RPN Client Assessment and Planning 4

Question 1

A client with diabetes has a blood glucose of 52 mg/dL and is alert and oriented. The RPN should FIRST:

Accepted Answer

Give 15 grams of fast-acting carbohydrate by mouth

Answer

For a conscious hypoglycemic client, the 15-15 rule applies: give 15g of fast-acting carbohydrate and recheck in 15 minutes.

Question 2

An RPN notes that a client's urinary output has been 200 mL over the past 8 hours. This finding is classified as:

Accepted Answer

Oliguria

Answer

Oliguria is defined as urine output less than 400 mL in 24 hours, making 200 mL in 8 hours a concerning finding.

Question 3

Which assessment finding in a postpartum client requires IMMEDIATE intervention?

Accepted Answer

Blood pressure 160/110 mmHg with headache

Answer

A blood pressure of 160/110 mmHg with headache in a postpartum client signals postpartum preeclampsia, a medical emergency.

Question 4

A client is admitted with suspected deep vein thrombosis (DVT). Which assessment finding is MOST consistent with this diagnosis?

Accepted Answer

Unilateral calf pain, warmth, and redness

Answer

Unilateral calf pain, warmth, and erythema are classic signs of DVT caused by clot formation and inflammation.

Question 5

When setting priorities using Maslow's hierarchy, which client need should the RPN address FIRST?

Accepted Answer

A client with an oxygen saturation of 88%

Answer

Physiological needs such as oxygenation are the highest priority; SpO2 of 88% indicates hypoxia requiring immediate action.

RPN - Registered Practical Nurse Practice Test