Comprehensive / Licensing Exam #1

Prepare for your exam with 20 questions covering common nursing topics

Comprehensive & Licensing Exam

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Comprehensive / Licensing Exam #1

Quiz Author: Ryan LeBlanc




1) A patient has been admitted to the post-operative unit with an order for 2.5 mg of Warfarin (Coumadin) PO once per day. The nurse reviews the patient's INR before administering the dose. The patient's INR is 4.3. What is the most appropriate action by the nurse? 

2) A student nurse approaches a staff nurse on a maternity ward with a question regarding APGAR scoring. The student nurse asks the following, "I reviewed the charts and saw that the first APGAR score of most newborns is 10/10, is this usually true?" Which of the following is the most appropriate response by the staff nurse?

3) You are about to administer a rapid acting insulin to a type I diabetic patient. The patient is expected to eat breakfast at 1000, and you administer the insulin at 0930. When do you expect to begin to see the effects of the insulin?

4) A patient rings his call bell and states, "My chest is hurting, it feels really tight and painful." The nurse asks the client to sit down and rest, but the chest pain continues. The nurse reviews the patient's chart and sees an order for 0.4 mg Nitroglycerin sublingual spray PRN. What is the correct action by the nurse during the administration of Nitroglycerin? 

5) You are beginning your shift after receiving report for your patients. Which of the following patients should you visit first to ensure safe and prioritized care is given? 

6) Which of the following medications is commonly administered to most newborns?

7) A staff nurse observes a student nurse auscultating a patient's abdomen. The student listens for approximately 1 minute in each quadrant, and reports the the staff nurse that bowel sounds are absent in all four quadrants. What is the most appropriate response from the staff nurse?

8) You are working as a nurse in a clinic, and receive a phone call from the family member of a type I diabetic client. The family member states that the client "is confused, extremely thirsty, and has a fruity breath smell." You recognize these signs and symptoms as which of the following? 

9) A patient with a T6 spinal cord injury is being assessed by the nurse due to a recent onset of diaphoresis, hypertension, and dyspnea. The patient is a 27 year old male, is paraplegic, and has no friends or family with him in the hospital today. The nurse understands that it is important to do which of the following intervention(s) first?

10) A 46 year old female patient is admitted to your unit at 1200. The patient has been diagnosed with pneumonia, following an x-ray and sputum culture & sensitivity. What will you most likely expect to find during your initial assessment?

11) Your patient has an order for 750 mL of I.V. NS, to be infused over 4 hours. Calculate the drop rate (gtt/min) using an administration set with a drop factor of 15 gtt/mL. Round to the nearest 1. 

12) The RPN is getting ready to set up a blood transfusion. As one of his checks, he needs to make sure that the only correct solution(s) to administer with blood products is/are: 

13) A patient is being treated with 0.25 mg PO of Digoxin daily, 5 mg PO of Prednisone, and 250 mg of Calcium supplements. As the RPN, you enter the patient's room to administer his medications. Which of the following assessments is priority?

14) You are working with a patient who has rule out Tuberculosis, but the diagnosis of Tuberculosis has not yet been confirmed. Which of the following precautions should you use before entering the patient's room? 

15) You are caring for a 45 year old female client who is currently 19 weeks pregnant. At the age of 42, the client had a child born at 35 weeks gestation who is currently healthy. The client has no prior history of miscarriage or abortion. What is the client's GTPAL?

16) The nurse receives an adult burn patient who has recently had their right arm caught in a fire. The nurse assesses the wound and confirms that the entire right arm has been burned, and the patient has minor scratches on their right leg. The rule of nines states that approximately what percent of the body has been burned?

17) You enter the room of a patient who has had their call bell pulled by a UCP. As the RPN, you observe a patient currently experiencing a seizure. You know that this patient is prone to seizures and has them regularly. Which of the following is the priority nursing intervention?

18) You are caring for a 24 year old male patient who has had a recent debilitating spinal cord injury. The patient is currently bedridden due to the injury. Which of the following nursing interventions is a priority to maintain the patient's physical health?

19) A patient has been prescribed Ondanestron 4mg PO QID for 2 weeks. You have Ondansetron 32 mg/50 mL available. How many milliliters will the patient receive during the entire 2 weeks? Round doses and final answer to the nearest tenth.

20) The nurse requires to change the ties of a tracheostomy for her patient. It has been 24 hours since the last ties were change. What is the safest method in order to change the ties? 

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Edited by Ryan LeBlanc