Rm Comprehensive

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Sample questions from Rm Comprehensive

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.On a medical-surgical unit, an RN receives report on four clients. Which client should the RN assess first?

   • A.A 58-year-old with diabetes whose premeal glucose is 184 mg/dL
   • B.A 72-year-old awaiting discharge who needs medication instructions
   • C.A 35-year-old with a fractured wrist reporting pain of 7/10
   • D.A 46-year-old with pneumonia whose SpO2 decreased from 95% to 90% on 2 L/min oxygen

   Rationale: The decreasing oxygen saturation despite supplemental oxygen may indicate worsening respiratory compromise and requires prompt assessment. The other clients have needs that are important but are not as immediately threatening. Prioritize actual or potential airway and breathing problems.

2. 2.Refer to the client's chart. Which actions should the charge nurse take to address the change in condition? Select all that apply.

   • A.Ensure emergency equipment is available at the bedside
   • B.Wait for the next scheduled provider rounds before reporting the change
   • C.Assess the client immediately and repeat vital signs
   • D.Activate the rapid response team according to facility criteria
   • E.Delegate interpretation of the ECG to unlicensed assistive personnel

   Rationale: The client's new chest pressure, hypotension, and ECG changes require immediate RN assessment, escalation, and readiness for emergency intervention. ECG interpretation is outside the role of unlicensed assistive personnel. Waiting for routine rounds delays care for a potentially life-threatening change.

3. 3.During a home health visit, an RN has time to complete one of four planned tasks before the next appointment. Which task is appropriate to delegate to a trained home health aide?

   • A.Assist a stable client with bathing and dressing
   • B.Assess a new area of redness over a client's sacrum
   • C.Evaluate whether a diuretic reduced a client's edema
   • D.Teach a client how to use a newly prescribed inhaler

   Rationale: Bathing and dressing for a stable client are routine activities that may be delegated to a trained aide. Assessment, teaching, and evaluation require nursing judgment and remain the RN's responsibility. Delegation must also follow agency policy and the aide's demonstrated competency.

4. 4.At change of shift on a rehabilitation unit, a client with a new tracheostomy is due for a scheduled dressing change while another client requests assistance to the bathroom. Which action should the RN take first?

   • A.Ask the client with the tracheostomy to wait until the end of the shift
   • B.Ask a nursing assistant to take the client with the tracheostomy to the bathroom
   • C.Assess the tracheostomy client's airway and respiratory status before assigning routine care
   • D.Complete the dressing change before assessing either client

   Answer and rationale are in the full material.

5. 5.A provider prescribes a medication dose that is four times the usual dose listed in the facility reference for a 6-year-old. The child is stable. What should the nurse do?

   • A.Give one-quarter of the prescribed dose
   • B.Hold the medication and clarify the prescription with the provider
   • C.Administer the dose because it is prescribed
   • D.Ask another nurse to administer the dose

   Answer and rationale are in the full material.