g g g g g
EXAM WITH NGN OVER (400)
gg g g g g
QUESTIONS AND A+ RATIONALIZED ANSWERS
g g g g
1. Agnursegisgplanninggtogcollectgagstoolgspecimengforgovagandgparasitesgfromgagclientgwhoghasgdiar
rhea.gWhichgofgthegfollowinggactionsgshouldgthegnursegtakegwhengcollectinggthegspecimen?
A. Instructgthegclientgtogdefecategintogthegtoiletgbowl
-
incorrect:gThegnursegshouldghavegthegclientgdefecategintogagbedpangorgagcontainergforgstoolgcollectio
n.gThegtoiletgwatergcangdilutegandgcontaminategthegliquidgspecimen.
B. Transfergthegspecimengtogagsterilegcontainer
-incorrect:gThegnursegshouldgplacegthegstoolgspecimengingagcleangcontainergusinggagtonguegdepressor.
C. Refrigerategthegcollectedgspecimen
-
incorrect:gThegnursegshouldgsendgthegcollectedgstoolgspecimengimmediatelygtogtheglaboratorygaftergla
belinggthegspecimengproperlygtogpreventgcontaminationgwithgmicroorganismsgandgkeepgthegspecime
ngfromggettinggcold.
D. Placegthegstoolgspecimengcollectiongcontainergingagbiohazardgbag
-
Thegnursegshouldgplacegthegspecimengcollectiongcontainergingagbiohazardgbaggwithgthegclientglabelgo
ngthegcontainergandgthegbaggforgeasygidentification.gThisgwillgalsogpreventgcontaminationgwithgmicro
organisms.
2. Agnursegisgcaringgforgagclientgwhoghasgagtracheostomygandgrequiresgsuctioning.gWhichgofgthegfoll
owinggactionsgshouldgthegnursegtake?
A. Hypergoxygenategthegclientgbeforegsuctioning
,-
Thegnursegshouldgusegagmanualgresuscitationgbaggtoghypergoxygenategthegclientgforgseveralgminutesgp
riorgtogsuctioning.
B. Insertgthegcathetergduringgexhalation
-incorrect:gThegnursegshouldginsertgthegcathetergduringginhalation
C. Applygsuctiongduringginsertiongofgthegcatheter
-
incorrect:gApplyinggsuctiongwhileginsertinggthegcathetergincreasesgthegriskgofgdamagegtogthegtrachealgm
ucosagandgremovesgoxygengfromgthegairways.
D. Applygsuctiongforgnogmoregthang15gsecs
-incorrect:gThegnursegshouldgapplygsuctiongforgnogmoregthang10gseconds
3. Agnursegisgprovidinggteachinggtogagclientgregardinggproteingintake.gWhichgofgthegfollowinggfoo
dsgshouldgthegnursegincludegasgangexamplegofgangincompletegprotein?
A. Eggs
-
incorrect:gthisgisgagcompletegprotein,gcontainsgallgofgthegessentialgaminogacidsgnecessarygforgthegsynthes
isgofgproteingingthegbody.
B. Soybeans
-
incorrect:gthisgisgagcompletegprotein,gcontainsgallgofgthegessentialgaminogacidsgnecessarygforgthegsynthes
isgofgproteingingthegbody.
,C. Lentils
-
Incompletegproteinsgaregmissingg1gorgmoregofgthegessentialgaminogacidsgnecessarygforgthegsynthesis
ofgproteingingthegbody.gExamplesgofgincompletegproteinsgincludeglentils,gvegetables,ggrains,gnuts,gan
g
dgseeds.
D. Yogurt
-
incorrect:gthisgisgagcompletegprotein,gcontainsgallgofgthegessentialgaminogacidsgnecessarygforgthegsynthes
isgofgproteingingthegbody.
4. Agnursegisgcaringgforgagclientgwhogwasgadmittedgtogaglong-
termgcaregfacilitygforgrehabilitationgaftergagtotalghipgarthroplasty.gAtgwhichgofgthegfollowinggtimesgs
houldgthegnursegbegingdischargegplanning?
A. Onegweekgpriorgtogthegclient’sgdischarge
-
incorrect:gBeginninggtogplangforgthegclient’sgdischargegagweekgpriorgtogthegeventgmightgnotgallowgsuff
icientgtimegforgplanning.gThegnursegshouldgbegingdischargegplanninggatgthegtimegofgadmission.gB.gUp
ongthegclient’sgadmissiongtogthegcaregfacility
-Thegnursegshouldgbegingdischargegplanninggatgthegtimegthatgthegclientgisgadmittedgtogthegfacility.
C.gOncegthegdischargegdategisgidentified
-
incorrect:gBeginninggtogplangforgthegclient’sgdischargegoncegthegdischargegdategisgidentifiedgmightgnotgal
lowgsufficientgtimegforgplanning.gThegnursegshouldgbegingdischargegplanninggatgthegtimegofgadmission.
D.gWhengthegclientgaddressesgthegtopicgwithgthegnurse
-
incorrect:gBeginninggtogplangforgthegclient’sgdischargegoncegthegdischargegdategisgidentifiedgmightgnotgal
lowgsufficientgtimegforgplanning.gThegnursegshouldgbegingdischargegplanninggatgthegtimegofgadmission.
5. Agnursegisgpreparinggtogadministergagcleansinggenemagtogagclient.gWhichgofgthegfollowinggact
, ionsgshouldgthegnursegplangtogtake?
A. Insertgthegrectalgtubeg15.2gcmg(6gin)
-incorrect:gThegnursegshouldginsertgthegrectalgtubeg7gtog10gcmg(3gtog4gin)
B. Weargsterilegglovesgtoginsertgthegtubing
-incorrect:gThegnursegshouldgweargcleang(nonsterile)gglovesgtogpreventgcontamination.
C. Positiongthegclientgonghisgleftgside
-
Positioninggisgangimportantgaspectgofgadministeringgangenema.gHavinggthegclientgliegonghisgleftgsidegf
acilitatesgthegflowgofgthegenemagsolutiongintogthegsigmoidgandgdescendinggcolon.
D. Holdgthegsolutiongbagg91gcmg(36ginch)gabovegthegclient’sgrectum
-
incorrect:gThegnursegshouldgholdgthegsolutiongbagg30gcmg(12gin)gabovegthegclient’sgrectumgforgaglowg
enemagandg45gcmg(18gin)gforgaghighgenema.gIfgthegnursegholdsgthegsolutiongbaggtooghigh,gthegsolutio
ngmightgrungingtoogfast,gcausinggdiscomfortgandgspasmsgthatgmakegretaininggthegenemagmoregdiffic
ult.
5. Agnursegisgcaringgforgagclientgwhoghasgbilateralgcatsgongherghands.gWhichgofgthegfollowinggacti
onsgshouldgthegnursegtakegwhengassistinggthegclientg withgfeeding?
A. Sitgatgthegbedsidegwhengfeedinggthegclient
-
Thegnursegshouldgavoidgappearinggtogbegingaghurry.gSittinggatgthegbedsidegprovidesgthegclientgwithgthegn
urse’sgfullgattentiongduringgthegfeeding