RN Fundamentals Online Practice 2019A

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RN Fundamentals Online Practice 2019A 1. A nurse is performing a skin assessment for a client who expresses concern about skin cancer. Which of the following findings should the nurse identify as a... potential indication of a skin malignancy? 2. A nurse is assessing a client who reports pain following physical therapy. Which of the following questions should the nurse as when assessing the quality of the client’s pain? 3. A nurse is admitting a new client. Which of the following actions should the nurse take while performing medication reconciliation? 4. A nurse is auscultating the anterior chest of a client who was admitted to a medical-surgical unit. Listen to the audio clip of what the nurse auscultates through the stethoscope and identify the type of breath sounds. (Click on the audio button to listen to the clip.) 5. A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the following actions should the nurse take? 6. A nurse is using an open irrigation technique to irrigate a client’s indwelling urinary catheter. Which of the following actions should the nurse take? 7. A nurse is preparing to apply a dressing for a client who has stage 2 pressure injury. Which of the following types of dressing should the nurse use? 8. A nurse is providing discharge teaching to a client about self-administering heparin. Which of the following instructions should the nurse include in the teaching? 9. A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions should the nurse take? 10. A nurse is initiating a protective environment for a client who has had an allogenic stem cell transplant. Which of the following precautions should the nurse plan for this client? 11. A nurse is caring for a client who has dementia. Which of the following interventions should the nurse take to minimize the risk for injury to the client? 12. A nurse is preparing to administer 0.9% sodium chloride 750mL IV to infuse over 7 hr. the nurse should set the infusion pump to deliver how many mL/hr? (Round to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) 13. A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the client that this condition is a contraindication for which of the following therapies? 14. A nurse is lifting a bedside cabinet to mover closer to a client who is sitting in a chair. To prevent self-injury, which of the following actions should the nurse take when lifting this object? 15. A nurse is talking with an older adult client who is contemplating retirement. The client states, “I keep thinking about how much I enjoy my job. I’m not sure I want to retire.” Which of the following responses should the nurse make? 16. A nurse is caring for a client who is postoperative. When the nurse prepares to change her dressing, she says, “Every time you change my bandage, it hurts so much.” Which of the following interventions is the nurse’s priority action? 17. A nurse is assessing a client’s readiness to learn about insulin self-administration. Which of the following statements should the nurse identify as an indication that the client is ready to learn? 18. A nurse is evaluating a client’s use of a cane. Which of the following actions should the nurse identify as an indication of correct use? 19. A nurse manager is preparing to review medication documentation with a group of newly licensed nurses. Which of the following statements should the nurse manager plan to include in the teaching? 20. A nurse is caring for a client who is postoperative following a knee arthroplasty and requires for use of thigh-length sequential compression sleeves. Which of the following actions should the nurse take? 21. A nurse in a long-term care facility is caring for a client who dies during the nurse’s shift. Identify the sequence in which the nurse should perform the following steps. (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) 22. A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first? 23. A nurse is caring for a client who has an aggressive form of prostate cancer. The provider briefly discusses treatment options and leaves the client’s room. When the nurse asks if the client would like to discuss any concerns, the client declines. Which of the following statements should the nurse make? 24. A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The client asks, “What would happen if I arrived at the emergency department and I had difficulty breathing?” Which of the following responses should the nurse make? 25. A nurse is caring for a client who has diarrhea due to shigella. Which of the following precautions should the nurse implement for this client? 26. A client who is postoperative is verbalizing pain as a 2 on a pain scale 0 to 10. Which of the following statement should the nurse identify as an indication that the client understands the preoperative teaching she received about pain management? 27. A nurse is administering an otic medication to an older adult client. Which of the following actions should take to ensure that the medication reaches the inner ear? 28. A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. Which of the following observations should the nurse identify as proper safety protocol? 29. A nurse is reviewing evidence-based practice principles about administration of oxygen therapy with a newly licensed nurse. Which of the following actions should the nurse include? 30. A nurse is reviewing a client’s fluid and electrolyte status. Which of the following findings should the nurse report to the provider? 31. A home health nurse is performing a follow-up visit for a client who has gastrostomy tube through which they receive intermittent feedings and medications. The client has recently developed diarrhea. Which of the following findings should the nurse identify as a possible cause of the diarrhea? 32. A nurse is assessing four adult clients. Which of the following physical assessment techniques should the nurse use? 33. A nurse is planning strategies to manage time effectively for client care. Which of the following strategies should the nurse implement? 34. A nurse is caring for a group of clients. Which of the following actions should the nurse take to prevent the spread of infection? 35. A nurse is caring for a client who has a terminal illness and is at the end of life. The nurse should recognize that which of the following statements by the client’s partner indicates effective coping? 36. A nurse is caring for a client who has a respiratory infection. Which of the following techniques should the nurse use when performing nasotracheal suction for the client? 37. A nurse is caring for a client who has a terminal illness and is approaching death. The client is short of breath and has noisy respirations from secretions in their airway. Which of the following actions should the nurse take? 38. A nurse is caring for a client who asks about the purpose of advance directives. Which of the following statements should the nurse make? 39. A nurse receives report about a client who has 0.9% sodium chloride IV at 125 mL/hr. When the nurse performs the initial assessment, he notes that the client has received only 80 mL over the last 2 hr. Which of the following actions should the nurse take first? 40. A nurse is planning care for a client who has had a stroke, resulting in aphasia and dysphagia. Which of the following tasks should the nurse assign to an assistive personnel (AP)? (Select all that apply.) 41. A nurse is providing discharge instructions to a client who will be using a walker. Which of the following client statements indicates an understanding of the teaching? 42. A nurse is caring for a client who has a sodium level of 125 mEq/L. Which of the following findings should the nurse expect? 43. A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the following actions should the nurse plan to take? 44. A nurse is preparing an education program for staff about advocacy. Which of the following information should the nurse include? 45. A nurse is admitting a client who is having an exacerbation of heart failure. In planning this client’s care, when should the nurse initiate discharge planning? 46. A nurse is talking with the partner of a client who has dementia. The client’s partner expresses finding time to manage household responsibilities while caring for their partner. The nurse should identify that the partner is experiencing which of the following type of role-performance stress? 47. A nurse is teaching a client and his family how to care for the client’s tracheostomy at home. Which of the following instructions should the nurse include in the teaching? 48. A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. The nurse notifies the surgeon who tells the nurse to continue to measure the client’s vital signs every 15 min and to report back in 1 hr. which of the following actions should the nurse take next? 49. A nurse is administering 1 L of 0.9 sodium chloride to a client who is postoperative and has fluid volume deficit. Which of the following changes should the nurse identify as an indication that the treatment was successful? 50. A nurse is caring for a client who has pharyngeal diphtheria. Which of the following types of transmission precautions should the nurse initiate? 51. A nurse is caring for a child who has a prescription for a blood transfusion. The child’s parents have refused the treatment due to their religious beliefs. Which of the following actions should the nurse take? 52. A nurse is preparing a change-of-shift report. Which of the following tools or documents should the nurse use to communicate continuity of care? 53. A nurse in a provider’s office is assessing the deep tendon reflexes of a client. Which of the following images should the nurse identify as indicating the correct technique for eliciting the client’s patellar reflex? 54. A nurse is assessing an older adult client’s risk for fall. Which of the following assessments should the nurse use to identify the client’s safety needs? (Select all that apply.) 55. A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following actions is the nurse’s priority? 56. A nurse is assessing a client who has required bed rest for the past month. Which of the following findings should the nurse identify as an indication that the client has developed thrombophlebitis? 57. A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take? 58. A nurse is preparing to administer an injection of an opioid to a client. The nurse draws out 1 mL of the medication from a 2 mL vial, which of the following actions should the nurse take? 59. A nurse is caring for a client who requires an NG tube for stomach decompression. Which of the following actions should the nurse take when inserting the NG tube? 60. A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Which of the following types of transmission precautions should the nurse initiate? [Show More]

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