RNSG 1430| RN CONCEPT BASED ASSESSMENT LEVEL 1
NEWEST 2024 ACTUAL EXAM 100 QUESTIONS AND
CORRECT DETAILED ANSWERS
a nurse is admitting a client with pulmonary TB. which of the following precautions should the
nurse initiate?
a) contact
b) droplet
c) airborne
d) standard
airborne
A nurse in a mental health facility is preparing an educational program for a group of staff
nurses
about the proper use of restraints. Which of the following information should the nurse plan to
include:
a) an adult client may be in mechanical restraints for up to 4 hours
b) no restraints may be used on adult clients
c) restraints can be used indefinitely
an adult client may be in mechanical restraints for up to 4 hours
A nurse is teaching sleep hygiene to a client who has insomnia. Which of the following
statements
should the nurse make?
a) exercise in the evening right before bed
b) REM cycle is the longest sleep cycle
c) exercise in the morning after rising
d) keep the lights on while you are sleeping
exercise in the morning after rising
A nurse is preparing to leave the room of a client who is on isolation precautions. Which of the
following actions should the nurse take when removing a tight surgical Mask?
a) remove the mask first before any other PPE
b) Remove the mask by securely holding the ties and moving it away from the face
c) keep the mask on all day
d) make sure the client keeps a mask on when the nurse is in the room
Remove the mask by securely holding the ties and moving it away from the face
,A nurse is caring for an adolescent client who is in critical condition following a motor vehicle
crash in which he was a passenger. The clients parent shouts at the Nurse asking why her son is
dying instead of the driver. Which of the following actions should the nurse take to provide
emotional support to the parent?
a) inform the parent that they should take a walk and then come back once they are calmer
b) say: I see you are upset, but you cannot speak to me this way
c) Inform the parent that they must wait in the waiting room now
d) Inform the parent that anger is a natural response when dealing with loss
Inform the parent that anger is a natural response when dealing with loss
A community health nurse is planning prevention strategies for hypertension among members
of our community the nurse should identify that which of the following ethnic groups in the
community is at great risk for developing hypertension?
a) white males
b) white females
c) Asians
d) African Americans
African Americans
A community health nurse is planning interventions to promote healthy people 2020 initiatives
in the community. which of the following actions should the nurse plan to take first?
a) Determine the level of health equity among groups in the community
b) Determine the level of health literacy among groups in the community
c) Determine the level of food availability there is in the community
d) Determine the number of comorbid conditions there are in the community
Determine the level of health equity among groups in the community
A nurse is reviewing a clients new prescriptions that were just documented in the clients
medical record by the provider. which of the following abbreviation should the nurse clarify with
the provider?
a) Enoxaparin 40 mg sq qd
b) Tyenol PM 200mg PO BID
c) PRN acetominophen 250mg IV q6 for pain 4-6 numeric scale
Enoxaparin 40 mg sq qd (bc of the qd)
A nurse is talking with a client who has major depressive disorder. The client states nobody
cares if I'm around or not. which of the following responses should the nurse make:
, a) you sound depressed
b) It sounds as though you're feeling hopeless
It sounds as though you're feeling hopeless
A nurse is preparing to administer a unit of packed red blood cells to a client in adherence with
the joint commission national patient safety goals regarding blood administration. which of the
following actions should the nurse plan to take?
a) Verify the client and blood component using a two person process
b) use dextrose fluid to flush the line
c) apply a warm compress at the site if the client complains of shortness of breath and anxiety
Verify the client and blood component using a two person process
The nurse on a medical surgical unit is caring for a group of clients. which of the following
clients should the nurse monitor for the development of reflex urinary incontinence?
a) A client who has an L2 spinal cord injury
b) A client who has a C3 spinal cord injury
c) A client who has a T 12 spinal cord injury
d) A client who has a T 7 spinal cord injury
A client who has a T 12 spinal cord injury
A nurse is documenting and assessment in a clients electronica health record when an assistive
personnel asked to enter the morning blood glucose by the client which of the following actions
should the nurse take
Request that AP to use another computer to enter the data
A nurse is preparing to administer acetaminophen 120 mg PO to a toddler Available is
acetaminophen drops 80 mg/0.8 ML. How many ML Should the nurse administer? Round to
nearest tenth
1.2ml
A nurse is preparing to administer 0.9% sodium chloride 1000 ML over eight hours IV to a client
the nurse should say the infusion infusion pump to deliver how many ML per hour round the
answer to the nearest whole number
125ml/hr
A nurse is providing teaching about nutrition management to the parent of an 18 month old
toddler who has phenylketonuria which of the following foods should the nurse recommend?
a) soy milk
NEWEST 2024 ACTUAL EXAM 100 QUESTIONS AND
CORRECT DETAILED ANSWERS
a nurse is admitting a client with pulmonary TB. which of the following precautions should the
nurse initiate?
a) contact
b) droplet
c) airborne
d) standard
airborne
A nurse in a mental health facility is preparing an educational program for a group of staff
nurses
about the proper use of restraints. Which of the following information should the nurse plan to
include:
a) an adult client may be in mechanical restraints for up to 4 hours
b) no restraints may be used on adult clients
c) restraints can be used indefinitely
an adult client may be in mechanical restraints for up to 4 hours
A nurse is teaching sleep hygiene to a client who has insomnia. Which of the following
statements
should the nurse make?
a) exercise in the evening right before bed
b) REM cycle is the longest sleep cycle
c) exercise in the morning after rising
d) keep the lights on while you are sleeping
exercise in the morning after rising
A nurse is preparing to leave the room of a client who is on isolation precautions. Which of the
following actions should the nurse take when removing a tight surgical Mask?
a) remove the mask first before any other PPE
b) Remove the mask by securely holding the ties and moving it away from the face
c) keep the mask on all day
d) make sure the client keeps a mask on when the nurse is in the room
Remove the mask by securely holding the ties and moving it away from the face
,A nurse is caring for an adolescent client who is in critical condition following a motor vehicle
crash in which he was a passenger. The clients parent shouts at the Nurse asking why her son is
dying instead of the driver. Which of the following actions should the nurse take to provide
emotional support to the parent?
a) inform the parent that they should take a walk and then come back once they are calmer
b) say: I see you are upset, but you cannot speak to me this way
c) Inform the parent that they must wait in the waiting room now
d) Inform the parent that anger is a natural response when dealing with loss
Inform the parent that anger is a natural response when dealing with loss
A community health nurse is planning prevention strategies for hypertension among members
of our community the nurse should identify that which of the following ethnic groups in the
community is at great risk for developing hypertension?
a) white males
b) white females
c) Asians
d) African Americans
African Americans
A community health nurse is planning interventions to promote healthy people 2020 initiatives
in the community. which of the following actions should the nurse plan to take first?
a) Determine the level of health equity among groups in the community
b) Determine the level of health literacy among groups in the community
c) Determine the level of food availability there is in the community
d) Determine the number of comorbid conditions there are in the community
Determine the level of health equity among groups in the community
A nurse is reviewing a clients new prescriptions that were just documented in the clients
medical record by the provider. which of the following abbreviation should the nurse clarify with
the provider?
a) Enoxaparin 40 mg sq qd
b) Tyenol PM 200mg PO BID
c) PRN acetominophen 250mg IV q6 for pain 4-6 numeric scale
Enoxaparin 40 mg sq qd (bc of the qd)
A nurse is talking with a client who has major depressive disorder. The client states nobody
cares if I'm around or not. which of the following responses should the nurse make:
, a) you sound depressed
b) It sounds as though you're feeling hopeless
It sounds as though you're feeling hopeless
A nurse is preparing to administer a unit of packed red blood cells to a client in adherence with
the joint commission national patient safety goals regarding blood administration. which of the
following actions should the nurse plan to take?
a) Verify the client and blood component using a two person process
b) use dextrose fluid to flush the line
c) apply a warm compress at the site if the client complains of shortness of breath and anxiety
Verify the client and blood component using a two person process
The nurse on a medical surgical unit is caring for a group of clients. which of the following
clients should the nurse monitor for the development of reflex urinary incontinence?
a) A client who has an L2 spinal cord injury
b) A client who has a C3 spinal cord injury
c) A client who has a T 12 spinal cord injury
d) A client who has a T 7 spinal cord injury
A client who has a T 12 spinal cord injury
A nurse is documenting and assessment in a clients electronica health record when an assistive
personnel asked to enter the morning blood glucose by the client which of the following actions
should the nurse take
Request that AP to use another computer to enter the data
A nurse is preparing to administer acetaminophen 120 mg PO to a toddler Available is
acetaminophen drops 80 mg/0.8 ML. How many ML Should the nurse administer? Round to
nearest tenth
1.2ml
A nurse is preparing to administer 0.9% sodium chloride 1000 ML over eight hours IV to a client
the nurse should say the infusion infusion pump to deliver how many ML per hour round the
answer to the nearest whole number
125ml/hr
A nurse is providing teaching about nutrition management to the parent of an 18 month old
toddler who has phenylketonuria which of the following foods should the nurse recommend?
a) soy milk
