RN COMPREHENSIVE ONLINE PRACTICE 2025 B WITH NGN EXAM QUESTION
AND ANSWERS GRADED A+ 100% VERIFIED.
1. A nurse has just received change-of-shift report on four clients. Which of
the following clients should the nurse assess first?
A client who is postoperative with abdominal distention and no bowel sounds
A client who has diabetes mellitus and a blood glucose level of 105 mg/dL
A client who has heart failure and 2+ pitting edema
A client who is receiving maintenance IV fluids and needs a new IV catheter: A
client who is postoperative with abdominal distention and no bowel sounds
Using the acute vs. chronic approach to client care, the nurse should first assess the
client who is postoperative with abdominal distention and no bowel sounds because
these manifestations are indications of a paralytic ileus.
2. For each assessment finding, click to specify if the finding is consistent
with attention deficit hyperactivity disorder (ADHD) or intellectual disability
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, (ID). Each finding may support more than 1 disease process.
Assessment Findings
Intellectual impairment
Interrupting others
Impaired language skills
Hyperreactivity to sensory input
Losing necessary things
A nurse is caring for a school-age child.
Nurses' Notes
First visit:
A child is brought to the clinic accompanied by guardians. The guardians
have received feedback from the child's teacher that the child has become
disinterested in schoolwork and has difficulty paying attention during class.
The child often loses their school supplies.
The guardians report that the child demonstrates these behaviors at home
as well. The child refuses to participate in household chores, keeps their
room untidy, does not clean up when told to, and is generally careless and
disinterested.
On assessing, the child is found to be talkative, restless, and easily distracted.
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, 2 weeks later:
The child's guardians report that the child seems to be doing better at school.
The child is improving at paying attention during class and completing as-
signments on time.
Vital Signs
First visit:
Blood pressure 94/56 mm Hg
Heart rate 90/min
Respiratory rate 24/min
Temperature 37.2° C (99° F)
SaO2 99% on room air
2 weeks later:
Blood pressure 98/60 mm Hg
Heart rate 88/min
Respiratory rate 22/min
Temperature 37° C (98.6° F)
SaO2 99% on room air
Provider Prescriptions
Atomoxetine 10 mg PO daily with breakfast for 5 days, then increase dose to
18 mg PO daily with breakfast: ADHD
Hyperreactivity to sensory input
Losing necessary things
Interrupting others
mailto:https://www.stuvia.com/en-us/user/techgrades
, Intellectual impairment
ID
Intellectual impairment
Hyperreactivity to sensory input
When analyzing cues, the nurse should identify that manifestations of ADHD include
losing necessary things, interrupting others, intellectual impairment, and hyper
reactivity to sensory input.
In ADHD, the client often loses necessary things in daily life, such as pencils,
erasers, and books. The client often interrupts others and has difficulty waiting for
mailto:https://www.stuvia.com/en-us/user/techgrades
AND ANSWERS GRADED A+ 100% VERIFIED.
1. A nurse has just received change-of-shift report on four clients. Which of
the following clients should the nurse assess first?
A client who is postoperative with abdominal distention and no bowel sounds
A client who has diabetes mellitus and a blood glucose level of 105 mg/dL
A client who has heart failure and 2+ pitting edema
A client who is receiving maintenance IV fluids and needs a new IV catheter: A
client who is postoperative with abdominal distention and no bowel sounds
Using the acute vs. chronic approach to client care, the nurse should first assess the
client who is postoperative with abdominal distention and no bowel sounds because
these manifestations are indications of a paralytic ileus.
2. For each assessment finding, click to specify if the finding is consistent
with attention deficit hyperactivity disorder (ADHD) or intellectual disability
mailto:https://www.stuvia.com/en-us/user/techgrades
, (ID). Each finding may support more than 1 disease process.
Assessment Findings
Intellectual impairment
Interrupting others
Impaired language skills
Hyperreactivity to sensory input
Losing necessary things
A nurse is caring for a school-age child.
Nurses' Notes
First visit:
A child is brought to the clinic accompanied by guardians. The guardians
have received feedback from the child's teacher that the child has become
disinterested in schoolwork and has difficulty paying attention during class.
The child often loses their school supplies.
The guardians report that the child demonstrates these behaviors at home
as well. The child refuses to participate in household chores, keeps their
room untidy, does not clean up when told to, and is generally careless and
disinterested.
On assessing, the child is found to be talkative, restless, and easily distracted.
mailto:https://www.stuvia.com/en-us/user/techgrades
, 2 weeks later:
The child's guardians report that the child seems to be doing better at school.
The child is improving at paying attention during class and completing as-
signments on time.
Vital Signs
First visit:
Blood pressure 94/56 mm Hg
Heart rate 90/min
Respiratory rate 24/min
Temperature 37.2° C (99° F)
SaO2 99% on room air
2 weeks later:
Blood pressure 98/60 mm Hg
Heart rate 88/min
Respiratory rate 22/min
Temperature 37° C (98.6° F)
SaO2 99% on room air
Provider Prescriptions
Atomoxetine 10 mg PO daily with breakfast for 5 days, then increase dose to
18 mg PO daily with breakfast: ADHD
Hyperreactivity to sensory input
Losing necessary things
Interrupting others
mailto:https://www.stuvia.com/en-us/user/techgrades
, Intellectual impairment
ID
Intellectual impairment
Hyperreactivity to sensory input
When analyzing cues, the nurse should identify that manifestations of ADHD include
losing necessary things, interrupting others, intellectual impairment, and hyper
reactivity to sensory input.
In ADHD, the client often loses necessary things in daily life, such as pencils,
erasers, and books. The client often interrupts others and has difficulty waiting for
mailto:https://www.stuvia.com/en-us/user/techgrades
