RN COMPREHENSIVE ONLINE PRACTICE A
AND B PRACTICE TEST 2026 VERIFIED
QUESTIONS AND SOLUTIONS
GUARANTEED TO PASS
●● A nurse is assessing a client after administering epinephrine for an
anaphylactic reaction. Which of the following findings should the nurse
identify as an adverse effect of this medication?
A. Hypotension
B. Report of tinnitus
C. Report of chest pain
D. Ecchymosis.
Answer: Report of chest pain
The nurse should identify that a report of chest pain by the client can
indicate an adverse effect of the medication. Epinephrine increases
cardiac workload and oxygen demand, which can result in angina.
Incorrect
Hypertension is an adverse effect of epinephrine due to the
vasoconstrictive actions of epinephrine.
Tinnitus is not an adverse effect of epinephrine.
,Ecchymosis is not an adverse effect of epinephrine.
●● A nurse is caring for a client in the emergency department (ED).
Nurses' 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 p.
Answer: Which of the following interventions should the nurse
implement?
Select all that apply.
- Assess the client's mouth every 8 hr
- Assess peripheral circulation hourly
- Use humidification with oxygen therapy
- Administer IV fluids
When taking actions, the nurse should administer IV fluids, use
humidification with oxygen therapy, and assess the client's mouth every
8 hr and peripheral circulation hourly. 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. Oxygen administered without humidification can
cause drying of the mucous membranes, especially in clients who are
already fluid-depleted. Placing humidification on the oxygen therapy
promotes comfort and reduces the risk of sores and lesions of the
mucous membranes. The nurse should assess the client's peripheral
circulation because of the risk of venous occlusion caused by the
sickling
●● A nurse on an antepartum unit is caring for a client who is at 33
weeks of gestation.
Diagnostic Results
WBC count 9,800/mm3 (5,000 to 10,000/mm3) Hgb 13 g/dL (greater
than 11 g/dL) Hct 41% (greater than 33%) Platelet count 170,000/mm3
(150,000 to 400,000/mm3) BUN 20 mg/dL (10 to 20 mg/dL) Lactate
dehydrogenase (LDH) 80 units/L (100 to 190 units/L) Aspartate
aminotransferase (AST) 18 units/L (0 to 35 units/L) Alanine
aminotransferase (ALT) 19 units/L (4 to 36 units/L) Uric acid (serum)
5.4 mg/d.
Answer: Condition: Abruptio Placentae
Actions: avoid cervical examination and insert a large-bore IV catheter
Parameters to monitors: blood pressure and platelet count
AND B PRACTICE TEST 2026 VERIFIED
QUESTIONS AND SOLUTIONS
GUARANTEED TO PASS
●● A nurse is assessing a client after administering epinephrine for an
anaphylactic reaction. Which of the following findings should the nurse
identify as an adverse effect of this medication?
A. Hypotension
B. Report of tinnitus
C. Report of chest pain
D. Ecchymosis.
Answer: Report of chest pain
The nurse should identify that a report of chest pain by the client can
indicate an adverse effect of the medication. Epinephrine increases
cardiac workload and oxygen demand, which can result in angina.
Incorrect
Hypertension is an adverse effect of epinephrine due to the
vasoconstrictive actions of epinephrine.
Tinnitus is not an adverse effect of epinephrine.
,Ecchymosis is not an adverse effect of epinephrine.
●● A nurse is caring for a client in the emergency department (ED).
Nurses' 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 p.
Answer: Which of the following interventions should the nurse
implement?
Select all that apply.
- Assess the client's mouth every 8 hr
- Assess peripheral circulation hourly
- Use humidification with oxygen therapy
- Administer IV fluids
When taking actions, the nurse should administer IV fluids, use
humidification with oxygen therapy, and assess the client's mouth every
8 hr and peripheral circulation hourly. 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. Oxygen administered without humidification can
cause drying of the mucous membranes, especially in clients who are
already fluid-depleted. Placing humidification on the oxygen therapy
promotes comfort and reduces the risk of sores and lesions of the
mucous membranes. The nurse should assess the client's peripheral
circulation because of the risk of venous occlusion caused by the
sickling
●● A nurse on an antepartum unit is caring for a client who is at 33
weeks of gestation.
Diagnostic Results
WBC count 9,800/mm3 (5,000 to 10,000/mm3) Hgb 13 g/dL (greater
than 11 g/dL) Hct 41% (greater than 33%) Platelet count 170,000/mm3
(150,000 to 400,000/mm3) BUN 20 mg/dL (10 to 20 mg/dL) Lactate
dehydrogenase (LDH) 80 units/L (100 to 190 units/L) Aspartate
aminotransferase (AST) 18 units/L (0 to 35 units/L) Alanine
aminotransferase (ALT) 19 units/L (4 to 36 units/L) Uric acid (serum)
5.4 mg/d.
Answer: Condition: Abruptio Placentae
Actions: avoid cervical examination and insert a large-bore IV catheter
Parameters to monitors: blood pressure and platelet count
