RN COMPREHENSIVE ONLINE PRACTICE FORM A (LATEST 2020)-150 QUESTIONS WITH ALL CORRECT ANSWERS, DOWNLOAD TO SCORE GRADE A+
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Course
Nursing
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Nursing
RN COMPREHENSIVE ONLINE PRACTICE FORM A (150 LATEST QUESTIONS & ANSWERS) Verified By Best Tutor, Download to Score Grade A+
1. A nurse is performing tracheostomy care for a client who is postoperative following a laryngectomy. Which of the following actions should the nurse take when suctioning ...
1. A nurse is performing tracheostomy care for a client who is postoperative following
a laryngectomy. Which of the following actions should the nurse take when
suctioning the client's airway?
Withdraw the catheter if the client begins coughing.
Apply suction for 10 seconds.
Advance the catheter 2 cm (0.8 in) after resistance is met.
Use medical asepsis when performing the procedure.
2. A nurse is preparing to administer a long-acting insulin to a client who has diabetes
mellitus. Which of the following actions should the nurse plan to take first?
Teach the client reportable adverse effects from the medication.
Check the insulin dose with another licensed nurse
Administer the insulin at a 90° angle.
Clean the insertion site.
3. A nurse is caring for an older adult client in the PACU following general anesthesia.
Which of the following findings should the nurse report to the provider?
Urine output 120 mL in 4 hr
The nurse should monitor urinary output and report any amount less than 30 mL/hr.
Systolic blood pressure 12 mm Hg lower than the preoperative level
The nurse should report blood pressure changes that are greater than a 15 to 20 mm Hg
difference from the client's baseline blood pressure.
Audible stridor
MY ANSWER
Audible stridor, or a high-pitched sound heard in the client's airway indicates edema,
laryngeal spasm, secretions, or some type of airway obstruction that could become life-
threatening. The nurse should report this finding to the provider.
Normal sinus rhythm with an occasional premature ventricular contraction
Anesthesia medications and surgery, especially in older adult clients, are common causes
of premature ventricular contractions. The nurse should monitor the frequency of the
premature ventricular contractions but does not need to report this finding to the provider.
,4. A nurse is preparing to administer diazepam 0.3 mg/kg IV bolus to a toddler
who weighs 22 lb and is experiencing a grand mal seizure. Available is
diazepam solution for injection 5 mg/mL. How many mL should the nurse
administer? (Round the answer to the nearest tenth. Use a leading zero if it
applies. Do not use a trailing zero.) 0.6
5. A charge nurse is planning an educational session for staff nurses about working
with parents whose terminally ill children are candidates for donating their
organs. Which of the following information should the nurse plan to include?
Choosing to donate organs can delay the timing of the child's funeral.
The family can have the child an open casket without fearing that the organ donation
might disfigure the childs body
The family should understand that an autopsy is mandatory prior to organ donation.
The nurse should introduce the option of organ donation to the parents when first
discussing the child's impending death.
6. A nurse manager is planning to make changes to the current scheduling system
on the unit. To facilitate the staff 's acceptance of this change, which of the
following actions should the nurse manager take first?
Provide information about scheduling issues to the staff.
MY ANSWER
The first stage of the change process is the unfreezing stage, when the nurse should
inform the staff about the current staffing issues. This can increase their understanding of
why changes are necessary.
Ask staff members to participate in a trial of the new scheduling system.
Participating in a trial implementation of the new schedule is a component of the moving
stage of change.
Encourage staff to offer alternate scheduling solutions.
Encouraging staff to offer alternate scheduling solutions is a component of the moving
stage of change. Involving staff members in the change will make them feel included and
less resistant to the new schedule.
Develop goals to implement the new scheduling system.
Developing goals and objectives to implement the new schedule is a component of the
moving stage of change.
,7. A nurse is assessing a client who is receiving a blood transfusion. Which of the
following findings should indicate to the nurse that the client is having a
hemolytic transfusion reaction?
Bradycardia
Low back pain
Hypertension
Distended jugular veins
8. A nurse is assessing a client who has macular degeneration. Which of the
following findings should the nurse expect?
Increased intraocular pressure- s/s of glaucoma
Floating dark spots- s/s of retinal detachment
Decreased central vision
Double vision- s/s of cataracts
9. 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 development of a pressure
injury?
Report of persistent constipation – diarrhea/ exposure to stool increases risk of
pressure injury
Hgb 14 g/dL – nutritional status- risk for impaired skin integrity
Albumin 4.2 g/dL -nutritional status (def nutrition)
Recent weight loss
10. A nurse is teaching about total parenteral nutrition (TPN) and IV lipid
emulsions with a client who has an extensive burn injury. Which of the following
information should the nurse include?
"This type of nutrition is more effective than eating by mouth." -PO is best
“You will receive fingersticks for blood glucose testing. -risk of hyperglycemia
"TPN is a way to provide vitamins and minerals without increased calories." -calories
to patients who are unable to eat/ not have a functioning GI tract
"Taking TPN can increase the risk of developing a latex allergy." – egg allergy/ not
latex
, 11. A nurse is caring for a client who has had nausea and vomiting for the past 2
days. The nurse should identify which of the following findings as an indication
the client is experiencing fuid volume de deficit?
Shortness of breath
Visual disturbances
Decreased BUN levels
•Orthostatic hypotension
12. A nurse is caring for a client who is in labor at 39 weeks of gestation. During the
second stage of labor, the nurse observes early decelerations on the monitor
tracing. Which of the following actions should the nurse take?
Continue observing the fetal heart rate
Assist the client to a knee-chest position- r/t umbilical cord prolapses
Prepare the client for continuous internal monitoring
Prepare for an emergency cesarean birth- late or variable decelerations despite of
interventions
13. A nurse is caring for a client who requires physical therapy following discharge.
Which of the following actions should the nurse take?
Initiate the referral at the time of discharge.
MY ANSWER
The nurse should initiate the referral as soon as possible after identifying the need. Waiting until
the time of discharge can delay the client's recovery.
Have the client contact a physical therapist when feeling ready to begin therapy.
Instructing the client to contact a physical therapist when feeling ready can significantly delay
recovery. The nurse should initiate the referral as soon as possible after receiving a prescription
from the provider.
Verify that insurance will pay for outpatient physical therapy.
The nurse should notify the case manager or social worker of the prescription for physical
therapy. They will search for providers that are willing to take the client's insurance and report to
the nurse which facilities the client can consider. The client can then choose from that selection
of providers.
Involve the client in selection of a physical therapy provider.
The nurse should involve the client in the referral process, including selection of the physical
therapist and the location.
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