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RN Competency Test
RN Competency Exam
Date Format: MM slash DD slash YYYY
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
Your patient with schizophrenia would most likely be treated by which consultant?
A student nurse is caring for a 75 year old client who is very confused. The student's communication tools should include:
gentle touch while guiding ADL (activities of daily living)
speaking very loudly.
flat facial expression.
written directions for bathing.
The nurse discovers a waste basket fire in the room of a sleeping patient.What action should be taken?
Extinguish the fire.
Check the patient for breathing and circulation.
Report the fire
Remove the patient.
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:
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
reviewing peaks and troughs for the past few days.
ensuring the client is not allergic to the medication.
obtaining the most recent lab values regarding renal function.
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.
elevated pulse rate.
Cheyne - Stokes respiration.
The nurse should have the client use appropriate safety measures with care by:
does not matter which side the cane is on.
placing the cane on the opposite affected side.
choice of cane placement should be the choice of the client.
placing the cane on the affected side.
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 hear
ability to speak.
adventitious breath sounds.
Physical examination of the patient regarding mobility should begin with.
Tandem Walk test.
oriented to time, place, and person.
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 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 neither until clarified by the nurse manager.
follow the 1998 version.
follow the 2001 version.
follow the 1998 version because the physician's "code" order is based on it.
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.
complaint of food caught in the back of the throat
fever of unknown origin
request for something to eat or drink.
The legal age for expressing one's wishes through an advance directive is:
Pressure ulcers usually occur:
when patients are left in one position in bed for extended periods oftime.
always in both "thin" and "heavy" patients.
when the patient is "thin" (weight)
when the patient is "heavy" (weight)
The effect of managed care in the healthcare systems has been to:
focus care strategies on outcomes of care provision.
support the increased use of new technology.
decrease length of stay in hospitals.
all of the above.
Pain is primarily a:
protective mechanism as well as a complex for biopsychosocial phenomenon.
a single disorder with a single component of neuropathic symptoms.
an emotional response as a part of aging.
an emotional response to a decrease intensity.
When a client has oral cancer, which of the following medical treatmentsshould the nurse expect to have the greatest negative impact on body image?
radical neck dissection
biopsy and staging
A client with major head trauma is receiving bolus enteral feeding. The most important nursing order for this patient is:
monitor glucose levels.
increase enteral feeding.
measure intake and output
check albumin level.
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 nurse assesses for which of the following mental disorders in a child who has experienced abused?
post-traumatic stress disorder
Acute Hyphema is associated with what type of injury?
All of the following are causes of vaginal bleeding except.
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
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