RN COMPREHENSIVE ONLINE PRACTICE
2025 VERSIONA (Latest version ) 120
QUESTIONS AND VERIFIED ANSWERS
WITH RATIONALE
A nurse is planning care for a client who is receiving heparin to treat a
deep-vein thrombosis of the left lower leg. Which interventions should the
nurse include in the plan of care?
maintain the client on bed rest restrict
the client to 1 L of fluid per day place
cool compresses on the edematous
area
elevate the affected leg - ANSWER>>elevate the affected leg
the nurse should elevate the client's affected extremity to reduce edema
and decrease the risk of chronic venous insufficiency
A nurse is teaching a group of guardians about child safety measures.
Which of the following statements by a guardian indicates an
understanding of the teaching?
I will make sure my 4 year old child wears a helmet when using a
skateboard
I should have my child avoid sun exposure between 10 am and 2 pm
I can give my 2 year old child a whole hotdog on a bun
When my infant is in the carrier, I will place it on a raised, flat surface
whenever possible - ANSWER>>I should have my child avoid sun
exposure between 10 am and 2 pm
To prevent sunburns, guardians should apply sunscreen, dress their child
in protective clothing, and avoid sun exposure between 1000 and 1400
,A home health nurse is providing teaching about infection prevention to a
client who has cancer and receiving chemotherapy. Which of the following
statements by the client indicates an understanding of the teaching?
I will leave my drinking water out of my refrigerator for at least 1 hour so it
will be room temperature
I will clean my toothbrush in my dishwasher once each month
I will take my temperature once each week and let my doctor know if it is
high
I will walk short distances throughout the day - ANSWER>>I will walk for
short distances throughout the day
The client should ambulate for short distances as tolerated throughout the
day. This will help reduce pulmonary stasis and prevent the development of
respiratory infections
A nurse is providing dietary teaching to the parents of a 6-month old infant.
Which of the following instructions should the nurse include?
Provide the infant with 1 cup of cereal
Give the infant 240 mL (8 oz) of juice per day
Introduce new foods one at a time over 5 to 7 days
Give whole milk first, then small amounts of solid food -
ANSWER>>Introduce new foods one at a time over 5 to 7 days
The parents should introduce new foods one at a time over 5 to 7 days to
identify potential food allergies
A charge nurse is planning care for a client who has mechanical restraints
in place. Which of the following interventions should the nurse include in
the plan?
Remove the client's restraints while sleeping
,Document the client's status every 60 min
Check for a new prescription every 6 hours
Provide a staff member to stay with the client continuously -
ANSWER>>Provide a staff member to stay with the client continuously
A staff member must remain continuously with a client who is in restraints
or view the client via audiovisual equipment if necessary due to the risk of
injury
A community health nurse is assisting with the development of a disaster
management plan. The nurse should include which of the following nursing
responsibilities in the disaster response stage of the plan?
Performing a rapid needs assessment
Organizing an immunization campaign
Identifying the specific roles of disaster workers
Conducting home visits to identify health hazards - ANSWER>>Performing
a rapid needs assessment
Disaster management includes prevention, preparedness, response, and
recovery stages. The nurse should perform a rapid needs assessment
during the response phase of the disaster cycle. A rapid needs assessment
allows the nurse to identify the severity of the incident, the health needs of
the community, and the priority actions needed during the response stage
A nurse manager is assisting with the orientation of a newly licensed nurse.
Which of the following actions by the nurse requires the nurse manager to
intervene?
Informs the provider about a client's suicide plan
Notifies the health department of a client's diagnosis of chlamydia
Reports suspected child maltreatment to social services
Tells the hospital chaplain a client's diagnosis - ANSWER>>Tells the
hospital chaplain a client's diagnosis
, Discussing a client's diagnosis with the hospital chaplain is a breach of
client confidentiality and a violation of HIPPA
A nurse is caring for a client who is in labor at 39 weeks of gestation.
During the second stage of labor, the nurse observes early decelerations
on the monitor tracing. Which of the following actions should the nurse
take?
Continue observing the fetal heart rate
Assist the client to a knee-chest position
Prepare the client for continuous internal monitoring
Prepare for an emergency cesarean birth - ANSWER>>Continue observing
the fetal heart rate
Early decelerations indicate the progression of labor and are an expected
finding. The nurse should continue to monitor the fetus by observing the
fetal heart rate and tracing
A nurse manager is planning to make changes to the current scheduling
system on the unit. To facilitate the staff's acceptance of this change, which
of the following actions should the nurse manager take?
Provide information about scheduling issues to the staff
Ask staff members to participate in a trial of the new scheduling system
Encourage staff to offer alternate scheduling solutions
Develop goals to implement the new scheduling system -
ANSWER>>Provide information about scheduling issues to the staff
The first stage of the change process is the unfreezing stage, when the
nurse should inform the staff about the current staffing issues. This can
increase their understanding of why changes are necessary
2025 VERSIONA (Latest version ) 120
QUESTIONS AND VERIFIED ANSWERS
WITH RATIONALE
A nurse is planning care for a client who is receiving heparin to treat a
deep-vein thrombosis of the left lower leg. Which interventions should the
nurse include in the plan of care?
maintain the client on bed rest restrict
the client to 1 L of fluid per day place
cool compresses on the edematous
area
elevate the affected leg - ANSWER>>elevate the affected leg
the nurse should elevate the client's affected extremity to reduce edema
and decrease the risk of chronic venous insufficiency
A nurse is teaching a group of guardians about child safety measures.
Which of the following statements by a guardian indicates an
understanding of the teaching?
I will make sure my 4 year old child wears a helmet when using a
skateboard
I should have my child avoid sun exposure between 10 am and 2 pm
I can give my 2 year old child a whole hotdog on a bun
When my infant is in the carrier, I will place it on a raised, flat surface
whenever possible - ANSWER>>I should have my child avoid sun
exposure between 10 am and 2 pm
To prevent sunburns, guardians should apply sunscreen, dress their child
in protective clothing, and avoid sun exposure between 1000 and 1400
,A home health nurse is providing teaching about infection prevention to a
client who has cancer and receiving chemotherapy. Which of the following
statements by the client indicates an understanding of the teaching?
I will leave my drinking water out of my refrigerator for at least 1 hour so it
will be room temperature
I will clean my toothbrush in my dishwasher once each month
I will take my temperature once each week and let my doctor know if it is
high
I will walk short distances throughout the day - ANSWER>>I will walk for
short distances throughout the day
The client should ambulate for short distances as tolerated throughout the
day. This will help reduce pulmonary stasis and prevent the development of
respiratory infections
A nurse is providing dietary teaching to the parents of a 6-month old infant.
Which of the following instructions should the nurse include?
Provide the infant with 1 cup of cereal
Give the infant 240 mL (8 oz) of juice per day
Introduce new foods one at a time over 5 to 7 days
Give whole milk first, then small amounts of solid food -
ANSWER>>Introduce new foods one at a time over 5 to 7 days
The parents should introduce new foods one at a time over 5 to 7 days to
identify potential food allergies
A charge nurse is planning care for a client who has mechanical restraints
in place. Which of the following interventions should the nurse include in
the plan?
Remove the client's restraints while sleeping
,Document the client's status every 60 min
Check for a new prescription every 6 hours
Provide a staff member to stay with the client continuously -
ANSWER>>Provide a staff member to stay with the client continuously
A staff member must remain continuously with a client who is in restraints
or view the client via audiovisual equipment if necessary due to the risk of
injury
A community health nurse is assisting with the development of a disaster
management plan. The nurse should include which of the following nursing
responsibilities in the disaster response stage of the plan?
Performing a rapid needs assessment
Organizing an immunization campaign
Identifying the specific roles of disaster workers
Conducting home visits to identify health hazards - ANSWER>>Performing
a rapid needs assessment
Disaster management includes prevention, preparedness, response, and
recovery stages. The nurse should perform a rapid needs assessment
during the response phase of the disaster cycle. A rapid needs assessment
allows the nurse to identify the severity of the incident, the health needs of
the community, and the priority actions needed during the response stage
A nurse manager is assisting with the orientation of a newly licensed nurse.
Which of the following actions by the nurse requires the nurse manager to
intervene?
Informs the provider about a client's suicide plan
Notifies the health department of a client's diagnosis of chlamydia
Reports suspected child maltreatment to social services
Tells the hospital chaplain a client's diagnosis - ANSWER>>Tells the
hospital chaplain a client's diagnosis
, Discussing a client's diagnosis with the hospital chaplain is a breach of
client confidentiality and a violation of HIPPA
A nurse is caring for a client who is in labor at 39 weeks of gestation.
During the second stage of labor, the nurse observes early decelerations
on the monitor tracing. Which of the following actions should the nurse
take?
Continue observing the fetal heart rate
Assist the client to a knee-chest position
Prepare the client for continuous internal monitoring
Prepare for an emergency cesarean birth - ANSWER>>Continue observing
the fetal heart rate
Early decelerations indicate the progression of labor and are an expected
finding. The nurse should continue to monitor the fetus by observing the
fetal heart rate and tracing
A nurse manager is planning to make changes to the current scheduling
system on the unit. To facilitate the staff's acceptance of this change, which
of the following actions should the nurse manager take?
Provide information about scheduling issues to the staff
Ask staff members to participate in a trial of the new scheduling system
Encourage staff to offer alternate scheduling solutions
Develop goals to implement the new scheduling system -
ANSWER>>Provide information about scheduling issues to the staff
The first stage of the change process is the unfreezing stage, when the
nurse should inform the staff about the current staffing issues. This can
increase their understanding of why changes are necessary
