gt TESTBANK/ACTUAL EXAM WITH CORRECT VERIFIED gt gt gt gt
ANSWERS/NGN RN COMPREHENSIVE PROCTORED
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ASSESSMENT/NEWEST 2025/ALREADY GRADED A+
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. If a patient develops cor pulmonale (right-sided heart failure), the nurse
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would expect to observe
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1. increasing respiratory difficulty seen with exertion. gt gt gt gt gt
2. cough productive of a large amount of thick, yellow mucus.
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3. peripheral edema and anorexia.
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4. twitching of extremities. ANSWER>>>3
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. The nursing team includes two RNs, one LPN/LVN, and one nursing
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gt assistant. The nurse should consider the assignments appropriate if the
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nursing assistant is assigned to care for
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1. a patient with Alzheimer's requiring assistance with feeding.
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2. a patient with osteoporosis complaining of burning on urination.
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3. a patient with scleroderma receiving a tube feeding.
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4. a patient with cancer who has Cheyne-Stokes respirations. ANSWER>>>1
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A 23-year-old man is admitted with a subdural hematoma and cerebral
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gt edema after a motorcycle accident. Which of the following symptoms should
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the nurse expect to see INITIALLY?
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1. Unequal and dilated pupils.
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2. Decerebrate posturing.
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3. Grand mal seizures. gt gt
4. Decreased level of consciousness. ANSWER>>>4 gt gt gt gt
A 23-year-old woman at 32-weeks gestation is seen in the outpatient
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gt clinic. Which of the following findings, if assessed by the nurse, would
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,indicate a possible complication? gt gt gt
1. The patient's urine test is positive for glucose and acetone.
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2. The patient has 1+ pedal edema in both feet at the end of the day.
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3. The patient complains of an increase in vaginal discharge.
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4. The patient says she feels pressure against her diaphragm when the baby moves. ANSWER>>>1
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A 38-year-old woman is returned to her room after a subtotal thyroidectomy
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for treatment of hyperthyroidism. Which of the following, iffound by the nurse
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gt at the patient's bedside, is nonessential?
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1. gt Potassium gt chloride gt for gt IV
gt administration. g
t
2. Calcium gluconate for IV administration.
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3. Tracheostomy set-up.
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4. Suction equipment. ANSWER>>>1
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A 59-year-old woman with bipolar disorder is receiving haloperidol
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gt (Haldol) 2 mg PO tid. She tells the nurse, "Milk is coming out of my
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breasts." Which of the following responses by the nurse is BEST? 1.
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gt "You are seeing things that aren't real."
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2. "Why don't we go make some fudge." gt gt gt gt gt gt
3. "You are experiencing a side effect of Haldol."
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4. "I'll contact your physician to change your medication." ANSWER>>>3
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A 69-year-old patient is undergoing his second exchange of intermittent
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peritoneal dialysis (IPD). Which of the following would require an
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intervention by the nurse? gt gt gt
,1. The patient complains of pain during the inflow of the dialysate.
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2. The patient complains of constipation.
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3. The dialysate outflow is cloudy.
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4. There is blood-tinged fluid around the intra-abdominal catheter. ANSWER>>>3
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A charge nurse is discussing the responsibility of nurses carig for patients who have C. difficile. Which of
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the following information should the nurse include in the teaching?
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a) Assign the patient to a room with a negative air-flow system
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b) Use alcohol-based hand sanitizer when leaving the patients room
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c) clean contaminated surfaces in the patients room with a phenol solution
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d) have family members wear a gown and gloves when visiting
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gt ANSWER>>>D
A patient diagnosed with dementia wanders the halls of the locked nursing unit during the day. To ensure
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the patient's safety while walking in the halls, the nurse should do which of the following?
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1. Administer PRN haloperidol (Haldol) to decrease the need to walk.
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2. Assess the patient's gait for steadiness.
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3. Restrain the patient in a geriatric chair. gt gt gt gt gt gt
4. Administer PRN lorazepam (Ativan) to provide sedation. ANSWER>>>2 gt gt gt gt gt gt gt
A patient has a history of oliguria, hypertension, and peripheral edema.
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gt Current lab values are: BUN -25, K+ -4.0 mEq/L. Which nutrient should be
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restricted in the patient's diet?
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1. Protein.
2. Fats.
3. Carbohydrates.
4. Magnesium. ANSWER>>>1 gt
, a patient has a new prescription for spironilactone ( aldactone ) which of the following laboratory value
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gt should the nurse recognized as a reason to withhold the morning dose of the medication and notify the
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provider
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ANSWER>>>serum potassium 5.2 gt gt
a patient has prescription for valproic ( Depakote) which of the following laboratory value should the nurse
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anticipate monitor for the patient taking this medication
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ANSWER>>>thrombocytes, amylase count and liver function test gt gt gt gt gt gt
A patient is admitted with a diagnosis of acute appendicitis. When assessing the abdomen, the nursewould
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t
gt expect to find rebound tenderness at which location?
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a) Left lower quadrant
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gt b) Left upper quadrant
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gt c) Right upper quadrant
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d) Right lower quadrant
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ANSWER>>>D
A patient is being discharged with sublingual nitroglycerin (Nitrostat).
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The patient should be cautioned by the nurse to
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1. take the medication five minutes after the pain has started.2.
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t
gt stop taking the medication if a stinging sensation is absent. 3.
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t
gt take the medication on an empty stomach.
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4. avoid abrupt changes in posture.
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ANSWER>>>4