RPN Client Assessment and Planning 3

Question 1

When planning care for a client with a newly diagnosed pressure injury (Stage II), which outcome is MOST appropriate?

Accepted Answer

Wound will show signs of healing within 2 weeks

Answer

A measurable outcome focused on wound healing within a realistic timeframe aligns with Stage II pressure injury management.

Question 2

A client's care plan identifies a nursing diagnosis of 'Deficient fluid volume related to vomiting.' Which assessment finding BEST supports this diagnosis?

Accepted Answer

Urine specific gravity 1.030

Answer

A urine specific gravity of 1.030 indicates concentrated urine, a sign of dehydration consistent with deficient fluid volume.

Question 3

Which data is considered OBJECTIVE during a client assessment?

Accepted Answer

Blood pressure reading of 158/94 mmHg

Answer

Objective data is measurable and observable by the nurse, such as vital sign readings, unlike subjective data reported by the client.

Question 4

During shift handoff, the oncoming RPN reviews a client's care plan and notes an outdated nursing diagnosis. The BEST action is to:

Accepted Answer

Revise the care plan to reflect the client's current status

Answer

Care plans must be continuously updated to reflect current assessment findings and evolving client needs.

Question 5

A client admitted for chest pain has an irregularly irregular heart rhythm on ECG. The RPN should:

Accepted Answer

Assess the client, document findings, and notify the physician

Answer

An irregularly irregular rhythm may indicate atrial fibrillation; the RPN must assess the client and report findings to the physician.

RPN - Registered Practical Nurse Practice Test

RPN - Registered Practical Nurse Practice Test

RPN Client Assessment and Planning 3