HEALTH PRACTICE EXAM.
The registered nurse (RN) is evaluating a client who presents with symptoms of
viral gastroenteritis. Which assessment finding should the RN report to the
healthcare provider?
Dry mucous membranes and lips.
Rebound abdominal tenderness over right lower quadrant.
Dizziness when client ambulates from a sitting position.
Poor skin turgor over client's wrist.
Rebound abdominal tenderness over right lower quadrant.
A registered nurse (RN) is performing a mini-mental state examination (MMSE) for
a client who is being admitted to an assisted living community. Which
communication techniques should the RN implement to decrease anxiety in the
client? (Select all that apply.)
Use simple sentences during the examination.
Move to another question if the client seems confused.
Reduce environmental detractors during the examination.
Allow family to answer for the client to decrease frustration.
Ask questions one at a time to decrease confusion.
Use simple sentences during the examination.
Reduce environmental detractors during the examination.
Ask questions one at a time to decrease confusion.
The nurse palpates a weak pedal pulse in the client's right foot. Which
assessment findings should the RN document that are consistent with
diminished peripheral circulation? (Select all that apply.)
Diminished hair on legs
Bruising on extremities
,Skin cool to touch
Capillary refill less than 3 seconds
Darkened skin on extremities
Diminished hair on legs
Skin cool to touch
Twenty four hours after a client returns from surgical gastric bypass, the
registered nurse (RN) observes large amounts of blood in the nasogastric tube
(NGT) cannister. Which assessment finding should the RN report as early signs
of hypovolemic shock?
Faint pedal pulses.
Decrease in blood pressure.
Lethargy.
Slow breathing.
Lethargy
The registered nurse (RN) is teaching a client who is being discharged after
treatment of tuberculosis (TB). Which cultural issues should the RN assess when
preparing the client for discharge? (Select all that apply.)
Native language.
Education level.
Type of lifestyle.
Financial resources.
Previous medical history.
Native language.
Education level.
Type of lifestyle.
Financial resources.
A client is newly diagnosed with diverticulosis. The registered nurse (RN)is
assessing the client's basic knowledge about the disease process. Which
statement by the client conveys the client's understanding of the etiology of
, diverticula?
Over use of laxatives for bowel regularity result in loss of peristaltic tone.
Inflammation of the colon mucosa cause growths that protrude into the colon
lumen.
Diverticulosis is the result of high fiber diet and sedentary life style.
Chronic constipation causes weakening of colon wall which result in out-
pouching sacs.
Chronic constipation causes weakening of colon wall which result in out-pouching sacs.
The registered nurse (RN) reviews the new prescription, phenelzine (Nardil), a
monoamine oxidase inhibitor (MAOI), for a client on the psychiatric unit with
depression. Which information is most important for the RN to assess?
Consumption of any alcohol or tyramine-rich foods.
Complaints of nausea or vomiting.
Therapeutic serum drug levels.
Blood pressure and pulse prior to taking each dose.
Consumption of any alcohol or tyramine-rich foods.
The registered nurse (RN) is caring for an older client who has been bedridden for
two weeks. Which assessment findings indicate to the RN that the client is
developing a complication related to immobility?
Decreased pedal pulses.
Edema in upper extremities.
Loss of appetite for food.
Stiffness in right ankle joint.
Stiffness in right ankle joint.
The registered nurse (RN) is assessing a male client who arrives at the clinic with
severe abdominal cramping, pain, tenesmus, and dehydration. The RN discovers
that the client has had 14 to 20 loose stools with rectal bleeding. Which condition
should the RN ask the client about his medical history?