RN Comprehensive Online Practice 2022 A
Version A
1. A nurse is caring for a client who is 4 hr postpartum and has a boggy uterus with heavy lochia.
... [Show More] Which of the following actions should the nurse take first?
The nurse should administer oxygen to improve gas exchange. However, there is another action the nurse should take first.
Initiate an infusion of oxytocin.
The nurse should initiate an infusion of oxytocin to promote uterine contractions. However, there is another action the nurse should take first.
Massage the uterus to expel clots.
MY ANSWER
Using the airway, breathing, circulation approach to client care, the nurse should place the priority on massaging the client's uterus. Uterine massage will expel clots and increase uterine firmness, resulting in decreased bleeding.
Obtain a CBC.
• 2.
The nurse should obtain a CBC to monitor the status of the client. However, there is another action the nurse should take first.
2.
RN Comprehensive Online Practice 2016 A
CLOSE
Question 2 loaded rationals provided
Question: 2 of 150
CORRECT
FLAG
• Time Elapsed: 00:02:14
• Pause Remaining: 08:20:00
PAUSE
A nurse is caring for a client who has a deficit with cranial nerve (CN) II. Which of the following actions should the nurse plan?
A client who has a CN II deficit does not require bed rest.
Ask the client to restate directions.
The nurse should plan to ask clients who have a CN VIII deficit, which causes hearing loss, to restate directions.
Clear objects from the client's walking area.
MY ANSWER
The nurse should plan to clear objects from the client's walking area because a CN II deficit can result in visual impairment and lead to falls.
Evaluate the client's ability to swallow.
The nurse should plan to evaluate the swallowing ability of clients who have a CN IX deficit because it can impair swallowing.
• 3.
RN Comprehensive Online Practice 2016 A
CLOSE
Question 3 loaded rationals provided
Question: 3 of 150
CORRECT
FLAG
• Time Elapsed: 00:04:01
• Pause Remaining: 08:20:00
PAUSE
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?
MY ANSWER
Early decelerations indicate the progression of labor and are a benign finding. The nurse should continue to observe the fetal heart rate.
Assist the client to a knee-chest position.
The nurse should assist the client into a knee-chest position if she notes a prolapsed cord.
Prepare the client for continuous internal monitoring. There is no indication for the client to have internal monitoring.
Prepare for an emergency cesarean birth.
The nurse should prepare for an emergency cesarean birth if the monitor indicates late or variable decelerations despite interventions.
•
RN Comprehensive Online Practice 2016 A
CLOSE
Question 4 loaded rationals provided
Question: 4 of 150
INCORRECT
FLAG
• Time Elapsed: 00:05:19
• Pause Remaining: 08:20:00
PAUSE
A nurse is reviewing the ABG results of a client who has COPD. The results include a pH of 7.30, PaO 56 mm Hg, PaCO 54 mm Hg, HCO - 26 mEq/L, SaO 87%. Which of the following
is the correct interpretation of these values?
An HCO - of 26 mEq/L is within the expected reference range. Therefore, these laboratory
3
values do not indicate metabolic acidosis. Uncompensated respiratory acidosis
A pH of 7.30 is below the expected reference range and indicates the client has acidosis. The
PaCO of 54 mm Hg is above the expected reference range, which, with the low pH indicates that
2
the acidosis has a respiratory origin. The HCO - of 26 mEq/L is within the expected reference
3
range, indicating that the acidosis is not metabolic in origin and the body has not yet corrected
MY ANSWER
Compensated respiratory acidosis
The laboratory values do not indicate compensation has occurred. Compensated metabolic acidosis
An HCO - of 26 mEq/L is within the expected reference range. Therefore, these laboratory
3
values do not indicate metabolic acidosis.
•
RN Comprehensive Online Practice 2016 A
Question 5 loaded rationals provided
Question: 5 of 150
CORRECT
FLAG
• Time Elapsed: 00:06:32
• Pause Remaining: 08:20:00
PAUSE
A nurse is planning care for a client who is receiving heparin to treat a deep-vein thrombosis of the left lower leg. Which of the following interventions should the nurse include in the plan of
care?
Top of Form
The nurse should encourage the client to ambulate, as walking does not increase the risk for pulmonary emboli nor does it worsen the deep-vein thrombosis once an anticoagulant is initiated.
Restrict the client to 1 L of fluid per day.
The nurse should encourage the client to drink 2 to 3 L of fluid daily to decrease platelet aggregation and prevent dehydration.
Place cool compresses on the edematous area.
The nurse should place warm compresses on the affected area to reduce swelling and promote comfort.
Elevate the affected leg.
MY ANSWER
The nurse should elevate the client's affected extremity to reduce edema and decrease the risk of chronic venous insufficiency.
•
RN Comprehensive Online Practice 2016 A
Question 6 loaded rationals provided
Question: 6 of 150
INCORRECT
FLAG
• Time Elapsed: 00:07:32
• Pause Remaining: 08:20:00
PAUSE
A nurse on a medical-surgical unit is caring for a client prior to a surgical procedure. Which of the following findings should indicate to the nurse that the client has the ability to sign the informed consent?
Top of Form
The client's partner tells the nurse that the client understands the procedure.
MY ANSWER
The client can tell his partner that he understands the procedure, but the nurse must speak directly to the client to ensure that the client understands what the provider has told him before being certain that the client has the ability to sign the form.
The nurse locates the provider's prescription for the surgical procedure.
A written prescription for a surgical procedure does not ensure that the provider has explained the procedure to the client or that the client has the knowledge to give informed consent.
The nurse witnesses the provider's explanation of the procedure.
Even though the provider has explained the procedure to the client, the nurse cannot assume that the client understands the information the provider gave.
The client is able to accurately describe the upcoming procedure.
The ability of the client to accurately describe the upcoming procedure indicates that the provider adequately informed the client, and that the client has the ability to sign the informed consent.
•
RN Comprehensive Online Practice 2016 A
Question 7 loaded rationals provided
Question: 7 of 150
INCORRECT
• Time Elapsed: 00:08:13
FLAG
• Pause Remaining: 08:20:00
PAUSE
A nurse is assessing a fetus that is in the left occiput anterior (LOA) position. In which of the following locations should the nurse assess for fetal heart tones?
Top of Form
The nurse can hear fetal heart tones best over the fetal back. In the LOA position, the position of the fetal back is not at the midline above the symphysis pubis.
Midline at level of umbilicus
MY ANSWER
For fetuses in breech presentations, the nurse usually can auscultate the fetal heart tones above the mother's umbilicus.
Right lower quadrant
The nurse can hear fetal heart tones best in the right lower quadrant for a fetus in the right occiput position.
Left lower quadrant
The nurse can hear fetal heart sounds best over the fetal back. In the LOA position, the position of the fetal back is in the mother's left lower quadrant.
•
RN Comprehensive Online Practice 2016 A
CLOSE
Question 8 loaded rationals provided
Question: 8 of 150
INCORRECT
FLAG
• Time Elapsed: 00:09:14
• Pause Remaining: 08:20:00
PAUSE
A nurse is interviewing a client who has just lost her home due to a natural disaster. After ensuring the client's safety, which of the following actions should the nurse take first?
Assist the client with contacting individuals from the client's support system.
The nurse should assist the client with contacting people from her support system to get additional help. However, there is another action that the nurse should take first.
Give the client information about available community resources for shelter.
The nurse should assist the client with locating community resources to secure shelter. However, there is another action that the nurse should take first.
Suggest the client obtain mental health counseling.
MY ANSWER
The nurse should suggest the client who recently experienced a natural disaster to obtain mental health counseling for further support. However, there is another action that the nurse should take first.
Determine the client's perception of the personal impact of the crisis.
The first action the nurse should take using the nursing process is to assess the client. Therefore, the first action the nurse should take is to determine the client's feelings and understanding of the natural disaster and its personal impact.
•
RN Comprehensive Online Practice 2016 A
CLOSE
Question 9 loaded rationals provided
Question: 9 of 150
INCORRECT
FLAG
• Time Elapsed: 00:09:55
• Pause Remaining: 08:20:00
PAUSE
An assistive personnel (AP) and a nurse are turning a client onto her right side. Which of the following actions by the AP requires the nurse to intervene?
MY ANSWER
Using a draw sheet to move the client reduces friction, which protects the client's skin and reduces workload, which prevents injury to the nurse and the AP.
Raises the height of the bed to waist level
Raising the height of the bed to waist level prevents injury by positioning the bed at the nurse's and the AP's center of gravity.
Places a pillow under the client's right arm
The AP should place a pillow under the client's left arm to prevent internal rotation of the left shoulder.
Lowers the side rails on the left side of the bed
Lowering the side rails on one side of the bed prevents the nurse and the AP from straining their bodies. The opposite side rail is left up to promote client safety.
•
RN Comprehensive Online Practice 2016 A
Question 10 loaded rationals provided
Question: 10 of 150
INCORRECT
FLAG
• Time Elapsed: 00:10:34
• Pause Remaining: 08:20:00
PAUSE
A nurse in a community center is providing an educational session to a group of women about ovarian cancer. For which of the following manifestations should the nurse instruct the women to contact their providers?
Top of Form
MY ANSWER
The nurse should identify the presence of back pain as an indication of cervical cancer.
Postcoital bleeding
The nurse should identify the presence of postcoital bleeding as an indication of cervical cancer.
Purulent discharge
The nurse should identify the presence of purulent vaginal discharge as an indication of a sexually transmitted infection.
Abdominal bloating
The nurse should include the presence of abdominal bloating as an early indication of ovarian cancer as well as other manifestations which include an increase in abdominal girth, pelvic or abdominal pain, early satiety, and urinary frequency or urgency.
•
RN Comprehensive Online Practice 2016 A
CLOSE
Question 11 loaded rationals provided
Question: 11 of 150
INCORRECT
FLAG
• Time Elapsed: 00:11:15
• Pause Remaining: 08:20:00
PAUSE
A nurse manager is assisting with the orientation of a newly-licensed nurse. Which of the following actions by the nurse requires the nurse manager to intervene?
MY ANSWER
The nurse is responsible for reporting a client's suicide plan to the provider.
Notifies the health department of a client's diagnosis of chlamydia
The nurse has a legal responsibility to report STIs to the appropriate authorities.
Reports suspected child abuse to social services
The nurse has a legal responsibility to report suspected child abuse to the appropriate authorities.
Tells the hospital chaplain a client's diagnosis
Discussing a client's diagnosis with the hospital chaplain is a breach of confidentiality.
•
RN Comprehensive Online Practice 2016 A
Question 12 loaded rationals provided
Question: 12 of 150
INCORRECT [Show Less]