RN COMPREHENSIVE ONLINE
PRACTICE B EXAM WITH
QUESTIONS AND ANSWERS LATEST
EXAM
A nurse in an outpatient mental health clinic is caring for a client
Vital Signs
3 months ago
Blood pressure 116/68 mmHg
Heart rate 82/min
Respiratory rate 16/min
Temperature 36.7 C (98.1 F)
SaO2 97% on room air
,Today:
Blood pressure 128/76 mmHg
Heart rate 104/min
Respiratory rate 22/min
Temperature 37.4 (99.4 F)
SaO2 97% on room air
Nurses' Notes
3 months ago
Client recently admitted with new diagnosis of schizophrenia. Received inpatient
treatment for 10 days and was discharged 1 week ago. -
ANS✔✔---Select the 3 findings that require immediate follow up:
- Auditory hallucinations
- Speech
- Restlessness
When recognizing cues, the nurse should identify that the findings of
restlessness, auditory hallucinations, and pressured speech require immediate
follow up. These findings are indications of psychosis. The nurse should notify
the provider for additional evaluation and treatment.
Page 2 of 154
,A nurse is caring for a client who is postoperative following coronary artery bypass
surgery (CABG)
Laboratory Results
0630
Sodium 145 mEq/L (136 to 145 mEq/L)
Potassium 3.2 mEq/L (3.5 to 5 mEq/L)
Chloride 116 mEq/L (98 to 106 mEq/L)
BUN 24 mg/dL (10 to 20 mg/dL)
Magnesium 1.5 mEq/L (1.3 to 2.1 mEq/L)
Total calcium 9 mg/dL (9 to 10.5 mg/dL)
Phosphate 4.6 mg/dL (3 to 4.5 mg/dL)
Glucose 95 mg/dL (74 to 106 mg/dL)
WBC count 9,500/mm3 (5,000 to 10,000/mm3)
I&O
0700
4 hr input 400 mL
4 hr output - ANS✔✔---The client is at greatest risk for developing
dysrhythmias, as evidenced by electrolyte imbalance.
, The nurse should analyze cues to determine the client is at greatest risk for
developing dysrhythmias related to hypokalemia, as evidenced by the laboratory
report and the client's report of muscle cramping. Potassium and magnesium
depletion are common manifestations in clients who are postoperative following
CABG. Due to medication or hemodilation, it is important for the nurse to closely
monitor electrolytes.
A nurse is caring for a client who is pregnant in the acute care setting
Nurses' Notes
1400
Client reports a constant low dull backache and painless abdominal
tightening for the past 3 hr. Denies any changes in vaginal discharge. External
fetal monitor applied.
1430
Contraction pattern: contractions every 4 to 5 min, lasting 30 to 45 seconds,
palpate mild in intensity
Fetal heart rate: 150/min to 155/min, moderate variability, adequate accelerations
present, no decelerations noted. Provider in - ANS✔✔--- The nurse should first
Page 4 of 154
PRACTICE B EXAM WITH
QUESTIONS AND ANSWERS LATEST
EXAM
A nurse in an outpatient mental health clinic is caring for a client
Vital Signs
3 months ago
Blood pressure 116/68 mmHg
Heart rate 82/min
Respiratory rate 16/min
Temperature 36.7 C (98.1 F)
SaO2 97% on room air
,Today:
Blood pressure 128/76 mmHg
Heart rate 104/min
Respiratory rate 22/min
Temperature 37.4 (99.4 F)
SaO2 97% on room air
Nurses' Notes
3 months ago
Client recently admitted with new diagnosis of schizophrenia. Received inpatient
treatment for 10 days and was discharged 1 week ago. -
ANS✔✔---Select the 3 findings that require immediate follow up:
- Auditory hallucinations
- Speech
- Restlessness
When recognizing cues, the nurse should identify that the findings of
restlessness, auditory hallucinations, and pressured speech require immediate
follow up. These findings are indications of psychosis. The nurse should notify
the provider for additional evaluation and treatment.
Page 2 of 154
,A nurse is caring for a client who is postoperative following coronary artery bypass
surgery (CABG)
Laboratory Results
0630
Sodium 145 mEq/L (136 to 145 mEq/L)
Potassium 3.2 mEq/L (3.5 to 5 mEq/L)
Chloride 116 mEq/L (98 to 106 mEq/L)
BUN 24 mg/dL (10 to 20 mg/dL)
Magnesium 1.5 mEq/L (1.3 to 2.1 mEq/L)
Total calcium 9 mg/dL (9 to 10.5 mg/dL)
Phosphate 4.6 mg/dL (3 to 4.5 mg/dL)
Glucose 95 mg/dL (74 to 106 mg/dL)
WBC count 9,500/mm3 (5,000 to 10,000/mm3)
I&O
0700
4 hr input 400 mL
4 hr output - ANS✔✔---The client is at greatest risk for developing
dysrhythmias, as evidenced by electrolyte imbalance.
, The nurse should analyze cues to determine the client is at greatest risk for
developing dysrhythmias related to hypokalemia, as evidenced by the laboratory
report and the client's report of muscle cramping. Potassium and magnesium
depletion are common manifestations in clients who are postoperative following
CABG. Due to medication or hemodilation, it is important for the nurse to closely
monitor electrolytes.
A nurse is caring for a client who is pregnant in the acute care setting
Nurses' Notes
1400
Client reports a constant low dull backache and painless abdominal
tightening for the past 3 hr. Denies any changes in vaginal discharge. External
fetal monitor applied.
1430
Contraction pattern: contractions every 4 to 5 min, lasting 30 to 45 seconds,
palpate mild in intensity
Fetal heart rate: 150/min to 155/min, moderate variability, adequate accelerations
present, no decelerations noted. Provider in - ANS✔✔--- The nurse should first
Page 4 of 154
