RN COMPREHENSIVE ONLINE
PRACTICE 2023 B EXAM WITH
QUESTIONS AND WELL VERIFIED
ANSWERS[GRADED A+] REAL EXAM
]ACTUAL 100%
A nurse is caring for a 5-year-old child
Physical Examination:
1510:
Upon visual inspection, throat is inflamed, tonsils appear pink, reddened
and epiglottis is edematous and cherry red in appearance. Skin appears
pale. Stridor noted upon inspiration with diminished bilateral lung sounds.
Nurse's Notes:
1500
Child accompanied to emergency department by caregiver. Caregiver
states child has a sore throat and reports the child has "pain on swallowing"
and denies cough. Child is agitated and lean - ANS✔✔---Condition:
Epiglottis
,Actions: Initiate droplet precautions and request a prescription for IV
antibiotics
Monitors: Breath sounds and temperature
The nurse should anticipate initiating droplet precautions and requesting a
prescription for IV antibiotics. The child is most likely experiencing epiglottis
because of the clinical manifestations of a high fever, inflammation and
redness of the throat, pale skin, stridor with inspiration, painful swallowing,
no cough, is sitting in tripod position, and drooling. The nurse should
monitor the child's temperature and breath sounds.
A nurse is caring for a client who is on the spinal cord injury (SCI) unit
Nurses' Notes
Day 3, 1700
Client admitted to SCI unit 3 days ago following C7 injury. Skin is cool,
pale, and dry to touch. Respirations easy and unlabored. Lung sounds
diminished in lower lobes. Abdomen soft and nondistended with active
bowel sounds. Client passed a small amount of hard formed stool this AM.
Indwelling urinary catheter draining clear yellow urine. Deep tendon
reflexes (DTR) are biceps 1+, triceps 1+, pa - ANS✔✔---The client is
most likely experiencing manifestations of pneumonia and autonomic
dysreflexia.
The nurse should analyze cues from the client's manifestations and
determine that the client is most likely experiencing manifestations of
pneumonia and autonomic dysreflexia. A client who has a cervical SCI is at
risk for respiratory complications because spinal innervation to the
respiratory muscles is disrupted. Adventitious breath sounds in the lower
lobes bilaterally and a decrease in oxygen saturation to less than 92% can
indicate pneumonia. The client's sudden increase in blood pressure,
bradycardia, flushing of the skin above the area of the injury, headache,
,and blurred vision are manifestations of autonomic dysreflexia, which can
be a life-threatening condition.
A nurse is caring for a client who has abdominal pain
Nurses' Notes
0900
Client reports loss of appetite, weight loss, and fatigue for 1 week. Reports
abdominal pain, 6 on a scale from 0 to 10, for 2 days. Client is a
perioperative nurse, returned 1 week ago from a 2-week mission trip to an
underdeveloped country
1200
Results of antibody studies obtained. Provider prescription for antiviral
medication pending.
Physical Examination
0930
Lung sounds clear bilaterally. Skin warm to touch and jau - ANS✔✔---
Hepatitis A: Client's risk from fecal-oral transmission, laboratory
results, and physical examination findings
Hepatitis B: Antiviral treatment, laboratory results, client's risk from
bloodborne transmission, physical examination findings
Hepatitis C: Antiviral treatment, laboratory results, client's risk from
bloodborne transmission, and physical examination findings
, When analyzing cues, the nurse should recognize that manifestations of
hepatitis A, hepatitis B, and hepatitis C include jaundice, yellow sclerae,
right upper quandrant pain upon palpation, dark yellow urine, and elevated
AST and ALT levels. When analyzing cues, the nurse should also
recognize the client's risk for contracting hepatitis A through the fecal-oral
route during recent travel to an underdeveloped country and the client's
occupational risk as a perioperative nurse for contracting hepatitis B and
hepatitis C through bloodborne transmission. The nurse should recognize
that the current standard of practice for
A nurse is caring for a client on a medical-surgical unit
Vital Signs
0700
Temperature 37.6 C (99.7 F)
Heart rate 100/min
Respiratory rate 22/min
Blood pressure 115/70 mmHg
Oxygen saturation 98% on room air
Nurses' Notes
1100
Client alert and oriented to person, place, and time. Client had episode of
diarrhea, provided perineal care. Noted 2 cm x 2 cm (0.8 in x 0.8 in) painful
edematous area on sacrum. Client repositioned every 4 hr. - ANS✔✔---
Click to highlight the findings that require follow up. To deselect a
finding, click on the finding again.
- Noted 2 cm x 2 cm (0.8 in x 0.8 in) painful edematous area on sacrum
- Client repositioned every 4 hr
