RN Question Trainer Test 1 NGN Exam.

RN Question Trainer Test 1 NGN Exam. 1. The nurse case manager reviews the nurse's notes. Complete the following sentences by choosing from the list of options. 2. The nurse provides care for a client who has a new prescription for warfarin. Which client statement indicates an un- derstanding of the medication teaching? The nurse will first determine if the client has an advance directive If the client is incapacitat- ed, and cannot make medical decisions, those decisions can be made by a durable power of attorney for healthcare In the absence of an advance directive, or established domestic partner or spouse, the consent for the client's surgery would be given by client's adult chil- dren "I will call my health care provider if I have bruising or bleeding." Warfarin is an anticoagulant medication so the client should report bruising and bleeding 1. "I will take my temperature every day." to the health care provider. 2. "I will stay away from people who are sick." 3. "I will increase my intake of fruits and vegetables." 4. "I will call my health care provider if I have bruising or bleeding." 3. The client has a long history of cirrho- sis with acute hepatic encephalopathy. The nurse assesses the daily lab reports. Which finding indicates the client is im- proving? The client's ammonia level decreased from 110 to 75 mcg/dL (80.7 to 55 mcmol/L The normal ammonia level is 15 to 45 mcg/dL (11 to 33 mcmol/L). The client's level is elevated, as would be expected with hepatic 1. The client's fasting blood glucose (FBG) encephalopathy, but it is decreasing, indicat- decreased from 100 to 90 mg/dL (5.6 to 5 ing mmol/L). improvement. 2. The client's prothrombin time (PT) in- creased from 20 to 25 seconds. 3. The client's ammonia level decreased from 110 to 75 mcg/dL (80.7 to 55 mc- mol/L). 4. The client's aspartate aminotrans- ferase (AST) increased from 24 to 30 units (0.4 to 0.5 mckat/L). 4. The nurse receives a message on social media from a former client. The message reads, "I thought you were so nice and would like to be friends." Which action by the nurse is appropriate? 1. Ignore the message and delete it. 2. Reply and accept the client's invitation. 3. Explain that is it unprofessional to ac- cept the invitation. X (opt) 4. Apologize for not remembering the identity of the client. 5. Which 4 comments does the nurse pass on to the physician? 1. The teacher's concern that the client has developed ADHD or gotten into drugs. Ignore the message and delete it. The teacher's concern that the client has devel- oped ADHD or gotten into drugs. The parent's statement that the client does not want to go to school anymore. The client's statement, "I can't see the black 2. The client's statement that the teacher board or understand what the teacher is say- refused a request to move back to the front of the classroom. 3. The parent's statement that the client does not want to go to school anymore. ing." The teacher's report of behavior changing from attentive to unengaged and disruptive. 4. The client's statement, "I can't see the black board or understand what the teacher is saying." 5. The teacher's report of behavior changing from attentive to unengaged and disruptive. 6. The clients reports that the other stu- dents made fun of the clients desire to sit at the front. 6. Finding ADHD/Drug use/Depression/Sensory al- teration 7. Which is the nurse's priority concern for this client? 1. ADHD. 2. Drug use. 3. Depression. 4. Sensory alteration. The client's behavior has changed from attentive to unengaged and disruptive.= ADHD/Drug use/Depression/Sensory alter- ation The client used to love school and suddenly does not want to go.= ADHD/Drug use/De- pression/Sensory alteration The client reports being unable to see or understand what is going on in the class- room.= Sensory alteration The client is tearful and states, "I must be dumb."= Depression Depression. While all of these possible diagnoses are con- cerning, the priority concern is depression, as it can lead to self harm and possible suicide. ADHD is not going to cause the client to inten- 8. Which intervention does the nurse ex- pect the physician to implement or re- quest? (Select all that apply.) 1. Perform a Snellen exam. 2. Collect a urine specimen for culture and sensitivity. 3. Examine the ears with an otoscope. 4. Collect a urine specimen for drug screening. 5. Perform a screening for depression and suicide risk. 6. Write a prescription for antibiotics. 7. Perform an abdominal ultrasound. 8. Write a prescription for methylphenidate hydrochloride 9. Complete the following sentences by choosing from the list of options. tionally cause self h