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RN Competency Test
RN Competency Exam
Date Format: MM slash DD slash YYYY
The advanced directive in a patient chart is dated June 10, 1998. The patient’s son gives the nurse a new power of attorney for Healthcare dated 2001 that is different from the June 10, 1998 advance directive. A nurse should:
follow the 2001 version.
follow the 1998 version because the physician's "code" order is based on it.
follow neither until clarified by the nurse manager.
follow the 1998 version.
In acute care setting, who might expect the patient to be an advocate for her/him?
all members of the interdisciplinary team caring for the patient.
All of the following are causes of vaginal bleeding except.
The nurse has informed the family of a terminally ill comatose client about theloss of various senses during imminent death. The nurse determines that thefamily understands the instructions when one of the family members says that itis believed that the last sense to leave the body is the sense of:
When caring for a dying elder, the nurse should recognize which of the following behaviors as regression?
full use of speech
denial and projection
The nurse assesses for which of the following mental disorders in a child who has experienced abused?
post-traumatic stress disorder
Your patient with schizophrenia would most likely be treated by which consultant?
The effect of managed care in the healthcare systems has been to:
focus care strategies on outcomes of care provision.
all of the above.
support the increased use of new technology.
decrease length of stay in hospitals.
When observing elders with the swallowing disorders, which of the followingsigns and symptoms would indicate to the nurse that the client may haveaspirated?
complaint of food caught in the back of the throat
fever of unknown origin
lack of functional cough.
request for something to eat or drink.
The nurse should have the client use appropriate safety measures with care by:
placing the cane on the affected side.
placing the cane on the opposite affected side.
does not matter which side the cane is on.
choice of cane placement should be the choice of the client.
The nurse is caring for a client who is dying of terminal cancer. Whileassessing the client for signs of impending death, the nurse should observe theclient for:
elevated pulse rate.
Cheyne - Stokes respiration.
elevated blood pressure.
The nurse in an emergency situation tries to determine whether a client has an airway obstruction. Which of the following should the nurse assess? a.ability to speak.
adventitious breath sounds.
ability to hear
ability to speak.
Mary is a client on the acute care unit. The nurse notices as she talks with Mary that Mary is unable to make and maintain eye contact. She puts her head down and looks at the floor. The nurse's assessment of Mary is:
Physical examination of the patient regarding mobility should begin with.
Tandem Walk test.
oriented to time, place, and person.
Pain is primarily a:
an emotional response as a part of aging.
a single disorder with a single component of neuropathic symptoms.
an emotional response to a decrease intensity.
protective mechanism as well as a complex for biopsychosocial phenomenon.
The nurse is preparing to administer IV Vancomycin to the client. Which of the following nursing actions should be taken first?
performing a physical assessment prior to administration
obtaining the most recent lab values regarding renal function.
ensuring the client is not allergic to the medication.
reviewing peaks and troughs for the past few days.
The legal age for expressing one's wishes through an advance directive is:
A student nurse is caring for a 75 year old client who is very confused. The student's communication tools should include:
written directions for bathing.
gentle touch while guiding ADL (activities of daily living)
flat facial expression.
speaking very loudly.
A client has been taking Lasix to prevent congestive heart failure. What other intervention can the nurse discuss with the client concerning dietary modifications?
Increase calcium intake.
Increase fiber intake.
Maintain low potassium intake.
Maintain low sodium intake
While caring for a client with an HIV related illness, the nurse should use what type of precautionary measures?
gloves, gowns, and mask
gloves and gowns
When a client has oral cancer, which of the following medical treatmentsshould the nurse expect to have the greatest negative impact on body image?
biopsy and staging
radical neck dissection
Pressure ulcers usually occur:
when the patient is "thin" (weight)
always in both "thin" and "heavy" patients.
when the patient is "heavy" (weight)
when patients are left in one position in bed for extended periods oftime.
The nurse discovers a waste basket fire in the room of a sleeping patient.What action should be taken?
Remove the patient.
Check the patient for breathing and circulation.
Report the fire
Extinguish the fire.
Acute Hyphema is associated with what type of injury?
A client with major head trauma is receiving bolus enteral feeding. The most important nursing order for this patient is:
increase enteral feeding.
monitor glucose levels.
check albumin level.
measure intake and output
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