RPN - Registered Practical Nurse Client Assessment and Planning Questions and Answers

Question 1

An RPN is completing an admission assessment on a new client. Which of the following is the best example of objective data?

Accepted Answer

The client's respiratory rate is 24 breaths per minute and slightly labored.

Answer

The client's spouse states, "He hasn't had much of an appetite for the past three days."

Answer

The client rates their abdominal pain as 7 out of 10.

Answer

The client reports feeling dizzy when standing up.

Question 2

When an RPN collaborates with a client to establish goals for their plan of care, which principle is essential for creating an effective goal statement?

Accepted Answer

The goal must be measurable and include a specific timeframe for achievement.

Answer

The goal should be broad to allow for flexibility in care.

Answer

The goal should be created exclusively by the nurse based on the diagnosis.

Answer

The goal should focus only on the client's long-term health outcomes.

Question 3

A client is admitted to the hospital with an acute exacerbation of heart failure. They are experiencing shortness of breath, bilateral crackles on auscultation, and 2+ pitting edema in their lower extremities. What is the RPN's priority assessment?

Accepted Answer

Respiratory status.

Answer

Skin integrity on the lower legs.

Answer

Nutritional intake for the past 24 hours.

Answer

The client's understanding of their medication regimen.

Question 4

An RPN is caring for a post-operative client who has a new order to ambulate. Before developing a plan to get the client out of bed for the first time, what is the most important initial assessment the RPN should perform?

Accepted Answer

The client's vital signs and level of pain.

Answer

The client's preference for the time of day to ambulate.

Answer

The availability of family members to assist.

Answer

The client's level of understanding of the benefits of ambulation.

Question 5

Which of the following represents a correctly formulated nursing diagnosis?

Accepted Answer

Risk for Infection related to surgical incision.

Answer

Pneumonia.

Answer

Client is at risk for falling.

Answer

Imbalanced Nutrition as evidenced by poor dietary intake.

Question 6

An RPN is conducting a health history with an older adult client who has recently lost weight. To gather comprehensive data during the assessment phase, which action is most appropriate?

Accepted Answer

Use a combination of open-ended and focused questions about their diet and health.

Answer

Complete a physical examination before asking any questions.

Answer

Ask only closed-ended questions to save time.

Answer

Focus solely on the client's current medical diagnosis.