NGN FUNDAMENTALS 2019 FORM A, B & C /2019 RN
FUNDAMENTALS NGN FORM A, B & C EACH FORM
CONTAINS 70 QUESTIONS AND CORRECT
ANSWERS|AGRADE (BRAND NEW!!)
FORM A
A nurse is talking with the partner of an older adult male client who has dementia.
The client’s partner expresses frustration about finding time to manage household
responsibilities while caring for his partner. The nurse should identify that he is
going through which of the following types of role-performance stress?
A. Role ambiguity
B. Sick role
C. Role overload
D. Role conflict – ANSWER- C. Role overload
Rationales
the partner’s expression of frustration is an example of role overload, which refers
to having more responsibilities within a role than one person can perform.
A nurse is preparing an education program for staff about advocacy. Which of the
following information should the nurse include?
A. advocacy ensures clients’ safety, health, and rights.
B. advocacy ensures that nurses are able to explain their own actions.
C. advocacy ensures that nurses follow through on their promises to clients.
D. advocacy ensures fairness in client care delivery and use of resources. –
ANSWER- A. advocacy ensures clients’ safety, health, and rights.
A nurse is caring for a client who requires an NG tube for stomach decompression.
Which of the following action should the nurse take when inserting the NG tube?
a. position the client with the head of the bed elevated to 30 degrees prior to
insertion of the NG tube.
b. removes the NG tube if the client begins to gag or choke.
c. apply suction to the NG tube prior to insertion.
d. has the client take sips of water to promote insertion of the NG tube into the
esophagus.. – ANSWER- d. have the client take sips of water to promote insertion
of the NG tube into the esophagus
Taking sips of water as the NG tube passes through the oropharynx will close the
epiglottis over the trachea and prevent the tube’s passage into the trachea.
A nurse is admitting a new client. Which of the following action should the nurse
take while performing medication reconciliation?
- verify the client’s name on his ID bracelet with the MAR
- call the pharmacy to determine if the client’s medications are available
- compare the client’s home medications with the provider’s prescriptions
- place the client’s home medication bottles in a secure location – ANSWERcompare the client’s home medications with the provider’s prescription.
reconciliation is the process of creating the most accurate list possible of all meds a
patient is taking.
A nurse is providing teaching to a client about self-administering heparin. Which
of the following instructions should the nurse include in the teaching?
A. Insert the needle at a 15° angle.
B. Aspirate for blood return prior to administration.
C. Administer the medication into the abdomen.
D. Massage the site following the injection. – ANSWER- Administer into the
abdomen.
A nurse is admitting a client who is having an exacerbation of heart failure. In the
planning this client’s care, when should the nurse initiate discharge planning?
A. During the admission process
B. As soon as the client’s condition is stable
C. During the initial team conference
D. After consulting with the client’s family – ANSWER- During the admission
process
A nurse is reviewing a client’s fluid and electrolyte status. Which of the following
findings should the nurse report to the provider?
A. BUN 15
B. Creatinine 0.8
C. Sodium 143
D. Potassium 5.4 – ANSWER- D. Potassium 5.4
A nurse is teaching a client and his family how to care for the client’s tracheostomy
at home. Which of the following instructions should the nurse include in the
teaching?
A. Remove the outer cannula cautiously for routine cleaning.
B. Use tracheostomy covers when outdoors.
C. Use sterile techniques when performing tracheostomy care at home.
D. Cleanse irritated skin with full-strength hydrogen peroxide. – ANSWER- Use
tracheostomy covers when outdoors.
-Tracheostomy covers protect the client airway from cold air, dust, and other
airborne particles.
A nurse is admitting a client who has an abdominal wound with a large amount of
purulent drainage. Which of the following types of transmission precautions should
the nurse initiate?
A. Protective environment
B. Airborne precautions
C. Droplet precautions
D. Contact precautions – ANSWER- Contact precautions
A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a
chair. To prevent self-injury, which of the following actions should the nurse take
when lifting this object?
A. Bend at the waist.
B. Keep his feet close together.
C. Use his back muscles for lifting.
D. Stand close to the cabinet when lifting it. – ANSWER- Stand close to the
cabinet when lifting it.
A nurse on a medical-surgical unit is caring for a client who has a new prescription
for wrist restraints. Which of the following action should the nurse take?
A. pad the client’s wrist before applying the restraints
B. evaluate the client’s circulation every 8 hr after application
C. remove the restraints every 4 hr to evaluate client’s status
D. secure the restraint ties to the bed’s side rails – ANSWER- Pad the client’s wrist
before applying the restraints.
A nurse is responding to a call light and finds a client lying on the bathroom floor.
Which of the following actions should the nurse take first?
A. Check the client for injuries.
B. Move hazardous objects away from the client.
C. Notify the provider.
D. Ask the client to describe how she felt prior to the fall. – ANSWER- A. Check
the client for injuries.
A nurse is caring for a client who is postoperative following a knee arthroplasty
and requires the use of thigh- length sequential compression sleeves. Which of the
following actions should the nurse take?
a. assist the client into a prone position
b. place a sleeve over the top of each leg with the opening at the knee
c. Make sure two fingers can fit under the sleeves.
D. Set the ankle pressure at 65 mm Hg. – ANSWER- Make sure two fingers can fit
under the sleeves.
A nurse is caring for a child who has a prescription for blood transfusion. The
child’s parents have refused the treatment due to their religious belief. Which of the
following actions should the nurse take?
A. Examine personal values about the issue
B. Tell the parents that this is a necessary procedure.
C. Inform the parents that the staff does not require their consent.
D. Contact a spiritual support person to explain the importance of the procedure. –
ANSWER- Examine personal values about the issue.
Rationale: The nurse should examine personal values about the issue in order to
provide unbiased care.
A nurse is caring for a client who is postoperative and is exhibiting signs of
hemorrhagic shock. The nurse notifies the surgeon, who tells the nurse to continue
to measure the client’s vital signs every 15 min and to report back in 1 hr. Which of
the following actions should the nurse take next?
A. document the provider’s statement in the medical record
B. complete an incident report
C. consult the facility’s risk manager
D. notify the nursing manager – ANSWER- D. notify the nursing manager
Rationale: The greatest risk to the client is not receiving timely intervention for a
deterioration in physiological status; therefore, the next action the nurse should
take is to activate the chain of command to ensure that the client receives the
necessary care.