RN Comprehensive Practice B
1. A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the following
actions is the nurse's priority?
a. Assist with deep breathing and coughing
2. A nurse is talking with a client who has stage IV breast cancer. The nurse should recognize which
of the following statements by the client as a constructive use of a defense mechanism?
a. "I told my doctor that I would like to start a support group for other women who are sick
in my community"
3. A nurse is caring for a client who has immunosuppression and a continuous IV infusion. Which of
the following actions should the nurse take?
a. Monitor the client's mouth every 8 hr
4. A nurse is caring for a 2 month old infant who has Hirschsprung disease (HD). Which of the
following areas should the nurse assess for manifestations of HD?
a. C-The nurse should assess the infant's abdomen for distention and visible peristalsis,
which are manifestations of HD
5. A nurse at a mental health clinic is caring for four clients. The nurse should recognize the
following clients is using dissociation as a defense mechanism?
a. A client who was abused as a child describes the abuse as if it happened to someone else
6. A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes mellitus. The
nurse should instruct the client to monitor for which of the following findings as a manifestation
of hypoglycemia?
a. irritability
7. A nurse in an outpatient mental health clinic is caring for four clients. The nurse should recognize
that which of the following clients is effectively using sublimation as a defense mechanism?
a. A client who channels their energy into a new hobby following the loss of their job
8. A hospice nurse is consulting with a client and her family about receiving home services. Which
of the following statements should the nurse identify as an indication that the family understands
home hospice care?
a. "We can expect the hospice nurse to provide support for us after our mother's death"
9. A nurse is caring for a client who has active tuberculosis. Which of the following actions should
the nurse take?
a. Assign the client to a private room with negative air pressure
10. A nurse is providing teaching to a client who is at 24 weeks of gestation and is schedule for a 3
hour oral glucose tolerance test. Which of the following instructions should the nurse include in
the teaching?
a. "You will need to fast the night before the test"
11. A nurse on a pediatric unit has received change of shift report for four children. Which of the
following children should the nurse assess first?
a. A 10 year old child who is awaiting surgery for an appendectomy and experienced
sudden relief from pain
,12. A nurse in a community center is providing an education session to a group of clients about
ovarian cancer. Which of the following manifestations of ovarian cancer should the nurse include
in the teaching?
a. Abdominal bloating
13. A nurse is caring for a client who is postoperative after receiving moderate (conscious) sedation.
, The client suddenly becomes restless and reports feeling lightheaded. Which of the following
actions should the nurse take?
a. Check the client's oxygen saturation level
14. A nurse is working in an emergency department is triaging four clients. Which of the following
clients should the nurse recommend for treatment first?
a. A middle adult client who has unstable vital signs
15. A nurse is providing teaching for a client who has a fracture of the right fibula with a short leg
cast in place and a new prescription for crutches. The client is non-weight bearing for 6 weeks.
Which of the following instructions should the nurse include in the teaching?
a. Use a three-point gait
16. A nurse is preparing to initiate IV access for an older adult client. Which of the following sites
should the nurse select when initiating the IV for this client?
a. Radial vein of the inner arm
17. A nurse is planning to delegate client care tasks to an AP. Which of the following tasks should the
nurse plan to delegate to the AP?
a. Perform gastrostomy feedings through a client's established gastrostomy tube
18. A nurse is caring for a newborn immediately after delivery. Which of the following interventions
should the nurse implement to prevent heat loss by conduction?
a. Use a protective cover on the scale when weighing the infant
19. A nurse is caring for a client who is receiving a continuous heparin infusion. Which of the
following laboratory tests should the nurse review prior to adjusting the client's heparin?
a. aPTT
20. A nurse administers an incorrect dose of medication to a client. The nurse recognized the error
immediately and completes and incident report. Which of the following facts related to the
incident should the nurse document in the client's medical record?
a. Time the medication was given
21. A nurse is providing education to the parent of a school age child who has asthma. Which of the
following statements by the parent indicates an understanding of the teaching?
a. "I will make sure my child receives a yearly influenza immunization"
22. A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain after
falling off a step stool at home. Which of the following prescriptions should the nurse clarify with
the provider?
a. Apply a cold pack to the client's ankle for 30 min every hour
23. A nurse is assessing a client who has a major depressive disorder and is taking amitriptyline.
Which of the following findings should the nurse identify as an adverse effect of the medication?
a. Blurred vision
24. A nurse is caring for a client who has signed an informed consent form to receive
electroconvulsive therapy (ECT). The client states to the nurse "I'm not sure about this now. I'm
afraid it's too risky." Which of the following responses should the nurse make?
a. "You have the right to change your mind about the procedure at any time"
25. A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to a client
who has severe oliguria. The client weighs 198 lb. What is the amount in grams the nurse should
administer?
a. 18 g
1. A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the following
actions is the nurse's priority?
a. Assist with deep breathing and coughing
2. A nurse is talking with a client who has stage IV breast cancer. The nurse should recognize which
of the following statements by the client as a constructive use of a defense mechanism?
a. "I told my doctor that I would like to start a support group for other women who are sick
in my community"
3. A nurse is caring for a client who has immunosuppression and a continuous IV infusion. Which of
the following actions should the nurse take?
a. Monitor the client's mouth every 8 hr
4. A nurse is caring for a 2 month old infant who has Hirschsprung disease (HD). Which of the
following areas should the nurse assess for manifestations of HD?
a. C-The nurse should assess the infant's abdomen for distention and visible peristalsis,
which are manifestations of HD
5. A nurse at a mental health clinic is caring for four clients. The nurse should recognize the
following clients is using dissociation as a defense mechanism?
a. A client who was abused as a child describes the abuse as if it happened to someone else
6. A nurse is providing teaching to a client who has a new diagnosis of type 1 diabetes mellitus. The
nurse should instruct the client to monitor for which of the following findings as a manifestation
of hypoglycemia?
a. irritability
7. A nurse in an outpatient mental health clinic is caring for four clients. The nurse should recognize
that which of the following clients is effectively using sublimation as a defense mechanism?
a. A client who channels their energy into a new hobby following the loss of their job
8. A hospice nurse is consulting with a client and her family about receiving home services. Which
of the following statements should the nurse identify as an indication that the family understands
home hospice care?
a. "We can expect the hospice nurse to provide support for us after our mother's death"
9. A nurse is caring for a client who has active tuberculosis. Which of the following actions should
the nurse take?
a. Assign the client to a private room with negative air pressure
10. A nurse is providing teaching to a client who is at 24 weeks of gestation and is schedule for a 3
hour oral glucose tolerance test. Which of the following instructions should the nurse include in
the teaching?
a. "You will need to fast the night before the test"
11. A nurse on a pediatric unit has received change of shift report for four children. Which of the
following children should the nurse assess first?
a. A 10 year old child who is awaiting surgery for an appendectomy and experienced
sudden relief from pain
,12. A nurse in a community center is providing an education session to a group of clients about
ovarian cancer. Which of the following manifestations of ovarian cancer should the nurse include
in the teaching?
a. Abdominal bloating
13. A nurse is caring for a client who is postoperative after receiving moderate (conscious) sedation.
, The client suddenly becomes restless and reports feeling lightheaded. Which of the following
actions should the nurse take?
a. Check the client's oxygen saturation level
14. A nurse is working in an emergency department is triaging four clients. Which of the following
clients should the nurse recommend for treatment first?
a. A middle adult client who has unstable vital signs
15. A nurse is providing teaching for a client who has a fracture of the right fibula with a short leg
cast in place and a new prescription for crutches. The client is non-weight bearing for 6 weeks.
Which of the following instructions should the nurse include in the teaching?
a. Use a three-point gait
16. A nurse is preparing to initiate IV access for an older adult client. Which of the following sites
should the nurse select when initiating the IV for this client?
a. Radial vein of the inner arm
17. A nurse is planning to delegate client care tasks to an AP. Which of the following tasks should the
nurse plan to delegate to the AP?
a. Perform gastrostomy feedings through a client's established gastrostomy tube
18. A nurse is caring for a newborn immediately after delivery. Which of the following interventions
should the nurse implement to prevent heat loss by conduction?
a. Use a protective cover on the scale when weighing the infant
19. A nurse is caring for a client who is receiving a continuous heparin infusion. Which of the
following laboratory tests should the nurse review prior to adjusting the client's heparin?
a. aPTT
20. A nurse administers an incorrect dose of medication to a client. The nurse recognized the error
immediately and completes and incident report. Which of the following facts related to the
incident should the nurse document in the client's medical record?
a. Time the medication was given
21. A nurse is providing education to the parent of a school age child who has asthma. Which of the
following statements by the parent indicates an understanding of the teaching?
a. "I will make sure my child receives a yearly influenza immunization"
22. A nurse is caring for a client who has type 1 diabetes mellitus and reports severe ankle pain after
falling off a step stool at home. Which of the following prescriptions should the nurse clarify with
the provider?
a. Apply a cold pack to the client's ankle for 30 min every hour
23. A nurse is assessing a client who has a major depressive disorder and is taking amitriptyline.
Which of the following findings should the nurse identify as an adverse effect of the medication?
a. Blurred vision
24. A nurse is caring for a client who has signed an informed consent form to receive
electroconvulsive therapy (ECT). The client states to the nurse "I'm not sure about this now. I'm
afraid it's too risky." Which of the following responses should the nurse make?
a. "You have the right to change your mind about the procedure at any time"
25. A nurse is preparing to administer mannitol 0.2 g/kg IV bolus over 5 min as a test dose to a client
who has severe oliguria. The client weighs 198 lb. What is the amount in grams the nurse should
administer?
a. 18 g
