RN Comprehensive Online Practice 2026 B

A nurse is working triage in an emergency department during a local disaster. Which of the following clients should the nurse recommend for discharge?

A client who has cellulitis and is receiving oral antibiotics can safely continue this treatment at home.

A rural community health nurse is developing a plan to improve health care delivery for migrant farmworkers. To identify health services data for this minority group, the nurse should gather information from which of the following sources?

Agency for Healthcare Research and Quality

A nurse receives a request from a client to review the information in their medical record. Which of the following responses should the nurse give?

According to HIPAA, the nurse is responsible for following the facility's policy when providing the client with access to the medical record.

A nurse is interviewing a client who is now without housing due to a natural disaster. After ensuring the client's safety, which of the following actions should the nurse take first?

Determine the client's perception of the personal effect of the crisis.

A nurse at a mental health clinic is caring for four clients. The nurse should recognize which of the following clients is using dissociation as a defense mechanism?

A client who was abused as a child describes the abuse as if it happened to someone else

A nurse is providing teaching about improving nutrition for a client who has multiple sclerosis. Which of the following instructions should the nurse include?

"A speech pathologist will be performing a swallowing study for you."

"You should rest before eating a meal."

"Thicken your beverages before drinking."

A nurse is assessing a client who has decreased visual acuity due to cataracts. The nurse should identify that which of the following physiological changes is the cause for the client's visual loss?

Increased opacity of the lens

A charge nurse is planning an educational session for staff nurses about working with parents whose children have a terminal illness and are candidates for donating their organs. Which of the following information should the nurse plan to include?

The family can have the child in an open casket without fearing that the organ donation might disfigure the child's body.

A nurse is assessing a client following a colonoscopy. Which of the following findings should indicate to the nurse the client is hemorrhaging?

Rapid decrease in blood pressure.

A nurse is planning care for a client who has rheumatoid arthritis (RA). Which of the following interventions should the nurse include in the plan?

Increase the client's dietary iron intake.

A nurse is completing a home health visit with a client who has hemianopsia. Which of the following information should the nurse review with the client to promote safety in the home?

Use scanning technique when ambulating.

A nurse is planning care for a client who has a deficit with cranial nerve (CN) II. Which of the following actions should the nurse plan to take?

Clear objects from the client's walking area.

A charge nurse overhears two staff nurses in the hallway discussing the nutritional status of a client who has anorexia nervosa. Which of the following actions should the charge nurse take?

Tell the nurses to stop the discussion.

A nurse is providing discharge instructions to a client following a total hip arthroplasty. Which of the following instructions should the nurse include?

install a raised toilet seat at home.

During an 8-week postpartum examination, a client reports feeling fatigued, lethargic, no interest in usual activities, sleeping all the time, and a feeling of worthlessness. Which of the following questions should the nurse ask the client first?

"Have you had any thoughts about hurting yourself or the baby?"

A nurse is planning teaching about allowable foods for a client who has a history of uric acid-based urinary calculi formation. Which of the following foods should the nurse include in the teaching?

Lentils

A nurse is assessing a client following a vaginal delivery and notes heavy lochia and a boggy fundus. Which of the following medications should the nurse expect to administer?

oxytocin

A nurse is providing preoperative teaching to a client who is scheduled for insertion of an implanted port. Which of the following client statements should the nurse recognize as an indication of understanding the teaching?

My port will be flushed before and after each dose of medication

A nurse is caring for a client who is receiving positive end-expiratory pressure (PEEP) via mechanical ventilation. The nurse should monitor the client for which of the following adverse effects of PEEP?

tension pneumothorax

A nurse is teaching about total parenteral nutrition (TPN) and IV lipid emulsions with a client who has an extensive burn injury. Which of the following information should the nurse include?

You will receive fingersticks for blood glucose testing

A nurse is planning care for a client who has thrombocytopenia. Which of the following instructions should the nurse include in the client's plan of care?

Avoid venipunctures when possible.

A nurse is preparing a sterile field in order to insert an indwelling urinary catheter for a male client. Which of the following techniques should the nurse use to maintain surgical aseptic technique?

cleanse the meatus with a new cotton ball with antiseptic 3 times

A nurse is reviewing the ABG results of a client who has COPD. The results include a pH of 7.3 (7.35 to 7.45), PaO2 56 mm Hg (80 to 100 mm Hg), PaCO2 54 mm Hg (35 to 45 mm Hg), HCO3- 26 mEq/L (21 to 28 mEq/L), and SaO2 87%. Which of the following is the correct interpretation of these values?

Uncompensated respiratory acidosis

A nurse is caring for a newborn who has herpes simplex virus (HSV). Which of the following isolation precautions should the nurse initiate?

contact

A nurse is caring for a client who is 4 hr postpartum and has a boggy uterus with heavy lochia. Which of the following actions should the nurse take first?

Massage the uterus to expel clots.

A nurse is providing discharge teaching to a new parent about car seat safety. Which of the following statements should the nurse include in the teaching?

Secure the retainer clip at the level of your baby's armpits

A nurse is caring for a client who has COPD and becomes extremely short of breath. Which of the following interventions by the nurse requires completion of an incident report?

Increasing oxygen via nasal cannula to 6 L/min.

A nurse is teaching a client who is to start taking misoprostol and currently is on long-term therapy with NSAIDs for arthritis. The nurse should provide the client with which of the following information?

Complete a serum pregnancy test before taking the medication

A nurse is caring for a client who has acute blood loss following a trauma. The client refuses a blood transfusion that might potentially save their life. Which of the following actions should the nurse take first?

Explore the client's reasons for refusing the treatment.

A parent tells the nurse that their newborn consistently spits up when being bathed. Which of the following should the nurse advise the parent to do?

Bathe the newborn before a feeding.

A nurse is caring for a client who is at 37 weeks of gestation and is experiencing abruptio placentae. Which of the following findings should the nurse expect?

persistent uterine contractions.

A nurse is caring for four clients at the beginning of a shift. After receiving change-of-shift report, which of the following clients should the nurse attend to first?

confusion and has been attempting to get out of bed

A nurse is assessing a client for compartment syndrome. Which of the following findings should the nurse expect?

edema

A nurse is assessing a toddler who has sickle cell anemia. Which of the following findings should the nurse should identify as a manifestation of vaso-occlusive crisis?

hematuria

A nurse is caring for a client who has chronic headaches and reports taking as many as 10 acetaminophen capsules per day. Which of the following assessment findings indicate the client may be experiencing an acetaminophen toxicity?

Abdominal tenderness

A nurse on an inpatient mental health unit is monitoring a visit between a client who has a history of aggressive behavior and the client's partner. Which of the following observations should the nurse identify as an indication for potential violence?

The client is pacing around the chair in which their partner is sitting.

A nurse is preparing a sterile field to perform a sterile dressing change. Which of the following interventions should the nurse use to maintain surgical sterile technique?

maintain sterile objects within the line of vision

A nurse is caring for a client who was diagnosed with diabetic ketoacidosis (DKA). The client is prescribed an insulin drip and an IV infusion of 0.9% sodium chloride. Which of the following laboratory values should the nurse report first to the provider?

Potassium level 3.2 mEq/L

A nurse is caring for a client who had a stroke 6 hr ago. Which of the following interventions should the nurse implement to reduce the risk of increased intracranial pressure (ICP)?

Place the client in a quiet environment.

A nurse is providing discharge teaching to a client who has been prescribed warfarin. Which of the following client statements should the nurse recognize as a need for further instruction?

I ll take aspirin if I develop a headache

A nurse is preparing to transfer a client from the ICU to the medical floor. The client was recently weaned from mechanical ventilation following a pneumonectomy. Which of the following information should the nurse include in the change-of-shift report?

the time of the client's last dose of pain medication

A nurse is caring for a client who is in active labor and receiving oxytocin. The FHR pattern shows moderate variability with accelerations. Which of the following actions should the nurse take?

Document and continue to monitor.

A nurse is caring for a toddler who has infectious gastroenteritis. Which of the following actions should the nurse take?

initiate oral rehydration therapy (ORT) for the toddler.

A nurse is caring for a client who is prescribed ketorolac 15 mg IV. Which of the following laboratory findings would require the nurse to withhold the medication and notify the provider?

Elevated creatinine

A case manager is reviewing the medical records of several clients. For which of the following clients should the nurse request an interprofessional care conference?

diabetes mellitus and has had repeated hospitalizations for diabetic ketoacidosis

A nurse is caring for an older adult client in a PACU following general anesthesia. Which of the following findings should the nurse report to the provider?

Audible stridor.

A nurse is caring for four clients of different ages who are immobile. Which of the following is an appropriate suggestion to a caregiver to meet the client's developmental needs?

Encourage friends to visit the adolescent.

A community health nurse is performing triage tagging following a mass casualty incident. On which of the following clients should the nurse place a black tag?

A client who has significant head trauma and agonal respirations.

A nurse is performing tracheostomy care for a client who is postoperative following a laryngectomy. Which of the following actions should the nurse take when suctioning the client's airway?

apply suction for 10 seconds

Male client who has diagnosis of chronic obstructive pulmonary disease (COPD) and inability to care for self at home admitted to facility. Client has a productive cough with thick, white sputum. Mild wheezing noted on inspiration and expiration, decreased chest vibration noted. Caregiver voices concern that the client is losing weight and not eating well.

cough, prealbumin result, and BMI

A nurse is caring for a client in a long-term care facility. Which of the following client findings should the nurse identify as unexpected for a client who has COPD?

lung sounds and palpation findings are unexpected for a client who has COPD. Clients who have COPD often have adventitious lung sounds during inspiration and expiration, but crackles are not typically present, and chest vibrations, or fremitus, are typically decreased.

A nurse is caring for a client in a long-term care facility.Complete the following sentence by using the lists of options.

ung sounds due to their risk for pneumonia.

A nurse is caring for a client in a long-term care facility. Select the 2 provider orders the nurse should anticipate.

a dietary consult and to administer a bronchodilator 30 min before each meal. The nurse should consult with a dietitian

The nurse has reviewed the Provider Prescriptions from 3 Days Ago, 0820. For each alteration below, click to specify the nursing intervention that would be appropriate for the care of the client. Choose the most likely response for the dropdown(s) in the table below by choosing from the lists of options.

obtaining a provider order for oral nutrition supplements

activity intolerance is to pace the client's activities throughout the day and provide rest periods

shake the medication well

The nurse has reviewed the Nurses' Notes and Vital Signs from Today, 0805. Click to highlight the findings that indicate the client is progressing as expected. To deselect a finding, click on the finding again.

ambulating in the hall, decreased shortness of breath, mild wheezing bilaterally on inspiration, drinking prescribed oral supplements, an increase in the client's current weight, and the client's respiratory rate

A nurse is preparing to administer a blood transfusion to a client. Which of the following procedures should the nurse follow to ensure proper client identification?

verify the client and blood product information with another licensed nurse.

A nurse is teaching a client about foods high in vitamin A. Which of the following foods should the nurse recommend as having the highest amount of vitamin A?

1 medium raw carrot

A nurse is caring for a client who has a prescription for warfarin. Which of the following laboratory values should the nurse review before administering this medication?

INR

A charge nurse notices that one of the nurses on the shift frequently violates unit policies by taking an extended amount of time for break. Which of the following statements should the charge nurse make to address this conflict?

"I would like to talk to you about the unit policies regarding break time."

A nurse is caring for a client who is postoperative after receiving moderate (conscious) sedation. The client suddenly becomes restless and reports feeling lightheaded. Which of the following actions should the nurse take?

Check the client's oxygen saturation level.

A nurse is updating the plan of care for a client who is 48 hr postoperative following a laryngectomy and is unable to speak. Which of the following actions should the nurse plan to take first?

determine the client's reading skills.

A nurse is initiating discharge planning for a client who had a stroke and is experiencing right-sided weakness. Which of the following actions should the nurse take first?

request a referral for the client to receive physical therapy

A nurse in an emergency department is caring for a client who is experiencing ongoing seizures. The client is prescribed intravenous bolus phenytoin. Which of the following actions should the nurse take when administering this infusion?

flush the line with 0.9% sodium chloride before and after administration

A nurse on a medical-surgical unit is caring for a client prior to a surgical procedure. Which of the following findings should indicate to the nurse that the client has the ability to sign the informed consent?

The client is able to accurately describe the upcoming procedure.

An RN is planning care for a group of clients and is working with a licensed practical nurse (LPN) and an assistive personnel (AP). Which of the following tasks should the RN delegate to the LPN?

insertion of a nasogastric (NG) tube

A nurse is caring for a 16-year-old female in the emergency department. Click to highlight the findings that require immediate follow-up. To deselect a finding, click on the finding again.

When recognizing cues, the nurse should expect that the assessment findings of decreased urine that is dark yellow, capillary refill greater than 3 seconds, and poor skin turgor require immediate follow-up according to the urgent versus non-urgent priority setting framework. These findings are associated with dehydration and should be reported to the provider.

A nurse is caring for a 16-year-old female in the emergency department. For each client finding, click to specify if the finding is consistent with anorexia nervosa or borderline personality disorder. There must be at least 1 selection in every row. There does not need to be a selection in every column.

When analyzing cues, the nurse should recognize that the client's findings of amenorrhea, hypotension, hypokalemia, and distorted body image are consistent with anorexia nervosa, especially in the acute phase of treatment when dehydration is present. The client's behavioral findings of emotional lability and rapid mood swings may be present with a client who has borderline personality disorder.

A nurse is assisting with the care of a 16-year-old female in the emergency department. Drag words from the choices below to fill in each blank in the following sentence.

acute kidney injury and cardiac dysrhythmias.

A nurse is assisting with the care of a 16-year-old female in the emergency department. Select the 2 orders or prescriptions that the nurse should anticipate.

initiate IV fluids and cardiac monitoring.

The nurse has reviewed the Provider Orders on Day 1 at 1100. Complete the following sentence by using the lists of options.

When taking action, the nurse should plan to stay with the client during meals and for 1 hr after to help ensure sufficient caloric consumption.

The nurse has reviewed the Laboratory Results on Day 2 at 0530, Vitals Signs on Day 2 at 0630, and Nurses' Notes on Day 2 at 0730. Click to highlight the findings that show an improvement of the client's condition. To deselect a finding, click on the finding again

blood pressure of 98/68 mm Hg, a heart rate of 70/min, elastic skin turgor, moist mucous membranes, and a respiratory rate of 18/min

A nurse on a medical-surgical unit is caring for a client who has a new diagnosis of terminal cancer. The client tells the nurse that they would like to go home to be with loved ones. Which of the following actions should the nurse take?

Make a referral for social services.

A nurse is caring for a client who had abdominal surgery 24 hr ago. Which of the following actions is the nurse's priority?

Assist with deep breathing and coughing.

A nurse on an inpatient mental health unit is planning care for a client who is experiencing active suicidal ideations. Which of the following interventions should the nurse include in the plan of care?

Ensure the client fully swallows each medication with every dose.

A nurse is planning care for a client who is receiving hemodialysis via an established arteriovenous (AV) fistula in the right arm. Which of the following interventions should the nurse include in the client's plan of care?

Auscultate the affected extremity for a bruit.

A nurse is teaching self-administration of insulin to a client who has a new prescription for a short-acting and intermediate-acting insulin. Which of the following actions by the client indicates an understanding of the teaching?

Pinches the skin prior to injecting the insulin

A nurse is preparing to assist with a thoracentesis for a client who has pleurisy. Which of the following actions should the nurse plan to perform?

instruct the client to avoid coughing during the procedure.

A nurse is assessing a client who has a chest tube. Which of the following findings should the nurse expect?

occlusive dressing on the insertion site

A nurse is caring for a client who has hearing loss. Which of the following actions should the nurse take to improve communication?

Face the client directly when speaking.

A nurse is caring for a client who had a cerebrovascular accident and is experiencing expressive aphasia. Which of the following actions should the nurse take to assist the client to communicate their needs to health care providers?

Use flashcards with pictures

A nurse is assessing a newborn who is 3 days old. Click to highlight the findings that require follow up. To deselect a finding, click on the finding again.

When recognizing cues, the nurse should identify that a temperature of 36.4° C (97.5° F) is below the expected reference range. Hypothermia can lead to the occurrence of hypoglycemia and respiratory distress. The newborn breastfeeding for short intervals, nipple discomfort, and a weight loss of greater than 10% of birth weight can indicate inadequate transfer of breastmilk, which can result in hypoglycemia. The presence of mild tremors can be a manifestation of hypoglycemia.

A nurse is caring for a client in a clinic. Click to highlight the findings that require follow-up. To deselect a finding, click on the finding again.

postmenopausal bleeding that is heavy and consistent in flow, low back pain, pelvic pressure, and watery discharge that has an odor require follow-up.Abnormal uterine bleeding, especially postmenopausal bleeding, is a cause for concern and could indicate a gynecological condition. It is important for the nurse to collect data regarding the amount and appearance of vaginal discharge and bleeding.

A nurse is caring for a client in a clinic. For each client risk factor, click to specify if the risk factor is consistent with endometrial cancer or cervical cancer. Each risk factor may support more than 1 disease process or none at all. There must be at least 1 selection in every column. There does not need to be a selection in every row.

family history of colon cancer, never being pregnant, obesity, postmenopausal age, and past medical history of type 2 diabetes mellitus are risk factors consistent with endometrial cancer.

The risk factor that could contribute to cervical cancer is the client's weight.

The nurse has reviewed the Nurses' Notes from Week 2, Day 1, 0845. Complete the following sentence by using the lists of options.

excessive bleeding and infection due to an endometrial biopsy.

The nurse has reviewed the Nurses' Notes from Week 2 and Week 3, and Diagnostic Results from Week 2. The nurse is planning to provide discharge teaching for the client.For each potential client instruction, click to specify if the instruction should be included or not included for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.

When generating solutions, the nurse should expect to include reporting an elevated temperature to the client's provider, abstaining from sexual intercourse for 6 weeks after surgery, and avoiding strenuous activity

Instructions that inform the client they are able to bathe after surgery or that they should expect continued vaginal bleeding that is similar to a period after surgery should not be included.

The nurse has reviewed the Nurses' Notes from Week 3, Day 3, 0945. Which of the following responses should the nurse make?

tell them more about their concerns.

The nurse has reviewed the Nurses' Notes from Week 6, Day 1, 1000. Click to highlight the findings that indicate the client is progressing as expected. To deselect a finding, click on the finding again

no pelvic pain, vaginal bleeding, urinary urgency or dysuria, and a surgical incision site that is clean, dry, and intact with no erythema, swelling, or drainage

A nurse is preparing to transfer a client who has had a stroke to a rehabilitation facility. The client's caregiver tells the nurse they are concerned about the level of care the client will receive. Which of the following actions should the nurse take?

facilitate an interdisciplinary conference at the new facility for the caregiver.

A nurse is teaching a client who has a new prescription for methylphenidate. Which of the following instructions should the nurse include in the teaching?

Take this medication in the morning

A nurse is preparing a parenting seminar addressing adolescent issues. The nurse should plan to include which of the following expected changes associated with adolescent development?

Adolescents have a need for recognition and acceptance related to self-image.

A nurse is caring for a newborn. Complete the following sentence by using the lists of options.

respiratory rate and heart rate

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?

tells the hospital chaplain a client's diagnosis

A nurse is assessing a 2-month-old infant during a well-baby examination. Which of the following actions should the nurse take to assess the infant's rooting reflex?

stroke the infant's cheek to assess the rooting reflex,

A nurse is preparing to insert an indwelling urinary catheter for a client. The nurse should assess the client for which of the following conditions prior to starting the procedure?

assess the client for a latex allergy prior to the insertion of an indwelling urinary catheter due to the risk of an allergic reaction.

A nurse in an emergency department is assessing a client who reports taking methylenedioxymethamphetamine (MDMA). Which of the following findings should the nurse expect?

Diaphoresis

A nurse is providing colostomy care for a client using a two-piece pouching system. Which of the following actions should the nurse take?

empty the client's pouch when it becomes 1/3 to 1/2 full.

A home health nurse is evaluating a school-age child who has cystic fibrosis. The nurse should initiate a request for a high-frequency chest compression vest in response to which of the following parent statements?

"My child has only a small amount of mucus after percussion therapy

A nurse is providing education to the guardian of a school-age child who has asthma. Which of the following statements by the guardian indicates an understanding of the teaching?

I will make sure my child receives a yearly influenza immunization

A nurse is caring for an adolescent who is nonbinary and has requested staff use their pronouns during their stay. Which of the following actions should the nurse take?

clarify the adolescent's pronouns with each new staff member involved in care

A nurse is preparing to perform an intermittent urinary catheterization for a client who has urinary retention. Which of the following images indicates the catheter the nurse should use?

straight urinary catheter,