RN COMPREHENSIVE FORM B 2023-180 QUESTIONS and ANSWERS Latest Updated, Exams of Health sciences

Download RN COMPREHENSIVE FORM B 2023-180 QUESTIONS and ANSWERS Latest Updated and more Exams Health sciences in PDF only on Docsity! RN COMPREHENSIVE FORM B 2023-180 QUESTIONS and ANSWERS [Type here] RN Proctored Comprehensive 2023 FORM B.180 Q&A [Type here] 10.A nurse is preforming a gastric lavage for a client who has upper gastrointestinal bleeding. Which of the .following action should the nurse take? A. Instill 500 ml of solution through the NG tube. B. I nsert a large-bore NG tube. C. Use a cold irrigation solution. D. Instruct the client to lie on his right side. 11. A nurse is providing care for a client who is in the advance stage of amyotrophic lateral sclerosis. (ALS). Which of the following referrals is the nurse’s priority? A. Psychologist. B. Social worker. C. Occupational therapist. D. S peech-language pathologist. 12.A nurse is reviewing the laboratory results of a client who has rheumatoid arthritis. Which of the following findings should the nurse report to the provider? A. WBC count 8,000/mm3. B. Platelets 150,000/mm3. C. Aspartate aminotransferase 10 units/L. D. E rythrocyte sedimentation rate 75 mm/hr 13. A nurse is caring for a client who has generalized petechiae and ecchymoses. The nurse should expect a prescription for which of the following laboratory tests? A. Platelet count. B. Potassium level. C. Creatine clearance. D. Prealbumin. 14. A nurse is caring for a client following application of a cast. Which of the following actions should the nurse take first? [Type here] A. Place an ice pack over the cast. B. P alpate the pulse distal to the cast. C. Teach the client to keep the cast clean and dry. D. Position the casted extremity on a pillow. 15. A nurse is caring for a client who has vision loss. Which of the following actions should the nurse take? (Select all that apply) A. . Keep objects in the client’s room in the same place. B. . Ensure there is high-wattage lighting in the client’s room. C . Approach the client from the side. D . Allow extra time for the client to perform tasks. E . Touch the client gently to announce presence. 16. A nurse is caring for a client who is newly diagnosed with pancreatic cancer and has questions about the disease. To research the nurse should identify that which of the following electronic database has the most comprehensive collection of nursing (Unable to read) articles? A. MEDLINE B. C INAHL. C. ProQuest. D. Health Source. 17. A nurse in an emergency department is assessing newly admitted client who is experiencing drooling and hoarseness following a burn injury. Which of the following should actions should the nurse take first? A. Obtain a baseline ECG. B. Obtain a blood specimen for ABG analysis. C. Insert an 18-gauge IV catheter. D. A dminister 100% humidified oxygen. 18. A nurse is planning care for a client who has unilateral paralysis and dysphagia following a right hemispheric stroke. Which of the following interventions should the nurse include in the plan? [Type here] A. Place food on the left side of the client’s mouth when he is ready to eat. [Type here] 26. A nurse is caring for a client who has depression and reports taking ST. John’s wort along with citalopram. The nurse should monitor the client for which of the following conditions as a result of an interaction between these substances? A . Serotonin syndrome 27. A nurse is assessing a client who is receiving packed RBCs. Which of the following findings indicate fluid overload? A. Low back pain. B. Dyspnea. C. Hypotension. D. Thready pulse. 28. A nurse is calculating a client’s expected date of delivery. The client’s last menstrual period began on April . Using Nagele’s rule, what date should the nurse determine to be the client’s expected delivery date? (Use mmdd format.) - 119 date 29. A nurse is discussing group treatment and therapy with a client. The nurse should include which of the following as being a characteristic of a therapeutic group? The group encourages members to focus on a particular issue. 30. A nurse manger is reviewing documentation with a newly licensed nurse. Which of the following notations by the newly licensed nurse indicates an understanding of the teaching. [Type here] U NSURE IF ON THE REPORT A. “OOB with assistance for breakfast” B. “Given 2 mg MSO4 IM for report of pain” C. “Dressing changed qd” D. “Administered 8 u regular insulin sq.” 31. A nurse is preparing to administer eye drops to a school-age child. Identify the actions the nurse should take. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) 1. Apply pressure to the lacrimal punctum. 2. Ask the child to look upward. 3. Pull the lower eyelid downward. 4. Instill the drops of medication. 5. Place the child in a sitting position. 5 2 3 4 1 33. A nurse is caring for a client who speaks a language different from the nurse. Which of the following should the nurse take? A. Request an interpreter of a different sex from the client. B. Request a family member or friend to interpret information for the client. C. Direct attention toward the interpreter when speaking to the client. D. Review the facility policy about the use of an interpreter. 34. A nurse is caring for a client who is in labor and is receiving oxytocin. Which of the following findings indicates that the nurse should increase the rate of infusion? A. Urine output 20 ml/hr. B . Montevideo units constantly 300 mm Hg. C . FHR pattern with absent variability. D . Contractions every 5 min that last 30 seconds. [Type here] 35.A public health nurse is managing several projects for the community. Which of the following interventions should the nurse identify as a primary prevention strategy? A. . Teaching parenting skills to expectant mothers and their partners. 36. A nurse is preparing to administer an autologous blood product to a client. Which of the following actions should the nurse take to identify the client? A. . Match the client’s blood type with the type and cross match specimens. 37. A nurse is performing physical therapy for a client who has Parkinson’s disease. Which of the following statements by the client indicates the need for a referral to physical therapy? A. “ Lately, I feel like my feet are freezing up, as they are stuck to the ground” 38. A nurse is reviewing laboratory data for a client who has chronic kidney disease. Which of the following findings should the nurse expect? A. Increased creatine. 39. A nurse is administering a scheduled medication to a client. The client reports that the medication appears different than what they take at home. Which of the following responses should the nurse take? A. “Did the doctor discuss with you that there was a change in this medication?” B. “I recommend that you take this medication as prescribed” C. “Do you know why this medication is being prescribed to you?” D. “ I will call the pharmacist now to check on this medication” 40 A nurse is teaching at a community health fair about electrical fire prevention. Which of the following information should the nurse include in the teaching? A. Use three pronged grounded plugs. 41. A charge nurse is recommending postpartum client discharge following a local disaster. Which of the following should the nurse recommend for discharge? A. A 42-year-old client who has preeclampsia and a BP of 166/110 mm Hg. B. A 15-year-old client who delivered via emergency cesarean birth 1 day ago. C. A client who received 2 units of packed RBCs 6 hr. ago for a postpartum hemorrhage. [Type here] 47. A nurse is caring for a client who has fibromyalgia and requests pain medication. Which of the following medications should the nurse administer? B. Pregabalin 48. A nurse is caring for a client who is to receive a transfusion of packed RBCs. Which of the following actions should the nurse take? A . Prime IV tubing with 0.9% sodium chloride. B. Use a 24-gauge IV catheter C. Obtain filter less IV tubing. D. Place blood in the warmer for 1 hr. 49. A nurse is caring for a toddler who has acute lymphocytic leukemia. In which of the following should the toddler participate? A. Looking at alphabet flashcards. B. P laying with a large plastic truck. C. Use scissors cut out paper shapes. D. Watching a cartoon in the dayroom. 50. A nurse is caring for a client who has chronic pancreatitis. Which of the following dietary recommendations should the nurse make? A. Coffee with creamer. B. Lettuce with sliced avocados. C. B roiled skinless chicken breast with brown rice. [Type here] D. Warm toast with margarine. 51. A nurse is preparing to assess a 2-week-old newborn. Which of the following actions should the nurse plan to take? A. Obtain the newborn’s body temperature using a tympanic thermometer. B. (Unable to read) FACES pain scale. C. A uscultate the newborn’s apical pulse for 60 seconds. D. Measure the newborn’s head circumference over the eyebrows and below the occipital prominence. (NOT) 52. A nurse is caring for a client who is at 38 weeks gestation, is in active labor, and has ruptured membrane. Which of the following actions should the nurse take? A. . Apply fetal heart rate monitor. 53. A nurse is assessing a client who is 30 min postoperative following an arterial thrombectomy. Which of the following findings should the nurse to report? A. . Chest pain B. . Muscle spasms. C. . Cool, moist skin. D. . Incisional pain. 54. A nurse is completing an incident report after a client fall. Which of the following competencies of Quality and Safety Education for Nurse is the use demonstrating? A B. Patient (Unable to read) C. Evidence based practice. D. Informatics. . Quality improvement. [Type here] “I will not publish public announcement about my baby’s birth” 55. A nurse is talking with another nurse on the unit and smells alcohol on her breath. Which of the following actions should the nurse take? A. Notify the nursing manager about the suspected alcohol use. 56. A nurse is caring for a client who has diaper dermatitis. Which of the following actions should the nurse take? A . Apply zinc oxide ointment to the irritated area 66. A nurse is reviewing the facility’s safety protocols considering newborn abduction with the parent of a newborn. Which of the following statements indicates an understanding of the teaching? A. “Staff will apply identification band after first bath” B. C. “I can remove my baby’s identification band as long as she is in my room” D. “I can leave my baby in my room while I walk in the hallway” 57. A nurse is receiving a telephone prescription from a provider for a client who requires additional medication for pain control. Which of the following entries should the nurse make in the medical record? A. “Morphine 3 mg SQ every 4 hr. PRN for pain.” B. “ Morphine 3 mg Subcutaneous (Unable to read) C. “Morphine 3.0 mg sub q every 4 hr. PRN for pain.” D. “Morphine 3 mg SC q 4 hr. PRN for pain.” 58. A nurse realizes that the wrong medication has been administered to a client. Which of the following actions should the nurse take first? A. Notify the provider. B. Report the incident to the nurse manager. C. Monitor vital signs. D. Fill out an incident report. 59. A nurse is providing teaching to a client who is experiencing preterm contractions and dehydration. Which of the following statements should the nurse make? [Type here] A nurse is providing teaching to a client who is at 14 weeks of gestation about findings to report to the provider. Which of the following findings should the nurse include in the teaching? o 8 © © © © © © © © © e © ew ole el elle hl lll © Bleeding gums © Feintness upen rising Swelling of the face Urinary frequency Oo A nurse is developing a plan of care for a client who has schizophrenia and is experiencing auditory hallucinations. Which of the fellowing actions should the nurse Include In the plan? eo 8 © © © oe ww Ask the client directly what he is hearing O00 Encourage the client to lie down in a quiet room. Avoid eye contact with the client, Refer to the hallucinations as if they are real, ¢ = 4 nurse is preparing to perform a sterile wound irrigation and dressing change for a client. Which of the following actions by the nurse indicates a break in surgical aseptic technique? ©. Applying a sterile gown after applying a sterile mask © Balancing the bottle on the sterile basin while pouring the liquid © Placing the supplies on the sterile field and leaving a 1-inch perimeter © Putting on sterile gloves after preparing the sterile field A nurse is teaching a prenatal class about infection prevention at a community center, Which of the following statements by a client indicates an understanding of the teaching? "I can visit my nephew who has chickenpox 5 days after the sores have crusted.” "I can clean my cat's litter box during my pregnancy." ©. "Ishould take antibiotics when I have a virus.” > "Ishould wash my hands for 10 seconds with hot water after working in the garden.” [Type here] 7 0.C [Type here] 7 1.D 7 2.C 7 3.D 7 4.C [Type here] [Type here] 8. A nurse is providing teaching to an older adult client about methods to promote nighttime sleep. Which of the following instructions should the nurse 2 © _ Stay in bed at least 1 hr if unable to fall asleep. © Take a 1 hr nap during the day. CO Perform exercises prior to bedtime. © Eata light snack before bedtime. a. A A nurse is interviewing the partner of a client who was admitted in the manic phase of bipolar disorder. The partner states, Everything has been happening so quickly.” Which of the following responses by the nurse is therapeutic? "I don't know what to do. oo © © © © © © © © © oO ew ow ew ew oe we ele ll eo ee OQ. "Can you talk about what was happening with your partner at home?" © "Why do you think your partner's symptoms are progressing so quickly?” © "You should make sure your partner takes the prescribed medication." QO "You did the right thing by bringing your partner in for treatment.” [Type here] 82. B 83. A 84. A 85. A 86. C [Type here] 96. C 97. D 98. D 99. D 100. D [Type here] 101. A 102. B 103. B 104. D [Type here] 105. A 106. A 107. D 108. B 109. C 110. B [Type here] 120. A 121. C 122. A 123. A [Type here] 124. C 125. D 126. D 127. Intradermal Injection areas A. Buttocks. [Type here] B. . Upper back. C. . Hamstring area. 128.A nurse is caring for a client who has experienced a right-hemispheric stroke. Which of the following are expected findings? (Select all that apply.) a. Impulse control difficulty b. Lef t hemiplegia c. Loss of depth perception d. Aphasia e. Lack of situational awareness 128.A nurse is caring for a client who has left homonymous hemianopsia. Which of the following is an appropriate nursing intervention? f. Teach the client to scan the right to see objects on the right side of her body. g. Place the bedside table on the right side of the bed. h. Orient the client to the food on her plate using the clock method. i. Place the wheelchair on the client’s left side. 129.A nurse is planning care for a client who has dysphagia and a new dietary prescription. Which of the following should the nurse include in the plan of care? (Select all that apply.) j. Have suction equipment available for use. k. Feed the client thickened liquids. l. Place food on the unaffected side of the client’s mouth. m. Assign an assistive personnel to feed the client slowly. n. Teach the client to swallow with her neck flexed. 130.A nurse is caring for a client who has global aphasia (both receptive and expressive.). Which of the following should the nurse include in the client’s plan of care? (Select all that apply.) o. Speak to the client at a slower rate. p. Assist the client to use flash cards with pictures. q. Give instructions one step at a time. [Type here] 145.A nurse is caring for a client who has dyspnea and will receive oxygen continuously. Which of the following oxygen devices should the nurse use to deliver a precise amount of oxygen to the client? n. Nonrebreather mask o. Venturi mask p. Nasal cannula q. Simple face mask 146.A nurse is planning care for a client who is receiving mechanical ventilation. Which of the following modes of ventilation that increase the effort of the client’s respiratory muscles should the nurse include in the plan of care? (Select all that apply.) r. Synchronized intermittent mandatory ventilation t. Continuous positive airway pressure u. Pressure support ventilation 146.A nurse is monitoring a group of clients for increased risk for developing pneumonia. Which of the following clients should the nurse expect to be at risk? (Select all that apply.) a. Client who has dysphagia b. Client who has AIDS c. Client who has a closed head injury and is receiving ventilation f. Client who has myasthenia gravis 148.A nurse in a clinic is caring for a client whose partner states the client woke up this morning, did not recognize him, and did not know where she was. The client reports chills and chest pain that is worse upon inspiration. Which of the following actions is the nurse’s priority? g. Obtain baseline vital signs and oxygen saturation. 149.A nurse is caring for a client who has pneumonia. Assessment findings include temperature 37.8 C (100 F), respirations 30/min, blood pressure 130/76, heart rate 100/min, and SaO2 91% on room air. Prioritize the following nursing interventions. h. Administer antibiotics. (3) i. Administer oxygen therapy. (1) j. Perform a sputum culture. (2) k. Administer an antipyretic medication to promote client comfort. (4) oxygen  sputum  abx meds for comfort 150.A nurse in a clinic is assessing a client who has sinusitis. Which of the following techniques should the nurse use to identify manifestations of this disorder? r. Palpation of the orbital areas 151.A nurse is teaching a group of clients about influenza. Which of the following client statements indicates an understanding of the teaching? s. “I should wash my hands after blowing my nose to prevent spreading the virus.” 152.A nurse in the emergency department is caring for a client who is having an acute asthma attack. Which of the following assessments indicates that the respiratory status is declining? (Select all that apply. b. Wheezing c. Retraction of sternal muscles d. Premature ventricular complexes (PVC’s) [Type here] 153.A nurse is caring for a client 2 hours after admission. The client has an SaO2 of 91%, exhibits audible wheezes, and is using accessory muscles when breathing. Which of the following classes of medication should the nurse expect to administer? e. Beta2 agonist 154.A nurse is providing discharge teaching to a client who has a new prescription for prednisone for asthma. Which of the following client statements indicates an understanding in teaching? l. “I will take my medication with meals.” 155.A nurse is assessing a client who has a history of asthma. Which of the following factors should the nurse identify as a risk for asthma? m. Environmental allergies 156.A nurse is reinforcing teaching with a client on the purpose of taking a bronchodilator. Which of the following client statements indicates an understanding of the teaching? n. “This medication can decrease my immune response.” s. “I take this medication to prevent asthma attacks.” t. “I need to take this medication with food.” u. “This medication has a slow onset to treat my symptoms.” 157.A nurse is providing discharge teaching to a client who has COPD and a new prescription for albuterol. Which of the following statements by the client indicates and understanding of the teaching? a. “This medication can increase my blood sugar levels.” b. “This medication can decrease my immune response.” c. “I can have an increase in my heart rate while taking this medication.” d. “I can have mouth sores while taking this medication.” 158.A nurse is preparing to administer a dose of a new prescription of prednisone to a client who has COPD. The nurse should monitor for which of the following adverse effects of this medication? (Select all that apply.) a. Hypokalemia b. Fluid retention c. Black, tarry stools [Type here] 159.A nurse is discharging a client who has COPD. Upon discharge, the client is concerned that he will never be able to leave his house now that he is on continuous oxygen. Which of the following is an appropriate response by the nurse? a. “There are portable oxygen delivery systems that you can take with you. 160.A nurse is instructing a client on the use of an incentive spirometer. Which of the following statements by the client indicates an understanding of the teaching? d. “I will take in a deep breath and hold it before exhaling.” 161.A nurse is planning to instruct a client on how to perform pursed-lip breathing. Which of the following should the nurse include in the plan of care? a. Take a deep breath in through your nose. 162.A home health nurse is teaching a client who has active tuberculosis. The provider has prescribed the following medication regimen: isoniazid 250 mg PO daily, rifampin 500 mg PO daily, pyrazinamide 750 mg PO daily, and ethambutol 1 mg PO daily. Which of the following client statements indicate the client understands the teaching? (Select all that apply.) a. b. “I will wash my hands each time I cough.” c. “I will wear a mask when I am in a public area.” 163.A nurse is teaching a client who has tuberculosis. Which of the following statements should the nurse include in the teaching? a. “You will need to continue to take the multi-medication regimen for 4 months.” b. “You will need to provide sputum samples every 4 weeks to monitor the effectiveness of the medication.” c. “You will need to remain hospitalized for treatment.” d. “You will need to wear a mask at all times.” 164.A nurse is caring for a client who has a new diagnosis of tuberculosis and has been placed on a multi-medication regimen. Which of the following instructions should the nurse give the client related to ethambutol? a. “Your urine can turn a dark orange.” b. “Watch for a change in the sclera of your eyes.” c. “Watch for any changes in vision.” d. “Take vitamin B6 daily.” [Type here] a. Obtain a chest ex-ray. b. Prepare for chest tube insertion. c. Administer oxygen via high-flow mask. d. Initiate IV access. 177.A nurse is orientation a newly licensed nurse on the purpose of administering vecuronium to a client who has acute respiratory distress syndrome (ARDS). Which of the following statements by the newly licensed nurse indicates understanding of the teaching? e. “This medication is given to treat infection.” f. “This medication is given to facilitate ventilation.” g. “This medication is given to decrease inflammation.” h. “This medication is given to reduce anxiety.” 177.A nurse is reviewing the health records of five clients. Which of the following clients are at risk for developing acute respiratory distress syndrome? (Select all that apply.) a. A client who experienced a near-drowning incident b. A client following coronary artery bypass graf t surgery c. A client who has a hemoglobin of 15.1 mg/dL d. A client who has dysphagia e. A client who experienced a drug overdose 178.A nurse is planning care for a client who has severe respiratory distress system (SARS). Which of the following actions should be included in the plan of care for this client? (Select all that apply.) a. b. c. 179.A nurse is caring for a client who is receiving vecuronium for acute respiratory distress syndrome. Which of the following medications should the nurse anticipate administering with this medication? (Select all that apply.) a. Fentanyl b. Midazolam 180.A nurse is orienting a newly licensed nurse on the care of a client who is to have a line placed for hemodynamic monitoring. Which of the following statements by the newly licensed nurse indicates effectiveness of the teaching? a. d. “A chest x-ray is needed to verify placement after the procedure.” [Type here] Provide supplemental oxygen. Administer bronchodilators. Maintain ventilatory support. [Type here]