RN Fundamentals Online Practice 2019 A with NGN Questions and Answers (Retake) 2023/2024

RN Fundamentals Online Practice 2019 A with NGN Questions and Answers (Retake) 2023/2024 A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following action should the nurse take? A. pad the client's wrist before applying the restraints B. evaluate the client's circulation every 8 hr after application C. remove the restraints every 4 hr to evaluate client's status D. secure the restraint ties to the bed's side rails (ANS-Pad the client's wrist before applying the restraints. A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first? A. Check the client for injuries. B. Move hazardous objects away from the client. C. Notify the provider. D. Ask the client to describe how she felt prior to the fall. (ANS-A. Check the client for injuries. A nurse is caring for a client who is postoperative following a knee arthroplasty and requires the use of thigh- length sequential compression sleeves. Which of the following actions should the nurse take? a. assist the client into a prone position b. place a sleeve over the top of each leg with the opening at the knee c. Make sure two fingers can fit under the sleeves. D. Set the ankle pressure at 65 mm Hg. (ANS-Make sure two fingers can fit under the sleeves. A nurse is caring for a child who has a prescription for blood transfusion. The child's parents have refused the treatment due to their religious belief. Which of the following actions should the nurse take? A. Examine personal values about the issue B. Tell the parents that this is a necessary procedure. C. Inform the parents that the staff does not require their consent. D. Contact a spiritual support person to explain the importance of the procedure. (ANS-Examine personal values about the issue. Rationale: The nurse should examine personal values about the issue in order to provide unbiased care. A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. The nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs every 15 min and to report back in 1 hr. Which of the following actions should the nurse take next? A. document the provider's statement in the medical record B. complete an incident report C. consult the facility's risk manager D. notify the nursing manager (ANS-D. notify the nursing manager Rationale: The greatest risk to the client is not receiving timely intervention for a deterioration in physiological status; therefore, the next action the nurse should take is to activate the chain of command to ensure that the client receives the necessary care. A nurse is caring for a client who has a terminal illness and is approaching death. The client is short of breath and has noisy respirations from secretions in their airway. Which of the following actions should the nurse take? A. turn the client every 2 hr B. administer and antiemetic every 6 hr C. hold oral care D. increase the room temp (ANS-A. turn the client every 2 hr A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take? A. discuss the risk factors for colon cancer B. focus teaching on what the client will need to do in the future to manage his illness C. provide the client with written information about the phases of loss and grief D. reassure the client that this is an expected response to grief (ANS-D. reassure the client that this is an expected response to grief A nurse is performing a skin assessment for a client who expresses concern about skin cancer. Which of the following findings should the nurse identify as a potential indication of a skin malignancy? A. a lesion with uniform pigmentation B. new appearance of petechiae C. a mole with an asymmetrical appearance D. the presence of a papule (ANS-C. a mole with an asymmetrical appearance A nurse is caring for a client who has herpes zoster and asks the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the client that this condition is a contraindication for which of the following therapies? A. biofeedback B. aloe C. feverfew D. acupuncture (ANS-D. acupuncture A nurse is talking with an older adult client who is contemplating retirement. The client states, "I keep thinking about how much I enjoy my job. I'm not sure I want to retire." Which of the following responses should the nurse make? A. "You would have so much more time to spend with your family." B. "You should consider getting a part-time job or doing volunteer work." C. "Let's talk about how the change in job status will affect you." D. "Why wouldn't you want to retire and relax?" (ANS-C. "Let's talk about how the change in job status will affect you." A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following major abdominal surgery. Which of the following actions is the nurse's priority? A. request that a respiratory therapist discuss the technique for incentive spirometry with the client B. determine the reasons why the client is refusing to use the incentive spirometry. C. document the client's refusal to participate in health restorative activities D. administer a pain med (ANS-B. determine the reasons why the client is refusing to use the incentive spirometry.