PRACTICE B WITH NGN NEWEST
ACTUAL EXAM WITH COMPLETE
QUESTIONS AND DETAILED ANSWERS
GRADED A | BRAND NEW!!!
A nurse is caring for a newborn who is undergoing
phototherapy to treat hyperbilirubinemia. Which of the
following actions should the nurse take? - ✔✔✔ Correct
Answer > Cover the newborn's eyes while under the
phototherapy light.
Applying an opaque eye mask prevents damage to the
newborn's retinas and corneas from the phototherapy light.
A nurse is teaching a postpartum client about steps the nurses
will take to promote the security and safety of the client's
newborn. Which of the following statements should the nurse
make? - ✔✔✔ Correct Answer > Staff members who take care
of your baby will be wearing a photo identification badge.
,The nurse should instruct the client that all staff members that
care for newborns are required to wear a photo identification
badge so that the client will be reassured of the newborn's
safety. Some units' staff members wear special badges or a
specific color scrubs.
A nurse is reviewing the medical record of a client who is
postpartum and has preeclampsia. Which of the following
laboratory results should the nurse report to the provider? -
✔✔✔ Correct Answer > Platelets 50,000/mm3
A platelet count of 50,000/mm3 is below the expected
reference range, which can indicate disseminated intravascular
coagulation. The nurse should report this result to the provider
A nurse is performing an assessment on the client. Which of the
following findings should the nurse report to the provider?
Select all that apply. - ✔✔✔ Correct Answer > Blood pressure
152/110 mm Hg is correct. The client's blood pressure is above
the expected reference range. An elevated blood pressure can
be an indication of anxiety or preeclampsiatherefore, the nurse
should report this finding to the provider.
+2 pitting edema is correct. The client has +2 pitting edema,
which may not be indicative of any disorder but should be
,investigated, especially if it is occurring with other
manifestations; therefore, the nurse should report this finding
to the provider
Headache is correct. The client reports a headache that began 1
hr ago. A headache that coincides with an elevated blood
pressure might be an indication of preeclampsia therefore, the
nurse should report this finding to the provider.
Heartburn is correct. The client reports heartburn that began 1
hr ago. Although heartburn can occur after eatingthe client is
also experiencing other manifestations along with the
heartburntherefore, the nurse should report this finding to the
provider
Based on the nurses assessment findings, which of the
following conditions is the client at greatest risk for developing?
- ✔✔✔ Correct Answer > The client is at greatest risk for
developing preeclampsia as evidenced by increased blood
pressure
Preeclampsia is correct. The client has an increased blood
pressure of 152/105 mm Hgwhich is above the expected
reference range. Some clients do not develop manifestations of
preeclampsia until they are in the postpartum period. The client
is also experiencing a headache and epigastric pain, along with
an elevated blood pressure. These findings are consistent with
, preeclampsia and place the client at greatest risk for developing
this condition.
Increased blood pressure is correct. The client has an increased
blood pressure of 152/105 mm Hgwhich is above the expected
reference range. This finding, along with other assessment
findings , is consistent with preeclampsia and places the client
at greatest risk of developing this condition.
The priority intervention the nurse should perform is - ✔✔✔
Correct Answer > assess the clients, deep tendon reflexes,
followed by assess the client for visual disturbances
Assess the client's deep tendon reflexes (DTRS) is correct. The
priority intervention for the nurse is to assess the client's DTRS
to check the reflex irritability According to evidence-based
practice, increased DTR reflex irritability places the client at a
greater risk for seizure activity
Assess the client for visual disturbances is correctAccording to
evidence- based practice, the nurse's next priority intervention
is to assess the client for visual changes, such as blurred vision
and scotoma, which are caused by vasospasms and decreased
amounts of blood flow to the retina. Although the client is in
the postpartum period, some clients do not develop
manifestations of preeclampsia until this time. The client is