PN Comprehensive Online Practice 2020 A with NGN
Study online at https://quizlet.com/_d2i0ib
1. A nurse is caring for a client who ad- Spaghetti noodles with red sauce
heres to a kosher diet. Which of the
following food selections should
the nurse expect to see on the
client's meal tray?
2. A nurse is collecting data from a
client who has chronic hepatitis.
In which of the following locations
should the nurse expect the client
to point to indicate hepatic tender-
ness? (You will find hot spots to
select in the artwork below. Select
only the hot spot that corresponds
to your answer.)
3. A nurse is assisting with teaching a "I will keep my intake of sodium less
group of local residents at a com- than 2,300 milligrams per day."
munity health fair about the Dietary
Approaches to Stop Hypertension Rationale: DASH principles include
(DASH) diet. Which of the following limiting daily sodium intake to less
statements by a resident indicates than 2,300 mg/day. Individuals who
an understanding of the teaching? have an increased risk for hyperten-
sion, such as clients who have kidney
disease and diabetes, should reduce
intake of sodium to 1,500 mg/day.
4. A nurse is reinforcing teaching 2 Tbsp peanut butter
about a high-protein diet with a The nurse should recommend 2 Tbsp
client who has HIV. Which of the fol- of peanut butter because it contains
lowing foods should the nurse rec- approximately 7g of protein.
ommend as containing the highest
amount of protein per serving?
5. A nurse is reinforcing discharge "I will soak my child's toothbrush in
teaching with the parents of a warm water to soften it before my
school-age child who has severe child uses it."
hemophilia A. Which of the follow-
ing statements by the parents in-
, PN Comprehensive Online Practice 2020 A with NGN
Study online at https://quizlet.com/_d2i0ib
dicates an understanding of the
teaching?
6. A nurse is reinforcing teaching ANS: Administer by subcutaneous in-
about self-administration of enoxa- jection
parin. Which of the following in-
structions should the nurse in- RAT: The nurse should include that
clude? enoxaparin should be injected into
the subcutaneous tissue
7. A nurse is collecting data from a ANS: Reports a decrease in the num-
client who has chronic pancreatitis ber of stools
and is receiving pancrelipase.'
Which of the following client find- RAT: Pancrelipase is administered as
ings indicates replacement therapy for a deficien-
a therapeutic effect of this medica- cy in pancreatic enzymes, which re-
tion? sult in steatorrhea, or fatty stools.
The nurse should monitor for im-
proved nutrition and a decrease in
the number of bowel movements,
which would indicate a therapeutic
response to the medication
8. A nurse is caring for a client who ANS: Occupational therapist
is recovering from a stroke and is
experiencing difficulty using eating RAT: The nurse should identify the
utensils. The nurse should identify need for a referral to an occupational
the need for a referral to which of therapist to teach the client how to
the following interprofessional team use special eating utensils
members?
9. A nurse is collecting data from My doctors glasses have lasers that
a client who has schizophrenia. will burn holes in my brain if i look at
Which of the following statements them.
by the client should the nurse iden-
tify as a delusion? rationale: The client's statement
demonstrates a belief that is contrary
to reality that someone intends to
cause them harm using unrealistic
means. Therefore, the nurse should
, PN Comprehensive Online Practice 2020 A with NGN
Study online at https://quizlet.com/_d2i0ib
identify this statement as a delusion
of persecution.
10. When recognizing cues, the nurse
should identify that a temperature of
36.4° C (97.5° F) is below the ex-
pected reference range. Hypother-
mia can lead to the occurrence of hy-
poglycemia and respiratory distress.
The newborn breastfeeding for short
intervals, nipple discomfort, and a
weight loss of greater than 10% of
birth weight can indicate inadequate
transfer of breastmilk, which can re-
sult in hypoglycemia. The presence
of mild tremors can be a manifesta-
tion of hypoglycemia,
11. A nurse is reinforcing teaching apply capsaicin cream four times dai-
with a client who has osteoarthritis. ly,
Which of the following instructions
should the nurse include? rationale: The nurse should instruct
the client to apply capsaicin cream
topically to provide warmth and re-
lieve joint pain. The client should ap-
ply the cream no more than four times
daily to avoid skin irritation.
12. A nurse is reinforcing discharge ANS: "Apply a water-based lubricant
teaching with a client who has a around the nostrils to prevent irrita-
prescription for home oxygen ther- tion."
apy via nasal cannula. Which of the
RAT: The client should protect their
, PN Comprehensive Online Practice 2020 A with NGN
Study online at https://quizlet.com/_d2i0ib
following instructions should the nares with a water-based lubricant to
nurse include? prevent irritation from the nasal can-
nula. Petroleum and oil-based prod-
ucts are combustible and should not
be used with oxygen therapy
13. A nurse in a provider's office is
collecting growth and development
data from a 7-month-old infant dur-
ing a well-child visit. Which of the
following images should the nurse
identify as an indication of expected
gross motor skills for the infant?
14. A nurse is assisting with the admis- ANS: Complete a fall risk assess-
sion of an older adult client. Which ment on the client
of the following actions should the
nurse take first? RAT: The first action the nurse should
take when using the nursing process
is to collect data from the client. By
completing a fall risk assessment, the
nurse can identify the client's risk for
falls and can then assist in planning
interventions to prevent client injury
15. A nurse is supervising an assis- ANS: Gloves
tive personnel (AP) who is prepar-
ing to remove personal protective RAT: The greatest risk to the AP is
equipment (PPE) after providing di- contamination from pathogens that
rect care to a client who requires might be present on the PPE. There-
airborne and contact precautions. fore, the priority actions for the AP to
The nurse should recognize that take is to remove the gloves, which
the AP understands the procedure are considered the most contaminat-
when which of the following PPE is ed of the PPE.
removed first?
16. A client in a mental health facility ANS: "Tell me how you decided who
unjustly accuses a nurse of steal- took your money."
ing money from their room. Which of
RAT: This response by the nurse is an
Study online at https://quizlet.com/_d2i0ib
1. A nurse is caring for a client who ad- Spaghetti noodles with red sauce
heres to a kosher diet. Which of the
following food selections should
the nurse expect to see on the
client's meal tray?
2. A nurse is collecting data from a
client who has chronic hepatitis.
In which of the following locations
should the nurse expect the client
to point to indicate hepatic tender-
ness? (You will find hot spots to
select in the artwork below. Select
only the hot spot that corresponds
to your answer.)
3. A nurse is assisting with teaching a "I will keep my intake of sodium less
group of local residents at a com- than 2,300 milligrams per day."
munity health fair about the Dietary
Approaches to Stop Hypertension Rationale: DASH principles include
(DASH) diet. Which of the following limiting daily sodium intake to less
statements by a resident indicates than 2,300 mg/day. Individuals who
an understanding of the teaching? have an increased risk for hyperten-
sion, such as clients who have kidney
disease and diabetes, should reduce
intake of sodium to 1,500 mg/day.
4. A nurse is reinforcing teaching 2 Tbsp peanut butter
about a high-protein diet with a The nurse should recommend 2 Tbsp
client who has HIV. Which of the fol- of peanut butter because it contains
lowing foods should the nurse rec- approximately 7g of protein.
ommend as containing the highest
amount of protein per serving?
5. A nurse is reinforcing discharge "I will soak my child's toothbrush in
teaching with the parents of a warm water to soften it before my
school-age child who has severe child uses it."
hemophilia A. Which of the follow-
ing statements by the parents in-
, PN Comprehensive Online Practice 2020 A with NGN
Study online at https://quizlet.com/_d2i0ib
dicates an understanding of the
teaching?
6. A nurse is reinforcing teaching ANS: Administer by subcutaneous in-
about self-administration of enoxa- jection
parin. Which of the following in-
structions should the nurse in- RAT: The nurse should include that
clude? enoxaparin should be injected into
the subcutaneous tissue
7. A nurse is collecting data from a ANS: Reports a decrease in the num-
client who has chronic pancreatitis ber of stools
and is receiving pancrelipase.'
Which of the following client find- RAT: Pancrelipase is administered as
ings indicates replacement therapy for a deficien-
a therapeutic effect of this medica- cy in pancreatic enzymes, which re-
tion? sult in steatorrhea, or fatty stools.
The nurse should monitor for im-
proved nutrition and a decrease in
the number of bowel movements,
which would indicate a therapeutic
response to the medication
8. A nurse is caring for a client who ANS: Occupational therapist
is recovering from a stroke and is
experiencing difficulty using eating RAT: The nurse should identify the
utensils. The nurse should identify need for a referral to an occupational
the need for a referral to which of therapist to teach the client how to
the following interprofessional team use special eating utensils
members?
9. A nurse is collecting data from My doctors glasses have lasers that
a client who has schizophrenia. will burn holes in my brain if i look at
Which of the following statements them.
by the client should the nurse iden-
tify as a delusion? rationale: The client's statement
demonstrates a belief that is contrary
to reality that someone intends to
cause them harm using unrealistic
means. Therefore, the nurse should
, PN Comprehensive Online Practice 2020 A with NGN
Study online at https://quizlet.com/_d2i0ib
identify this statement as a delusion
of persecution.
10. When recognizing cues, the nurse
should identify that a temperature of
36.4° C (97.5° F) is below the ex-
pected reference range. Hypother-
mia can lead to the occurrence of hy-
poglycemia and respiratory distress.
The newborn breastfeeding for short
intervals, nipple discomfort, and a
weight loss of greater than 10% of
birth weight can indicate inadequate
transfer of breastmilk, which can re-
sult in hypoglycemia. The presence
of mild tremors can be a manifesta-
tion of hypoglycemia,
11. A nurse is reinforcing teaching apply capsaicin cream four times dai-
with a client who has osteoarthritis. ly,
Which of the following instructions
should the nurse include? rationale: The nurse should instruct
the client to apply capsaicin cream
topically to provide warmth and re-
lieve joint pain. The client should ap-
ply the cream no more than four times
daily to avoid skin irritation.
12. A nurse is reinforcing discharge ANS: "Apply a water-based lubricant
teaching with a client who has a around the nostrils to prevent irrita-
prescription for home oxygen ther- tion."
apy via nasal cannula. Which of the
RAT: The client should protect their
, PN Comprehensive Online Practice 2020 A with NGN
Study online at https://quizlet.com/_d2i0ib
following instructions should the nares with a water-based lubricant to
nurse include? prevent irritation from the nasal can-
nula. Petroleum and oil-based prod-
ucts are combustible and should not
be used with oxygen therapy
13. A nurse in a provider's office is
collecting growth and development
data from a 7-month-old infant dur-
ing a well-child visit. Which of the
following images should the nurse
identify as an indication of expected
gross motor skills for the infant?
14. A nurse is assisting with the admis- ANS: Complete a fall risk assess-
sion of an older adult client. Which ment on the client
of the following actions should the
nurse take first? RAT: The first action the nurse should
take when using the nursing process
is to collect data from the client. By
completing a fall risk assessment, the
nurse can identify the client's risk for
falls and can then assist in planning
interventions to prevent client injury
15. A nurse is supervising an assis- ANS: Gloves
tive personnel (AP) who is prepar-
ing to remove personal protective RAT: The greatest risk to the AP is
equipment (PPE) after providing di- contamination from pathogens that
rect care to a client who requires might be present on the PPE. There-
airborne and contact precautions. fore, the priority actions for the AP to
The nurse should recognize that take is to remove the gloves, which
the AP understands the procedure are considered the most contaminat-
when which of the following PPE is ed of the PPE.
removed first?
16. A client in a mental health facility ANS: "Tell me how you decided who
unjustly accuses a nurse of steal- took your money."
ing money from their room. Which of
RAT: This response by the nurse is an
