PN COMPREHENSIVE ONLINE PRACTICE WITH NGN
EXAMS WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED RATIONALES LATEST 2023-2024
ALREADY GRADED A+ GUARANTEED PASS 100%
A nurse in a provider's office is reviewing pediculosis capitis management and prevention strategies with
the parent of a school-age child. Which of the following strategies should the nurse include? (Select all
that apply.)
ANS:
Store the child's clothing in a separate cubicle when at school.
Boil brushes and combs in water for 10 min.
Dry bed linens and clothing in a hot dryer for at least 20 min.
RAT:
Transmission of lice occurs via contact with personal items.
Boiling hair care items in hot water for 10 min kills lice and nits.
Exposing bedding and clothing to prolonged heat by washing in hot dryer for at least 20 min is an
appropriate strategy
A nurse is contributing to the plan of care for a client who has a continent urinary diversion. Which of
the following interventions should the nurse plan to implement to facilitate urinary elimination?
ANS: Use intermittent urinary catheterization for the client at regular intervals
RAT: A continent urinary diversion contains valves that prevent urine from exiting the pouch; therefore,
the nurse should plan to insert a urinary catheter at regular intervals to drain urine from the client's
pouch.
A nurse is preparing to perform a bladder scan for a client. Which of the following actions should the
nurse take?
ANS: Tell the client they should not experience any discomfort
RAT: The nurse applies the handheld scanner over the area of the bladder when performing a bladder
scan. This noninvasive procedure should not cause the client any discomfort
A nurse is caring for a client who is crying and states that their provider informed them that they have a
tumor and will need a biopsy. Which of the following responses should the nurse make?
,ANS: "What have you done to help yourself get through stressful situations before?"
RAT: This is a therapeutic response. The nurse is aware that the client is under stress and encourages
comparison to investigate whether they have experience dealing with a stressful situation
A nurse is caring for a newborn who is 12 hr old. The nurse should expect the newborn's stool to have
which of the following characteristics within the first 24 hr following birth?
ANS: Dark greenish-black and viscous
RAT: The first stool passed by a newborn is the meconium that develops in utero. It is dark greenish-
black and viscous, containing of amniotic fluid, cells, intestinal secretions, and blood
A licensed practical nurse is assisting with preparation of client for insertion of a peripherally inserted
central venous catheter (PICC). Which of the following actions should the nurse take?
ANS: Witness the client's signature on the informed consent form.
RAT: The insertion of a PICC is an invasive procedure with risks and benefits. The nurse should witness
the client's signature on the consent form after ensuring the client has an understanding of the
procedure, including its risks and benefits
A nurse is caring for a client who adheres to a kosher diet. Which of the following food selections should
the nurse expect to see on the client's meal tray?
ANS: Spaghetti noodles with red sauce
RAT: The nurse should identify that spaghetti noodles with red sauce is appropriate for a client who
adheres to a kosher diet.
A nurse is contributing to the plan of care for a client who is receiving continuous bladder irrigation
following a transurethral resection of the prostate (TURP). Which of the following interventions should
the nurse include?
ANS: Maintain a drainage flow rate to keep the urine diluted to a reddish-pink color
RAT: The nurse should maintain the flow rate of the bladder irrigation to keep the urine diluted to a
reddish-pink color and the tubing free of clots and bleeding
A nurse is assisting with the care of a client who is postpartum and has a deep-vein thrombosis. The
client has been receiving heparin IV infusion. Which of the following medications should the nurse
ensure is readily available?
ANS: Protamine sulfate
RAT: The nurse should ensure that protamine sulfate is readily available. Protamine sulfate is the
antidote used to reverse the anticoagulant effects of heparin
,A nurse is reinforcing teaching with a client about how to replace their two-piece ostomy pouching
system. The client tells the nurse that removing the skin barrier is painful. Which of the following
strategies should the nurse suggest?
ANS: Hold the skin taut while removing the barrier
RAT: Gently and gradually peeling the skin barrier away while holding the skin taut minimizes discomfort
and trauma to the peristomal skin
A nurse in an inpatient mental health facility is caring for a newly admitted client who has alcohol use
disorder. During a therapy session, the client asks about Alcoholics Anonymous (AA). Which of the
following resposes should the nurse make?
ANS: "What is your current understanding about the purpose of AA?"
RAT: The nurse should identify the client's understanding about the purpose of AA to provide further
information about the program and meetings and to facilitate a referral if needed. For treatment to be
successful, the nurse should involve the client in the care decision-making process. This ensures the
treatment program meets the client's individual needs and demonstrates caring by the nurse
A nurse is performing a dressing change for a client who is 3 days postoperative. Which of the following
findings should the nurse report to the provider?
ANS: Yellow-green drainage at the incision line
RAT: Yellow-green, purulent, or odorous drainage indicates the wound is infected. The nurse should
report this finding to the provider
A nurse is providing comfort to the partner of a client who has died. Which of the following statements
should the nurse make?
ANS: "Journaling about your relationship might help with the grieving process."
RAT: Journaling provides a means for the client to identify thoughts and feelings and to recognize and
come to terms with the positive and negative aspects the client's relationship with their partner
A nurse is assisting with an educational session for newly licensed nurses about partner violence. Which
of the following characteristics should the nurse include as placing a vulnerable person at risk for
partner violence?
ANS: Recent confirmation of pregnancy
RAT: The nurse should include pregnancy as a characteristic placing a vulnerable person at risk for
partner violence. The perpetrator might view the pregnancy as a threat to the relationship due to the
attention the child receives
A nurse is reinforcing teaching for a client who is preparing to return to work after a back injury. Which
of the following instructions for safe lifting technique should the nurse include?
, ANS: "You should hold a box close to your body when lifting it up."
RAT: The client should hold the box as close to their body as possible to maintain balance and prevent
injury
A nurse is reinforcing discharge teaching with a client who has a prescription for home oxygen therapy
via nasal cannula. Which of the following instructions should the nurse include?
ANS: "Apply a water-based lubricant around the nostrils to prevent irritation."
RAT: The client should protect their nares with a water-based lubricant to prevent irritation from the
nasal cannula. Petroleum and oil-based products are combustible and should not be used with oxygen
therapy
A nurse is caring for a client who is in an inpatient mental health facility and has dependent personality
disorder. Which of the following client behaviors should the nurse expect?
ANS: The client calls their partner to ask what they should wear each day
RAT: Clients who have dependent personality disorder have problems making everyday decisions
without input from others
A nurse is caring for a client who is scheduled for a mastectomy the following day. The client is tearful
and tells the nurse that they are not ready to have this procedure done at this time. Which of the
following responses should the nurse make?
ANS: "Would you like for me to talk to the surgeon with you?"
RAT: The nurse should advocate for the client's needs by offering to talk to the surgeon with the client.
The nurse should also offer moral support and encourage the client to express their concerns and make
a more informed decision
A nurse is documenting client care in the medical record. Which of the following entries should the
nurse make?
ANS: "Client remains NPO until x-ray procedure is complete."
RAT: The nurse should use documentation that is specific and uses accepted terminology. The nurse can
use the abbreviation "NPO", which is an accepted abbreviation for "nothing by mouth."
A nurse is using an interpreter to reinforce discharge teaching with a client who speaks a different
language than the nurse. Which of the following actions should the nurse take?
ANS: Observe the client's facial expressions during communication
RAT: The nurse should observe the client while the interpreter is speaking to the client. Both verbal and
nonverbal behaviors, such as facial expressions and body language, can indicate whether the client
understands what the interpreter is saying
EXAMS WITH ACTUAL CORRECT QUESTIONS AND
VERIFIED DETAILED RATIONALES LATEST 2023-2024
ALREADY GRADED A+ GUARANTEED PASS 100%
A nurse in a provider's office is reviewing pediculosis capitis management and prevention strategies with
the parent of a school-age child. Which of the following strategies should the nurse include? (Select all
that apply.)
ANS:
Store the child's clothing in a separate cubicle when at school.
Boil brushes and combs in water for 10 min.
Dry bed linens and clothing in a hot dryer for at least 20 min.
RAT:
Transmission of lice occurs via contact with personal items.
Boiling hair care items in hot water for 10 min kills lice and nits.
Exposing bedding and clothing to prolonged heat by washing in hot dryer for at least 20 min is an
appropriate strategy
A nurse is contributing to the plan of care for a client who has a continent urinary diversion. Which of
the following interventions should the nurse plan to implement to facilitate urinary elimination?
ANS: Use intermittent urinary catheterization for the client at regular intervals
RAT: A continent urinary diversion contains valves that prevent urine from exiting the pouch; therefore,
the nurse should plan to insert a urinary catheter at regular intervals to drain urine from the client's
pouch.
A nurse is preparing to perform a bladder scan for a client. Which of the following actions should the
nurse take?
ANS: Tell the client they should not experience any discomfort
RAT: The nurse applies the handheld scanner over the area of the bladder when performing a bladder
scan. This noninvasive procedure should not cause the client any discomfort
A nurse is caring for a client who is crying and states that their provider informed them that they have a
tumor and will need a biopsy. Which of the following responses should the nurse make?
,ANS: "What have you done to help yourself get through stressful situations before?"
RAT: This is a therapeutic response. The nurse is aware that the client is under stress and encourages
comparison to investigate whether they have experience dealing with a stressful situation
A nurse is caring for a newborn who is 12 hr old. The nurse should expect the newborn's stool to have
which of the following characteristics within the first 24 hr following birth?
ANS: Dark greenish-black and viscous
RAT: The first stool passed by a newborn is the meconium that develops in utero. It is dark greenish-
black and viscous, containing of amniotic fluid, cells, intestinal secretions, and blood
A licensed practical nurse is assisting with preparation of client for insertion of a peripherally inserted
central venous catheter (PICC). Which of the following actions should the nurse take?
ANS: Witness the client's signature on the informed consent form.
RAT: The insertion of a PICC is an invasive procedure with risks and benefits. The nurse should witness
the client's signature on the consent form after ensuring the client has an understanding of the
procedure, including its risks and benefits
A nurse is caring for a client who adheres to a kosher diet. Which of the following food selections should
the nurse expect to see on the client's meal tray?
ANS: Spaghetti noodles with red sauce
RAT: The nurse should identify that spaghetti noodles with red sauce is appropriate for a client who
adheres to a kosher diet.
A nurse is contributing to the plan of care for a client who is receiving continuous bladder irrigation
following a transurethral resection of the prostate (TURP). Which of the following interventions should
the nurse include?
ANS: Maintain a drainage flow rate to keep the urine diluted to a reddish-pink color
RAT: The nurse should maintain the flow rate of the bladder irrigation to keep the urine diluted to a
reddish-pink color and the tubing free of clots and bleeding
A nurse is assisting with the care of a client who is postpartum and has a deep-vein thrombosis. The
client has been receiving heparin IV infusion. Which of the following medications should the nurse
ensure is readily available?
ANS: Protamine sulfate
RAT: The nurse should ensure that protamine sulfate is readily available. Protamine sulfate is the
antidote used to reverse the anticoagulant effects of heparin
,A nurse is reinforcing teaching with a client about how to replace their two-piece ostomy pouching
system. The client tells the nurse that removing the skin barrier is painful. Which of the following
strategies should the nurse suggest?
ANS: Hold the skin taut while removing the barrier
RAT: Gently and gradually peeling the skin barrier away while holding the skin taut minimizes discomfort
and trauma to the peristomal skin
A nurse in an inpatient mental health facility is caring for a newly admitted client who has alcohol use
disorder. During a therapy session, the client asks about Alcoholics Anonymous (AA). Which of the
following resposes should the nurse make?
ANS: "What is your current understanding about the purpose of AA?"
RAT: The nurse should identify the client's understanding about the purpose of AA to provide further
information about the program and meetings and to facilitate a referral if needed. For treatment to be
successful, the nurse should involve the client in the care decision-making process. This ensures the
treatment program meets the client's individual needs and demonstrates caring by the nurse
A nurse is performing a dressing change for a client who is 3 days postoperative. Which of the following
findings should the nurse report to the provider?
ANS: Yellow-green drainage at the incision line
RAT: Yellow-green, purulent, or odorous drainage indicates the wound is infected. The nurse should
report this finding to the provider
A nurse is providing comfort to the partner of a client who has died. Which of the following statements
should the nurse make?
ANS: "Journaling about your relationship might help with the grieving process."
RAT: Journaling provides a means for the client to identify thoughts and feelings and to recognize and
come to terms with the positive and negative aspects the client's relationship with their partner
A nurse is assisting with an educational session for newly licensed nurses about partner violence. Which
of the following characteristics should the nurse include as placing a vulnerable person at risk for
partner violence?
ANS: Recent confirmation of pregnancy
RAT: The nurse should include pregnancy as a characteristic placing a vulnerable person at risk for
partner violence. The perpetrator might view the pregnancy as a threat to the relationship due to the
attention the child receives
A nurse is reinforcing teaching for a client who is preparing to return to work after a back injury. Which
of the following instructions for safe lifting technique should the nurse include?
, ANS: "You should hold a box close to your body when lifting it up."
RAT: The client should hold the box as close to their body as possible to maintain balance and prevent
injury
A nurse is reinforcing discharge teaching with a client who has a prescription for home oxygen therapy
via nasal cannula. Which of the following instructions should the nurse include?
ANS: "Apply a water-based lubricant around the nostrils to prevent irritation."
RAT: The client should protect their nares with a water-based lubricant to prevent irritation from the
nasal cannula. Petroleum and oil-based products are combustible and should not be used with oxygen
therapy
A nurse is caring for a client who is in an inpatient mental health facility and has dependent personality
disorder. Which of the following client behaviors should the nurse expect?
ANS: The client calls their partner to ask what they should wear each day
RAT: Clients who have dependent personality disorder have problems making everyday decisions
without input from others
A nurse is caring for a client who is scheduled for a mastectomy the following day. The client is tearful
and tells the nurse that they are not ready to have this procedure done at this time. Which of the
following responses should the nurse make?
ANS: "Would you like for me to talk to the surgeon with you?"
RAT: The nurse should advocate for the client's needs by offering to talk to the surgeon with the client.
The nurse should also offer moral support and encourage the client to express their concerns and make
a more informed decision
A nurse is documenting client care in the medical record. Which of the following entries should the
nurse make?
ANS: "Client remains NPO until x-ray procedure is complete."
RAT: The nurse should use documentation that is specific and uses accepted terminology. The nurse can
use the abbreviation "NPO", which is an accepted abbreviation for "nothing by mouth."
A nurse is using an interpreter to reinforce discharge teaching with a client who speaks a different
language than the nurse. Which of the following actions should the nurse take?
ANS: Observe the client's facial expressions during communication
RAT: The nurse should observe the client while the interpreter is speaking to the client. Both verbal and
nonverbal behaviors, such as facial expressions and body language, can indicate whether the client
understands what the interpreter is saying
