a a a
NGN EXAM 5 2024 a a a a a
a
A anurse aon aa aMedical aSurgical aunit ais acaring afor aa agroup aof aclients. aThe anurse ashould anotify
athe arapid aresponse ateam afor awhich aof athe afollowing aclients? a
A. Client awho ahas aa apressure ainjury aof athe aright aheel awhose ablood aglucose ais a300mg/dL a
B. Client awho areports aright acalf apain aand ashortness aof abreath a
C. Client awho ahas ablood aon aa apressure adressing ain athe afemoral aarea afollowing aa acardiac
acatheterization a
D. Client awho ahas adark ared acoloration aof aleft atoes aand aabsent apedal apulse a- aB. aClient awho
areports aright acalf apain aand ashortness aof abreath a
a
Rational: aSOB acould abe afrom aa aPE a
a
A anurse ais acaring afor aa aclient awho ahas aingested aa atoxic aagent. aWhich aof athe afollowing
aactions a
a
should athe anurse aplan ato atake? a(Select aall athat
aapply)
a
A. aInduce
avomitting
a
B. aInstill aactivated
acharcoal
a
C. aPerform aa agastric alavage awith
aaspiration
a
D. aAdminister asyrup aof
aipecac
a
D. aInfuse aIV afluids a- aB. aInstill aactivated
acharcoal
a
C. aPerform aa agastric alavage awith
aaspiration
a
D. aadminister aIV
afluids
a
A anurse ain athe aemergency adepartment ais acaring afor aa aclient awho afell athrough athe aice aon aa
apond aand a
a
is aunresponsive aand abreathing aslowly. aWhich aof athe afollowing aactions ashould athe anurse
atake?
a
(Select aall athat
aapply)
a
A. aRemove awet
aclothing
a
B. a Maintain anormal aroom
atemperature
, a
C. aApply awarm
ablankets
a
D. aUse aa arapid arewarming awater aof a40 ato
a42
a
E. aInfuse awarmed aIV afluids a- aA. aRemove awet
aclothing
a
C. aApply awarm
ablankets
a
D. aUse aa arapid arewarming awater aof a40 ato
a42
a
E. aInfuse awarmed aIV
afluids
a
A anurse ain athe aemergency adepartment ais aassessing aa aclient awho ais aunresponsive. aThe
aclients
partner astates, a"He awas apulling aweeds ain athe ayard aand aslumped ato athe aground." aWhich
aof athe a
a
following atechniques ashould athe anurse ause ato aopen athe aclients
aairway?
a
A. aHead atilt, achin
alift
a
B. aModified aJaw
athrust
a
C. aHyperextension aof athe
ahead
a
D. aFlexion aof athe ahead a- aA. aHead atilt, achin
alift
a
A anurse ais areviewing athe acommon aemergency amanagement aprotocol afor aclients awho
ahave a
asystole. aWhich aof athe afollowing aactions ashould athe anurse aplan ato atake aduring athis
acardiac a
a
emergency?
A. Perform aDefibrillation a
B. Prepare afor atranscutaneous apacing a
C. Administer aepinephrine a
D. Elevate athe aclients alower aextremities a- aC. aAdminister aepinephrine a
a
A anurse ais acaring afor aa aclient awho ahas aa anew adiagnosis aof atype a2 adiabetes amellitus aand
areports adifficulty afollowing athe adiet aand aremembering ato atake athe aprescribed amedication.
aWhich aof athe afollowing aactions ashould athe anurse atake ato apromote a client acompliance? aSelect
aall athat a apply a
A. Ask athe adietitian ato aassist awith ameal aplanning a
B. Contact athe aclients asupport asystem a
, C. Assess afor aage arelated acognitive aawareness a
D. Encourage athe ause aof adaily amedication adispenser a
E. Provide aeducational amaterials afor ahome ause a- aA. aAsk athe adietitian ato aassist awith ameal
aplanning a
B. aContact athe aclients asupport asystem a
D. Encourage athe ause aof adaily amedication adispenser a
E. Provide aeducational amaterials afor ahome ause a
a
A anurse ain aa ahealth acare aclinic ais aevaluating athe alevel aof awellness afor aclients ausing athe aillness
awellness acontinuum atool. aThe anurse ashould aidentify awhich aof athe afollowing aclients aas abeing
aat athe acenter aof athe acontinuum? a
A. A acollege astudent awho ahas ainfluenza a
B. An aolder aadult awho ahas aa anew adiagnosis aof atype a2 adiabetes amellitus a
C. A anew amother awho ahas aa aurinary atract ainfection a
D. A ayoung amale aclient awho ahas aa along ahistory aof awell acontrolled arheumatoid aarthritis a- aD.
aA ayoung amale a client awho ahas aa along ahistory aof a well acontrolled arheumatoid a arthritis a
a
Rational: athe acenter aof athe acontinuum ais athe aclients anormal astate aof ahealth a
a
A anurse ais aevaluating aclients aat aa ahealth afair afor amodifiable avariables aaffecting ahealth aand
awellness. aThe anurse ashould aidentify awhich aof athe afollowing avariables aas amodifiable? aSelect
aall athat a apply a
A. Smoking aon asocial aoccasions a
B. BMI aof a28 a
C. Alopecia a
D. Trisomy a21 a
E. History aof areflux a- aA. asmoking aon asocial aoccasions a
B. aBMI aof a28 a
E. aHistory aof areflux a
a
A anurse ais acaring afor aa aclient awho awas ajust ainformed aof aa anew adiagnosis aof abreast
acancer. aThe anurse a evaluates athe aclients aresponse. aWhich aof athe afollowing astatements aby
athe aclient areflects a a alack aof aunderstanding aof aan aillness aperspective? aA. a "I ahave ano afamily
ahistory aof abreast acancer" a
B. "I aneed aa asecond aopinion. aThere ais ano alump" a
C. "I aam aglad awe alive ain athe acity anear aseveral alarge ahospitals" a
D. a"I awill aschedule asurgery anext aweek, aover athe aholidays" a- aB. a"I aneed aa asecond aopinion.
aThere ais a
a
no
alump"
a
A anurse ais acaring afor aa aclient awho ais apostprocedure afollowing alumbar apuncture aand areports aa
athrobbing aheadache awhen asitting aupright. aWhich aof athe afollowing a actions ashould athe anurse
atake? a
Select aall athat aapply a
A. Use athe aGlasgow aComa aScale awhen aassessing athe aclient a