RN Comprehensive Online Practice 2023 B/
Actual Exam Questions with Complete
Definitive Answers & Rationales/ Updated 2025
Practice questions for this set (Original)
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Terms in this set (150)
,A nurse is caring for a Condition: Epiglottis
5year-old child Actions: Initiate droplet precautions and request a prescription
for IV antibiotics
Physical Examination: Monitors: Breath sounds and temperature
1510:
Upon visual inspection, The nurse should anticipate initiating droplet precautions
throat is inflamed, tonsils and requesting a prescription for IV antibiotics. The child is
most likely experiencing epiglottis because of the clinical
appear pink, reddened and manifestations of a high fever, inflammation and redness
epiglottis is edematous and of the throat, pale skin, stridor with inspiration, painful
cherry red in appearance. swallowing, no cough, is sitting in tripod position, and
drooling. The nurse should monitor the child's
Skin appears pale. Stridor temperature and breath sounds.
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
,A nurse is caring for a client The client is most likely experiencing manifestations of
who is on the spinal cord pneumonia and autonomic dysreflexia.
injury (SCI) unit
The nurse should analyze cues from the client's
Nurses' Notes manifestations and determine that the client is most likely
experiencing manifestations of pneumonia and autonomic
Day 3, 1700
dysreflexia. A client who has a cervical SCI is at risk for
Client admitted to SCI unit 3 respiratory complications because spinal innervation to
days ago following C7 injury. the respiratory muscles is disrupted. Adventitious breath
Skin is cool, pale, and dry to sounds in the lower lobes bilaterally and a decrease in
touch. Respirations easy and oxygen saturation to less than 92% can indicate
unlabored. Lung sounds pneumonia. The client's sudden increase in blood
diminished in lower lobes. pressure, bradycardia, flushing of the skin above the area
Abdomen soft and of the injury, headache, and blurred vision are
nondistended with active manifestations of autonomic dysreflexia, which can be a
bowel sounds. Client passed life-threatening condition.
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
, A nurse is caring for a client Hepatitis A: Client's risk from fecal-oral transmission, laboratory
who has abdominal pain results, and physical examination findings
Nurses' Notes Hepatitis B: Antiviral treatment, laboratory results,
0900 client's risk from bloodborne transmission, physical
Client reports loss of examination findings
appetite, weight loss, and
fatigue for 1 week. Reports Hepatitis C: Antiviral treatment, laboratory results,
abdominal pain, 6 on a scale client's risk from bloodborne transmission, and
from 0 to 10, for 2 days. physical examination findings
Client is a perioperative
nurse, returned 1 week ago When analyzing cues, the nurse should recognize that
from a 2-week mission trip manifestations of hepatitis A, hepatitis B, and hepatitis C
include jaundice, yellow sclerae, right upper quandrant
to an underdeveloped
pain upon palpation, dark yellow urine, and elevated AST
country 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
1200
underdeveloped country and the client's occupational
Results of antibody studies risk as a perioperative nurse for contracting hepatitis B
obtained. and hepatitis C through bloodborne transmission. The
Provider prescription for nurse should recognize that the current standard of
practice for
antiviral medication
pending.
Physical Examination
0930
Lung sounds clear
bilaterally. Skin warm to
touch and jau
