NGN FUNDAMENTALS REVIEW QUESTION
1. The nurse identifies which finding are characteristic of chronicpain?
Answer: - Weight loss or gain and fatigue-- chronic pain is an episode that lasts
for 3 monthsor more; serves no useful functionand becomes a problem of its own;
chronic painoften becomes adisability; presenting reports often include change in
appetite andmoderate to severe fatigue
2. A client with acute pain has a health care provider's order for morphine 8 mg IV
every 3-4 hours prn for pain. The client asks thenurse for the medication at bedtime.
Prior to administering the painmedication, the nurseshould take which action?
Answer: Assess location, character, and intensity of pain
3. A client requires a dressing change. The LPN/LVN assigned tocare for the client
reports to the registered nurse that the LPN/LVNonce observed asimilar dressing
change while in nursing school, but has never performed the procedure. The
registered nurse will take which action?
Answer: Complete the dressing change while the LPN/LVNobserves
4. The nurse cares for a client with an abdominal wound. The nurse notes there is
purulent drainage from the wound. Whichaction should the nursetake first?
Answer: Place the client on contact precautions
5. A client has a left modified radical mastectomy. Upon transfer from therecovery
room to the surgical unit, the nurse notices the Hemovac drain is half filled with
blood. Which action the the nursetake first?
Answer: Look at the recovery room record
6. While a client is being treated for a wound infection, it is most importantfor the
nurse to routinely perform which action?
Answer: check and record the client's temperature-- a client with a wound infection is
at risk for bacteremia or other complications, such as glomerulonephritis; nurse
should evaluate for temperature
elevation
7. On the morning before surgery, the client signs an operative consent form.
, Soon afterward, the client tell the nurse that the client does not wantthe surgery.
Which action does the nurse takefirst?
Answer: Encourage the client todiscuss reasons for cancelling thesurgery
8. Which fear is most important for the nurse to consider whenplanning care for
a 4-year-old about to have surgery?
Answer: Fear of mutilation-- preschool children are frightened ofinvasive
procedures because they fear mutilation; allowchild to play with models of
equipment; encourage expressions of feelings
9. The nurse identifies which as a risk factor for a client todevelop a
pressure ulcer?
Answer: Anemia-- decreased oxygen-carrying capacity of theblood; client with
low protein levels aren't able to repair tissue
10. When witnessing the client's signature during informedconsent, it is
most important for the nurse to make which assessment?
Answer: Does the clientgive consent voluntarily?-- nurse's signature indicates
that the client voluntarilygave consent, the client's signature is authentic, and the
client is competent togiveconsent
11. The nurse knows which statement describes an important
considerationwhen he spinal anesthesia is used?
Answer: Clients must be protected from injury sincesensation is impaired--
frequently assess sensation and voluntary movement; other adverse effects include
hypotension and headache
12. The nurse understand which is the PRIMARY reason thatelderly
adultshave constipation?
1. They eat a small volume of food with decreased bulk
2. They have less activity and decreased muscle tone
3. They have neurological changes in the gastrointestinal tract
4. They have decreased sensation in the gastrointestinal tract
Answer: they have lessactivity and decreased muscle tone
13. To promote evening rest and sleep for clients who are immobilized and in bed, it
is most important for the nurse toprovide which care?
Answer: Daytimeactivities
1. The nurse identifies which finding are characteristic of chronicpain?
Answer: - Weight loss or gain and fatigue-- chronic pain is an episode that lasts
for 3 monthsor more; serves no useful functionand becomes a problem of its own;
chronic painoften becomes adisability; presenting reports often include change in
appetite andmoderate to severe fatigue
2. A client with acute pain has a health care provider's order for morphine 8 mg IV
every 3-4 hours prn for pain. The client asks thenurse for the medication at bedtime.
Prior to administering the painmedication, the nurseshould take which action?
Answer: Assess location, character, and intensity of pain
3. A client requires a dressing change. The LPN/LVN assigned tocare for the client
reports to the registered nurse that the LPN/LVNonce observed asimilar dressing
change while in nursing school, but has never performed the procedure. The
registered nurse will take which action?
Answer: Complete the dressing change while the LPN/LVNobserves
4. The nurse cares for a client with an abdominal wound. The nurse notes there is
purulent drainage from the wound. Whichaction should the nursetake first?
Answer: Place the client on contact precautions
5. A client has a left modified radical mastectomy. Upon transfer from therecovery
room to the surgical unit, the nurse notices the Hemovac drain is half filled with
blood. Which action the the nursetake first?
Answer: Look at the recovery room record
6. While a client is being treated for a wound infection, it is most importantfor the
nurse to routinely perform which action?
Answer: check and record the client's temperature-- a client with a wound infection is
at risk for bacteremia or other complications, such as glomerulonephritis; nurse
should evaluate for temperature
elevation
7. On the morning before surgery, the client signs an operative consent form.
, Soon afterward, the client tell the nurse that the client does not wantthe surgery.
Which action does the nurse takefirst?
Answer: Encourage the client todiscuss reasons for cancelling thesurgery
8. Which fear is most important for the nurse to consider whenplanning care for
a 4-year-old about to have surgery?
Answer: Fear of mutilation-- preschool children are frightened ofinvasive
procedures because they fear mutilation; allowchild to play with models of
equipment; encourage expressions of feelings
9. The nurse identifies which as a risk factor for a client todevelop a
pressure ulcer?
Answer: Anemia-- decreased oxygen-carrying capacity of theblood; client with
low protein levels aren't able to repair tissue
10. When witnessing the client's signature during informedconsent, it is
most important for the nurse to make which assessment?
Answer: Does the clientgive consent voluntarily?-- nurse's signature indicates
that the client voluntarilygave consent, the client's signature is authentic, and the
client is competent togiveconsent
11. The nurse knows which statement describes an important
considerationwhen he spinal anesthesia is used?
Answer: Clients must be protected from injury sincesensation is impaired--
frequently assess sensation and voluntary movement; other adverse effects include
hypotension and headache
12. The nurse understand which is the PRIMARY reason thatelderly
adultshave constipation?
1. They eat a small volume of food with decreased bulk
2. They have less activity and decreased muscle tone
3. They have neurological changes in the gastrointestinal tract
4. They have decreased sensation in the gastrointestinal tract
Answer: they have lessactivity and decreased muscle tone
13. To promote evening rest and sleep for clients who are immobilized and in bed, it
is most important for the nurse toprovide which care?
Answer: Daytimeactivities
