Durham College Consolidation Practice Exam

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• If analgesia is not effective one hour after administration, what is the appropriate nurse action?
• Late postpartum hemorrhage occurs in which timeframe after delivery?
• A medication was administered to the wrong patient. What is the nurse's most appropriate action?
• Which class of medication is primarily used to reduce anxiety and promote relaxation?
• Mode of transmission of hepatitis B?
• Mr. Colicky, 65 years old, has a central venous catheter. Which nursing intervention is a priority when caring for a client with a central venous catheter?
• Which action demonstrates appropriate preparation when returning to a surgical unit after an extended absence?
• PKU stands for Phenylketonuria.
• A nurse is administering an antibiotic to a competent elderly client at midnight. The client refuses to take meds stating 'I already took my pills before I went to sleep'. What is the PRN best action?
• A patient understands the benefits and risks of a prescribed medication but still refuses to take it. How can the PRN best support this situation?
• A patient refuses a prescribed medication due to personal beliefs. What should the nurse do?
• A patient is given a medication in hospital that the nurse has never heard of, though the patient has been taking it at home. What is the best course of action?
• A PSW reports a 97-year-old patient who is breathing shallowly, feels cold and clammy, and has blue feet. The patient has an advance directive that states comfort care only and is designed as a DNR. What should the nurse instruct the PSW to do?
• In post-nephrectomy care, which parameters best monitor fluid balance?
• What lifestyle changes will the nurse recommend to a myocardial infarction (MI) patient?
• If an NG tube requires potassium, what is the nurse's first action?
• After a cesarean delivery with an epidural, what is the nurse’s initial action in the post-op period?
• Which action best supports discharge planning and caregiver assistance?
• If a nurse enters a late entry, is this correct and what should be included?
• Which patient is at highest risk for suicide based on the provided risk factors (age, cancer, divorce, alcoholism, living alone, past attempt)?
• If a patient declines a blood transfusion due to religious beliefs, what should the nurse do?
• When examining the ear with an otoscope, what does the tympanic membrane normally look like?
• An adolescent who locks himself in a room after school presents a communication challenge. What is the most appropriate initial action for the mother?
• Which statement best reflects a standard precaution when administering medications with a blood product?
• A community nurse has a full workload and cannot see all patients. What is an appropriate step?
• Mr. Wagner, 68, suddenly develops chest pain radiating to the left arm 5 days after a mild myocardial infarction. What should the nurse do first?
• Which client is most at risk for developing delirium?
• Lochia alba is best described as which color?
• Which sign is most indicative of portal hypertension in cirrhosis?
• After an RPN discontinues an IV, what should be done next?
• When responding to a patient expressing despair, which statement demonstrates therapeutic communication?
• If a patient is administered a medication they are allergic to, what should the nurse do next?
• Post bilateral knee amputation, what is the nursing priority?
• Breastfeeding over formula can provide passive immunity to the infant against some infections.
• Which statement reflects a patient rights principle during admission?
• What is the most common complication of peritoneal dialysis?
• A condition described as deficiency of plasma protein is best represented by which option?
• In asthma, wheezing and dyspnea are most directly due to which pathophysiological feature?
• In acute care for a COPD patient presenting with dyspnea, which action is most appropriate initial management?
• What term describes the failure of a nurse to supervise medication administration appropriately, resulting in potential harm?
• A nurse notices that a patient’s heart rate is severely elevated after abdominal surgery; what is the priority concern and assessment?
• A nurse walks into a client's room and finds him on the floor unharmed. What is the nurse's first step?
• What is an appropriate approach to addressing personal hygiene concerns in a shared space?
• What does an interstitial IV site look like?
• What is the most concerning adverse effect for a client receiving morphine?
• If a patient does not have complete understanding of the surgical procedure, what should the nurse do?
• In diabetic ketoacidosis, monitoring ECG is important to identify complications related to which electrolyte disturbance?
• Which of the following is a sign of orthostatic intolerance or dehydration due to diuretics that should be reported?
• Which step best supports reducing heat loss for a newborn immediately after birth?
• For a patient with congestive heart failure, what is the priority assessment that guides therapy?
• How should a nurse respond when family members ask if a patient will die in the next few days?
• Ollie is 14 years old, quadriplegic following a gymnastics injury, hospitalized for a UTI. Which access will help her to get assist from nursing staff?
• A patient with a central venous catheter shows signs that could indicate air embolism. Which symptom would be most concerning?
• When discontinuing an IV infusion, what is the most important safety step?
• Which walker-related guideline is supported for safety after knee surgery?
• The term 'palliative care' primarily focuses on what aspect of care?
• A pregnant woman in her third trimester reports a severe headache for two days. What is the plan of action?
• After kidney removal, which practice best supports fluid balance monitoring?
• In a new agency, the policy requires documenting after each patient. The nurse used to chart at the end of shift and finds the new method more effective. How should she proceed?
• Which method is most appropriate to assess for partial obstruction of the carotid artery?
• In labor, what does contraction frequency refer to?
• Phenylketonuria (PKU) is a rare inherited disorder that causes a buildup of which molecule?
• Lisa 19 years old has been admitted with hep B, she wants a cigarette but doesn't have money to buy any. Lisa is getting agitated and asks to go outside the hospital for a few minutes. What should the nurse say?
• The nurse's intervention in a resident's behavior suggests the resident is attempting to
• What is the antidote for warfarin (Coumadin) overdose?
• What is the best step to preserve trust when you must reschedule a home visit?
• If an IV infusion seems to have delivered more than expected since 0700, what is the initial nursing action?
• Home health nursing aims to enhance clients' capacity for which activity?
• In suspected infection, what sequence should be followed regarding sample collection and antibiotic therapy?
• During a practical nurse consolidation break, what is expected of the student?
• What is the correct mode of transmission for hepatitis B?
• C. difficile is a bacterium that causes diarrhea and colitis. What precautions are mentioned to prevent its spread?
• In a patient on insulin who skipped a meal, within which window is hypoglycemia most likely to occur?
• Which biomarker is commonly used to diagnose a myocardial infarction?
• Nurse asks rich patient to make donations for a new pump. Is this acceptable?
• If a client needs a blood transfusion, which act is the nurse's responsibility?
• What is considered a good diet for elderly clients?
• Which are social determinants of health contributing to higher COPD and asthma rates among Indigenous people?
• A third-trimester patient experiencing an intense headache should be referred to whom?
• A nurse is admitting a 47-year-old post-op patient with IV Ringer lactate 100 ml/hr, O2 4 L via nasal cannula, and a narcotic given 1 hour ago with nausea. What is the priority assessment as the patient is transferred to the unit?
• Children attending schools must have vaccines.
• Wheezing is most commonly caused by what physiological change?
• Before discharge, a nurse teaches a school-aged child with type 1 diabetes who self-administers insulin. Which preparation is essential before practicing actual injections?
• BUN levels primarily reflect which body function?
• What sign indicates a functioning arteriovenous fistula for dialysis?
• Which action best demonstrates ongoing monitoring after initiating oxygen therapy for a COPD patient in the ER?
• What is the term for a low white blood cell count?
• Not managing depression can cause which of the following, according to the material?
• A client gave birth five days ago. What kind of lochia is the nurse expecting to see with this woman?
• Which mechanism is primarily responsible for heat loss when a newborn is moist and exposed to air?
• The RPN forgets to give the client the ordered analgesics; the client's pain score is 10 and the patient and family are upset. What is the best action?
• Which statement indicates understanding the expected effects of benzodiazepine?
• PKU screening is typically performed when?
• In a ward, a nurse speaks loudly and visitors overhear. Which action is most appropriate to protect patient confidentiality?
• Newborn vaginal leakage is caused by maternal hormones. Which hormone is most commonly associated with this phenomenon?
• In kidney failure with a low GFR, which lab value is most concerning?
• Which medication is a priority in the management of congestive heart failure?
• When a patient invites a nurse to dinner, what is the appropriate boundary?
• A nurse Responding to a daughter who does not want her mother to go to a nursing home at discharge, saying she is the only child and is tired and frustrated. How should the nurse respond?
• A patient with an NG feeding tube has nasal mucosa inflammation at the insertion site; the other naris is patent. What is the best action?
• In which scenario is it appropriate to initiate a urinary catheter?
• After childbirth, when does the menstrual cycle typically resume in non-breastfeeding mothers?
• Which medication is used to manage agitation in alcohol withdrawal?
• A nurse walks into a client's room and finds the client on the floor unharmed with bed rails up. How should the nurse document?
• Which of the following characteristics is associated with acute grief?
• A Jehovah's Witness does not want any blood or blood products transfused. What should the nurse do?
• On a medical unit with five clients, one needs a dressing change, another needs a shower, another needs teaching about a stoma, and the nurse must review all labs. Which task should be done first?
• Which vital sign change is most concerning after significant postpartum blood loss?
• Which statement best defines a good community?
• For a patient on a PCA pump who experiences nocturnal pain, what pre-bed dosing instruction should the nurse provide?
• At 18 months, which developmental finding would be cause for concern?
• What is a common cause of urinary tract infection in hospitalized patients?
• Benzie 48 years old is receiving intravenous antibiotic treatment. What should the nurse do in regard to IV equipment?
• What is the newborn head circumference measurement listed in the material?
• Mrs. SIA 83 years old has to be sent back to long term care facility after replacement of her left hip. On the day of discharge she complains of pain. On assessment the left leg was shorter and foot turned inward. What should the nurse do?
• How would a nurse determine the patency of a fistula used for dialysis?
• In a client with a long-bone fracture, which finding suggests fat embolism?
• Mr. Cola 75 years old tells the RPN in urgent care that he was vomiting horribly all night long and he couldn't keep anything down. What would be the nurse best initial question?
• What is the correct practice to prevent aspiration when administering injections?
• Besides exercise, which lifestyle change is noted as important for anxiety management?
• Two weeks after a myocardial infarction, which laboratory value shows muscle damage?
• A newborn girl has vaginal discharge on her diaper. What should the nurse tell the parents?
• On the psychiatric unit, a patient with schizophrenia has become manic, is frantic, and is naked. What should the RPN do first to protect safety while preserving dignity?
• A manic patient requires constant supervision. What is the recommended nursing approach?
• Which symptom is most characteristic of fat embolism syndrome after a fracture?
• What is the best action when a patient refuses a midnight antibiotic and asserts they have already taken their pills?
• Two weeks after a myocardial infarction, which blood work is elevated?
• Weber test uses which instrument?
• Which factor is a risk for systemic adverse effects from topical corticosteroids?
• In a long-term care facility, a female coworker yells at a resident and says she will not get him up in the chair. What should the nurse do?
• Which statement describes a normal tympanic membrane?
• Which action is appropriate regarding patient information confidentiality?
• A 16 year old excited telling his parent that he was offered a part time job. Which response is a problem-solving approach by his parents?
• Which neurotransmitter is described as playing a role in mood regulation and depression?
• Passive immunity in newborns is provided through which mechanism?
• Which electrolyte abnormality can increase the risk of digoxin toxicity?
• When is puberty education introduced to girls by a community nurse?
• Which discharge education point should be included for a client who has heart failure?
• Which statement best describes the passive immunity provided to infants through breastfeeding?
• If a patient’s NG tube requires potassium, what should the nurse do first?
• Which activity is best for someone with osteoporosis who has knee pain?
• What is the priority assessment for a suspected myocardial infarction (MI)?
• A hospitalized toddler who previously drank from a cup now refuses to drink from anything except a favorite bottle. This behavior is best understood as which coping mechanism?
• A patient with an NG feeding tube inserted one week ago develops inflammation of the nasal mucosa and pain at the insertion site. The other naris is patent. What is the best action now?
• Which action should be taken after removing an IV catheter to prevent bleeding?
• A client is taking digoxin. Which lab value is most important to check regularly?
• Which factor is most likely linked to urinary tract infection in hospitalized patients?
• In developing a care plan for a client with an ORIF of a fraction with a post cast application, what is the priority nursing diagnosis?
• What is the newborn head circumference value listed in the material?
• Which scenario represents negligence in patient care?
• When preparing an NG tube medication, what is the first thing the nurse should do?
• A mother reports discharge from the nipple while breastfeeding. What is the appropriate nursing response?
• When assessing a client with kidney failure, the nurse suspects hyperkalemia based on the client's symptoms. Which of the following are signs of hyperkalemia that should be reported to the doctor?
• A unit staff discusses a vacation schedule; which statement demonstrates successful conflict management?
• Which duration is commonly recommended for the nitrate-free interval with long-acting nitrates?
• In labor, a station of +1 indicates what about the position of the presenting part?
• In a confidentiality scenario, which option is the most appropriate response when asked to access a relative's test results?
• Form 1 for mental health indicates that the patient undergoes which process?
• A visitor asks about a patient’s condition. What is the best approach?
• A new mother is stressed because the baby is not sleeping. What should the nurse ask to address support?
• For a patient who has been vomiting, what data should the nurse collect?
• A three-year-old preoperatively will need restraints to stop pulling an NG tube out. Consent has been given by the parents preoperatively. Should the nurse apply the restraints?
• Which organ is most likely the source of pain in the lower right quadrant?
• Which statement defines palliative care?
• A patient on Form 1 is not allowed to leave the unit. Which statement shows understanding of the restriction?
• A patient with schizophrenia on respridol and high-potency PRN antipsychotics develops fever, muscle rigidity, and confusion. What is the probable cause and the most appropriate initial nursing action?
• Which term describes unstable angina?
• A patient on multiple medications reports many side effects. Which question helps determine if the side effects relate to proper use?
• Before administering digoxin, which vital sign is most important to check?
• Which statement demonstrates a constructive approach to conflict in a healthcare team?
• What needle gauge is required for a subcutaneous injection?
• In pediatric care, restraints can be used to prevent removal of a tube by a child. Whose consent is required?
• A client on insulin (Novolin) did not eat breakfast. When is hypoglycemia most likely to occur after the dose?
• A school nurse is educating children about hand hygiene. This activity represents which level of prevention?
• Which finding would best suggest that dyspnea is related to heart disease rather than a primary respiratory problem?
• In a long-term care facility, which change is typically required to authorize nurses to administer oxygen in certain circumstances under applicable regulations?
• In addressing caregiver fatigue during discharge planning, which response best supports the caregiver?
• What is an appropriate short-term pain goal after open reduction and internal fixation of the left hip?
• If a patient refuses medications and says he wants to pray, what should the nurse do?
• Which test is used to screen for an inborn error of metabolism in a newborn?
• Which action is most appropriate for a postoperative patient who reports moderate pain: administer analgesic as prescribed and reassess in 20 minutes; or other options?
• Following a stroke, if a patient shows coughing during swallowing, what is the appropriate next step?
• When a fever of unknown origin prompts culture before antibiotics, which action should the nurse take?
• A practical nurse gives oxygen to a patient in the emergency room. What should be checked first to verify proper medication administration timing?
• Nursing student has not been educated about the IV procedure yet but the nurse tells the student that she will teach and guide her through it.
• After birth, the newborn is dried and wrapped to prevent heat loss by which mechanism?
• After a hernia repair, what is the best option for managing pain when ambulating?
• In a patient with profuse vomiting and diarrhea, what is the nurse most concerned about?
• Phenylketonuria (PKU) is a rare inherited disorder that causes a buildup of which amino acid in the body?
• MRS. oviskan 62 years old has an NG tube and requires liquid potassium to be administered. What should the nurse do first?
• Which medication is a nurse most concerned about for a client with asthma?
• Mr. Cribb, 44, has Crohn’s disease and is on total parenteral nutrition. He asks the nurse what his electrolyte results are today. What is the nurse’s best course of action?
• Which combination of newborn findings should prompt immediate reporting to the supervisor?
• Which finding would indicate normal gastrointestinal activity during abdominal assessment?
• Why is it important for a nurse to prevent air from entering IV tubing?
• What is the priority infection-control practice to protect patients with congestive heart failure?
• A nurse who is three months pregnant is caring for an HIV-positive patient. What should she do?
• Which statement best describes evidence-based practice?
• Which action is an appropriate response when a patient refuses a medication due to side effects?
• Temperature of 38°C after a myocardial infarction is most likely caused by what?
• A patient has a leaking colostomy; after attempts to help, how should the nurse proceed?
• A nurse hasn’t worked in the surgical unit for years. Which step is appropriate to rejoin practice?
• For a practical nurse assigned to a paranoid schizophrenia patient, which approach is most appropriate?
• Which professional is described as the person who helps with meals and personal care for an elderly client living at home?
• Which sequence best describes the nurse's approach to teaching a UCP to suction a tracheostomy for a stable patient with a long-standing tracheostomy?
• What is the first step when administering a potassium-containing product through an enteral tube?
• Which of the following is a standard of safe administration?
• Which blood product is typically used to treat anemia in a patient with edema or fluid overload?
• In suspected neuroleptic malignant syndrome, what is the immediate priority?
• Which of the following is a sign of hypokalemia?
• Which statement about topical corticosteroids in acute dermatitis is true?
• Which statement best describes unstable angina?
• The nurse has five patients: two day-one post-op, two fresh out of surgery, and one with dementia. One fresh post-op starts bleeding, the demented patient climbs out of bed, and another day-one post-op patient complains of pain. What is the nurse's first action?
• What is the proper hand hygiene before handling an IV line?
• What protective equipment and precautions are required when suctioning a client with active tuberculosis?
• Mrs. Orie, 24 years old, recently had a C-section with an epidural and has just entered the post-op room. What is the nurse’s initial action?
• An elderly client says, 'I have nothing to live for.' Which response demonstrates therapeutic communication?
• The nurse encounters an IV setup issue at a patient's home because RPNs are not allowed to start IVs. What is the appropriate action?
• To maintain safety for a patient with mania who requires constant attention, what staffing approach is recommended?
• A nurse realizes she didn't advocate well enough for her patient during a family conference. What should she do?
• When the nurse receives a blood product from the blood bank, what must she check?
• What is the primary reason to advocate changes in the indwelling catheter process in a hospital?
• The PRN nurse is caring for a client with AIDS. What type of precautions would be needed?
• After a patient falls and is unharmed, which statement should be included in the chart?
• Before administering liquid potassium via NG tube, which action is most appropriate first?
• For a teen mother expressing stress about breastfeeding, what is the nurse's best initial response?
• Which statement best reflects the interpretation of nipple discharge in a breastfeeding mother?
• In end-stage renal disease management, which treatment is commonly discussed with patients?
• A non-breastfeeding mother reports sore breasts. How should the nurse respond?
• The client is concerned that his pain after ORIF of the left hip 2 days ago will never go away. Which of the following is an appropriate short-term goal for the client?
• If a patient claims to have already taken a prescribed medication, what is the most appropriate first step to avoid duplication?
• Which method is most appropriate for bladder training in a cognitively impaired older adult?
• An adult with type 1 diabetes wakes up at night shaking. Which action by the nurse will prevent a hypoglycemic event during the night?
• If staffing shortages threaten patient care, what is an appropriate action?
• Which color change indicates late postpartum hemorrhage?
• In a patient with cirrhosis and portal hypertension, which finding is most indicative of portal hypertension?
• A charge nurse allows a nursing student to perform an IV on a patient even though the student has not learned IVs in their lab course and did not inform the charge nurse. This situation is considered what?
• What is the recommended practice for PCA dosing before bedtime?
• What is the most common complication of peritoneal dialysis?
• An elderly person wants to continue living alone but cannot take care of himself. What is the most appropriate suggestion from the practical nurse?
• A patient with fever of unknown origin has cultures ordered (urine and blood) and a broad-spectrum antibiotic. What should the nurse do?
• The daughter is exhausted about placing mother in long-term care; what should the nurse do?
• If a patient refuses medication but indicates a need to pray, what should the nurse do?
• Which action indicates abusive power in a nurse-client relationship?
• Which finding is associated with pulmonale (cor pulmonale)?
• What should the RPN do next when a client asks to speak to another RPN due to comfort?
• A patient develops hives during an IV penicillin infusion. Which action is appropriate?
• Which of the following acts can a nurse initiate?
• A newborn is quickly wrapped to prevent heat loss. What mechanism of heat loss is being addressed?
• If a patient does not question or understand about the surgery, what should the nurse do?
• Which statement reflects best practice for a school-age child with asthma to engage in regular activity?
• The emergency management of a client with chest pain focuses on which of the following priority goals?
• A patient with metastatic cancer on a palliative care unit shows rapid pulse, mottled skin, labored breathing, and profuse perspiration. What is the nurse's most important action?
• What is the expected effect onset for a benzodiazepine?
• A mother of a 7-month-old baby demonstrates good learning about feeding her baby when she says which of the following?
• In the ED, a patient with suspected left lower extremity fractures and a pain score of 10: what is the most important initial action?
• The nurse is taking Mr. Hunter for a walk and is using a transfer walking belt for safety and support. Mr. Hunter became weak and begins to fall. What is the safest action for the nurse to take?
• The client draws back when the nurse reaches over the side rails to take his blood pressure. What should the nurse do?
• Which statement indicates to the nurse on a postpartum home visit that the patient understands the signs of late postpartum hemorrhage?
• The client with AIDS requires specific precautions. Which of the following best matches recommended precautions?
• Pain in a hemodialysis fistula is most likely caused by which condition?
• To prevent or control the most common complications of myocardial infarction, what is essential?
• With a practical nurse's shift ending and charting incomplete, what is the appropriate action?
• Translate the obstetric measures 5 cm, 50%, and +1 in a laboring woman.
• After a knee replacement, what is the safest way to rise from bed using a walker?
• Which option correctly identifies a sign associated with asthma?
• What drug is not given for chronic pain?
• C. difficile precautions to prevent transmission are best described as which of the following?
• Which symptom would prompt monitoring for deep vein thrombosis in an immobilized patient?
• Which action demonstrates maintaining professional boundaries in nurse-patient interactions?
• A 15-year-old girl calls the clinic asking about abortion after unprotected sex the night before. What should the nurse do?
• Which statement reflects proper disposal after discontinuing IV therapy?
• For safe practice, a nursing student should perform IV insertion only after what condition is met?
• In a long-term care setting, the family invites the nurse to dinner. How should she respond?
• A postpartum patient asks when menstruation typically resumes after birth. Which response is most accurate?
• When assessing the client's abdomen, which finding is considered normal?
• Which signs indicate IV infiltration?
• What documentation accompanies the blood product obtained from the blood bank?
• The blood product albumin is most appropriate for a client with which condition?
• A client with an NG tube is to receive medication through the tube. Which statement demonstrates best understanding?
• Which statement explains why dosing adjustments may be necessary for medications in chronic kidney disease?
• For long-acting nitrates, what is the recommended nitrate-free interval?
• A nurse who waits until the second bell to assist a patient demonstrates which leadership style?
• What is a sign of asthma?
• Which statement best explains why daily weights are important in heart failure management?
• Which statement about feeding an infant at 7 months reflects appropriate practice?
• In which position should a patient be placed to void while using a bedpan?
• Mr. Campion, 73, recently diagnosed with CVA. When the nurse feeds him, he coughs after every swallow. What is the nurse's best course of action?
• Is it appropriate for a nurse to solicit a donation of an IV pump from a patient?
• A nurse on a unit frequently administers fractional doses of medication but is not confident in math. What is her best action?
• A client admitted to a psychiatric facility after multiple suicide attempts should be managed with which initial precaution?
• A client with depression refuses to participate in activities. A highly enthusiastic approach by the nurse may produce which effect?
• In an ER patient with possible fractures and a pain score of 10, what is an important nursing action?
• What is the nurse's obligation when suspecting possible sexual abuse of a child?
• Which statement best describes a key component of preventing dialysis complications?
• Which cranial nerve is primarily responsible for facial sensation and chewing?
• For a patient with dysphagia, which food is most appropriate to offer?
• A patient says the night shift nurse never gave him his medication due at 2100. What will the nurse do first to determine whether the medication was given?
• The nurse witnesses another nurse yelling at a patient. What should the nurse do?
• During history taking, a client reports difficulty swallowing. To assess the appropriate cranial nerve, the nurse should observe which response?
• A postoperative abdominal surgery patient who is NPO has an IV of Ringer's solution at 124 ml/h via gravity. At 0100 you find 150 ml has been infused since 0700. What is your initial course of action?
• To evaluate a suspected carotid artery obstruction, which assessment technique is preferred?
• Which of the following lab values is most concerning for immediate action?
• What should a clinician expect to find in a patient with left-sided heart failure?
• A patient with dementia is on bladder training. What should the nurse suggest?
• Which pathophysiological feature is most directly associated with wheezing in asthma?
• Which technique should be used to confirm the ability to perform a health skill after teaching?
• What does Form 1 privilege mean in mental health care?
• A fever after myocardial infarction is most likely due to which mechanism?
• Which activity should be completed first to ensure patient safety when prioritizing tasks for multiple patients?
• Late postpartum hemorrhage is defined as bleeding that occurs after delivery and before how many weeks?
• A patient being discharged after a hip replacement reports pain and notes the leg appears shorter. What is the appropriate action for the nurse?
• What is the antidote for lorazepam overdose?
• Implementing changes in catheter care is primarily aimed at reducing what outcome?
• For a patient with limited mobility, what action optimizes access to nursing staff?
• A newborn baby girl has vaginal leakage. Which statement describes the normal nature of this finding?
• A patient with fluid volume excess and low haemoglobin would most likely receive which order?
• A client with congestive heart failure arrives at the ER with a list of medications. Which medication on the list has the most implications for the client's health?
• A postoperative patient one day after nephrectomy reports pain despite analgesic; what should the nurse do first?
• Which medication acts as the antidote for benzodiazepine overdose?
• After recognizing insufficient advocacy in a family conference, which practice should the nurse adopt?
• Hand hygiene education in a school setting is an example of which level of prevention?
• Mr. Green, 19 years old, with pelvic and left-arm fractures; in car accident, catheterized while awaiting surgery; he complains of pain in his right calf. How should the nurse revise the plan of care?
• Which factor increases vulnerability to elder abuse?
• A visitor walks out of a patient room and asks the nurse how his friend is doing. How should the nurse respond?
• A hip replacement patient post-op with pain refuses ambulation. What is the best nursing suggestion?
• A patient is prescribed two pain medications. Which approach should the nurse take when the patient reports pain?
• A client has a fracture with an open reduction internal fixation (ORIF). What is the client at most risk for?
• Which of the following by the nurse is most important when a client is experiencing a panic attack?
• Which factor is a larger contributor to the increased need for and use of home care?
• Which describes the final stage of labor?
• What is the expected onset of a benzodiazepine?
• What should the nurse do after discontinuing an IV?
• Is it appropriate to supervise an uneducated nursing student through an IV procedure?
• What is the primary safety focus during school recess for children?
• What do you do first for a patient who has just arrived from recovery?
• Which action should a new nurse take when unsure about medication calculations?
• A patient with cirrhosis of the liver secondary to alcohol abuse presents with signs suggesting portal hypertension. Which assessment findings would most likely indicate portal hypertension?
• A client is admitted for a C-section. She wishes to have both her tubes tied during the surgery but does not want her husband to know. What should the nurse do?
• Which parental statement indicates further teaching is needed for a 7-year-old child with asthma?
• Which client is most likely to require a smaller-than-average opioid analgesic dose?
• A nurse is busy and forgets to do something, and the patient's family is upset. What should the nurse do?
• The nurse is speaking loudly in a shared space, and visitors can hear the conversation. What should be done?
• At which age will a community nurse introduce puberty education to a girl?
• After abdominal surgery, the client is complaining of pain. What should the nurse do?
• In a newborn assessment, which finding should be reported immediately if present?
• For a patient with a DNR order and comfort care, which action aligns with the plan?
• When auscultating the lungs, a grating sound on inspiration persists after the patient coughs and is louder over the lower lateral anterior surface. Which best explains what the clinician is hearing?
• In infection prevention for patients with congestive heart failure, which practice is emphasized?
• Which newborn finding would be considered reportable?
• A patient, 88 years old, four days post-op hip replacement, is the main caregiver for her husband with dementia. The physician has written an order for discharge today. What should the nurse do first?
• A nurse is teaching an expectant mother about breastfeeding versus formula feeding. Which statement best describes a specific immunological advantage of breastfeeding for the infant?
• In caring for a manic patient who is undressed, what is the most appropriate initial nursing action that respects dignity and safety?
• A patient arrives unconscious with a strong odor of alcohol. What should the nurse do first?
• Which practice helps monitor fluid status in a child with congestive heart failure?
• What is the nurse's first priority when a patient has just arrived on a unit post-operative?
• The patient has a temperature of 38.0 C two days after a myocardial infarction. The nurse understands this fever is most likely due to which?
• Which organization sets the standards for nursing practice in Ontario?
• How should a practical nurse handle incomplete charting at the end of a shift?
• Newborn girls sometimes have vaginal leakage that is normal. How long does this typically last?
• Which statement best describes the rights of a patient under Form 1 regarding leaving the unit?
• Which of the following is the correct description of an intervention that promotes peristalsis after abdominal surgery?
• On a pediatric unit, the policy requires that all medication doses be double-checked by another registered staff. The experienced RPN cannot find anyone to check the medication because staff are dealing with an emergency; she is only giving a laxative and has given it to this child before. What is the best course of action?
• The nurse is obtaining albumin from the blood bank. This blood product is most appropriate for a client with which condition?
• Which factor is NOT a suicide risk factor among the following?
• What is a sign that a client with asthma is getting worse?
• Postoperative priority assessment after nephrectomy (kidney removal)?
• An ileal conduit diverts urine to a reservoir formed from which part of the intestine?
• Which signs indicate hypertension in a patient with cirrhosis?
• After realizing she did not advocate properly for her client during a family conference, what should the nurse do next?
• Which sign indicates thrombophlebitis?
• A COPD client arrives in the emergency department with shortness of breath. What should the nurse do first?
• A bedridden client requires which nursing action to protect skin integrity?
• Palliative care can be provided at any stage and focuses on comfort and quality of life. Which option expresses this correctly?
• Which factor has been identified as contributing to greater use of home care services?
• If a patient asks the nurse to be their substitute decision maker, what should the nurse do?
• For a culture sensitivity test, what is the correct sequence of steps?
• Which lifestyle change is recommended after MI?
• Before handling any IV equipment, what basic practice should be performed?
• What teaching method best ensures elderly women understand how to perform breast self-examination?
• The RPN working for a community agency has been asked to teach UCP how to suction the tracheostomy of a client. The nurse determines that the client is stable and has had a tracheostomy for many years. What is the nurse's next step?
• Which blood test is used to detect muscle injury after a myocardial infarction according to the material?
• A patient cannot differentiate sharp from dull stimulation on both sides of the face. This finding most likely indicates damage to which nerve?
• Which medication is NOT an appropriate choice for pain management?
• What is the best way to assist a quadriplegic patient?
• When a client in a mental health group therapy experiences sudden doom, shortness of breath, and chest pain, what is the best course of action?
• A coworker wants to view a patient’s family member electronic health record to check a diagnostic result. What should the RPN do?
• In emergency management of chest pain, which goal is prioritized?
• What is the purpose of a hand washing audit on a hospital unit?
• Which statement indicates the patient understands the signs of postpartum hemorrhage?
• Which document records the timing and dosing of medications administered to a patient?
• Which change in brain biochemical function is most associated with suicidal behaviour?
• An 82-year-old woman in the community who is physically weak and needs help with meals and self-care asks about long-term care options. What is the best response?
• Which statement demonstrates the therapeutic communication technique of remaining 'empathy neutral'?
• A nurse administered docusate sodium 100 mg to the wrong patient. What is the most appropriate immediate action?
• To prevent serious complications of peritoneal dialysis, patient education should include which topic?
• Which statement best reflects the role of palliative care in clinical practice?
• If a new agency policy requires documenting after each patient, what is the correct course of action?
• During a tonic-clonic seizure, what should the nurse do first?
• To perform a Weber test, which instrument is required?
• Which finding is most consistent with cor pulmonale?
• Which sign indicates a possible hip dislocation after a hip replacement?
• When a new nurse asks how to proceed with a patient who has schizophrenia, what interaction approach is recommended?
• A visiting health nurse had to deal with a client emergency and this has put her behind in a schedule visit today. What should the nurse do to maintain trust with the client?
• What is the best course of action when a consolidation student is told to assess a client and the client has new findings requiring physician notification?
• A patient has just vomited. What is the first thing the nurse should do?
• A client diagnosed with bipolar disorder is in a manic phase and becomes more active, irritable, and intrusive. Which nursing intervention is therapeutic in this situation?
• A post-operative patient requires narcotics, but there is a miscount at the narcotics cabinet. How should the nurse proceed?
• Which approach has been shown to be an effective deterrent to suicide in Indigenous communities?
• Which topic is important for a client experiencing anxiety disorder as a lifestyle health approach?
• Which action demonstrates professional accountability when performing medication calculations?
• The charge nurse tells nursing student that the woman's contraction is 10 minutes apart. How is the frequency of labor contractions determined?
• Which of the following is a sign of hypokalemia?
• Which biochemical factor is described as playing a role in depression in the material?
• Mrs. Cherry, 32, in the emergency department with abdominal cramps, diarrhea, vomiting, and abdominal distention. The physician orders lab tests. Which result will the nurse be most interested in?
• Patient refuses medications.
• Which vaccine can be given to a pregnant woman?
• An ileal conduit diverts urine from the upper urinary tracts to a reservoir formed from which portion of the intestine?
• Which knowledge is necessary to teach patients with chronic kidney disease about medications?
• Which of the following is a typical finding for left-sided heart failure?
• A patient being discharged after hip replacement reports leg length discrepancy. What is the appropriate action?
• Which client is at most risk for elder abuse?
• A client refuses prescribed medications, citing belief in prayers and plans to pray instead. How should the nurse proceed?
• A mother sees her boyfriend leaving her 7-year-old daughter's bedroom; how should the nurse proceed?
• What is a key safety teaching when a patient uses a walker?
• A practical nurse is running late and wants to preserve relationships with patients. What should she do?
• Which precaution is required for airborne infections such as active TB?
• A patient using a PCA pump reports pain at night. Which sequence describes the proper nursing response?
• A patient with body odor in a shared space feels embarrassed. What is an appropriate action?
• Which set of vaccines is specified as required for children attending school?
• A client receives an IV penicillin infusion and reports itchiness with hives on the back and neck. What is the nurse's immediate action?
• The nurse notices a client slap her child in the waiting room. What should the nurse do?
• A community nurse has a full caseload and cannot see all patients. What should she do?
• What is the Weber test?
• Which approach best supports autonomy for clients in home health care?
• Mrs. gengie, age 92, has bilateral below-the-knee amputation due to peripheral vascular disease and diabetes. Which action should the nurse perform during the initial post-op period?
• What should Frank advise Connie to do about bullying by the nursing manager on the unit?
• A client in end-stage renal failure should be educated about which treatment option?
• Which of the following should the nurse report immediately if noted during initial assessment of newborn?
• What is a safe approach to nocturnal hypoglycemia prevention in a patient with type 1 diabetes?
• An 81-year-old female admitted to rehabilitation after knee replacement is very anxious and refuses to get out of bed, stating it’s too painful. What is the best course of action?
• A client is hypoglycemic (blood sugar 3.1) and is not yet to receive the morning insulin. What should the nurse do first?
• After vaginal birth with 1500 mL blood loss, which monitoring parameter is most important to assess?
• Which statement about evidence-based practice is true?
• Mr. van Alfin, a 66-year-old admitted with congestive heart failure, develops crackles in the lower lobes and shortness of breath. Which medication would best relieve the priority problem?
• What is the correct sequence of the stages of labour?
• Unstable angina is best described as?
• Which statement explains why newborn vaginal discharge is seen after birth?