RN COMPREHENSIVE ONLINE PRACTICE
2024 A CERTIFICATION EVALUATION
EXAMS 2026 SOLVED QUESTIONS AND
SOLUTIONS GRADED A+
⩥ Burkholderia cepacia lung infection: what type of precautions will be
initiated. Answer: Contact isolation precautions
⩥ A nurse is preparing a sterile field to perform a sterile dressing
change. Which of the following interventions should the nurse use to
maintain surgical aseptic technique?
(A) Hold hands folded below the waist after donning sterile gloves.
(B) Pick up and pour solutions with the palm of the hand covering bottle
labels.
(C) Keep sterile items within a 1.3 cm (0.5 in) border of the sterile
drape.
(D) Maintain sterile objects within the line of vision. Answer: Maintain
sterile objects within the line of vision.
,⩥ A nurse is planning care for a client who has rheumatoid arthritis and
has moderate to severe pain in multiple joints. Which of the following
actions should the nurse plan to take?
(A) Perform ADLs for the client to promote rest.
(B) Allow for frequent rest periods throughout the day.
(C) Use heat to reduce joint inflammation.
(D) Develop a daily schedule for acetaminophen up to 6 g/day that
covers peak periods of pain.. Answer: Allow for frequent rest periods
throughout the day.
[The nurse should encourage clients who have rheumatoid arthritis to
balance rest with exercise to maintain muscle strength, joint function,
and range of motion]
(The nurse should allow the client to perform their own ADLs to
promote the client's joint mobility and independence)
(The nurse should use ice to reduce joint inflammation and heat to
alleviate joint discomfort)
,(The nurse should not administer more than 3 g of acetaminophen to the
client each day to reduce the risk of injury to the client)
⩥ A nurse is caring for a client during a follow up visit at a
gastrointestinal clinic.
NURSE NOTES:
0600:
Client admitted to the ED with fatigue, shortness of breath, and
weakness for the last 2 days. Client states that they have a history of
sickle cell disease (SCD). Client is alert and orientated to person, place,
and time. Restless. Client rates generalized pain as a 9 on a scale of 0 to
10. Vital signs taken and blood drawn for laboratory tests. Oxygen 2 L
via nasal cannula applied. Awaiting prescription for pain management.
0615:
Client still rates pain as a 9 on a scale of 0 to 10. Hydromorphone 4 mg
IV administered.
Vital Signs
0600:
Temperature 37.8° C (100° F)Heart rate 104/minRespiratory rate
26/minBlood pressure 88/56 mm HgOxygen saturation 90% on 2 L via
nasal cannula
Diagnostic Results
, 0645:
Hematocrit 25% (37% to 52%)Hemoglobin 8.3 g/dL (12 to 16
g/dL)WBC count 18,000/mm3 (5,000 to 10,000/mm3)Reticul. Answer: [
] Administer IV fluids: Hydration is a priority when caring for a client in
sickle cell crisis because it decreases the rate of cell sickling and can
reduce pain. Hypotonic fluids are typically infused at 250 mL/hr for 4 hr.
[ ] Use humidification with oxygen therapy
[ ] Assess peripheral circulation hourly is correct
[ ] assess the client's mouth at least every 8 hr for the presence of sores
or lesions and any other signs of infection
(Using a blood pressure cuff on the client's arm can cause venous
occlusion and increased pain. Alternatives to monitoring blood pressure
should be explored when caring for a client who has sickle cell crisis)
⩥ A home health nurse is caring for a group of older adult clients. The
nurse should initiate a referral to the Program of All-Inclusive Care for
the Elderly (PACE) for which of the following clients?
(A) A client whose family requests hospital-based hospice care
2024 A CERTIFICATION EVALUATION
EXAMS 2026 SOLVED QUESTIONS AND
SOLUTIONS GRADED A+
⩥ Burkholderia cepacia lung infection: what type of precautions will be
initiated. Answer: Contact isolation precautions
⩥ A nurse is preparing a sterile field to perform a sterile dressing
change. Which of the following interventions should the nurse use to
maintain surgical aseptic technique?
(A) Hold hands folded below the waist after donning sterile gloves.
(B) Pick up and pour solutions with the palm of the hand covering bottle
labels.
(C) Keep sterile items within a 1.3 cm (0.5 in) border of the sterile
drape.
(D) Maintain sterile objects within the line of vision. Answer: Maintain
sterile objects within the line of vision.
,⩥ A nurse is planning care for a client who has rheumatoid arthritis and
has moderate to severe pain in multiple joints. Which of the following
actions should the nurse plan to take?
(A) Perform ADLs for the client to promote rest.
(B) Allow for frequent rest periods throughout the day.
(C) Use heat to reduce joint inflammation.
(D) Develop a daily schedule for acetaminophen up to 6 g/day that
covers peak periods of pain.. Answer: Allow for frequent rest periods
throughout the day.
[The nurse should encourage clients who have rheumatoid arthritis to
balance rest with exercise to maintain muscle strength, joint function,
and range of motion]
(The nurse should allow the client to perform their own ADLs to
promote the client's joint mobility and independence)
(The nurse should use ice to reduce joint inflammation and heat to
alleviate joint discomfort)
,(The nurse should not administer more than 3 g of acetaminophen to the
client each day to reduce the risk of injury to the client)
⩥ A nurse is caring for a client during a follow up visit at a
gastrointestinal clinic.
NURSE NOTES:
0600:
Client admitted to the ED with fatigue, shortness of breath, and
weakness for the last 2 days. Client states that they have a history of
sickle cell disease (SCD). Client is alert and orientated to person, place,
and time. Restless. Client rates generalized pain as a 9 on a scale of 0 to
10. Vital signs taken and blood drawn for laboratory tests. Oxygen 2 L
via nasal cannula applied. Awaiting prescription for pain management.
0615:
Client still rates pain as a 9 on a scale of 0 to 10. Hydromorphone 4 mg
IV administered.
Vital Signs
0600:
Temperature 37.8° C (100° F)Heart rate 104/minRespiratory rate
26/minBlood pressure 88/56 mm HgOxygen saturation 90% on 2 L via
nasal cannula
Diagnostic Results
, 0645:
Hematocrit 25% (37% to 52%)Hemoglobin 8.3 g/dL (12 to 16
g/dL)WBC count 18,000/mm3 (5,000 to 10,000/mm3)Reticul. Answer: [
] Administer IV fluids: Hydration is a priority when caring for a client in
sickle cell crisis because it decreases the rate of cell sickling and can
reduce pain. Hypotonic fluids are typically infused at 250 mL/hr for 4 hr.
[ ] Use humidification with oxygen therapy
[ ] Assess peripheral circulation hourly is correct
[ ] assess the client's mouth at least every 8 hr for the presence of sores
or lesions and any other signs of infection
(Using a blood pressure cuff on the client's arm can cause venous
occlusion and increased pain. Alternatives to monitoring blood pressure
should be explored when caring for a client who has sickle cell crisis)
⩥ A home health nurse is caring for a group of older adult clients. The
nurse should initiate a referral to the Program of All-Inclusive Care for
the Elderly (PACE) for which of the following clients?
(A) A client whose family requests hospital-based hospice care
