(Complete) RN Comprehensive online practice 2019 A with NGN (150 Questions and Answers)

(Complete) RN Comprehensive online practice 2019 A with NGN (150 Questions and Answers)

RN Comprehensive online practice 2019 A with NGN
1
(Complete) RN Comprehensive
online practice 2019 A with NGN
(150 Questions and Answers)

1. A nurse working on a medical-surgical unit receives a telephone call requesting
   the status of a client from an individual who identifies themself as the client’s
   parent. Which of the following actions should the nurse take?
   A.) Ask the caller for verification of their identity
   B.) Give the caller limited information about the client
   C.) transfer the phone call to the client’s room
   D.) Inform the caller that they should obtain permission from the client’s
   provider
2. A nurse is caring for a client who has a fractured femur and has had a fiberglass
   leg cylinder cast for 24 hr. Which of the following assessment findings should the
   nurse identify as the priority?
   A.) the client reports leg itching under the cast around the mid-upper thigh area
   B.) The client reports increased pain when the leg is lowered below the level of
   the heart
   C.) The client’s cast became wet during a sponge bath
   D.) The client’s heel is reddened and tender
3. A nurse is teaching a client who is to start taking misoprostol and currently is on
   long-term therapy with NSAIDs for arthritis. The nurse should provide the client
   with which of the following information?
   A.) Increase intake of fluids and fiber to prevent constipation
   B.) Complete a serum pregnancy test before taking the medication
   C.) This medication coats stomach ulcers so that they can heal
   D.) Take a magnesium-containing antacid along with this medication
4. A nurse is teaching a client who has a new prescription for digoxin about
   manifestations of toxicity. Which of the following findings should the nurse include
   in the teaching?
   A.) Constipation

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B.) Nausea
C.) Wheezing
D.) Muscle rigidity

5. A nurse is assessing a client who has obstructive sleep apnea. For which of the
   following complications should the nurse monitor?
   A.) weight loss
   B.) urinary retention
   C.) hypertension
   D.) hypoglycemia
6. A m nurse is providing Teaching to a parent of a child who has a permanent
   tracheostomy tube. Identify the sequence of steps the parent should follow to
   perform tracheostomy care.
   Steps:
   1.) clean the stoma with 0.9% sodium chloride irrigation
   2.) remove the inner cannula
   3.) change the tracheostomy collar
   4.) remove soiled dressing
   Ans; 2, 4, 1, 3
7. A charge nurse is observing a newly licensed nurse administer enteral feedings
   via NG tube. Which of the following actions by the newly licensed nurse indicates an
   understanding of the procedure?
   A.) Instill 100mL of air into the NG tube after checking for residual
   B.) flushes the NG tube with 0.9% sodium chloride irrigation every 2 hours
   C.) Adds 20mL of blue dye to each feeding to help detect aspiration
   D.) Keep the head of the bed elevated to 45 degrees for 1 hour after feedings
8. A nurse is caring for a client who has a closed-head injury and is receiving
   mechanical ventilation. The nurse should expect to administer which of the
   following medications to reduce intracranial pressure?
   A.) propranolol
   B.) phenytoin

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C.) lorazepam
D.) mannitol

9. An assistive personnel (AP) and a nurse are turning a client onto the right side.
   Which of the following actions by the AP requires the nurse to intervene?
   A.) uses a draw sheet to move the client to the left side of the bed
   B.) Raises the total height of the bed to waist level
   C.) places a pillow under the client’s right arm
   D.) Lowers the side rails on the left side of the bed
10. A nurse is providing teaching about improving nutrition for a client who has
    multiple sclerosis. Which of the following instructions should the nurse include?
    (Select all that apply)
    A.) “A speech pathologist will performing a swallowing study for you”
    B.) “You should rest before eating a meal”
    C.) “You should restrict foods that are high in Vitamin D”
    D.) “reduce your intake of dietary fiber”
    E.) “Thicken your beverages before drinking”
11. 1500: Infant is admitted to the pediatric unit. Parent reports infant has been
    irritable and has vomited after each feeding within the last 3 days. Infant alert, not
    crying.
    S1 and S2 noted without murmurs. Lungs clear to auscultation anterior/posterior.
    Respirations even, unlabored. Abdomen firm. Bowel sounds hypoactive x4 quadrants. Small 1×1 cm2 mass palpated near umbilicus. Skin warm and dry, turgor with
    tenting.
    1600:
    Called to room by a parent. Parent attempted breastfeeding. Infant projectile
    vomited No bile noted in vomit. Some blood-tinged vomitus noted. Instructed
    parent to keep child NPO.
    1800:
    Infant crying. Soothed with Pacifier. Diagnostic Results:
    1545:
    Hgb: 20g/dL (14-24) ; Potassium: 5.8mEq/L (3.9-5.9); Na: 132mEq/L (134-150);
    Chloride: 110 (96-106); WBC: 16,000 (6,200-17,000); BUN: 20 (5-18); Creatinine:
    0.2 (0.1-0.4)

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1730:
Abdominal ultrasound: Narrowing of pyloric canal. Thickening of pylorus.
Consistent with hypertrophic pyloric stenosis.
Vital Signs:
1500:
Temp: 37.1 (98.8 F); HR: 120; RR: 30; Weight: 3.62 (8lbs)
History and Physical:
Birthweight: 3,492.7g (7.7lbs(); parent is breastfeeding. Newborn birthed vaginally at
38 weeks of gestation.
The infant is at highest risk for
A.) dehydration
B.) anemia
C.) hyperkalemia
As evidenced by the infant’s
A.) potassium level
B.) hemoglobin
C.) vomiting

12. A nurse is caring for a client who is 4 hours postpartum and has a boggy uterus
    with heavy lochia. Which of the following actions should the nurse take first?
    A.) administer oxygen
    B.) initiate an infusion of oxytocin
    C.) massage the uterus to expel clots
    D.) obtain a CBC
13. A nurse is caring for a group of clients. For which of the following events should
    the nurse complete an incident report?
    A) A client’s IV pump delivers an inadequate dose of medication
    B.) A nurse follows a client’s advance directives and discontinues enteral
    feedings
    C.) A nurse discards unused, expired bags of IV fluids
    D.) A client refuses an IV bolus of pain medication
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