NGN Style Qs & Case Scenarios – Verified
Rationales – 100% Guarantee Pass
Contains Questions And Answers
1.
A nurse is caring for a client who has had diarrhea for the past 4 days. When assessing the
client, the nurse should expect which of the following findings? Select all.
A. Bradycardia
B. Hypotension
C. Fever
D. Poor skin turgor
mailto:https://www.stuvia.com/user/Wizardbanks
, E. Peripheral edema
Answer B, C, D
fever=caused by dehydration tachycardia
not brady
hypotension because of decreased BP from dehydration fluid
overload=peripheral edema
2.
2. A nurse is preparing to administer a cleansing enema to an adult client in
preparation for a diagnostic procedure. Which of the following are appropriate steps
for the nurse to take? Select all.
A. Warm the enema prior to instillation
B. Position the client on the left side w/the right leg flexed forward
C. Lubricate the rectal tube or nozzle
D. Slowly insert the rectal tube about 2 inches
E. Hang the enema container 24 inches above the client's anus
mailto:https://www.stuvia.com/user/Wizardbanks
, Answer A, B, C
mailto:https://www.stuvia.com/user/Wizardbanks
, Rationale -D is the appropriate length of insertion for a child, 3-4 for an adult.
-24 inches is too high & will cause it to run to fast & possible painful distention of the colon, 18 inches is the recommended height
3. Can an RN delegate to the LPN to provide tracheostomy care to a client with
pneumonia?
Answer Yes.
4. A nurse on a med-surg unit has received change-of-shift report & will care for 4
clients. Which of the following client's needs may the nurse assign to an assistive
personnel (AP)?
A. Feeding a client who was admitted 24 hrs ago w/aspiration pneumonia
B. Reinforcing teaching w/a client who is learning to walk using a quad cane
C. Reapplying a condom catheter for a client who has urinary incontinence
D. Applying a sterile dressing to a pressure ulcer
mailto:https://www.stuvia.com/user/Wizardbanks