Antigua International School RN Exit Study Guide

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Sample questions from Antigua International School RN Exit Study Guide

This material has 24 questions with answers and rationales. Here are the first 5.

1. 1.The RN receives reports on four clients. Which client should the RN assess first?

   • A.A client with diabetes whose premeal glucose is 192 mg/dL
   • B.A client with osteoarthritis requesting medication for pain rated 8/10
   • C.A client with chronic heart failure and unchanged bilateral ankle edema
   • D.A client 2 hours after thyroid surgery who has new inspiratory stridor

   Rationale: B is correct because new stridor suggests upper airway obstruction and requires immediate assessment and escalation. A describes a stable baseline finding. C requires timely pain management but does not outrank an airway threat. D requires management according to the diabetes plan but is not the most urgent finding.

2. 2.A postoperative client receiving morphine is difficult to arouse, has shallow respirations at 7/minute, and has an oxygen saturation of 96% on supplemental oxygen. Which action is most appropriate?

   • A.Stop opioid delivery, support airway and ventilation, and obtain urgent assistance
   • B.Give another opioid dose to prevent pain during awakening
   • C.Allow the client to sleep because the oxygen saturation is acceptable
   • D.Remove oxygen and reassess in 30 minutes

   Rationale: C is correct because marked sedation and slow, shallow breathing indicate respiratory depression despite acceptable saturation on oxygen; anticipate naloxone according to protocol. A incorrectly equates oxygenation with ventilation. B worsens the problem. D removes support and delays emergency care.

3. 3.A client with kidney failure has a nonhemolyzed potassium result of 6.7 mEq/L and reports muscle weakness. Which action has priority?

   • A.Schedule routine laboratory follow-up in one week
   • B.Initiate cardiac monitoring and notify the provider urgently
   • C.Encourage potassium-rich foods
   • D.Administer the scheduled potassium supplement

   Rationale: A is correct because severe hyperkalemia can cause fatal dysrhythmias and requires urgent treatment evaluation. B and D increase potassium exposure and are unsafe. C creates an unacceptable delay. Absence of chest pain or known ECG changes does not remove the danger.

4. 4.Which task is most appropriate for the RN to delegate to trained assistive personnel?

   • A.Assess a client with sudden unilateral weakness
   • B.Determine whether chest pain is cardiac in origin
   • C.Measure and record urine output for a stable client
   • D.Evaluate whether a new inhaler teaching plan was effective

   Answer and rationale are in the full material.

5. 5.A hospitalized adult is awake, can swallow safely, and has a glucose of 58 mg/dL. What should the nurse do first?

   • A.Provide approximately 15 g of rapid-acting carbohydrate
   • B.Offer only a high-fat snack
   • C.Wait until the next scheduled meal
   • D.Give a long-acting insulin dose

   Answer and rationale are in the full material.