORRECT ANSWERLasix
Which of the following by the nurse is most important when a client is experiencing a
panic attack CORRECT ANSWERStaying with the patient
A client is diagnosed with bipolar disorder, is in a manic phase, is getting Active, and is
irritable on approach, his speech is... And he is intrusive to other people space. Which
of the following nursing interventions is therapeutic in the situation CORRECT
ANSWERRemove him to a quiet area with minimal distractions
The patient draws back when the nurse reaches over the side rails to take his blood
pressure. What should the nurse do? CORRECT ANSWERApologize for straddling the
client and explain the need for contact
According to the RNAO, The best practice guide assessment and management of pain
2013. Which of this medication is not an appropriate choice for pain CORRECT
ANSWERMepederine
Which of the following indication the abusive powering And a nurse client relationship?
CORRECT ANSWERThe RPN allows the client to call two times before she attends to
him
After birth, the newborn is quickly dried and wrapped in a blanket to prevent heat loss.
By which mechanism CORRECT ANSWEREvaporation
A nurse is providing health teaching two and expecting mother who is considering
breast-feeding. The nurse will include which of the following infant breast-feeding over
formula feeding? CORRECT ANSWERReceived passive immunity for some viral and
bacterial infection
, When the RPN is discontinuing an IV infusion, which action is most important as a
measure of ensuring client safety CORRECT ANSWERApplying pressure to the site to
prevent bleeding
A patient has come to the ER with possible fractures of the left lower extremity. He has
a pain score of 10 prior to treatment. What is the most important for the nurse to do
CORRECT ANSWERAssess for life-threatening injuries
In order to prevent serious complication of peritoneal Dialysis, the nurse teaches the
patient which of the following topics CORRECT ANSWERAseptic technique and
establishing Dialysis
Jessica, 15 years old has come unaccompanied with her newborn to the first baby visit
at the clinic. Jessica states that she is very stressed and tired as her breast-fed baby is
not sleeping and is eating frequently through the day and night. What is the nurses best
response CORRECT ANSWERWho in your life is available to support you
Mr. brush 27 one day postop after having nephrectomy, the patient states his
analgesics are not working for him, his pain score is still 10 one Hour after the
administration of the prescribed analgesic. What should the nurse do first CORRECT
ANSWERCall the physician
A nurse is beginning his evening shift and is assessing his patient who had abdominal
surgery earlier today. The nurse notes that patient's heart rate severely elevated
compared with his baseline. What is the priority concern and assessment for this patient
CORRECT ANSWERBleeding
The physician has ordered the client to be started on a diuretic. Which of the following is
the most effective nursing intervention at this time CORRECT ANSWERTake the
clients weight
Mr. folder has just been admitted to a hospital medical unit with a fever of unknown
origin. The NP has ordered a urine and blood specimen for culture and sensitivity as
well as a broad-spectrum antibiotic. The nurse should? CORRECT ANSWERObtain
specimen before beginning antibiotic
Which of the following method is most appropriate to a cognitively impaired older adult
with bladder training CORRECT ANSWERPromoted voiding
The nurse is assigned to miss D, A type one diabetic, she states she frequently wakes
up at night shaking. What action by the nurse will prevent a hypoglycemic event in the
night CORRECT ANSWERGive her a bedtime snack
Been 48 years old is receiving IV antibiotic treatment every four hours. What should the
nurse to in regard to intravenous equipment CORRECT ANSWERWash hands before
and after equipment