RPN Client Assessment and Planning 2

Question 1

A client's Glasgow Coma Scale score is 3. What does this indicate?

Accepted Answer

Deep coma or no response

Answer

A GCS score of 3 is the lowest possible score, indicating deep coma or no response to stimuli.

Question 2

When performing a head-to-toe assessment, which system should the RPN assess first?

Accepted Answer

Neurological

Answer

Neurological status is assessed first in a head-to-toe approach, beginning with level of consciousness.

Question 3

A client reports pain rated 8/10. Which action is the PRIORITY in the assessment phase?

Accepted Answer

Assess pain characteristics using PQRST

Answer

A thorough PQRST pain assessment must be completed before any intervention to guide appropriate care.

Question 4

Which finding during abdominal assessment requires IMMEDIATE reporting?

Accepted Answer

Rigid, board-like abdomen

Answer

A rigid, board-like abdomen may indicate peritonitis or internal bleeding and requires immediate physician notification.

Question 5

An RPN is assessing a client's peripheral pulses. A pulse graded as 1+ indicates:

Accepted Answer

Weak, thready pulse

Answer

A 1+ pulse is weak and thready, suggesting diminished cardiac output or peripheral vascular disease.

RPN - Registered Practical Nurse Practice Test