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RN Competency Test
RN Competency Exam
Date Format: MM slash DD slash YYYY
The nurse should have the client use appropriate safety measures with care by:
choice of cane placement should be the choice of the client.
placing the cane on the affected side.
placing the cane on the opposite affected side.
does not matter which side the cane is on.
Acute Hyphema is associated with what type of injury?
A student nurse is caring for a 75 year old client who is very confused. The student's communication tools should include:
flat facial expression.
written directions for bathing.
gentle touch while guiding ADL (activities of daily living)
speaking very loudly.
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
The nurse assesses for which of the following mental disorders in a child who has experienced abused?
post-traumatic stress disorder
All of the following are causes of vaginal bleeding except.
Your patient with schizophrenia would most likely be treated by which consultant?
A client has been taking Lasix to prevent congestive heart failure. What other intervention can the nurse discuss with the client concerning dietary modifications?
Maintain low sodium intake
Maintain low potassium intake.
Increase fiber intake.
Increase calcium intake.
Physical examination of the patient regarding mobility should begin with.
Tandem Walk test.
oriented to time, place, and person.
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 blood pressure.
Cheyne - Stokes respiration.
elevated pulse rate.
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:
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.
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 1998 version.
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.
Pain is primarily a:
an emotional response as a part of aging.
a single disorder with a single component of neuropathic symptoms.
protective mechanism as well as a complex for biopsychosocial phenomenon.
an emotional response to a decrease intensity.
Pressure ulcers usually occur:
always in both "thin" and "heavy" patients.
when patients are left in one position in bed for extended periods oftime.
when the patient is "heavy" (weight)
when the patient is "thin" (weight)
The nurse discovers a waste basket fire in the room of a sleeping patient.What action should be taken?
Report the fire
Remove the patient.
Check the patient for breathing and circulation.
Extinguish the fire.
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 effect of managed care in the healthcare systems has been to:
decrease length of stay in hospitals.
all of the above.
support the increased use of new technology.
focus care strategies on outcomes of care provision.
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
The legal age for expressing one's wishes through an advance directive is:
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
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
ensuring the client is not allergic to the medication.
obtaining the most recent lab values regarding renal function.
reviewing peaks and troughs for the past few days.
When observing elders with the swallowing disorders, which of the followingsigns and symptoms would indicate to the nurse that the client may haveaspirated?
lack of functional cough.
request for something to eat or drink.
fever of unknown origin
complaint of food caught in the back of the throat
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.
ability to speak.
ability to hear
adventitious breath sounds.
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