RN Qu

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Sample questions from RN Qu

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

1. 1.At change of shift on a surgical unit, an RN reviews a 72-year-old client's postoperative record. Refer to the client's chart. Which action is the priority?

   • A.Encourage oral fluids and reassess in 30 minutes.
   • B.Activate the rapid response team and remain with the client.
   • C.Document the drainage and continue routine monitoring.
   • D.Administer the prescribed as-needed opioid.

   Rationale: The falling BP, increasing HR, new confusion, and rapidly increasing bloody drainage indicate possible hemorrhagic shock requiring immediate escalation. An opioid could worsen hypotension and does not address the cause. Oral fluids are inadequate for shock, and routine monitoring would dangerously delay treatment. Prioritize rescue when postoperative findings indicate impaired perfusion.

2. 2.On a rehabilitation unit, a 68-year-old client recovering from a stroke has stable vital signs and an established mobility plan. Which task should the RN delegate to experienced unlicensed assistive personnel (UAP)?

   • A.Evaluate whether the rehabilitation goals need revision.
   • B.Assess the client's ability to swallow breakfast.
   • C.Assist the client to the chair using the established transfer technique.
   • D.Teach the client how to use a newly prescribed walker.

   Rationale: Assisting a stable client with an established transfer technique is a routine task appropriate for UAP. Swallowing assessment and evaluation of goals require nursing judgment. Initial walker teaching also remains the nurse's responsibility. Delegate predictable tasks, not assessment, teaching, or evaluation.

3. 3.During an evening medication review, an RN evaluates a 66-year-old client receiving anticoagulation. Refer to the client's chart. Which actions should the RN take? Select all that apply.

   • A.Arrange immediate discharge because the hemoglobin is normal.
   • B.Notify the prescribing provider promptly.
   • C.Administer the prescribed as-needed ibuprofen.
   • D.Withhold the scheduled warfarin dose.
   • E.Institute fall and bleeding precautions.

   Rationale: An INR of 6.2 with new gum bleeding warrants withholding warfarin and promptly contacting the provider for further management. Fall and bleeding precautions reduce injury risk while anticoagulation is excessive. Ibuprofen increases bleeding risk and should not be administered. A currently normal hemoglobin does not rule out evolving bleeding or justify discharge.

4. 4.Before surgery in an ambulatory center, a 43-year-old client says, 'I signed the form, but I do not understand why part of my bowel might be removed.' The client has not received sedation. What should the RN do?

   • A.Ask the surgeon to clarify the procedure before the client proceeds.
   • B.Ask the client's spouse to confirm consent.
   • C.Explain the surgical alternatives and obtain another signature.
   • D.Reassure the client that the signed form permits the surgery.

   Answer and rationale are in the full material.

5. 5.In a skilled nursing facility, a competent 81-year-old client with pneumonia has a valid do-not-resuscitate order and requests antibiotics. The daughter says, 'That order means you cannot treat the infection.' Which response is best?

   • A.A do-not-resuscitate order means all treatment is limited to comfort.
   • B.Antibiotics require cancellation of the do-not-resuscitate order.
   • C.Your decision takes priority because you are the next of kin.
   • D.The order limits resuscitation after arrest, not other treatments the client chooses.

   Answer and rationale are in the full material.