RN COMPREHENSIVE ONLINE PRACTISE 2019 WITH NGN / QUESTIONS AND VERIFIED ANSWERS

RN COMPREHENSIVE ONLINE PRACTISE 2019 WITH NGN / QUESTIONS AND VERIFIED ANSWERS 1. Ask the Caller for verification of their identity: A nurse working on a medical-surgical unit receives a telephone call requesting the status of a client froman individual who identifies themself as the client's parent. Which of the following actins should the nurse take? A.)Ask the caller for verification of their identity B.) Give the caller limited information about the clientC.) transfer the phone call to the client's room D.) Inform the caller that they should obtain permission from the client's provider 2. A nurse is caring for a client whohas a fractured femur and has had a fiberglass leg cylinder cast for 24 hr. Which of the following assessment findings should the nurse identify as the priority? A.) the client reports leg itching under the cast around the mid-upper thigh area B.) The client reports increased pain when the leg is lowered below the level of theheart C.) The client's cast became wet during a sponge bath D.) The client's heel is reddened and tender 3. nurseis teaching a client who is to start taking misoprostol and currently is on long-term therapy with NSAIDs for arthritis. The nurse should provide the client with which ofthe following information? A.) Increase intake of fluids and fiber to prevent constipation B.) Complete a serum pregnancy test before taking the medication C.) This medication coats stomach ulcers so that they can heal D.) Take a magnesium-containing antacid along with this medication 4. A nurse is teaching a client who has a new prescription for digoxinabout manifestations of toxicity. Which of the following findings should the nurse include in the teaching? A.) Constipation B.) Nausea C.) Wheezing D.) Muscle rigidity 5. A nurse is assessing a client who has obstructive sleep apnea.For which of the following complications should the nurse 3 / 65 monitor? A.) weight loss 4 / 65 B.) urinary retention C.) hypertension D.) hypoglycemia 6. 2.) Remove the Inner Cannula 4.) Remove soiled dressing 1.) Clean the stoma with 0.9% sodium chloride irrigation 3.) Change the tracheostomy collar: A m nurse is providing Teaching to a parentof a child who has a permanent tracheostomy tube. Identify the sequence of stepsthe parent should follow to perform tracheostomy care. Steps: 1.) clean the stoma with 0.9% sodium chloride irrigation2.) remove the inner cannula 3.)change the tracheostomy collar 4.) remove soiled dressing 7. A charge nurse is observing a newly licensed nurse administer enteral feedings via NG tube.Which of the following actions by the newly licensed nurse indicates anunderstanding of the procedure? A.) Instill 100mL of air into the NG tube after checking for residual B.) flushes the NG tube with 0.9% sodium chloride irrigation every 2 hoursC.) Adds 20mL of blue dye to each feeding to help detect aspiration D.) Keep the head of the bed elevated to 45 degrees for 1 hour after feedings 8. A nurse is caring for a client who has a closed-head injury and is receiving mechanical ventilation.The nurse should expect to administer which of thefollowing medications to reduce intracranial pressure? A.) propranolol B.) phenytoin C.) lorazepam D.) mannitol 9. C.) Places a pillow under the client's right arm: An assistive personnel (AP) and a nurse are turning a client onto 5 / 65 the right side.Which of the following actions bythe AP requires the nurse to intervene? A.) uses a draw sheet to move the client to the left side of the bedB.) Raises the total height of the bed to waist level 6 / 65 C.) places a pillow under the client's right arm D.) Lowers the side rails on the left side of the bed 10. A.) "A speech pathologist will performing a swallowing study for you"B.) "You should rest before eating a meal" E.) "Thicken your beverages before drinking": A nurse is providing teachingabout improving nutrition for a client who has multiple sclerosis. Which of the following instructions should the nurse include? (Select all that apply) A.) "A speech pathologist will performing a swallowing study for you"B.) "You should rest before eating a meal" C.) "You should restrict foods that are high in Vitamin D"D.) "reduce your intake of dietary fiber" E.) "Thicken your beverages before drinking" 11. The infant is at highest risk of developing A.) dehydration As evidenced byC.) vomiting: Nurse's Notes: 1500: Infant is admitted to the pediatric unit. Parent reports infant has been irritableand has vomited after each feeding within the last 3 days. Infant alert, not crying. S1 and S2 noted without murmurs. Lungs clear to auscultation anterior/posterior. Respirations even, unlabored. Abdomen firm. Bowel sounds hypoactive x4 quad- rants.Small 1x1 cm2 mass palpated near umbilicus. Skin warm and dry, turgor withtenting. 1600: Called to room by a parent. Parent attempted breastfeeding. Infant projectile vomitedNo bile noted in vomit. Some bloodtinged vomitus noted. Instructed parent to keepchild NPO. 1800: Infant crying. Soothed with Pacifier.Diagnostic Results: 1545: Hgb: 20g/dL (14-24) ; Potassium: 5.8mEq/L (3.9-5.9); Na: 132mEq/L (134-150); Chloride: 110 (96-106);WBC: 16,000 (6,200-17,000); BUN: 20 (5-18); Creatinine: 0.2 (0.1-0.4) 1730: Abdominal ultrasound:Narrowing of pyloric canal.Thickening of pylorus.Consistentwith hypertrophic pyloric stenosis. Vital Signs: 7 / 65 1500: Temp: 37.1 (98.8 F); HR: 120; RR: 30;Weight: 3.62 (8lbs) History and Physical: 8 / 65 Birthweight: 3,492.7g (7.7lbs(); parent is breastfeeding. Newborn birthed vaginallyat 38 weeks of gestation. The infant is at highest risk for A.) dehydration B.) anemia C.) hyperkalemia As evidenced by the infant's A.)potassium level B.) hemoglobinC.) vomiting 12. C.) massage the uterus to expel clots: A nurse is caring for a client who is 4hours postpartum and has a boggy uterus with heavy lochia.Which of the followingactions should the nurse take first? A.) administer oxygen B.) initiate an infusion of oxytocin C.) massage the uterus to expel clotsD.) obtain a CBC 13. A.) A client's IV pump delivers an inadequate dose of medication: A nurseis caring for a group of clients. For which of the following events should the nurse complete an incident report? A) A client's IV pump delivers an inadequate dose of medication B.) A nurse follows a client's advance directives and discontinues enteral feedingsC.) A nurse discards unused, expired bags of IV fluids D.) A client refuses an IV bolus of pain medication 14. A.) Flush the client's gastrostomy tube with 30mL of water before adminis-tering the medication: A nurse is administering medications to a client who has a percutaneous gastrostomy tube for enteral feedings. Which of the following actionsshould the nurse take to prevent clogging of the tube? A.) Flush the cl