RN Comprehensive Online Practice 2019 B
with NGN COMPLETE QUESTIONS AND
ANSWERS
A hnurse hhas hjust hreceived hchange-of-shift hreport hon hfour hclients. hWhich hof
h the hfollowing hclients hshould hthe hnurse hassess hfirst?
A hclient hwho his hpostoperative hwith habdominal hdistention hand hno hbowel
h sounds
A hclient hwho hhas hdiabetes hmellitus hand ha hblood hglucose hlevel hof h105
h mg/dL
A hclient hwho hhas hheart hfailure hand h2+ hpitting hedema
A hclient hwho his hreceiving hmaintenance hIV hfluids hand hneeds ha hnew hIV
h catheter h- hANS-A hclient hwho his hpostoperative hwith habdominal hdistention
h and hno hbowel hsounds
Using hthe hacute hvs. hchronic happroach hto hclient hcare, hthe hnurse hshould hfirst
h assess hthe hclient hwho his hpostoperative hwith habdominal hdistention hand hno
,h bowel hsounds hbecause hthese hmanifestations hare hindications hof ha hparalytic
h ileus.
For heach hassessment hfinding, hclick hto hspecify hif hthe hfinding his hconsistent
h with hattention hdeficit hhyperactivity hdisorder h(ADHD) hor hintellectual
h disability h(ID). hEach hfinding hmay hsupport hmore hthan h1 hdisease hprocess.
Assessment hFindings
Intellectual himpairment
Interrupting hothers
Impaired hlanguage hskills
Hyperreactivity hto hsensory hinput
Losing hnecessary hthings
A hnurse his hcaring hfor ha hschool-age hchild.
Nurses' hNotes
First hvisit:
A hchild his hbrought hto hthe hclinic haccompanied hby hguardians. hThe hguardians
h have hreceived hfeedback hfrom hthe hchild's hteacher hthat hthe hchild hhas
h become hdisinterested hin hschoolwork hand hhas hdifficulty hpaying hattention
h during hclass. hThe hchild hoften hloses htheir hschool hsupplies.
,The hguardians hreport hthat hthe hchild hdemonstrates hthese hbehaviors hat hhome
h as hwell. hThe hchild hrefuses hto hparticipate hin hhousehold hchores, hkeeps htheir
h room huntidy, hdoes hnot hclean hup hwhen htold hto, hand his hgenerally hcareless
h and hdisi h- hANS-ADHD
Hyperreactivity hto hsensory hinput
Losing hnecessary hthings
Interrupting hothers
Intellectual himpairment
ID
Intellectual himpairment
Hyperreactivity hto hsensory hinput
When hanalyzing hcues, hthe hnurse hshould hidentify hthat hmanifestations hof
h ADHD hinclude hlosing hnecessary hthings, hinterrupting hothers, hintellectual
h impairment, hand hhyper hreactivity hto hsensory hinput. h
In hADHD, hthe hclient hoften hloses hnecessary hthings hin hdaily hlife, hsuch has
h pencils, herasers, hand hbooks. hThe hclient hoften hinterrupts hothers hand hhas
h difficulty hwaiting hfor htheir hturn hin hconversation. h
, The hclient hmight hhave han hintellectual himpairment, hwhich hcan hlead hto hpoor
h academic hperformance hand hdifficulties hwith hsocialization. hThe hclient hmight
h exhibit hhyperreactivity hor hhyporeactivity hto hstimuli.
A hcharge hnurse his hproviding han heducational hsession habout hinfection hcontrol
h for ha hgroup hof hstaff hnurses. hWhich hof hthe hfollowing hstatements hby hone hof
h the hstaff hnurses hindicates han hunderstanding hof hisolation hprecautions?
"Droplet hprecautions hshould hbe hinitiated hfor ha hclient hwho htests hpositive hfor
h measles."
"A hclient hwho hrequires hairborne hprecautions hshould hbe hplaced hin ha
h negative-pressure hairflow hroom."
"Airborne hprecautions hshould hbe hinitiated hfor ha hclient hwho hhas hClostridium
h difficile."
"A hclient hwho his himmunocompromised hshould hbe hplaced hin ha hnegative-
pressure hairflow hroom." h- hANS-A hclient hwho hrequires hairborne hprecautions
h should hbe hplaced hin ha hnegative-pressure hairflow hroom."
Airborne hprecautions hrequire ha hnegative-pressure hairflow hroom hthat hhas hat
h least hsix hto h12 hair hexchanges heach hhour husing ha hHEPA hfiltration hsystem.
with NGN COMPLETE QUESTIONS AND
ANSWERS
A hnurse hhas hjust hreceived hchange-of-shift hreport hon hfour hclients. hWhich hof
h the hfollowing hclients hshould hthe hnurse hassess hfirst?
A hclient hwho his hpostoperative hwith habdominal hdistention hand hno hbowel
h sounds
A hclient hwho hhas hdiabetes hmellitus hand ha hblood hglucose hlevel hof h105
h mg/dL
A hclient hwho hhas hheart hfailure hand h2+ hpitting hedema
A hclient hwho his hreceiving hmaintenance hIV hfluids hand hneeds ha hnew hIV
h catheter h- hANS-A hclient hwho his hpostoperative hwith habdominal hdistention
h and hno hbowel hsounds
Using hthe hacute hvs. hchronic happroach hto hclient hcare, hthe hnurse hshould hfirst
h assess hthe hclient hwho his hpostoperative hwith habdominal hdistention hand hno
,h bowel hsounds hbecause hthese hmanifestations hare hindications hof ha hparalytic
h ileus.
For heach hassessment hfinding, hclick hto hspecify hif hthe hfinding his hconsistent
h with hattention hdeficit hhyperactivity hdisorder h(ADHD) hor hintellectual
h disability h(ID). hEach hfinding hmay hsupport hmore hthan h1 hdisease hprocess.
Assessment hFindings
Intellectual himpairment
Interrupting hothers
Impaired hlanguage hskills
Hyperreactivity hto hsensory hinput
Losing hnecessary hthings
A hnurse his hcaring hfor ha hschool-age hchild.
Nurses' hNotes
First hvisit:
A hchild his hbrought hto hthe hclinic haccompanied hby hguardians. hThe hguardians
h have hreceived hfeedback hfrom hthe hchild's hteacher hthat hthe hchild hhas
h become hdisinterested hin hschoolwork hand hhas hdifficulty hpaying hattention
h during hclass. hThe hchild hoften hloses htheir hschool hsupplies.
,The hguardians hreport hthat hthe hchild hdemonstrates hthese hbehaviors hat hhome
h as hwell. hThe hchild hrefuses hto hparticipate hin hhousehold hchores, hkeeps htheir
h room huntidy, hdoes hnot hclean hup hwhen htold hto, hand his hgenerally hcareless
h and hdisi h- hANS-ADHD
Hyperreactivity hto hsensory hinput
Losing hnecessary hthings
Interrupting hothers
Intellectual himpairment
ID
Intellectual himpairment
Hyperreactivity hto hsensory hinput
When hanalyzing hcues, hthe hnurse hshould hidentify hthat hmanifestations hof
h ADHD hinclude hlosing hnecessary hthings, hinterrupting hothers, hintellectual
h impairment, hand hhyper hreactivity hto hsensory hinput. h
In hADHD, hthe hclient hoften hloses hnecessary hthings hin hdaily hlife, hsuch has
h pencils, herasers, hand hbooks. hThe hclient hoften hinterrupts hothers hand hhas
h difficulty hwaiting hfor htheir hturn hin hconversation. h
, The hclient hmight hhave han hintellectual himpairment, hwhich hcan hlead hto hpoor
h academic hperformance hand hdifficulties hwith hsocialization. hThe hclient hmight
h exhibit hhyperreactivity hor hhyporeactivity hto hstimuli.
A hcharge hnurse his hproviding han heducational hsession habout hinfection hcontrol
h for ha hgroup hof hstaff hnurses. hWhich hof hthe hfollowing hstatements hby hone hof
h the hstaff hnurses hindicates han hunderstanding hof hisolation hprecautions?
"Droplet hprecautions hshould hbe hinitiated hfor ha hclient hwho htests hpositive hfor
h measles."
"A hclient hwho hrequires hairborne hprecautions hshould hbe hplaced hin ha
h negative-pressure hairflow hroom."
"Airborne hprecautions hshould hbe hinitiated hfor ha hclient hwho hhas hClostridium
h difficile."
"A hclient hwho his himmunocompromised hshould hbe hplaced hin ha hnegative-
pressure hairflow hroom." h- hANS-A hclient hwho hrequires hairborne hprecautions
h should hbe hplaced hin ha hnegative-pressure hairflow hroom."
Airborne hprecautions hrequire ha hnegative-pressure hairflow hroom hthat hhas hat
h least hsix hto h12 hair hexchanges heach hhour husing ha hHEPA hfiltration hsystem.
