NGN ATI RN COMPREHENSIVE
PREDICTOR NGN 2024 VERSION 3
WITH (NEXT GENERATION)
QUESTIONS ACTUAL EXAM 180
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |
ALREADY GRADED A+
A0nurse,0an0emergency0department0complete0an0assessment0on0an0adolescent0client0
that0has0conduct0disorder.0The0client0threaten0suicide0to0a0teacher0at0school0which0of0
the0following0statements0should0the0nurse0include0in0the0assessment.0-
0ans✔Tell0me0how0often0do0you0drink0alcohol?
A0nurse0is0observing0bonding0to0the0client,0her0newborn,0which0of0the0following0action
s0by0the0client0requires0the0nurse0to0intervene0-
0ans✔Viewing0the0newborn's0actions0to0be0uncooperative
A0nurse0is0caring0for0a0client0who0is0taking0levothyroxine,0which0of0the0following0findin
g0should0indicate0that0the0medication0was0effective0-0ans✔Weight0loss
A0nurse0is0planning,0discharge0teaching0for0cord0care0for0a0parent0of0a0newborn0whic
h0instructions0would0you0include0in0the0teaching0-
0ans✔Keep0the0cord0dry0until0it0falls0off0(cord0should0be0kept0clean0and0dry0to0prevent
0infection)
A0nurse0is0assessing0a0client0in0PACU,0which0of0the0following0findings0indicates0decre
ased0cardiac0output0-0ans✔oliguria
,A0nurse0is0assisting0with0mass,0casualty0triage0explosion0at0a0local0factory0which0of0th
e0following0client.0Should0the0nurse0identify0as0a0priority.0-
0ans✔A0client0with0indications0of0hypovolemic0shock
A0nurse0is0receiving0report0on0for0clients0which0of0the0following0client0should0the0nurs
e0assess0first0-
0ans✔A0client0who0is0chronic0kidney0disease0with0cloudy,0diasylate0outflow
A0nurse0is0caring0for0a0client0just0received0the0first0dose0of0lisinopril.0The0following0is0
appropriate0nursing0intervention.0-
0ans✔Provide0standby0assist0with0the0client0from0bed
A0nurse0is0caring0for0a0client0who0is0in0labor,0and0is0receiving0electronics0fetal0monitor
ing.0The0nurse0is0reviewing0the0monitor0tracing0in0notes0early0decelerations,0which0of0
the0following0should0the0nurse0expect0-0ans✔Head0compression
A0nurse0is0caring0for0a0client0who0has0chronic0kidney0disease.0The0nurse0should0ident
ify0which0of0the0following0laboratory0values0as0an0indication0of0hemodialysis.0-
0ans✔Glomerular0filtration0rate0of0140ML/minute
A0nurse0is0caring0for0an0infant0who0has0prescription0for0continuous0pulse0oximetry.0Th
e0following0is0an0appropriate0action0for0the0nurse0to0take.0-
0ans✔Heat0the0skin0one0minute0prior0to0placing0the0program
A0nurse0in0a0mental0health0facility0receives0a0change0of0shift0report0on0four0clients0whi
ch0of0the0following0client.0Should0the0nurse0plan0to0assess0first.0-
0ans✔Client0placed0in0restraints0to0the0aggressive0behavior
A0nurse0working0at0the0clinic0is0teaching0a0group0of0clients0who0are0pregnant0on0the0u
se0of0nonpharmacological0pain0management,0which0of0the0following0statement0by0the0
nurse0is0an0appropriate0description0of0the0use0of0hypnosis0during0labor0-
0ans✔Hypnosis0promotes0increase0control0of0her0pain0perception0during0contractions
A0nurse0in0a0County0Jail0health0clinic0is0leading0group0therapy0session.0A0client0who0
was0incarcerated0for0theft0is0addressing0the0group.0Which0of0the0following0is0an0exam
ple0of0reaction0formation?0-
0ans✔I0think0that0people0just0you're0just0lazy0and0should0earn0money0honestly
A0nurse0is0obtaining0a0medical0history0of0a0client0who0has0a0new0prescription0for0Isos
orbide0monotitrate0which0of0the0following0should0the0nurse0identify0as0a0contraindicatio
n0to0medication0-0ans✔glaucoma
160-0ans✔No0questions
, The0nurse0is0caring0for0a0client0recovering0from0an0acute0myocardial0infraction,0which0
of0the0following0intervention0should0the0nurse0include0in0the0point0of0care0-
0ans✔Obtain0a0cardiac0rehabilitation0consult
A0nurse0is0caring0for0a0client0who0has0breast0cancer0and0has0been0covering0receiving
0chemotherapy,0which0of0the0following0laboratory0value0should0nurse0report0to0the0pro
vider0-0ans✔WBC03,000/mm3
Home0health0nurse0is0carefully0planned0for0Alzheimer's0disease0to0the0following0action
.0Should0the0nurse0include0in0the0plan0of0care0-
0ans✔Place0a0daily0calendar0in0the0kitchen
A0nurse0is0performing0change0of0shift0assessments0on0four0clients0which0of0the0followi
ng0findings.0Should0the0nurse0report0to0the0provider0first.0-
0ans✔Client0who0has0gastroenteritis0and0his0lethargic0and0confused
A0nurse0is0caring0for0a0client0who0is0in0the0second0trimester0of0pregnancy0and0ask0ho
w0to0treat0constipation0which0of0the0following0statements0by0the0nurse0is0appropriate0-
0ans✔Drink0hot0water0with0lemon0juice0each0morning0when0you0wake0up
220-0ans✔No0question
A0nurse0is0caring0for0a0client0who0is0preparing0his0advance0directives,0which0of0the0fol
lowing0statements0by0the0client0indicates0an0understanding0of0advance0directives0SAT
A0-0ans✔I0have0the0right0to0refuse0treatment
My0health0care0proxy0can0make0medical0decisions0for0me
A0nurse0is0caring0for0a0client0who0is0320weeks0gestation0and0has0a0history0of0cardiac0
disease0which0of0the0following0positions0to0the0nurse0place0the0client0to0best0promote0
optimal,0cardiac0output0-0ans✔Left0lateral
A0nurse0is0caring0for0a0group0of0clients0which0of0the0following0client.0Should0the0nurse
0assigned0to0an0AP.0-
0ans✔Client0who0had0a0cerebral0vascular0accident0two0days0ago,0and0needs0help0toil
eting
A0nurse0is0providing0discharge,0teaching0to0a0client0who0has0schizophrenia,0isn't0starti
ng0therapy0with0clozapine0which0of0the0following0is0the0highest0priority0for0the0client0to
0report0to0the0provider0-0ans✔Fever
A0nurse0observes0an0AP0providing0care0to0a0child,0who0is0in0a0skeletal0traction,0which
0of0the0following0action0requires0intervention0-0ans✔Placing0weights0as0a0child's0bed
PREDICTOR NGN 2024 VERSION 3
WITH (NEXT GENERATION)
QUESTIONS ACTUAL EXAM 180
QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |
ALREADY GRADED A+
A0nurse,0an0emergency0department0complete0an0assessment0on0an0adolescent0client0
that0has0conduct0disorder.0The0client0threaten0suicide0to0a0teacher0at0school0which0of0
the0following0statements0should0the0nurse0include0in0the0assessment.0-
0ans✔Tell0me0how0often0do0you0drink0alcohol?
A0nurse0is0observing0bonding0to0the0client,0her0newborn,0which0of0the0following0action
s0by0the0client0requires0the0nurse0to0intervene0-
0ans✔Viewing0the0newborn's0actions0to0be0uncooperative
A0nurse0is0caring0for0a0client0who0is0taking0levothyroxine,0which0of0the0following0findin
g0should0indicate0that0the0medication0was0effective0-0ans✔Weight0loss
A0nurse0is0planning,0discharge0teaching0for0cord0care0for0a0parent0of0a0newborn0whic
h0instructions0would0you0include0in0the0teaching0-
0ans✔Keep0the0cord0dry0until0it0falls0off0(cord0should0be0kept0clean0and0dry0to0prevent
0infection)
A0nurse0is0assessing0a0client0in0PACU,0which0of0the0following0findings0indicates0decre
ased0cardiac0output0-0ans✔oliguria
,A0nurse0is0assisting0with0mass,0casualty0triage0explosion0at0a0local0factory0which0of0th
e0following0client.0Should0the0nurse0identify0as0a0priority.0-
0ans✔A0client0with0indications0of0hypovolemic0shock
A0nurse0is0receiving0report0on0for0clients0which0of0the0following0client0should0the0nurs
e0assess0first0-
0ans✔A0client0who0is0chronic0kidney0disease0with0cloudy,0diasylate0outflow
A0nurse0is0caring0for0a0client0just0received0the0first0dose0of0lisinopril.0The0following0is0
appropriate0nursing0intervention.0-
0ans✔Provide0standby0assist0with0the0client0from0bed
A0nurse0is0caring0for0a0client0who0is0in0labor,0and0is0receiving0electronics0fetal0monitor
ing.0The0nurse0is0reviewing0the0monitor0tracing0in0notes0early0decelerations,0which0of0
the0following0should0the0nurse0expect0-0ans✔Head0compression
A0nurse0is0caring0for0a0client0who0has0chronic0kidney0disease.0The0nurse0should0ident
ify0which0of0the0following0laboratory0values0as0an0indication0of0hemodialysis.0-
0ans✔Glomerular0filtration0rate0of0140ML/minute
A0nurse0is0caring0for0an0infant0who0has0prescription0for0continuous0pulse0oximetry.0Th
e0following0is0an0appropriate0action0for0the0nurse0to0take.0-
0ans✔Heat0the0skin0one0minute0prior0to0placing0the0program
A0nurse0in0a0mental0health0facility0receives0a0change0of0shift0report0on0four0clients0whi
ch0of0the0following0client.0Should0the0nurse0plan0to0assess0first.0-
0ans✔Client0placed0in0restraints0to0the0aggressive0behavior
A0nurse0working0at0the0clinic0is0teaching0a0group0of0clients0who0are0pregnant0on0the0u
se0of0nonpharmacological0pain0management,0which0of0the0following0statement0by0the0
nurse0is0an0appropriate0description0of0the0use0of0hypnosis0during0labor0-
0ans✔Hypnosis0promotes0increase0control0of0her0pain0perception0during0contractions
A0nurse0in0a0County0Jail0health0clinic0is0leading0group0therapy0session.0A0client0who0
was0incarcerated0for0theft0is0addressing0the0group.0Which0of0the0following0is0an0exam
ple0of0reaction0formation?0-
0ans✔I0think0that0people0just0you're0just0lazy0and0should0earn0money0honestly
A0nurse0is0obtaining0a0medical0history0of0a0client0who0has0a0new0prescription0for0Isos
orbide0monotitrate0which0of0the0following0should0the0nurse0identify0as0a0contraindicatio
n0to0medication0-0ans✔glaucoma
160-0ans✔No0questions
, The0nurse0is0caring0for0a0client0recovering0from0an0acute0myocardial0infraction,0which0
of0the0following0intervention0should0the0nurse0include0in0the0point0of0care0-
0ans✔Obtain0a0cardiac0rehabilitation0consult
A0nurse0is0caring0for0a0client0who0has0breast0cancer0and0has0been0covering0receiving
0chemotherapy,0which0of0the0following0laboratory0value0should0nurse0report0to0the0pro
vider0-0ans✔WBC03,000/mm3
Home0health0nurse0is0carefully0planned0for0Alzheimer's0disease0to0the0following0action
.0Should0the0nurse0include0in0the0plan0of0care0-
0ans✔Place0a0daily0calendar0in0the0kitchen
A0nurse0is0performing0change0of0shift0assessments0on0four0clients0which0of0the0followi
ng0findings.0Should0the0nurse0report0to0the0provider0first.0-
0ans✔Client0who0has0gastroenteritis0and0his0lethargic0and0confused
A0nurse0is0caring0for0a0client0who0is0in0the0second0trimester0of0pregnancy0and0ask0ho
w0to0treat0constipation0which0of0the0following0statements0by0the0nurse0is0appropriate0-
0ans✔Drink0hot0water0with0lemon0juice0each0morning0when0you0wake0up
220-0ans✔No0question
A0nurse0is0caring0for0a0client0who0is0preparing0his0advance0directives,0which0of0the0fol
lowing0statements0by0the0client0indicates0an0understanding0of0advance0directives0SAT
A0-0ans✔I0have0the0right0to0refuse0treatment
My0health0care0proxy0can0make0medical0decisions0for0me
A0nurse0is0caring0for0a0client0who0is0320weeks0gestation0and0has0a0history0of0cardiac0
disease0which0of0the0following0positions0to0the0nurse0place0the0client0to0best0promote0
optimal,0cardiac0output0-0ans✔Left0lateral
A0nurse0is0caring0for0a0group0of0clients0which0of0the0following0client.0Should0the0nurse
0assigned0to0an0AP.0-
0ans✔Client0who0had0a0cerebral0vascular0accident0two0days0ago,0and0needs0help0toil
eting
A0nurse0is0providing0discharge,0teaching0to0a0client0who0has0schizophrenia,0isn't0starti
ng0therapy0with0clozapine0which0of0the0following0is0the0highest0priority0for0the0client0to
0report0to0the0provider0-0ans✔Fever
A0nurse0observes0an0AP0providing0care0to0a0child,0who0is0in0a0skeletal0traction,0which
0of0the0following0action0requires0intervention0-0ans✔Placing0weights0as0a0child's0bed
