Fundamentals Practice Test A with
NGN questions and answers.
A nurse is planning to insert a peripheral IV catheter for an older adult
client. Which of the following actions should the nurse plan to take? -
ANSW✔✔Place the client's arm in a dependent position.
A nurse is initiating a protective environment for a client who has had
an allogeneic stem cell transplant. Which of the following precautions
should the nurse plan for this client? - ANSW✔✔Make sure the client
wears a mask when outside her room if there is construction in the
area.
A nurse is evaluating teaching for a client who has heart failure. Which
of the following 3 statements by the client indicates an understanding
of the teaching?
A nurse in a provider's clinic is caring for a client who has heart failure.
Exhibit 1:
Nurses' Notes: First Clinic Visit: Client arrives to clinic with report of
increasing shortness of breath, fatigue, and weakness. States they get
short of breath with minimal activity. Client is alert and oriented to
person, place, and time. Moves all extremities well, follows simple
commands.
,Sinus tachycardia. Pulses to lower extremities weak with +2 dependent
edema present. Slightly labored respirations at rest. Chest with
wheezes and crackles in the bases. Reports productive cough, especially
during the overnight hours.
Bowel sounds all present. Abdomen distended. Reports bowel
movement this a.m. States voiding without difficulty, clear yellow urine.
Teaching provi - ANSW✔✔- "I am limiting my sodium intake to 2 grams
daily"
- "I am eating fewer potato chips and more fruit for snacks"
- "I know to call my doctor if I gain 3 pounds or more in 2 days"
A nurse is admitting a client who is having an exacerbation of heart
failure. In planning this client's care, when should the nurse initiate
discharge planning? - ANSW✔✔During the admission process
A nurse on a medical-surgical unit is caring for a client who has a new
prescription for wrist restraints. Which of the following actions should
the nurse take? - ANSW✔✔Pad the client's wrist before applying the
restraints.
A nurse is reviewing a client's fluid and electrolyte status. Which of the
following findings should the nurse report to the provider? -
ANSW✔✔Potassium 5.4 mEq/L
, A nurse is admitting a new client. Which of the following actions should
the nurse take while performing medication reconciliation? -
ANSW✔✔Compare the client's home medications with the provider's
prescriptions.
The nurse is assessing the client. Which of the following actions should
the nurse take? Select all that apply.
A nurse is caring for a client who has a peripheral IV inserted for fluid
replacement.
Exhibit 1:
Nurses' Notes: Day 1: Lactated Ringer's at 100 mL/hr infusing into a 20-
guage IV catheter in left hand. IV dressing dry and intact. IV site without
redness or swelling. IV fluid infusing well.
Day 2: IV site edematous. Skin surrounding catheter site taut, blanched,
and cool to touch. IV fluid not infusing. - ANSW✔✔- Stop the IV
infusion.
- Elevate the client's left arm.
- Apply heat to the client's left arm.
A nurse is assessing an older adult client's risk for falls. Which of the
following assessments should the nurse use to identify the client's
safety needs? (Select all that apply.) - ANSW✔✔- Pupil clarity
NGN questions and answers.
A nurse is planning to insert a peripheral IV catheter for an older adult
client. Which of the following actions should the nurse plan to take? -
ANSW✔✔Place the client's arm in a dependent position.
A nurse is initiating a protective environment for a client who has had
an allogeneic stem cell transplant. Which of the following precautions
should the nurse plan for this client? - ANSW✔✔Make sure the client
wears a mask when outside her room if there is construction in the
area.
A nurse is evaluating teaching for a client who has heart failure. Which
of the following 3 statements by the client indicates an understanding
of the teaching?
A nurse in a provider's clinic is caring for a client who has heart failure.
Exhibit 1:
Nurses' Notes: First Clinic Visit: Client arrives to clinic with report of
increasing shortness of breath, fatigue, and weakness. States they get
short of breath with minimal activity. Client is alert and oriented to
person, place, and time. Moves all extremities well, follows simple
commands.
,Sinus tachycardia. Pulses to lower extremities weak with +2 dependent
edema present. Slightly labored respirations at rest. Chest with
wheezes and crackles in the bases. Reports productive cough, especially
during the overnight hours.
Bowel sounds all present. Abdomen distended. Reports bowel
movement this a.m. States voiding without difficulty, clear yellow urine.
Teaching provi - ANSW✔✔- "I am limiting my sodium intake to 2 grams
daily"
- "I am eating fewer potato chips and more fruit for snacks"
- "I know to call my doctor if I gain 3 pounds or more in 2 days"
A nurse is admitting a client who is having an exacerbation of heart
failure. In planning this client's care, when should the nurse initiate
discharge planning? - ANSW✔✔During the admission process
A nurse on a medical-surgical unit is caring for a client who has a new
prescription for wrist restraints. Which of the following actions should
the nurse take? - ANSW✔✔Pad the client's wrist before applying the
restraints.
A nurse is reviewing a client's fluid and electrolyte status. Which of the
following findings should the nurse report to the provider? -
ANSW✔✔Potassium 5.4 mEq/L
, A nurse is admitting a new client. Which of the following actions should
the nurse take while performing medication reconciliation? -
ANSW✔✔Compare the client's home medications with the provider's
prescriptions.
The nurse is assessing the client. Which of the following actions should
the nurse take? Select all that apply.
A nurse is caring for a client who has a peripheral IV inserted for fluid
replacement.
Exhibit 1:
Nurses' Notes: Day 1: Lactated Ringer's at 100 mL/hr infusing into a 20-
guage IV catheter in left hand. IV dressing dry and intact. IV site without
redness or swelling. IV fluid infusing well.
Day 2: IV site edematous. Skin surrounding catheter site taut, blanched,
and cool to touch. IV fluid not infusing. - ANSW✔✔- Stop the IV
infusion.
- Elevate the client's left arm.
- Apply heat to the client's left arm.
A nurse is assessing an older adult client's risk for falls. Which of the
following assessments should the nurse use to identify the client's
safety needs? (Select all that apply.) - ANSW✔✔- Pupil clarity
