RSNG2121 Exam Preparations Solutions, Questions With Answers Best RATED A+ 2023 Updates, Exams of Nursing

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RSNG2121 Exam Preparations Solutions,

Questions With Answers Best RATED A+ 2023

Updates

Question 1 See full question 47s

A client with diabetes mellitus has a foot ulcer. The physician orders bed rest, a wet-to- damp dressing change every shift, and blood glucose monitoring before meals and at bedtime. Why are wet-to-damp dressings used for this client? You Selected:

• They debride the wound and promote healing by secondary intention. Correct response:
• They debride the wound and promote healing by secondary intention. Explanation: Remediation: Add a Note

Question 2 See full question 45s

A health care provider (HCP) has been exposed to hepatitis B through a needlestick. Which drug should the nurse anticipate administering as postexposure prophylaxis? You Selected:

• hepatitis B immune globulin Correct response:
• hepatitis B immune globulin Explanation: Remediation: Add a Note

Question 3 See full question 59s

The nurse is evaluating the laboratory results of a client who was recently admitted to the hospital. Which result indicates the presence of inflammation? You Selected:

• leukocytosis Correct response:
• leukocytosis Explanation: Remediation: Add a Note

Question 4 See full question 35s

The nurse is admitting a child who has been diagnosed with bacterial meningitis to the pediatric unit. The nurse should implement which type of isolation? You Selected:

• droplet precautions Correct response:
• droplet precautions Explanation: Remediation: Add a Note

Question 5 See full question 2m 1s

Interferon alfa-2b has been prescribed to treat a client with chronic hepatitis B. The nurse should assess the client for which common adverse effects? You Selected:

• flulike symptoms Correct response:
• flulike symptoms Explanation: Remediation: Add a Note

Question 6 See full question 19s

The client with acute lymphocytic leukemia (ALL) is at risk for infection. What action should the nurse take?

You Selected:

• Place the client in a private room.

Correct response:

• Place the client in a private room. Explanation: Remediation: Add a Note

Question 7 See full question 3m 55s

A client who's receiving chemotherapy for breast cancer develops myelosuppression. Which instructions would the nurse include in the client's discharge teaching plan? Select all that apply. You Selected:

• Avoid crowded places such as shopping malls.
• Avoid people who have recently received live vaccines.
• Avoid activities that may cause bleeding.
• Wash hands frequently. Correct response:
• Avoid people who have recently received live vaccines.
• Avoid activities that may cause bleeding.
• Wash hands frequently.
• Avoid crowded places such as shopping malls. Explanation: Remediation: Add a Note

Question 8 See full question 1m 21s

A client is admitted to the oncology unit with an infection. It is suspected that the infection may be related to the vascular access device (VAD). The nurse should draw the blood cultures from which site? You Selected:

• a peripheral site only

Correct response:

• a peripheral site and all lumens of the VAD Explanation: When an infection is suspected from a VAD, blood cultures should be drawn peripherally and from all lumens of the VAD to determine the source of the infection. If the number of organisms is greater from the VAD than in the peripheral culture, the source is determined to be the VAD. Remediation: Add a Note

Question 9 See full question 26s

Which nursing intervention is most appropriate for a client with multiple myeloma? You Selected:

• Preventing bone injury Correct response:
• Preventing bone injury Explanation: Remediation: Add a Note

Question 10 See full question 26s

An oncology clinic nurse is reinforcing prevention measures for oropharyngeal infections to a client receiving chemotherapy. Which statement by the client indicates that teaching was successful? You Selected:

• "I clean my teeth gently several times per day." Correct response:
• "I clean my teeth gently several times per day." Explanation: Remediation: Add a Note

Question 11 See full question 2m 26s

A nurse assesses a client in the physician's office. Which assessment findings support a suspicion of systemic lupus erythematosus (SLE)? You Selected:

• Facial erythema, pericarditis, pleuritis, fever, and weight loss Correct response:
• Facial erythema, pericarditis, pleuritis, fever, and weight loss Explanation: Remediation: Add a Note

Question 12 See full question 37s

A nurse is caring for a client with multiple myeloma. Which laboratory value is the nurse most likely to see? You Selected:

• Hypercalcemia Correct response:
• Hypercalcemia Explanation: Remediation: Add a Note

Question 13 See full question 4s

When caring for a client with diabetes insipidus, the nurse expects to administer: You Selected:

• vasopressin. Correct response:
• vasopressin. Explanation: Remediation:

Add a Note

Question 14 See full question 18s

A client with a history of Addison's disease and flulike symptoms accompanied by nausea and vomiting over the past week is brought to the facility. His wife reports that he acted confused and was extremely weak when he awoke that morning. The client's blood pressure is 90/58 mm Hg, his pulse is 116 beats/minute, and his temperature is 101° F (38.3° C). A diagnosis of acute adrenal insufficiency is made. What should the nurse expect to administer by I.V. infusion? You Selected:

• Hypotonic saline Correct response:
• Hydrocortisone Explanation: Emergency treatment for acute adrenal insufficiency (addisonian crisis) is I.V. infusion of hydrocortisone and saline solution. The client is usually given a dose containing hydrocortisone 100 mg I.V. in normal saline every 6 hours until blood pressure returns to normal. Insulin isn't indicated in this situation because adrenal insufficiency is usually associated with hypoglycemia. Potassium isn't indicated because these clients are usually hyperkalemic. The client needs normal — not hypotonic — saline solution. Remediation: Add a Note

Question 15 See full question 2m 47s

Which factor is most important to assess when determining the impact of the cancer diagnosis and treatment modalities on a long-term survivor's quality of life? You Selected:

• evidence of disease Correct response:
• individual values and beliefs Explanation: Individuals with cancer have various cultural values and beliefs that help them cope with the cancer experience. Quality of life cannot be evaluated solely by quantifiable factors such as employability, functional status, or evidence of disease. It must be evaluated by the survivors within the context of their subjective and individual values and beliefs.

Add a Note

Question 16 See full question 2m 48s

The nurse teaches the client with type 1 diabetes mellitus about the importance of maintaining stable blood glucose levels. The nurse should suggest the client include which type of food to minimize the rise in blood glucose level after meals? You Selected:

• dietary fiber Correct response:
• dietary fiber Explanation: Remediation: Add a Note

Question 17 See full question 19s

A client with thrombocytopenia has just had a bone marrow aspirate performed to monitor for treatment effectiveness. Which of the following nursing interventions take priority? You Selected:

• Applying pressure to the puncture site for a full 10 minutes Correct response:
• Applying pressure to the puncture site for a full 10 minutes Explanation: Remediation: Add a Note

Question 18 See full question 1m

The client with leukemia received induction chemotherapy 2 days ago and is now reporting severe diarrhea, decreased urination, cardiac dysrhythmias, and parasthesias with tetany. Laboratory reports reveal hyperkalemia, hyperuricemia, and hypocalcemia. Which of the following actions would the nurse anticipate? You Selected:

• IV fluids to increase urine output and allopurinol to inhibit uric acid.

A client with metastatic brain cancer is admitted to the oncology floor. According to the Self-Determination Act of 1991 concerning the execution of an advance directive, the hospital is required to: You Selected:

• inform the client or legal guardian of their rights to execute an advance directive. Correct response:
• inform the client or legal guardian of their rights to execute an advance directive. Explanation: Remediation: Add a Note

Question 1 See full question 12s

A physician orders chlorzoxazone, 500 mg P.O. t.i.d for a client. The nurse knows that chlorzoxazone, a centrally acting skeletal muscle relaxant, is commonly used to treat: You Selected:

• severe muscle spasm. Correct response:
• severe muscle spasm. Explanation: Remediation: Add a Note

Question 2 See full question 1m 29s

The nurse is reviewing the laboratory results of a client with hypothyroidism. An expected finding is: You Selected:

• decreased thyroxine (T^4 ) and increased thyroid-stimulating hormone (TSH) levels. Correct response:

• decreased thyroxine (T^4 ) and increased thyroid-stimulating hormone (TSH) levels. Explanation: Remediation: Add a Note

Question 3 See full question 34s

A client with metastatic cancer of the liver tells the nurse about being concerned about the prognosis. The nurse should: You Selected:

• place emphasis on providing symptomatic and comfort measures. Correct response:
• place emphasis on providing symptomatic and comfort measures. Explanation: Remediation: Add a Note

Question 4 See full question 1m 36s

A client with bladder cancer has gross hematuria. The client’s hemoglobin is 8.0 g/dL (80 g/L), and the health care provider (HCP) prescribes a unit of packed blood cells. The client has an existing intravenous infusion of normal saline using a 19-gauge needle. To administer the packed red blood cells, the nurse should: You Selected:

• attach the packed cells to the existing 19G IV of normal saline solution using Y tubing. Correct response:
• attach the packed cells to the existing 19G IV of normal saline solution using Y tubing. Explanation: Remediation: Add a Note

Question 5 See full question 2m 12s

Which information should the nurse include when developing a teaching plan for a client newly diagnosed with type 2 diabetes mellitus? Select all that apply. You Selected:

• Initial dilated and comprehensive eye exam at the time of diabetes diagnosis is recommended by the American and Canadian Diabetes Associations.
• Good control of blood glucose levels helps prevent or delay complications. Correct response:
• Good control of blood glucose levels helps prevent or delay complications.
• Initial dilated and comprehensive eye exam at the time of diabetes diagnosis is recommended by the American and Canadian Diabetes Associations. Explanation: Remediation: Add a Note

Question 6 See full question 56s

The nurse teaches the client to report signs and symptoms of which potential complication after hypophysectomy? You Selected:

• hypopituitarism Correct response:
• hypopituitarism Explanation: Remediation: Add a Note

Question 7 See full question 53s

A client from a Mediterranean country is admitted with thalassemia, jaundice, splenomegaly, and hepatomegaly. Which should be the primary focus of nursing care for this client? You Selected:

• Decrease cardiac demands by promoting rest.

Correct response:

• Decrease cardiac demands by promoting rest. Explanation: Remediation: Add a Note

Question 8 See full question 30s

The nurse is developing a discharge plan for a client who has lymphoma. What should the nurse emphasize to the client? You Selected:

• Use analgesics as needed. Correct response:
• Use analgesics as needed. Explanation: Remediation: Add a Note

Question 9 See full question 14s

A client has had a cast applied to the arm. When discharging the client, the nurse should tell the client to: You Selected:

• smell the cast for foul odors. Correct response:
• smell the cast for foul odors. Explanation: Remediation: Add a Note

Question 10 See full question 35s

The nurse is evaluating a client in skin traction. Which observation indicates the traction is applied for maximum effectiveness?

You Selected:

• The ropes are in the wheel grooves of the pulleys. Correct response:
• The ropes are in the wheel grooves of the pulleys. Explanation: Remediation: Add a Note

Question 11 See full question 1m 10s

A 35-year-old female client is diagnosed with aplastic anemia. Which is the most important nursing measure to incorporate into the client’s plan of care? You Selected:

• Alternate periods of activity with rest to decrease fatigue. Correct response:
• Alternate periods of activity with rest to decrease fatigue. Explanation: Remediation: Add a Note

Question 12 See full question 23s

A client receiving external radiation to the left thorax to treat lung cancer has a nursing diagnosis of Risk for impaired skin integrity. Which intervention should be part of this client's care plan? You Selected:

• Avoiding using deodorant soap on the irradiated areas Correct response:
• Avoiding using deodorant soap on the irradiated areas Explanation: Remediation: Add a Note

Question 13 See full question 35s

For a client newly diagnosed with radiation-induced thrombocytopenia, the nurse should include which intervention in the care plan? You Selected:

• Inspecting the skin for petechiae once every shift Correct response:
• Inspecting the skin for petechiae once every shift Explanation: Remediation: Add a Note

Question 14 See full question 51s

A nurse is caring for a client with multiple myeloma. Which laboratory value is the nurse most likely to see? You Selected:

• Hypercalcemia Correct response:
• Hypercalcemia Explanation: Remediation: Add a Note

Question 15 See full question 46s

A clinical nurse specialist (CNS) is orienting a new graduate registered nurse to an oncology unit where blood product transfusions are frequently administered. In discussing ABO compatibility, the CNS presents several hypothetical scenarios. The new graduate knows that the greatest likelihood of an acute hemolytic reaction would occur when giving: You Selected:

• O-negative blood to an O-positive client. Correct response:

• A-positive blood to an A-negative client. Explanation: An acute hemolytic reaction occurs when there is an ABO or Rh incompatibility. For example, giving A blood to a B client would cause a hemolytic reaction. Likewise, giving Rh-positive blood to an Rh-negative client would cause a hemolytic reaction. It's safe to give Rh-negative blood to an Rh-positive client if there is a blood type compatibility. O- negative blood is the universal donor and can be given to all other blood types. AB clients can receive either A or B blood as long as there isn't an Rh incompatibility. Remediation: Add a Note

Question 16 See full question 32s

A client is admitted to the health care facility for evaluation for Addison's disease. Which laboratory test result best supports a diagnosis of Addison's disease? You Selected:

• Blood urea nitrogen (BUN) level of 12 mg/dl (0.7 mmol/L) Correct response:
• Serum potassium level of 5.8 mEq/L (5.8 mmol/L) Explanation: Addison's disease decreases the production of aldosterone, cortisol, and androgen, causing urinary sodium and fluid losses, an increased serum potassium level, and hypoglycemia. Therefore, an elevated serum potassium level of 5.8 mEq/L best supports a diagnosis of Addison's disease. A BUN level of 12 mg/dl and a blood glucose level of 90 mg/dl are within normal limits. In a client with Addison's disease, the serum sodium level would be much lower than 134 mEq/L, a nearly normal level. Remediation: Add a Note

Question 17 See full question 1m

A nurse should perform which intervention for a client with Cushing's syndrome? You Selected:

• Explain that the client's physical changes are a result of excessive corticosteroids. Correct response:

• Explain that the client's physical changes are a result of excessive corticosteroids. Explanation: Remediation: Add a Note

Question 18 See full question 1m 3s

A nurse is assessing a client with possible osteoarthritis. The most significant risk factor for primary osteoarthritis is: You Selected:

• age. Correct response:
• age. Explanation: Remediation: Add a Note

Question 19 See full question 44s

The client with acute leukemia and the health care team establish mutual client outcomes of improved tidal volume and activity tolerance. Which measure would be least likely to promote these outcomes? You Selected:

• lying in bed and taking deep breaths Correct response:
• lying in bed and taking deep breaths Explanation: Remediation: Add a Note

Question 20 See full question 26s

To combat the most common adverse effects of chemotherapy, a nurse should prepare to do which of the following?

You Selected:

• Administer an antiemetic.

Question 2 See full question 1m 2s

When discussing recent onset of feelings of sadness and depression in a client with hypothyroidism who has just started to take thyroid hormone replacement, the nurse should inform the client that these feelings are: You Selected:

• a normal part of having a chronic illness. Correct response:
• most likely related to low thyroid hormone levels and will improve with treatment. Explanation: Hypothyroidism may contribute to sadness and depression. It is good practice for clients with newly diagnosed depression to be monitored for hypothyroidism by checking serum thyroid hormone and thyroid-stimulating hormone levels. This client needs to know that these feelings may be related to her low thyroid hormone levels and may improve with treatment. Replacement therapy does not cause depression. Depression may accompany chronic illness, but it is not “normal.” Remediation: Add a Note

Question 3 See full question 28s

A client with diabetes is taking insulin lispro injections. The nurse should advise the client to eat: You Selected:

• 1 hour after the injection. Correct response:
• within 10 to 15 minutes after the injection. Explanation: Insulin lispro begins to act within 10 to 15 minutes and lasts approximately 4 hours. A major advantage of lispro is that the client can eat almost immediately after the insulin is administered. The client needs to be instructed regarding the onset, peak, and duration

of all insulin, as meals need to be timed with these parameters. Waiting 1 hour to eat may precipitate hypoglycemia. Eating 2 hours before the insulin lispro could cause hyperglycemia if the client does not have circulating insulin to metabolize the carbohydrate. Remediation: Add a Note

Question 4 See full question 23s

Radiation therapy is instituted for a client with Hodgkin’s disease. After 1 week, the radiation site becomes red and irritated. Which statement indicates that the client treated the area appropriately at home? You Selected:

• ”I applied a hot-water bottle to the area.” Correct response:
• ”I applied nothing to the area; I just kept it dry.” Explanation: The area should be kept dry and open to the air. The client should seek guidance from the nurse or the radiologist about specific treatment measures. Lotions, creams, and powders may increase skin irritation and should be avoided. Radiated skin is temperature sensitive. A hot-water bottle could cause a burn. Remediation: Add a Note

Question 5 See full question 10s

A nurse should expect to administer which medication to a client with gout? You Selected:

• Colchicine Correct response:
• Colchicine Explanation: Remediation:

Add a Note

Question 6 See full question 35s

Which combination of adverse effects should a nurse monitor for when administering I.V. insulin to a client with diabetic ketoacidosis? You Selected:

• Hypocalcemia and hyperkalemia Correct response:
• Hypokalemia and hypoglycemia Explanation: Blood glucose needs to be monitored in clients receiving I.V. insulin because of the risk of hyperglycemia or hypoglycemia. Hypoglycemia might occur if too much insulin is administered. Hypokalemia, not hyperkalemia, might occur because I.V. insulin forces potassium into cells, thereby lowering the plasma level of potassium. Calcium and sodium levels aren't affected by I.V. insulin administration. Remediation: Add a Note

Question 7 See full question 6s

At what age is an individual most at risk for acquiring acute lymphocytic leukemia (ALL)? You Selected:

• 4 to 12 years Correct response:
• 4 to 12 years Explanation: Remediation: Add a Note

Question 8 See full question 15s

A 32-year-old woman recently diagnosed with Hodgkin's disease is admitted for staging by undergoing a bone marrow aspiration and biopsy. To obtain more information about the client's nutrition status, the nurse should review the results of which test?

You Selected:

• albumin level Correct response:
• albumin level Explanation: Remediation: Add a Note

Question 9 See full question 12s

A client is being admitted with a nursing home–acquired pneumonia. The unit has four empty beds in semiprivate rooms. The room that would be most suitable for this client is the one with a: You Selected:

• 45-year-old client with abdominal hysterectomy. Correct response:
• 60-year-old client admmitted for investigation of transient ischemic atttacks. Explanation: The client with a possible transient ischemic attack is the only client who has not had surgery and is not immunocompromised. The client with a recent surgery and incision should not be exposed to a client with infection. Clients with cancer or alcoholic cirrhosis are very susceptible to infection, and it would not be safe to expose them to a client with a respiratory infection. Remediation: Add a Note

Question 10 See full question 34s

Which of the following actions most clearly demonstrates a nurse’s commitment to social justice? You Selected:

• Lobbying for an expansion of Medicare eligibility and benefits. Correct response:
• Lobbying for an expansion of Medicare eligibility and benefits.

Explanation: Add a Note

Question 11 See full question 22s

Four clients injured in an automobile accident enter the emergency department at the same time. The triage nurse evaluates them immediately. The nurse should assign the highest priority to the client with the: You Selected:

• maxillofacial injury and gurgling respirations. Correct response:
• maxillofacial injury and gurgling respirations. Explanation: Remediation: Add a Note

Question 12 See full question 16s

A nurse medicates a client with another client's morning medicines. What is the best action by the nurse upon realizing the error? You Selected:

• Assess the patient for the medications' effects. Correct response:
• Assess the patient for the medications' effects. Explanation: Remediation: Add a Note

Question 13 See full question 23s

A client with acute kidney failure is placed on fluid restriction of 1000 mL of fluid over a 24-hour period. What is the priority nursing action? You Selected:

• Divide the fluids equally among the three 8-hour nursing shifts. Correct response:

• Offer the client proportioned fluids in the day and less during the night. Explanation: The client and nurse should make a fluid schedule that takes into consideration factors such as periods of wakefulness, number of meals, oral medications, and personal preferences. Avoiding night fluids will decrease risk for aspiration. Other answers do not provide the client with autonomy of care, and good sleep patterns are essential for overall health. Add a Note

Question 14 See full question 15s

After undergoing a thyroidectomy, a client develops hypocalcemia and tetany. The nurse knows that this may be the result of what complication of the surgery? You Selected:

• Damage to the parathyroid glands Correct response:
• Damage to the parathyroid glands Explanation: Remediation: Add a Note

Question 15 See full question 2m 14s

The nurse is reviewing the lab report for a client in hospice care with breast cancer and brain metastasis. According to the information in the chart, what should the nurse do next? You Selected:

• Report the elevated calcium level immediately. Correct response:
• Report the elevated calcium level immediately. Explanation: Remediation: Add a Note

Question 16 See full question 14s

A client on heparin for a deep vein thrombosis reports an aching pain in the back and finds it difficult to get comfortable when lying in that position. The client refuses to take any medications for pain. What actions would the nurse take to alleviate the back pain? You Selected:

• Provide lumbar support when in the supine position, offer a back rub, and check the possibility of heat treatments to relieve the pain. Correct response:
• Provide lumbar support when in the supine position, offer a back rub, and check the possibility of heat treatments to relieve the pain. Explanation: Remediation: Add a Note

Question 17 See full question 12s

The nurse is assessing a client with an A-V fistula. Which finding should the nurse report to the healthcare provider? You Selected:

• Skin discoloration distal to the fistula. Correct response:
• Skin discoloration distal to the fistula. Explanation: Remediation: Add a Note

Question 18 See full question 13s

The nurse is working at the local family planning clinic completing family education. When devising a teaching plan, in which client group would the nurse stress the importance of an annual Papanicolaou test? You Selected:

• Clients infected with the human papillomavirus (HPV) Correct response:
• Clients infected with the human papillomavirus (HPV)

Explanation: Remediation: Add a Note

Question 19 See full question 22s

Following a simple mastectomy, the nurse is totaling the amount of drainage in 24 hours from a suction drain in the incision. The nurse notes there is 200 mL of serosanguinous drainage for the first 24 hours. The nurse should: You Selected:

• document the findings. Correct response:
• document the findings. Explanation: Remediation: Add a Note

Question 20 See full question 19s

A nurse is planning staffing for a nursing unit in which the primary need of the clients is learning how to manage their health problems. Which combination is the ideal mix of staff for this unit? You Selected:

• three registered nurses (RNs)

Question 1 See full question 28s

A client with stage II ovarian cancer undergoes a total abdominal hysterectomy and bilateral salpingo-oophorectomy with tumor resection, omentectomy, appendectomy, and lymphadenectomy. During the second postoperative day, which assessment finding requires immediate intervention? You Selected:

• Shallow breathing and increasing lethargy Correct response:
• Shallow breathing and increasing lethargy Explanation: