4/20/23,R8:06RP 2022RRNRHESIREXITREXAMRVersionR1RV1RAllR160RQsRAsRIncludedRGuarant
M ee…
2022RRNRHESIREXITREXAMR-RVersionR1R(V1)RAllR160RQs
&RAsRIncludedR-
RGuaranteedRPassRA+!!!R(AllRBrandRNew RQ&ARPicsRInclude
d)
1. TheRnurseRisRreviewingRmedicalRprescriptions RforRnewlyRadmittedRclients.
R ItR wouldRbeRaRpriorityRforRtheRnurseRtoRfollowRupRwithRtheRphysicianRifR
aRclientRwith
(a) aRpotassiumR levelRofR 4.5mEq/LRhasR KayexalateR(sodiumR polystyrene)Rprescribed
(b) aRDilantinR(phenytoin)RlevelRofR8Rmcg/mlRisRplacedRonRseizureRprecautio
ns(c)R sensitivityRtoRAspirinR(acetylsalicylic Racid)RisRprescribedRTylenol
R (acetaminophen)
(d)RsensitivityR toR PenicillinR isRprescribedRZithromaxR (azithromycin)
2. TheRnurseRshouldRinterveneRifRtheRnurseRnotesRaRstaffR member
(a) obtainingRaRclientsRconsentRpriorRtoRtheirRoperativeRprocedureRafterRrecei
vingR AtivanR(lorazepam)
(b) placingRaRclientRonRtheRaffectedRsideRfollowingRsurgicalRrepair
RofRaR retinalRdetachment
(c) handlingRaRwetRcastRwithRtheRpalmsRofRtheRhands
(d) usingRaRbroadRbaseRofRsupportRwhileRtransferringRaR client
3. TheRcommunityRhealthRnurseRisRcaringRforRtheRfollowingRclients.RItRwouldRbeRa
priorityRforRtheRnurseRtoRinitiateRaR multidisciplinaryRconferenceRforRtheRclientRwhoRis
(a) 12RyearsRoldRwithRAutismRwhoRisRstartingRaRnewRschoolRandRrecent
lyRhadR aRURIR(upperRrespiratoryRtractRinfection)
(b) 16RyearsRold,RhasRtypeR1RDiabetes RMellitus,RisRunemployedRandR
hadRaR recentRHemoglobinRA1cRofR13%
(c) 52RyearsRold,RwithRMyastheniaRGravis,RrecentlyRprescri
bedR MestinonR(pyridostigmine)RandRemployedRasRaR ma
ilRcarrier
(d) 70RyearsRold,RhasRschizophrenia,RlivesRaloneRandRreportsRhearing
RnonR threateningRvoices.
4. TheRnurseRfromRtheRpostpartumRunitRhasRbeenRtemporarilyRassignedRtoRt
heR medicalRsurgicalRunit.R ItRwouldRbeRmostRappropriateRtoRassignRthisRn
urseRtoRtheR clientRwho*
3
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M ee…
(a) hasRreturnedRfromRrightRtotalRhipRreplacementRsurgeryR fourRhoursRago
(b) isRbeingRobservedR forRincreasedR intracranialRpressure
(c) hadRsurgeryRtwoRhoursRagoRtoRremoveRtheRappendix
(d) isRtwoRweeks RpostRpartumRbeingRmaintainedRonRaRmechanicalRventi
latorR forRrespiratoryRfailure
5. TheRnurseRinRaRwellRbabyRclinicRhasRassessedRseveralRchildrenRtoday.RItRwoul
dRbeRaR priorityRforRtheRnurseRtoRsuggestRfollowRupRforRtheRchildRwhoRisR(a)R2R
monthsRoldRwithR aRpositiveRbabinskiRreflRex
(b) 5RmonthsRoldRandRdoesRnotRholdRtheirRownRbottle
(c) 10RmonthsRoldRwhoRcriesRaroundRstrangers
(d) 18RmonthsRoldRwhoRneedsRsupportRwhileRambulating
6. TheRnurseRisRcaringRforRaRmechanicallyRventilatedRclientRwhoRwasRdeclared
RbrainR dead.RAnRAdvanceRDirectiveRisRnotRdocumentedRonRtheRmedicalRrecord.
RItRwouldRbeR mostRappropriateRtoRobtainRconsentRforRorganRdonationRfromRth
e
(a) client‘sRprimaryRcareRprovider
(b) client‘sRnurseR manager
(c) closestRlivingR familyR member
(d) hospital‘sRethicsRcommittee
7. TheRnurseRhasRreceivedRreportRonRfourRclients.R TheRnurseRshouldRfiRrst
RassessR theRclientRwhoRhas*
(a) ChronicRObstructiveRPulmonaryRDiseaseR(COPD)RwithRaRpulseRoximetryRrea
dingR ofR90%
(b) Parkinson‘sRDiseaseRandRisRdemandingRtoRleaveRtheRhospitalRagainstRme
dicalR adviceR(AMA)
(c) beenRadmittedRwithRsuspectedRGuillian-
Barre´RSyndromeRandRhasR begunRplasmapheresis Rtherapy
(d) CongestiveRHeartR FailureR(CHF)RwhoseR pittingRedemaR hasRincreasedRtoR 2(+)
8. ItRwouldRbeRappropriateRtoRassignRwhichRofRtheseRtasksRtoRtheRCNA?
4
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M ee…
2022RRNRHESIREXITREXAMR-RVersionR1R(V1)RAllR160RQs
&RAsRIncludedR-
RGuaranteedRPassRA+!!!R(AllRBrandRNew RQ&ARPicsRInclude
d)
(a) FeedingRaRclientRwhoRisRexperiencingRdysphagia
(b) One-on-oneRclientRobservationR forRsafety
(c) RemovalRofRanR indwellingRcatheter
(d) PerformingRaRsimpleRdressingRchange
9. TheRnurseRshouldRinterveneRifRaRstaffR memberRisRobserved
(a) discussingRaRclient‘sRdiagnosisRwithR visitingR familyR members
(b) collaboratingRwithRanotherR nurseRtoR reviewRaRprescriptionR forRbloodRtransfusion
(c) interruptingRotherRstaffR membersRdiscussingRaRclientRinRtheRcafeteria
(d) reviewingRaRclientsR labRvaluesRwithRtheRnutritionist
10. TheRnurseRisRpreparingRaRstaffRpresentationRonRlegalRandRethicalRissuesRin
R nursing.RTheRnurseRwouldRbeRcorrectRtoRincludeRwhichRofRtheRfollowingRex
amples?
(a) PuttingRaRclientRinRaRgeriatricRchairRwithRtheRlapRtrayRinRfrontRofRtheRclientRin
Rthe RdayR roomRtoRwatchRtelevisionRisRfalseRimprisonment
(b) TellingRaRclientRthatRyouRwillRputRinRaRfeedingRtubeRifRtheRclientRdoesRn
otReatRisR anRexampleRofRbattery
(c) TellingRaRclientRwithRbipolarRdisorderRwhoRisRsuicidalRthatRtheyRhaveRaRr
ightRtoR refuseRtoRtakeRtheirRmedicationsRisRanRexampleRofRmalpractice
(d) PlacingRhandsRonRaRclientRwhoRsaysR―doRnotRtouchRme‖RisRanRexampleRofRassault
11. TheRnurseRfromRtheRpediatricRunitRhasRbeenRtemporarilyRassignedRtoRtheR
EmergencyRDepartment.RItRwouldRbeRmostRappropriateRtoRassignRthatRnurseR
toRtheR clientRwho*
(a) reportsRepigastricRpainRthatR―feelsRlikeRindigestion‖
(b) hasRbackRpainRandRaRpulsatingRabdominalR mass
(c) isRHIV+RreportingRvomitingRandRdiarrhea
(d) presentsRwithRlowerRabdominalRpainRandRisRsixRweeksRpregnant
5
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M ee…
12. FourRclientsRrecentlyRreturnedRtoRtheRunitR followingR invasiveRdiagnosticRtesting.
TheRnurseRshouldRimmediatelyRinterveneRifRoneRofRtheRclients
(a) reportsRbloodRtingedRsputumR followingRaRbronchoscopy
(b) hasRdecreasedRabdominalR girthR followingRparacentesis
(c) reportsRaRheadacheRfollowingRaRlumbarR puncture
(d) isRobservedRflexingRandRextendingRtheRlegsRtwoRhoursRafterRcardiacRcatheterization
13. TheRnurseRisR madeRawareRofRtheRfollowingRsituations.R TheRnurseRshouldRfiRrst
checkRtheRclientRwho
(a) hadRaRtransurethralRprostatectomyR(TURP)RandRisRreportingRurinaryRdribb
lingR twoRhoursRafterRtheRindwellingRcatheterRisRremoved
(b) hasRcervicalRtractionRandRisRmovingRtheRlegsRbyRflRexingRandRextendingRtheRfeet
(c) hasRAlzheimer‘sRdiseaseR(stageR1)RandRwasRreturnedRtoRtheRroomRafter
RbeingR foundRwanderingRinRtheRhallway
(d) hasRaRhistoryRofRpartialRseizuresRandRisRsittingRinRtheRbedRpickingRatRtheR
clothingR andRsmackingRtheRlips
14. TheRnurseRinRaRcommunityRhealthRclinicRisRtalkingRwithRtheRparentRofRaRch
ildR withRCeliacRDisease.R WhichRofRtheRfollowingRstatementsRwouldRrequireR
follow-upR byRthe
6
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M ee…
2022RRNRHESIREXITREXAMR-RVersionR1R(V1)RAllR160RQs
&RAsRIncludedR-
RGuaranteedRPassRA+!!!R(AllRBrandRNew RQ&ARPicsRInclude
d)
1. TheRnurseRisRreviewingRmedicalRprescriptions RforRnewlyRadmittedRclients.
R ItR wouldRbeRaRpriorityRforRtheRnurseRtoRfollowRupRwithRtheRphysicianRifR
aRclientRwith
(a) aRpotassiumR levelRofR 4.5mEq/LRhasR KayexalateR(sodiumR polystyrene)Rprescribed
(b) aRDilantinR(phenytoin)RlevelRofR8Rmcg/mlRisRplacedRonRseizureRprecautio
ns(c)R sensitivityRtoRAspirinR(acetylsalicylic Racid)RisRprescribedRTylenol
R (acetaminophen)
(d)RsensitivityR toR PenicillinR isRprescribedRZithromaxR (azithromycin)
2. TheRnurseRshouldRinterveneRifRtheRnurseRnotesRaRstaffR member
(a) obtainingRaRclientsRconsentRpriorRtoRtheirRoperativeRprocedureRafterRrecei
vingR AtivanR(lorazepam)
(b) placingRaRclientRonRtheRaffectedRsideRfollowingRsurgicalRrepair
RofRaR retinalRdetachment
(c) handlingRaRwetRcastRwithRtheRpalmsRofRtheRhands
(d) usingRaRbroadRbaseRofRsupportRwhileRtransferringRaR client
3. TheRcommunityRhealthRnurseRisRcaringRforRtheRfollowingRclients.RItRwouldRbeRa
priorityRforRtheRnurseRtoRinitiateRaR multidisciplinaryRconferenceRforRtheRclientRwhoRis
(a) 12RyearsRoldRwithRAutismRwhoRisRstartingRaRnewRschoolRandRrecent
lyRhadR aRURIR(upperRrespiratoryRtractRinfection)
(b) 16RyearsRold,RhasRtypeR1RDiabetes RMellitus,RisRunemployedRandR
hadRaR recentRHemoglobinRA1cRofR13%
(c) 52RyearsRold,RwithRMyastheniaRGravis,RrecentlyRprescri
bedR MestinonR(pyridostigmine)RandRemployedRasRaR ma
ilRcarrier
(d) 70RyearsRold,RhasRschizophrenia,RlivesRaloneRandRreportsRhearing
RnonR threateningRvoices.
4. TheRnurseRfromRtheRpostpartumRunitRhasRbeenRtemporarilyRassignedRtoRt
heR medicalRsurgicalRunit.R ItRwouldRbeRmostRappropriateRtoRassignRthisRn
urseRtoRtheR clientRwho*
3
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M ee…
(a) hasRreturnedRfromRrightRtotalRhipRreplacementRsurgeryR fourRhoursRago
(b) isRbeingRobservedR forRincreasedR intracranialRpressure
(c) hadRsurgeryRtwoRhoursRagoRtoRremoveRtheRappendix
(d) isRtwoRweeks RpostRpartumRbeingRmaintainedRonRaRmechanicalRventi
latorR forRrespiratoryRfailure
5. TheRnurseRinRaRwellRbabyRclinicRhasRassessedRseveralRchildrenRtoday.RItRwoul
dRbeRaR priorityRforRtheRnurseRtoRsuggestRfollowRupRforRtheRchildRwhoRisR(a)R2R
monthsRoldRwithR aRpositiveRbabinskiRreflRex
(b) 5RmonthsRoldRandRdoesRnotRholdRtheirRownRbottle
(c) 10RmonthsRoldRwhoRcriesRaroundRstrangers
(d) 18RmonthsRoldRwhoRneedsRsupportRwhileRambulating
6. TheRnurseRisRcaringRforRaRmechanicallyRventilatedRclientRwhoRwasRdeclared
RbrainR dead.RAnRAdvanceRDirectiveRisRnotRdocumentedRonRtheRmedicalRrecord.
RItRwouldRbeR mostRappropriateRtoRobtainRconsentRforRorganRdonationRfromRth
e
(a) client‘sRprimaryRcareRprovider
(b) client‘sRnurseR manager
(c) closestRlivingR familyR member
(d) hospital‘sRethicsRcommittee
7. TheRnurseRhasRreceivedRreportRonRfourRclients.R TheRnurseRshouldRfiRrst
RassessR theRclientRwhoRhas*
(a) ChronicRObstructiveRPulmonaryRDiseaseR(COPD)RwithRaRpulseRoximetryRrea
dingR ofR90%
(b) Parkinson‘sRDiseaseRandRisRdemandingRtoRleaveRtheRhospitalRagainstRme
dicalR adviceR(AMA)
(c) beenRadmittedRwithRsuspectedRGuillian-
Barre´RSyndromeRandRhasR begunRplasmapheresis Rtherapy
(d) CongestiveRHeartR FailureR(CHF)RwhoseR pittingRedemaR hasRincreasedRtoR 2(+)
8. ItRwouldRbeRappropriateRtoRassignRwhichRofRtheseRtasksRtoRtheRCNA?
4
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M ee…
2022RRNRHESIREXITREXAMR-RVersionR1R(V1)RAllR160RQs
&RAsRIncludedR-
RGuaranteedRPassRA+!!!R(AllRBrandRNew RQ&ARPicsRInclude
d)
(a) FeedingRaRclientRwhoRisRexperiencingRdysphagia
(b) One-on-oneRclientRobservationR forRsafety
(c) RemovalRofRanR indwellingRcatheter
(d) PerformingRaRsimpleRdressingRchange
9. TheRnurseRshouldRinterveneRifRaRstaffR memberRisRobserved
(a) discussingRaRclient‘sRdiagnosisRwithR visitingR familyR members
(b) collaboratingRwithRanotherR nurseRtoR reviewRaRprescriptionR forRbloodRtransfusion
(c) interruptingRotherRstaffR membersRdiscussingRaRclientRinRtheRcafeteria
(d) reviewingRaRclientsR labRvaluesRwithRtheRnutritionist
10. TheRnurseRisRpreparingRaRstaffRpresentationRonRlegalRandRethicalRissuesRin
R nursing.RTheRnurseRwouldRbeRcorrectRtoRincludeRwhichRofRtheRfollowingRex
amples?
(a) PuttingRaRclientRinRaRgeriatricRchairRwithRtheRlapRtrayRinRfrontRofRtheRclientRin
Rthe RdayR roomRtoRwatchRtelevisionRisRfalseRimprisonment
(b) TellingRaRclientRthatRyouRwillRputRinRaRfeedingRtubeRifRtheRclientRdoesRn
otReatRisR anRexampleRofRbattery
(c) TellingRaRclientRwithRbipolarRdisorderRwhoRisRsuicidalRthatRtheyRhaveRaRr
ightRtoR refuseRtoRtakeRtheirRmedicationsRisRanRexampleRofRmalpractice
(d) PlacingRhandsRonRaRclientRwhoRsaysR―doRnotRtouchRme‖RisRanRexampleRofRassault
11. TheRnurseRfromRtheRpediatricRunitRhasRbeenRtemporarilyRassignedRtoRtheR
EmergencyRDepartment.RItRwouldRbeRmostRappropriateRtoRassignRthatRnurseR
toRtheR clientRwho*
(a) reportsRepigastricRpainRthatR―feelsRlikeRindigestion‖
(b) hasRbackRpainRandRaRpulsatingRabdominalR mass
(c) isRHIV+RreportingRvomitingRandRdiarrhea
(d) presentsRwithRlowerRabdominalRpainRandRisRsixRweeksRpregnant
5
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M ee…
12. FourRclientsRrecentlyRreturnedRtoRtheRunitR followingR invasiveRdiagnosticRtesting.
TheRnurseRshouldRimmediatelyRinterveneRifRoneRofRtheRclients
(a) reportsRbloodRtingedRsputumR followingRaRbronchoscopy
(b) hasRdecreasedRabdominalR girthR followingRparacentesis
(c) reportsRaRheadacheRfollowingRaRlumbarR puncture
(d) isRobservedRflexingRandRextendingRtheRlegsRtwoRhoursRafterRcardiacRcatheterization
13. TheRnurseRisR madeRawareRofRtheRfollowingRsituations.R TheRnurseRshouldRfiRrst
checkRtheRclientRwho
(a) hadRaRtransurethralRprostatectomyR(TURP)RandRisRreportingRurinaryRdribb
lingR twoRhoursRafterRtheRindwellingRcatheterRisRremoved
(b) hasRcervicalRtractionRandRisRmovingRtheRlegsRbyRflRexingRandRextendingRtheRfeet
(c) hasRAlzheimer‘sRdiseaseR(stageR1)RandRwasRreturnedRtoRtheRroomRafter
RbeingR foundRwanderingRinRtheRhallway
(d) hasRaRhistoryRofRpartialRseizuresRandRisRsittingRinRtheRbedRpickingRatRtheR
clothingR andRsmackingRtheRlips
14. TheRnurseRinRaRcommunityRhealthRclinicRisRtalkingRwithRtheRparentRofRaRch
ildR withRCeliacRDisease.R WhichRofRtheRfollowingRstatementsRwouldRrequireR
follow-upR byRthe
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