WITH NGN ACTUAL EXAM 100%
2023\2024[GRADED A+]
A home health nurse is caring for a child who has Lyme disease. Which
of the following is an appropriate action for the nurse to take? -
CORRECT ANSWER-Ensure the state health department has been
notified.
A nurse is caring for a client who has a vented NG tube set to low
intermittent suction and has vomited. Which of the following actions
should the nurse perform first? - CORRECT ANSWER-Evaluate
functioning of the suction device.
While performing a routine assessment, a nurse notices fraying onto
the electrical cord of a client's continuous passive motion
(CPM)device. Which of the following actions should the nurse take
first? - CORRECT ANSWER-Remove the device from the room.
A nurse is setting up a sterile field to perform wound irrigation for a
client. Which of the following actions should the nurse take when
pouring the sterile solution? - CORRECT ANSWER-Remove the cap and
place it sterile side up on a clean surface.
A nurse is creating a plan of care for a female client who has recurrent
urinary tract infections. Which of the following interventions should
,the nurse include in the plan? - CORRECT ANSWER-Wear loose fitting
underwear.
A nurse is caring for an infant who has gastroenteritis. Which of the
following assessments findings should the nurse report to the
provider? - CORRECT ANSWER-Sunken fontanels and dry mucous
membranes.
A nurse is conducting health promotion education regarding
contraindications to combination oral contraceptive use to a group of
women. Which of the following conditions should the nurse include in
the teaching? - CORRECT ANSWER-Hypertension
A nurse is providing teaching to a client who has a depressive disorder
and a new prescription for amitriptyline. Which of the following
statements by the client indicates understanding of the teaching? -
CORRECT ANSWER-"I know it will be a couple of weeks before the
medication helps me feel better."
A nurse is caring for a client who is immobile. Which of the following
interventions is appropriate to prevent contracture? - CORRECT
ANSWER-Align a trochanter wedge between the client's legs.
A nurse is assessing a client who is postoperative following abdominal
surgery and has an indwelling urinary catheter that is draining dark
yellow urine at 25 mL/hr. Which of the following interventions should
the nurse anticipate? - CORRECT ANSWER-Obtain a urine specimen for
culture and sensitivity
A nurse is reporting a client's laboratory tests to the provider to obtain
a prescription for the client's daily warfarin. Which of the following
laboratory tests should the nurse plan to report to obtain the
prescription for the warfarin? - CORRECT ANSWER-INR
A nurse is assessing a client who is taking haloperidol and is
experiencing pseudoparkinsonism. Which of the following findings
, should the nurse document as a manifestation of
pseudoparkinsonism? - CORRECT ANSWER-Shuffling gait
A nurse is caring for a client who is experiencing expressive aphasia
and right hemiparesis following a stroke. Which of the following
actions by the nurse best promotes communication among staff caring
for the client? - CORRECT ANSWER-Having interdisciplinary team
meetings for the client on a regular basis.
A nurse is caring for a 2-year-old toddler. Which of the following food
choices should the nurse recommend to promote independence in
eating? - CORRECT ANSWER-Banana slices
A nurse on a medical-surgical unit is notified that a mass casualty
event has occurred in the community. Which of the following actions
should the nurse plan to take? - CORRECT ANSWER-Recommend to the
provider specific acute care clients for discharge.
A nurse is receiving change-of-shift report for four clients. Which of the
following clients should the nurse assess first? - CORRECT ANSWER-A
client who was just given a glass of orange juice for low blood glucose
level.
A nurse is performing postmortem care for a recently deceased client
prior to the client's family visit. Which of the following actions should
the nurse plan to take? - CORRECT ANSWER-Hold the client's eyes
shut for a few seconds.
A nurse is admitting a client who has schizophrenia. The client states,
"I'm hearing voices." Which of the following responses is the priority
for the nurse to state? - CORRECT ANSWER-"What are the voices
telling you?"
A nurse is administering furosemide IV bolus to a client who has fluid
volume excess. The nurse should recognize which of the following as