(*1*)Preparation For RN Exam-756 QA, RN Exam(Version 1 to Version 7) RN Exam V1-V7, Updated 2020 – 2021
RN Exam-756 QA, RN Exam(Version 1 to Version 7) RN Exam V1-V7
RN Exam-756 QA, RN Exam (Version 1 to Version 7) RN Exam V1-V7, Authentic document for achieving high scores | Latest 2020/2021 ) RN Exam-756 QA, RN Exam (Version 1 to Version 7) RN Exam V1-V7, Authentic document for achieving high scores | Latest 2020/2021 1. After providing discharge instructions, a male patient with duodenal ulcer mentions that he plans to consume plenty of dairy products like milk to protect his ulcer. What should the nurse do next? a- Remind the patient about switching to decaffeinated coffee and tea. b- Advise the patient to have frequent small meals to reduce discomfort c- Discuss with the patient the importance of avoiding foods high in milk and cream. d- Strengthen the teaching by requesting the patient to name a dairy food he might prefer. Rationale: Diets rich in milk and cream can stimulate gastric acid secretion and should be avoided. 2. A male patient with high blood pressure, who received new antihypertensive medications at his last visit, returns to the clinic two weeks later for a blood pressure check. His BP is 158/106, and he confesses that he hasn’t been taking the prescribed medication because it makes him feel unwell. When explaining the importance of hypertension control, the nurse should emphasize that elevated BP exposes the patient to which pathophysiological condition? a- Blindness due to cataracts b- Acute kidney injury from glomerular damage c- Stroke from hemorrhage d- Heart block caused by myocardial damage Rationale: Stroke related to cerebral hemorrhage is a significant risk of uncontrolled hypertension. 3. The nurse observes an unlicensed assistive personnel (UAP) positioning a newly admitted patient with a seizure disorder. The patient is lying down, and the UAP is placing soft pillows along the side rails. What should the nurse do? a- Ensure the UAP has effectively placed the pillows to protect the patient. b- Instruct the UAP to get soft blankets to secure to the side rails instead of pillows. a- Take responsibility for positioning the pillows while the UAP completes another task. b- Request the UAP to use some of the pillows to prop the patient in a side-lying position. Rationale: The UAP should pad the side rails with soft blankets as pillows can lead to suffocation and must be removed at the onset of a seizure. Delegating padding the side rails to the UAP is appropriate. 4. A teenager with major depression has been taking duloxetine (Cymbalta) for the past 12 days. Which assessment finding requires immediate follow-up? a- Expresses life with no purpose b- Complains of nausea and loss of appetite c- Reports feeling fatigued and drowsy d- Shows an increase in sweating. Rationale: Cymbalta, a selective serotonin and norepinephrine reuptake inhibitor, is known to increase the risk of suicidal thoughts in adolescents and young adults with major depressive disorder. B, C, and D are side effects. 5. A 60-year-old female patient with a family history of ovarian cancer has developed an abdominal mass and is being evaluated for potential ovarian cancer. Her Papanicolaou (Pap) smear results are negative. What information should the nurse include in the patient’s teaching plan? a- Further evaluation involving surgery may be necessary b- A pelvic exam is also needed before ruling out cancer c- Pap smear assessment should continue every six months d- One additional negative pap smear in six months is required. Rationale: An abdominal mass in a patient with a family history of ovarian cancer needs careful evaluation. 6. A patient who recently underwent a tracheostomy is being prepared for discharge home. Which instruction is most vital for the nurse to include in the discharge plan? a- Explain how to use communication tools. b- Educate on tracheal suctioning techniques c- Promote self-care and independence. d- Demonstrate how to clean the tracheostomy site. Rationale: Suctioning helps clear secretions and maintain an open airway, which is crucial. 7. While assessing an adult patient with a partial rebreather mask, the nurse notices that the oxygen reservoir bag doesn’t fully deflate during inhalation, and the patient’s respiratory rate is 14 breaths per minute. What action should the nurse take? a- Encourage the patient to take deep breaths b- Remove the mask to deflate the bag c- Increase the oxygen liter flow rate d- Document the assessment findings Rationale: The reservoir bag should not fully deflate during inhalation, and the patient’s respiratory rate is within normal limits. 8. During a home visit, the nurse witnesses an elderly patient with diabetes slip and fall. What should the nurse do first? a- Provide the patient with 4 ounces of orange juice b- Call 911 for emergency assistance c- Check the patient for lacerations or fractures d- Assess the patient’s blood sugar level Rationale: Following a fall, the nurse should promptly assess for potential injuries and give first aid as necessary. 9. At 0600 while admitting a woman for a scheduled repeat cesarean section (C-Section), the patient informs the nurse that she drank a cup of coffee at 0400 to avoid getting a headache. What should the nurse do first? a- Ensure preoperative lab results are available b- Initiate prescribed IV with lactated Ringer’s c- Notify the anesthesia care provider d- Contact the patient’s obstetrician. Rationale: The surgical preoperative protocol includes NPO after midnight on the day of surgery to reduce the risk of aspiration if vomiting occurs during anesthesia. While the C-section may proceed as scheduled or be rescheduled for later in the day, notifying the anesthesia provider is the first step. 10. After placing a stethoscope as shown in the picture, the nurse listens to S1 and S2 heart sounds. To determine if an S3 heart sound is present, what should the nurse do first? a- Position the stethoscope across the sternum. b- Move the stethoscope to the mitral site c- Listen with the bell at the same location d- Observe the cardiac telemetry monitor Rationale: The nurse uses the bell of the stethoscope to listen to low-pitched sounds like S3 and S4. The nurse starts by listening at the same site using both the diaphragm and bell before systematically moving to the next sites. 11. A 66-year-old woman is retiring and will no longer have health insurance through her workplace. To where should the patient be referred by the employee health nurse for health insurance needs? a- Women, Infants, and Children program b- Medicaid c- Medicare d- Consolidated Omnibus Budget Reconciliation Act provision. Rationale: Title XVII of the Social Security Act of 1965 established the Medicare Program to provide medical insurance for individuals aged 65 or older, disabled, or with permanent kidney failure. WIC offers supplemental nutrition for pregnant or breastfeeding women, infants, and children up to age 6. Medicaid provides financial assistance to cover medical services for low-income elderly adults, the blind, disabled, and families with dependent children. COBRA(D) health benefit provisions are a temporary insurance plan for those who have been laid off or become unemployed.
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