RN COMPREHENSIVE ONLINE PRACTICE 2023
B QUESTIONS WITH COMPLETE ANSWERS
GRADED A+
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 - CORRECT ANSWER 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
,RN COMPREHENSIVE ONLINE PRACTICE 2023
B QUESTIONS WITH COMPLETE ANSWERS
GRADED A+
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 - CORRECT ANSWER
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
,RN COMPREHENSIVE ONLINE PRACTICE 2023
B QUESTIONS WITH COMPLETE ANSWERS
GRADED A+
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 - CORRECT ANSWER
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
, RN COMPREHENSIVE ONLINE PRACTICE 2023
B QUESTIONS WITH COMPLETE ANSWERS
GRADED A+
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. -
CORRECT ANSWER 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
