10/24/24, 12:29 QUIZLET
PM TITLE...
RN Comprehensive online practice 2019 A with NGN-tap
Study online at https://quizlet.com/_e3fxrw
A nurse working on a medical-surgical unit receives a
telephone call requesting the status of a client from an
individual who iden- tifies themself as the client's parent.
Which of the following actins should the nurse take?
A.) Ask the Caller for verification of their identity A.)Ask the caller for verification of their identity
B.) Give the caller limited information about
the client C.) transfer the phone call to the
client's room
D.) Inform the caller that they should obtain permission
from the client's provider
A nurse is caring for a client who has 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?
D.) The client's heel is reddened and tender
A.) the client reports leg itching under the cast around the
mid-up- per thigh area
B.) The client reports increased pain when the leg is
lowered below the level of the heart
C.) The client's cast became wet during a sponge
bath D.) The client's heel is reddened and tender
A nurse is 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
B.) Complete a serum pregnancy test before taking the client with which of the following information?
medication
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 medica- tion
A nurse is teaching a client who has a new prescription for
digoxin about manifestations of toxicity. Which of the
B.) Nausea following findings should the nurse include in the
teaching?
A.) Constipation
B.) Nausea
C.) Wheezing
D.) Muscle rigidity
C.) Hypertension A nurse is assessing a client who has obstructive sleep
apnea. For which of the following complications should
the nurse monitor?
A.) weight loss
B.) urinary
retention C.)
2.) Remove the Inner hypertension D.)
Cannula 4.) Remove hypoglycemia
soiled dressing A m nurse is providing Teaching to a parent of a child who
1.) Clean the stoma with 0.9% sodium chloride has a permanent tracheostomy tube. Identify the sequence
irrigation 3.) Change the tracheostomy collar of steps the parent should follow to perform
tracheostomy care.
Steps:
1.) clean the stoma with 0.9% sodium chloride
irrigation 2.) remove the inner cannula
D.) Keep the head of the bed elevated to 45 degrees 3.)change the tracheostomy
for 1 hour after feedings collar 4.) remove soiled
dressing
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
an understanding of the pro- cedure?
A.) Instill 100mL of air into the NG tube after checking for
residual
1/
44
about:bl 1/
,10/24/24, 12:29 QUIZLET
PM TITLE...
RN Comprehensive online practice 2019 A with NGN-tap
Study online at https://quizlet.com/_e3fxrw
B.) flushes the NG tube with 0.9% sodium chloride
irrigation every 2 hours
C.) 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
A nurse is caring for a client who has a closed-head
injury and is receiving mechanical ventilation. The nurse
should expect to ad- minister which of the following
medications to reduce intracranial pressure?
D.) Mannitol
A.)
propranolol
B.) phenytoin
C.)
lorazepam
D.) mannitol
An assistive personnel (AP) and a nurse are turning a
client onto the right side. Which of the following actions
C.) Places a pillow under the client's by the AP requires the nurse to intervene?
right arm
A.) uses a draw sheet to move the client to the left side of
the bed B.) Raises the total height of the bed to waist
level
C.) places a pillow under the client's right arm
D.) Lowers the side rails on the left side of the bed
A nurse is providing teaching about improving nutrition for
A.) "A speech pathologist will performing a swallowing a client who has multiple sclerosis. Which of the following
study for you" instructions should the nurse include? (Select all that
B.) "You should rest before eating a apply)
meal" E.) "Thicken your beverages
before drinking" 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"
Nurse's Notes:
1500: Infant is admitted to the pediatric unit. Parent
reports infant has been irritable and 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. Respira- tions even,
unlabored. Abdomen firm. Bowel sounds hypoactive x4
quadrants. Small 1x1 cm2 mass palpated near umbilicus.
Skin warm and dry, turgor with tenting.
1600:
Called to room by a parent. Parent attempted
The infant is at highest risk of developing A.) breastfeeding. In- fant projectile vomited No bile noted in
dehydration As evidenced by C.) vomiting vomit. Some blood-tinged vomitus noted. Instructed
parent to keep child 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. Consistent with hypertrophic pyloric
stenosis.
Vital Signs:
1500:
Temp: 37.1 (98.8 F); HR: 120; RR: 30; Weight: 3.62 (8lbs)
History and Physical:
Birthweight: 3,492.7g (7.7lbs(); parent is breastfeeding.
Newborn birthed vaginally at 38 weeks of gestation.
about:bl 2/
,10/24/24, 12:29 QUIZLET
PM TITLE...
RN Comprehensive online practice 2019 A with NGN-tap
Study online at https://quizlet.com/_e3fxrw
The infant is at highest risk for A.) dehydration
B.) anemia
C.) hyperkalemia
As evidenced by the infant's
A.)potassium
level B.)
hemoglobin C.)
vomiting
A nurse is caring for a client who is 4 hours postpartum
and has a boggy uterus with heavy lochia. Which of the
following actions should the nurse take first?
C.) massage the uterus to expel clots A.) administer oxygen
B.) initiate an infusion of oxytocin
C.) massage the uterus to expel
clots D.) obtain a CBC
A nurse is 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 A) A client's IV pump delivers an inadequate dose of
medication medication B.) A nurse follows a client's advance
directives and discontinues enteral feedings
C.) A nurse discards unused, expired bags of IV
fluids D.) A client refuses an IV bolus of pain
medication
A nurse is administering medications to a client who has
a per- cutaneous gastrostomy tube for enteral feedings.
Which of the following actions should the nurse take to
prevent clogging of the tube?
A.) Flush the client's gastrostomy tube with 30mL of
water before administering the medication A.) Flush the client's gastrostomy tube with 30mL of water
before administering the medication
B.) Crush the client's medications and mix them in with the
tube feeding formula prior to administration
C.) Change the client's feeding bag every 72 hours
D.) Administer multiple prescribed medications at the same
time
A nurse is caring for a client who has hypertension and is
taking captopril. Which of the following tasks should the
A.) Obtain the client's blood pressure before the nurse nurse delegate to an assistive personnel (AP)?
administers medication
A.) Obtain the client's blood pressure before the nurse
administers medication
B.) Initiate a referral with a dietician for the client
C.) Inform the client about adverse effects of the
medication D.) Recommend a salt substitute to the
client
3/
44
about:bl 3/
, 10/24/24, 12:29 QUIZLET
PM TITLE...
RN Comprehensive online practice 2019 A with NGN-tap
Study online at https://quizlet.com/_e3fxrw
The nurse is caring for a client who is on the spinal
cord injury (SCI) unit.
Nurse's Notes:
Day 3:
1700:
Client admitted to SCI unit 3 days ago following C7
injury. Skin is cool, pale, and dry to touch. Respirations
easy and unla-
bored. Lung sounds diminished in lower lobes. Abdomen
soft and non-distended with active bowel sounds. Client
passed a small amount of hard formed stool this AM.
Indwelling urinary catheter draining clear yellow urine.
Deep tendon reflexes (DTR) are biceps 1+, triceps 1+,
patella 0, and ankle 0 bilaterally. Client reports pain
of 0 on a 0 to 10 scale.
Day 4:
0600:
Client reports increased coughing and shortness of
breath. Crack- les auscultated in lower lobes bilaterally.
The client is most likely experience manifestations of Face and neck flushed. Skin warm and moist. Client
_B.) Auto- nomic dysreflexia and E.) reports blurred vision and a headache as an 8 on a 0 to
Pneumonia 10 pain scale. Abdomen soft and mildly distended.
Hypoactive bowel sounds present. Urinary output 300mL
over last 8 hours.
Vital Signs
Day 3:
1700:
Temp 38.2 C (100.8 F) HR: 74 RR: 20 BP: 108/60 and O2
sat: 96
on room air
Day 4:
0600:
temp: 38.4 (101.2 F) HR: 54; RR: 26; BP: 142/90; O2 sat: 91
on
room air
The client is most likely experience manifestations of and
Choose words from these words:
A.) Paralytic ileus
B.) Autonomic
dysreflexia C.)
peritonitis
D.) urinary tract
infection E.)
Pneumonia
A nurse is assessing a client who is experiencing
B.) Facial Flushing autonomic dys- reflexia. Which of the following findings
D.) Nasal should the nurse expect? (Select all that apply)
Congestion e.)
Headache A.) Nystagmus
B.) facial
flushing C.)
diplopia
D.) Nasal
congestion E.)
Headache
A charge nurse is planning care for a client who has
D.) Provide a staff member to stay with the client mechanical restraints in place. Which of the following
continuously interventions should the nurse include in the plan?
A.)Remove the client's restraints while
sleeping B.) Document the client's status
every 60 minutes C.) Check for a new
prescription every 6 hours
D.) Provide a staff member to stay with the client
continuously
about:bl 4/
PM TITLE...
RN Comprehensive online practice 2019 A with NGN-tap
Study online at https://quizlet.com/_e3fxrw
A nurse working on a medical-surgical unit receives a
telephone call requesting the status of a client from an
individual who iden- tifies themself as the client's parent.
Which of the following actins should the nurse take?
A.) Ask the Caller for verification of their identity A.)Ask the caller for verification of their identity
B.) Give the caller limited information about
the client C.) transfer the phone call to the
client's room
D.) Inform the caller that they should obtain permission
from the client's provider
A nurse is caring for a client who has 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?
D.) The client's heel is reddened and tender
A.) the client reports leg itching under the cast around the
mid-up- per thigh area
B.) The client reports increased pain when the leg is
lowered below the level of the heart
C.) The client's cast became wet during a sponge
bath D.) The client's heel is reddened and tender
A nurse is 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
B.) Complete a serum pregnancy test before taking the client with which of the following information?
medication
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 medica- tion
A nurse is teaching a client who has a new prescription for
digoxin about manifestations of toxicity. Which of the
B.) Nausea following findings should the nurse include in the
teaching?
A.) Constipation
B.) Nausea
C.) Wheezing
D.) Muscle rigidity
C.) Hypertension A nurse is assessing a client who has obstructive sleep
apnea. For which of the following complications should
the nurse monitor?
A.) weight loss
B.) urinary
retention C.)
2.) Remove the Inner hypertension D.)
Cannula 4.) Remove hypoglycemia
soiled dressing A m nurse is providing Teaching to a parent of a child who
1.) Clean the stoma with 0.9% sodium chloride has a permanent tracheostomy tube. Identify the sequence
irrigation 3.) Change the tracheostomy collar of steps the parent should follow to perform
tracheostomy care.
Steps:
1.) clean the stoma with 0.9% sodium chloride
irrigation 2.) remove the inner cannula
D.) Keep the head of the bed elevated to 45 degrees 3.)change the tracheostomy
for 1 hour after feedings collar 4.) remove soiled
dressing
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
an understanding of the pro- cedure?
A.) Instill 100mL of air into the NG tube after checking for
residual
1/
44
about:bl 1/
,10/24/24, 12:29 QUIZLET
PM TITLE...
RN Comprehensive online practice 2019 A with NGN-tap
Study online at https://quizlet.com/_e3fxrw
B.) flushes the NG tube with 0.9% sodium chloride
irrigation every 2 hours
C.) 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
A nurse is caring for a client who has a closed-head
injury and is receiving mechanical ventilation. The nurse
should expect to ad- minister which of the following
medications to reduce intracranial pressure?
D.) Mannitol
A.)
propranolol
B.) phenytoin
C.)
lorazepam
D.) mannitol
An assistive personnel (AP) and a nurse are turning a
client onto the right side. Which of the following actions
C.) Places a pillow under the client's by the AP requires the nurse to intervene?
right arm
A.) uses a draw sheet to move the client to the left side of
the bed B.) Raises the total height of the bed to waist
level
C.) places a pillow under the client's right arm
D.) Lowers the side rails on the left side of the bed
A nurse is providing teaching about improving nutrition for
A.) "A speech pathologist will performing a swallowing a client who has multiple sclerosis. Which of the following
study for you" instructions should the nurse include? (Select all that
B.) "You should rest before eating a apply)
meal" E.) "Thicken your beverages
before drinking" 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"
Nurse's Notes:
1500: Infant is admitted to the pediatric unit. Parent
reports infant has been irritable and 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. Respira- tions even,
unlabored. Abdomen firm. Bowel sounds hypoactive x4
quadrants. Small 1x1 cm2 mass palpated near umbilicus.
Skin warm and dry, turgor with tenting.
1600:
Called to room by a parent. Parent attempted
The infant is at highest risk of developing A.) breastfeeding. In- fant projectile vomited No bile noted in
dehydration As evidenced by C.) vomiting vomit. Some blood-tinged vomitus noted. Instructed
parent to keep child 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. Consistent with hypertrophic pyloric
stenosis.
Vital Signs:
1500:
Temp: 37.1 (98.8 F); HR: 120; RR: 30; Weight: 3.62 (8lbs)
History and Physical:
Birthweight: 3,492.7g (7.7lbs(); parent is breastfeeding.
Newborn birthed vaginally at 38 weeks of gestation.
about:bl 2/
,10/24/24, 12:29 QUIZLET
PM TITLE...
RN Comprehensive online practice 2019 A with NGN-tap
Study online at https://quizlet.com/_e3fxrw
The infant is at highest risk for A.) dehydration
B.) anemia
C.) hyperkalemia
As evidenced by the infant's
A.)potassium
level B.)
hemoglobin C.)
vomiting
A nurse is caring for a client who is 4 hours postpartum
and has a boggy uterus with heavy lochia. Which of the
following actions should the nurse take first?
C.) massage the uterus to expel clots A.) administer oxygen
B.) initiate an infusion of oxytocin
C.) massage the uterus to expel
clots D.) obtain a CBC
A nurse is 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 A) A client's IV pump delivers an inadequate dose of
medication medication B.) A nurse follows a client's advance
directives and discontinues enteral feedings
C.) A nurse discards unused, expired bags of IV
fluids D.) A client refuses an IV bolus of pain
medication
A nurse is administering medications to a client who has
a per- cutaneous gastrostomy tube for enteral feedings.
Which of the following actions should the nurse take to
prevent clogging of the tube?
A.) Flush the client's gastrostomy tube with 30mL of
water before administering the medication A.) Flush the client's gastrostomy tube with 30mL of water
before administering the medication
B.) Crush the client's medications and mix them in with the
tube feeding formula prior to administration
C.) Change the client's feeding bag every 72 hours
D.) Administer multiple prescribed medications at the same
time
A nurse is caring for a client who has hypertension and is
taking captopril. Which of the following tasks should the
A.) Obtain the client's blood pressure before the nurse nurse delegate to an assistive personnel (AP)?
administers medication
A.) Obtain the client's blood pressure before the nurse
administers medication
B.) Initiate a referral with a dietician for the client
C.) Inform the client about adverse effects of the
medication D.) Recommend a salt substitute to the
client
3/
44
about:bl 3/
, 10/24/24, 12:29 QUIZLET
PM TITLE...
RN Comprehensive online practice 2019 A with NGN-tap
Study online at https://quizlet.com/_e3fxrw
The nurse is caring for a client who is on the spinal
cord injury (SCI) unit.
Nurse's Notes:
Day 3:
1700:
Client admitted to SCI unit 3 days ago following C7
injury. Skin is cool, pale, and dry to touch. Respirations
easy and unla-
bored. Lung sounds diminished in lower lobes. Abdomen
soft and non-distended with active bowel sounds. Client
passed a small amount of hard formed stool this AM.
Indwelling urinary catheter draining clear yellow urine.
Deep tendon reflexes (DTR) are biceps 1+, triceps 1+,
patella 0, and ankle 0 bilaterally. Client reports pain
of 0 on a 0 to 10 scale.
Day 4:
0600:
Client reports increased coughing and shortness of
breath. Crack- les auscultated in lower lobes bilaterally.
The client is most likely experience manifestations of Face and neck flushed. Skin warm and moist. Client
_B.) Auto- nomic dysreflexia and E.) reports blurred vision and a headache as an 8 on a 0 to
Pneumonia 10 pain scale. Abdomen soft and mildly distended.
Hypoactive bowel sounds present. Urinary output 300mL
over last 8 hours.
Vital Signs
Day 3:
1700:
Temp 38.2 C (100.8 F) HR: 74 RR: 20 BP: 108/60 and O2
sat: 96
on room air
Day 4:
0600:
temp: 38.4 (101.2 F) HR: 54; RR: 26; BP: 142/90; O2 sat: 91
on
room air
The client is most likely experience manifestations of and
Choose words from these words:
A.) Paralytic ileus
B.) Autonomic
dysreflexia C.)
peritonitis
D.) urinary tract
infection E.)
Pneumonia
A nurse is assessing a client who is experiencing
B.) Facial Flushing autonomic dys- reflexia. Which of the following findings
D.) Nasal should the nurse expect? (Select all that apply)
Congestion e.)
Headache A.) Nystagmus
B.) facial
flushing C.)
diplopia
D.) Nasal
congestion E.)
Headache
A charge nurse is planning care for a client who has
D.) Provide a staff member to stay with the client mechanical restraints in place. Which of the following
continuously interventions should the nurse include in the plan?
A.)Remove the client's restraints while
sleeping B.) Document the client's status
every 60 minutes C.) Check for a new
prescription every 6 hours
D.) Provide a staff member to stay with the client
continuously
about:bl 4/
