& Practice Exams Questions & Answers, RATING 100% ( From Actual
Test
-use flutter mucus clearance device every 2 hr
-administer nebulized hypertonic saline every 6 hr
-perform airway clearance therapy immediately after breastfeeding
NGN: A nurse is caring for a client in an outpatient setting. The client is
exhibiting manifestations of ______ as evidenced by the client's
______. - --ANSWER----heart failure
-BNP level
A nurse is reinforcing teaching with a client about the client's recent
diagnosis of multiple sclerosis. The client states, "I am very upset and I
want to be alone for a little while." Which of the following responses
should the nurse make? - --ANSWER---I see that you are feeling
overwhelmed. I will come back when you are ready.
A nurse is evaluating the safe use of electrical equipment by a newly
hired assistive personnel (AP). Which of the following actions by the AP
,demonstrates an understanding of the proper use of electrical
equipment? - --ANSWER---Grasps the plug of a device in the client's
room to pull it straight out from the wall
NGN: A nurse is assisting with the care of a client admitted with profuse
vomiting and abdominal pain. The client is at risk for developing _____
due to ______. - --ANSWER----(infection)
-bowel obstruction
A nurse is caring for a client who adheres to a kosher diet. Which of the
following food selections should the nurse expect to see on the client's
meal tray? - --ANSWER---spaghetti noodles with red sauce
NGN: A nurse is assisting with care of a client who is on 24-hr
observation. The client is at risk for developing ______ due to _____. - -
-ANSWER----thrombocytopenia
-low platelet count
NGN: A nurse is assisting with the care of a client who was admitted to
the emergency department (ED).
,For each potential assessment finding, click to specify if the finding is
consistent with schizophrenia or bipolar 1 disorder. Each finding may
support more than 1 disease process. - --ANSWER---Schizophrenia:
-grandidose delusions
-social impairment
-pressured speech
Bipolar 1 Disorder:
-grandidose delusions
-social impairment
-pressured speech
NGN: A nurse is caring for a client in an inpatient mental health facility.
Select the 2 findings from the client's medical record that are
manifestations of borderline personality disorder. - --ANSWER----skin
assessment
-behavior toward roommate
NGN: A nurse is assisting with the care of a client who is 1 day
postoperative following a total thyroidectomy.
The client is at highest risk for developing _____ as evidenced by the
______. - --ANSWER----hypocalcemia
-client's report of muscle spasms, numbness around lips, and decreased
calcium level
, A nurse is assisting with the care of a client who has schizophrenia in an
inpatient facility. Click to highlight the findings that require immediate
follow-up. To deselect a finding, click on the finding again. - --ANSWER--
--Client reports an increase in urination and had one episode of
incontinence.
-Family noted increased agitation and delusions.
NGN: A nurse is assisting with the care of a client who has a new
diagnosis of anorexia nervosa. The nurse should first address the
client's ______, followed by the client's ______. - --ANSWER----
electrolyte imbalance
-fear of weight gain
NGN: A nurse is reinforcing teaching with a client who is pregnant.
The client is at risk for experiencing _____ due to the client's ________.
- --ANSWER----metabolic acidosis
-excessive weight loss
NGN: A nurse is assisting with the care of a newborn. The nurse should
plan to first collect data about the newborn's ______, followed by the
newborn's _______. - --ANSWER----respiratory rate
-heart rate
NGN: A nurse on the medical-surgical unit is assisting with the care of a
client who was admitted from the emergency department (ED). The