RNSG 1424 Final Exam Practice Questions With Answers | Complete Solution | 2023/2024 Graded A+

The nurse is teaching the client how to care for an ileostomy. The client asks the nurse how long to wear the pouch before changing it. What should the nurse tell the client? You Selected: "You can wear the pouch for about 4 to 7 days." Correct response: "You can wear the pouch for about 4 to 7 days." Explanation: Remediation: Add a Note Question 56 See full question                 Prep U Report this Question 30s Report this Question 25s A mother approaches the nurse to discuss which childbirth education classes she should take. Which one of the following responses would be the mostappropriate initial response from the nurse? You Selected: “What do you want to learn about?” Correct response: “What do you want to learn about?” Explanation: Add a Note Question 57 See full question An experienced licensed practical/vocational nurse (LPN/VN) is working with the RN team leader to care for a client with respiratory problems. Which actions are appropriate for nurse to delegate to the LPN/VN? Select all that apply. You Selected: Administer medications by metered-dose inhaler. Auscultate breath sounds. Check oxygen saturation with pulse oximetry. Correct response: Check oxygen saturation with pulse oximetry. Auscultate breath sounds. Administer medications by metered-dose inhaler. Explanation: Remediation: Add a Note Question 58 See full question Which !nding would be mostindicative of hydrocephalus in an infant? You Selected: sunset eyes Correct response: sunset eyes Explanation: Remediation: Add a Note                  Prep U Report this Question 29s Report this Question 14s Report this Question 1m 24s Question 59 See full question The nurse is instructing the client about taking metoclopramide. The nurse should instruct the client to report which adverse e#ect? You Selected: extrapyramidal reactions Correct response: extrapyramidal reactions Explanation: Remediation: Add a Note Question 60 See full question The nurse in the labor and birth area receives a telephone call from the emergency department announcing that a multigravid client in active labor is being transferred to the labor area. The client has had no prenatal care. When the client arrives by stretcher, she says, "I think the baby is coming ... Help!" The fetal skull is crowning. The nurse should obtain which information !rst? You Selected: estimated date of birth Correct response: estimated date of birth Explanation: Remediation: Add a Note Question 61 See full question The nurse is interviewing an adolescent with a new onset of fatigue. What communication strategies will help the nurse establish a therapeutic relationship with the adolescent? You Selected: listening to the client asking open-ended questions Correct response: asking open-ended questions listening to the client Explanation: Remediation:                  Prep U Report this Question 14s Report this Question 39s Report this Question 28s Add a Note Question 62 See full question A registered nurse is mentoring a new graduate nurse. Which action by the new graduate demonstrates a need for further teaching? You Selected: turns the de!brillator to synchronize before de!brillating a client with ventricular !brillation Correct response: turns the de!brillator to synchronize before de!brillating a client with ventricular !brillation Explanation: Add a Note Question 63 See full question The nurse has just completed a client’s home visit and has scheduled another client’s visit immediately after. Which measures should the nurse take to minimize risks of infection during home visits? Select all that apply. You Selected: Perform hand hygiene before and after client contact. Implement standard precautions during home visits. Wear sterile gloves if blood or body "uid contact is anticipated. Correct response: Perform hand hygiene before and after client contact. Implement standard precautions during home visits. Explanation: Remediation: Add a Note Question 64 See full question The nurse has received shift report on a group of newborns. The nurse should make rounds on which client !rst? You Selected: a neonate born 24 hours ago by cesarean birth who had a respiratory rate of 62 breaths/min, 30 minutes ago Correct response: a neonate born 24 hours ago by cesarean birth who had a respiratory rate of 62 breaths/min, 30 minutes ago                Prep U Report this Question 50s Report this Question 10s Report this Question 30s Explanation: Remediation: Add a Note Question 65 See full question A nurse is preparing a change-of-shift report and has been caring for a multigravid client with a normally progressing labor. Which information should be part of this report? Select all that apply. You Selected: analgesia or anesthesia being used amount of vaginal bleeding or discharge prior birth history Correct response: interpretation of the fetal monitor strip analgesia or anesthesia being used prior birth history amount of vaginal bleeding or discharge support persons with the client Explanation: Remediation: Add a Note Question 66 See full question The client has had a gastric resection and is having di$culty clearing the airway of mucus. The nurse should determine if the client has: You Selected: incisional pain. Correct response: incisional pain. Explanation: Remediation: Add a Note Question 67 See full question The nurse is assessing a client who has a chronic obstructive respiratory disorder. Which !nding should be immediately reported to the healthcare provider?                    Prep U Report this Question 17s Report this Question 13s Report this Question 24s You Selected: barrel chest Correct response: pedal edema Explanation: Remediation: Add a Note Question 68 See full question Which activity indicates that the client with cancer is adapting well to body image changes? You Selected: The client serves as a volunteer in a client-to-client visitation program. Correct response: The client serves as a volunteer in a client-to-client visitation program. Explanation: Add a Note Question 69 See full question While caring for a postterm multigravida who is being induced with intravenous oxytocin solution, what !nding should the nurse interpret as indicative of a possible complication? You Selected: convulsions Correct response: convulsions Explanation: Remediation: Add a Note Question 70 See full question A child with leukemia fails to respond to therapy. Which statement o#ers the nurse the bestguide in making plans to assist the parents in dealing with their child's imminent death? You Selected: Relatives are especially grieved when a child does well at !rst but then declines rapidly. Correct response: Relatives are especially grieved when a child does well at !rst but then declines rapidly.                 Prep U Report this Question 1m 36s Report this Question 36s Report this Question 20s Explanation: Add a Note Question 71 See full question A nurse is teaching a client about home safety after experiencing a third-degree body burn of the face, head, and neck. The client was smoking while cooking dinner with a gas stove. What are important teaching points for the nurse to cover during the teaching session? Select all that apply. You Selected: Place a !re extinguisher in the home. Resume activities slowly when discharged. Limit smoking times when doing other activities. Correct response: Place a !re extinguisher in the home. Resume activities slowly when discharged. Limit smoking times when doing other activities. Explanation: Add a Note Question 72 See full question A nurse is assessing a neonate. Health history !ndings indicate that the mother drank 3 oz (90 mL) or more of alcohol per day throughout pregnancy. Which characteristic should the nurse expect to !nd? You Selected: prominent nasal bridge Correct response: upturned nose Explanation: Add a Note Question 73 See full question In providing discharge teaching for the client after a modi!ed radical mastectomy, the nurse should instruct the client to avoid: You Selected: working in her rose garden. Correct response: working in her rose garden.                 Prep U Report this Question 1m 32s Report this Question 1m 41s Report this Question 29s Explanation: Remediation: Add a Note Question 74 See full question The nurse is reviewing results for clients who are having antenatal testing. The assessment data from which client warrants prompt noti!cation of the health care provider and a further plan of care? You Selected: multigravida who had a positive oxytocin challenge test Correct response: multigravida who had a positive oxytocin challenge test Explanation: Remediation: Add a Note Question 75 See full question The client asks why the nurse needs to sign the consent form as a witness. What is the best response by the nurse? You Selected: "You agreed to the procedure, and were the person who signed the consent." Correct response: "You agreed to the procedure, and were the person who signed the consent." Explanation: Remediation: Add a Note Question 76 See full question The nurse is caring for a client in early labor. The client reports sudden abdominal pain and is noted to have bright red bleeding. What would the nurse include in the client’s plan of care? Select all that apply. You Selected: Examine the fetal heart monitoring tracing. Call the healthcare provider. Administer oxygen to the client. Correct response:                 Prep U Report this Question 56s Report this Question 51s Examine the fetal heart monitoring tracing. Call the healthcare provider. Administer oxygen to the client. Explanation: Remediation: Add a Note Question 77 See full question A nurse is performing an assessment to determine if a client has an avoidant personality disorder. What are the mostappropriate questions for the nurse to ask the client? Select all that apply. You Selected: “Do you drive yourself pretty hard, and frequently feel that you need to do more?” “Do you carefully select your friends, and prefer just one or two close friends?” “Are you worried that people won’t like you?” Correct response: “Are you worried that people won’t like you?” “Are wary of opening yourself to others because other have hurt you in the past?” “Do you carefully select your friends, and prefer just one or two close friends?” Explanation: Remediation: Add a Note Question 78 See full question The nurse is caring for a client with a nasogastric tube and is preparing to administer the client’s medications. Which medications can the nurse safely administer through the tube? Select all that apply. You Selected: an emptied capsule mixed with water a liquid medication Correct response: a liquid medication an emptied capsule mixed with water Explanation: Remediation: Add a Note                      Prep U Report this Question 33s Report this Question 11s Report this Question 52s Question 79 See full question The nurse is planning care for a client with human immunode!ciency virus (HIV). Which statement by the nurse indicates understanding of HIV transmission? Select all that apply. You Selected: "I will wash my hands after client care." "I will wear a mask, goggles, gown, and gloves when splashing bodily "uids is likely." Correct response: "I will wear a mask, goggles, gown, and gloves when splashing bodily "uids is likely." "I will wash my hands after client care." Explanation: Remediation: Add a Note Question 80 See full question Which urine output indicates that a 5-month-old weighing 15 lb (6.8 kg) and being treated for dehydration has a normal urine output? You Selected: 1 to 2 mL/kg per hour Correct response: 1 to 2 mL/kg per hour Explanation: Remediation: Add a Note Question 81 See full question A nurse caring for a child diagnosed with patent ductus arteriosus palpates a very forceful and bounding pulse. Which interventions should the nurse provide after this assessment? You Selected: Calling the physician immediately. Correct response: Documenting the !nding. Explanation: Remediation: Add a Note                  Prep U Report this Question 25s Report this Question 22s Report this Question 45s Question 82 See full question How does the nurse describe the movements of a child with spastic cerebral palsy? You Selected: wide-based gait and poor muscle coordination Correct response: increased muscle tone and stretch re"exes Explanation: Remediation: Add a Note Question 83 See full question A client with metastatic bone cancer has signed a Do Not Resuscitate (DNR) order specifying comfort care only. Which would be included in the client's plan of care? Select all that apply. You Selected: administering oral pain medication every hour suctioning thick secretions to relieve dyspnea Correct response: suctioning thick secretions to relieve dyspnea administering oral pain medication every hour Explanation: Remediation: