RN Fundamentals Online Practice 2019
B with NGN
A nurse is providing discharge teaching for a client who has a new prescription for a home
oxygen concentrator. Which of the following instructions should the nurse provide to the client
and his family? (Select all that apply.) - ANSCheck the cord routinely for frays or tearing
Consider purchasing a generator for power backup
Observe for signs of hypoxia
A charge nurse is observing a newly licensed nurse prepare a sterile field for a dressing
change. Which of the following actions by the newly licensed nurse requires intervention by the
charge nurse. - ANSThe newly licensed nurse places the cap of a bottle of sterile saline solution
on the sterile field.
A charge nurse is discussing the responsibility of nurses caring for clients who have Clostridium
difficile infection. Which of the following information should the nurse include in the teaching? -
ANSHave family members wear a gown and gloves when visiting.
A nurse is teaching an older adult client who is at risk for osteoporosis about beginning a
program of regular physical activity. Which of the following types of activities should the nurse
recommend? - ANSWalking briskly
A nurse is preparing to delegate client care task to an assistive personnel a P. Which of the
following tasks should the nurse delegate? - ANSAmbulating a client who is postoperative
A nurse is preparing a heparin infusion for a client who was admitted to the facility with
deep-vein thrombosis. The prescription reads: 25,000 units of heparin in 0.9% sodium chloride
250 mL to infuse at 800 units/hr. At what rate should the nurse set the infusion pump? (Round
the answer to the nearest whole number. Use. Leading zero if it applies. Do not use a trailing
zero.) - ANS8 mL/hr
A community health nurse is checking blood pressures for a group of clients at a community
health screening. Which of the following clients is at an increased risk for hypertension? - ANSa
client who smokes one pack of cigarettes each day
A nurse is reviewing a client's medication prescription that reads, "digoxin 0.25 by mouth every
day." Which of the following components of the prescription should the nurse verify with the
provider? - ANSMedication dose
, A nurse is reviewing protocol in preparation for suctioning secretions from a client who has a
new tracheostomy. Which of the following actions should the nurse plan to take? - ANSSelect a
suction catheter that is half the size of the lumen.
A nurse is caring for a group of clients on a medical surgical unit. In which of the following
situations does the nurse demonstrate the ethical principle of veracity? - ANSA client unaware
of her recent cancer diagnosis asks the nurse if she has cancer, and the nurse responds
affirmatively.
NGN QUESTION: Based on the clients clinical findings, which of the following actions should
the nurse take? - ANSAssist client to a left side lying position with the right knee flexed
Administer a cleansing enema
Auscultate the clients bowel sounds
Perform a manual digital examination of the client's rectum
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? -
ANS"What could I have done to deserve this illness?"
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? -
ANSassess the client for orthostatic hypotension
A nurse is giving a change-of-shift report about a client they admitted earlier that day who has
pneumonia. Which of the following pieces of information is the priority for the nurse to provide? -
ANSBreath sounds
When using the airway, breathing, circulation approach to client care, the nurse should
determine that the priority information to provide is the current status of the client's breath
sounds.
A nurse is reviewing practice guidelines with a group of newly licensed nurses. Which of the
following interventions should the nurse include that is within the RN scope of practice? -
ANSInitiate an enteral feeding through a gastrostomy tube.
A nurse is caring for a client who requires a 24 hr urine collection. Which is the following
statements by the client indicates and understanding of the teaching? - ANS"I flushed what I
urinated at 7:00 a.m. and have saved all urine since."
NGN QUESTION: click to highlight the findings that indicate the client is malnourished. -
ANSCachectic, with flaccid muscle tone
Skin dry and scaly with bruises on extremities
Pulse rate 118/min
Abdomen distended
B with NGN
A nurse is providing discharge teaching for a client who has a new prescription for a home
oxygen concentrator. Which of the following instructions should the nurse provide to the client
and his family? (Select all that apply.) - ANSCheck the cord routinely for frays or tearing
Consider purchasing a generator for power backup
Observe for signs of hypoxia
A charge nurse is observing a newly licensed nurse prepare a sterile field for a dressing
change. Which of the following actions by the newly licensed nurse requires intervention by the
charge nurse. - ANSThe newly licensed nurse places the cap of a bottle of sterile saline solution
on the sterile field.
A charge nurse is discussing the responsibility of nurses caring for clients who have Clostridium
difficile infection. Which of the following information should the nurse include in the teaching? -
ANSHave family members wear a gown and gloves when visiting.
A nurse is teaching an older adult client who is at risk for osteoporosis about beginning a
program of regular physical activity. Which of the following types of activities should the nurse
recommend? - ANSWalking briskly
A nurse is preparing to delegate client care task to an assistive personnel a P. Which of the
following tasks should the nurse delegate? - ANSAmbulating a client who is postoperative
A nurse is preparing a heparin infusion for a client who was admitted to the facility with
deep-vein thrombosis. The prescription reads: 25,000 units of heparin in 0.9% sodium chloride
250 mL to infuse at 800 units/hr. At what rate should the nurse set the infusion pump? (Round
the answer to the nearest whole number. Use. Leading zero if it applies. Do not use a trailing
zero.) - ANS8 mL/hr
A community health nurse is checking blood pressures for a group of clients at a community
health screening. Which of the following clients is at an increased risk for hypertension? - ANSa
client who smokes one pack of cigarettes each day
A nurse is reviewing a client's medication prescription that reads, "digoxin 0.25 by mouth every
day." Which of the following components of the prescription should the nurse verify with the
provider? - ANSMedication dose
, A nurse is reviewing protocol in preparation for suctioning secretions from a client who has a
new tracheostomy. Which of the following actions should the nurse plan to take? - ANSSelect a
suction catheter that is half the size of the lumen.
A nurse is caring for a group of clients on a medical surgical unit. In which of the following
situations does the nurse demonstrate the ethical principle of veracity? - ANSA client unaware
of her recent cancer diagnosis asks the nurse if she has cancer, and the nurse responds
affirmatively.
NGN QUESTION: Based on the clients clinical findings, which of the following actions should
the nurse take? - ANSAssist client to a left side lying position with the right knee flexed
Administer a cleansing enema
Auscultate the clients bowel sounds
Perform a manual digital examination of the client's rectum
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? -
ANS"What could I have done to deserve this illness?"
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? -
ANSassess the client for orthostatic hypotension
A nurse is giving a change-of-shift report about a client they admitted earlier that day who has
pneumonia. Which of the following pieces of information is the priority for the nurse to provide? -
ANSBreath sounds
When using the airway, breathing, circulation approach to client care, the nurse should
determine that the priority information to provide is the current status of the client's breath
sounds.
A nurse is reviewing practice guidelines with a group of newly licensed nurses. Which of the
following interventions should the nurse include that is within the RN scope of practice? -
ANSInitiate an enteral feeding through a gastrostomy tube.
A nurse is caring for a client who requires a 24 hr urine collection. Which is the following
statements by the client indicates and understanding of the teaching? - ANS"I flushed what I
urinated at 7:00 a.m. and have saved all urine since."
NGN QUESTION: click to highlight the findings that indicate the client is malnourished. -
ANSCachectic, with flaccid muscle tone
Skin dry and scaly with bruises on extremities
Pulse rate 118/min
Abdomen distended
