2023 NGN FUNDAMENTALS EXAM \/ RN FUNDAMENTALS
NGN 2023 ACTUAL EXAM CONTAINS 70 QUESTIONS AND
CORRECT ANSWERS WITH RATIONALES|AGRADE (BRAND
NEW!!)
A nurse on a medical unit is preparing to discharge a client to home. Which of the
following actions should the nurse take as part of the medication reconciliation process?
A. Seal unused medications from the facility in a plastic bag.
B. Evaluate the client’s ability to self-administer medications.
C. Report an identified discrepancy to The Joint Commission.
D. Compare prescriptions with medications the client received while at the facility. –
ANSWER- D. Compare prescriptions with medications the client received while at the
facility.
RATIONALE: When performing medication reconciliation, the nurse should create a
current, accurate list of every medication the client is or should be taking. Part of the
process is comparing the medications the client received at the facility with those the
provider has prescribed for the client to take after discharge.
A nurse is caring for a client who has terminal liver cancer. Which of the following
statements should the nurse identify as an indication that the client is experiencing
spiritual distress?
A. “What could I have done to deserve this illness?”
B. “I blame medical science for not curing me.”
C. “Where is my daughter at a time like this?”
D. “Will I ever begin to feel in charge of my life again?” – ANSWER- A. “What could I
have done to deserve this illness?”
RATIONALE: The client’s terminal illness might prompt the client to review their life and
question its meaning. A manifestation of the client’s spiritual distress is asking why this
illness is happening to them.
A nurse is caring for a client who has a prescription for 5 units of regular insulin and 10
units of NPH insulin to mix together and administer subcutaneously. Determine the
correct order of steps for this procedure. (Move the steps into the box on the right,
placing them in the order of performance. Use all the steps.)
A. Inject 5 units of air into the bottle of regular insulin.
B. Withdraw the correct does of NPH insulin from the bottle.
C. Inject 10 units of air into the bottle of NPH insulin.<\/p>\n\n\n\n
D. Withdraw the correct does of regular insulin from the bottle. – ANSWER- C. Inject 10
units of air into the bottle of NPH insulin.
A. Inject 5 units of air into the bottle of regular insulin.
D. Withdraw the correct does of regular insulin from the bottle.
B. Withdraw the correct does of NPH insulin from the bottle.
RATIONALE: The nurse should first inject air into the vial of NPH insulin without
touching the needle to the solution. Next, the nurse should inject air into the vial of
regular insulin and withdraw the correct amount of the regular insulin. Finally, the nurse
should insert the needle into the NPH insulin vial and withdraw the correct amount of
NPH insulin. The nurse should follow these steps to prevent contaminating the regular
insulin with NPH insulin.
A nurse is completing an admission assessment for a client who reports vomiting and
diarrhea for the past 3 days. Which of the following findings should the nurse expect?
A. Neck vein distention
B. Urine specific gravity 1.010
C. Rapid heart rate
D. Blood pressure 144\/82 mm Hg – ANSWER- C. Rapid heart rate
RATIONALE: Tachycardia indicates fluid volume deficit, which is an expected finding
for a client who has had vomiting and diarrhea for 3 days.
A nurse is preparing to transfer a client who can bear weight on one leg from the bed to
a chair. After securing a safe environment, which of the following actions should the
nurse take next?
A. Rock the client up to a standing position.
B. Pivot on the foot that is the farthest from the chair.
C. Assess the client for orthostatic hypotension.
D. Apply a gait belt to the client. – ANSWER- C. Assess the client for orthostatic
hypotension.
RATIONALE: The first action the nurse should take when using the nursing process is
to assess the client. The nurse should determine the client’s risk for falling or fainting
during the transfer by assisting the client to sit and dangle the feet on the side of the
bed. The nurse should assess for dizziness and a significant drop in blood pressure
before assisting the client to stand and transfer into the chair.
A nurse is admitting a client who reports experiencing a sore throat, productive cough,
and fever for the past 3 days.
The nurse is reviewing the client’s medical record. Which of the following actions should
the nurse take?<\/p>\n\n\n\n
Select all that apply.
Nurses’ Notes
1000:
Client reports sore throat, productive cough with yellow-colored mucus, and fever for the
past 3 days. Client has swollen lymph nodes. Client also reports headache that, “won’t
go away.” Client’s face is flushed and diaphoretic. Throat culture and blood work
obtained as prescribed.
Vital Signs
1000:
Blood pressure 132\/68 mm Hg, Heart rate 99\/min, Respiratory rate 20\/min,
Temperature 38.3\u00b0 C (101\u00b0 F), Oxygen saturation 96% on room air
Diagnostic Results
1100:
Positive throat culture for streptococci bacteria.
A. Request a prescription for an antibiotic medication.
B. Apply oxygen at 2 L\/min via nasal cannula.
C. Initiate droplet precautions.
D. Wear a mask within 1 m (3 feet) of the client.
E. Place the client in a negative airflow room.
F. Apply a mask on the client when they leave their room. – ANSWER- A. Request a
prescription for an antibiotic medication.
The nurse should identify that the client has streptococcal pharyngitis due to the client’s
manifestations and a positive throat culture. Therefore, the nurse should request an
antibiotic medication, such as penicillin, to treat the client’s infection.
C. Initiate droplet precautions.
The nurse should identify that the client has streptococcal pharyngitis, which is
transmitted through droplets greater than 5 microns in the air. Therefore, the nurse
should initiate droplet precautions for the client.
D. Wear a mask within 1 m (3 feet) of the client.
The nurse should identify that the client has streptococcal pharyngitis. Therefore, the
nurse should wear a mask when within 1 m (3 feet) of the client to prevent the spread of
the infection.
F. Apply a mask on the client when they leave their room.
The nurse should identify that the client has streptococcal pharyngitis. Therefore, the
nurse should apply a mask on the client when they leave their room to prevent
transmission of the infection.
<\/p>\n","protected":false},"excerpt":{"rendered":"
2023 NGN FUNDAMENTALS EXAM \/ RN FUNDAMENTALSNGN 2023 ACTUAL EXAM CONTAINS 70 QUESTIONS ANDCORRECT ANSWERS WITH RATIONALES|AGRADE (BRANDNEW!!)A nurse on a medical unit is preparing to discharge a client to home. Which of thefollowing actions should the nurse take as part of the medication reconciliation process?A. Seal unused medications from the facility in a plastic […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-112596","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/112596","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=112596"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/112596\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=112596"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=112596"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=112596"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}