RN Learning System Comprehensive Quiz Final Exam with NGN Questio
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1. A nurse is teaching the parent Oral glucocorticoids are more like to slow linear growth in
of a child who has severe reac- children. (Chronic use of oral glucocorticoids in high doses
tive airway disease about glu- by children can result in decreased linear growth. Inhaled
cocorticoid therapy. The par- glucocorticoids deliver the anti-inflammatory agent directly to
ent asks why her child has to the local target area (pts airways) resulting in an decreased
inhale the medication instead risk for adrenal suppression).
of taking it orally. Which of the
following information should
the nurse provide the parent?
2. A nurse is providing teaching "Your risk of ectopic pregnancy increases with an IUD." [An
to a client who has come to IUD is a family planning device the provider inserts through
the family planning clinic re- the cervix into the uterus to prevent pregnancy. The IUD works
questing an intrauterine de- by changing the lining of the uterus and fallopian tubes,
vice (IUD). Which of the fol- making fertilization in the uterus more difficult. Consequently,
lowing information should the an IUD increases the risk for ectopic pregnancy.]
nurse provide the client?
3. A nurse is assessing a "Does anyone smoke around or in the same house as your
preschooler who has recur- child?" [Otitis media is an infection of the middle ear. Passive
rent and persistent otitis me- smoking promotes adherence of respiratory pathogens to the
dia. When obtaining the child's lining of the middle ear space. It also prolongs the inflamma-
history from her parent, which tion and impedes drainage from the ear.]
of the following questions
should the nurse ask?
4. A nurse is providing teach- Stop taking the herbal supplement while taking the med-
ing to a client who has a ication. [Taking the antidepressant sertraline and the herbal
new prescription for sertra- supplement St. John's wort together puts the client at risk for
line. The client asks the nurse serotonin syndrome.]
if he should continue to take
, RN Learning System Comprehensive Quiz Final Exam with NGN Questio
and Revised Correct Answers, ( ) 100% Guarantee Pass
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St. John's wort for depression.
Which of the following instruc-
tions should the nurse give the
client?
5. A nurse is caring for a client Pulmonary function [The nurse should apply the safety and
who is receiving bleomycin IV risk reduction priority-setting framework. This framework as-
to treat lymphoma. Which of signs priority to the factor or situation posing the greatest
the following assessments is safety risk to the client. When there are several risks to client
the nurse's priority? safety, the one posing the greatest threat is the highest priori-
ty. The nurse should use Maslow's Hierarchy of needs, the ABC
priority-setting framework, or nursing knowledge to identify
which risk poses the greatest threat to the client. Bleomycin
can cause severe lung injury, including pneumonitis and pul-
monary fibrosis, and it affects a significant percentage of
clients receiving this medication; therefore, pulmonary func-
tion is the priority assessment.]
6. A nurse is teaching a client 1. The client should hold the mouthpiece 2-4 cm (1-2 in)
how to use an albuterol me- from his mouth 2. Tilt his head back slightly, and then open
tered dose inhaler. After re- his mouth 3. Next, he should depress the medication can-
moving the cap from the in- ister while taking a deep breath to facilitate delivery of the
haler and shaking the canis- medication through the airway 4. After holding his breath
ter, identify the sequence of for 10 seconds, the client should resume his usual breathing
instructions the nurse should pattern.
give the client. (Move the steps
into the box on the right, plac-
ing them in the selected order
of performance. Use all the
steps.)
, RN Learning System Comprehensive Quiz Final Exam with NGN Questio
and Revised Correct Answers, ( ) 100% Guarantee Pass
Study online at https://quizlet.com/_h5xhpp
7. A nurse is reviewing the lab- Hyperkalemia [The nurse should apply the urgent versus
oratory report for a client nonurgent priority-setting framework when caring for this
who has chronic kidney dis- client. Using this framework, the nurse should consider ur-
ease (CKD). The nurse finds gent needs the priority need because they pose more of a
the following laboratory test threat to the client. The nurse may also need to use Maslow's
results: potassium 6.8 mEq/L, hierarchy of needs, the ABC priority-setting framework, or
calcium 7.4 mg/dL, hemoglo- nursing knowledge to identify which finding is the most ur-
bin 10.2 g/dL, and phosphate gent. Therefore, hyperkalemia, which can cause life-threaten-
4.8 mg/dL. Which of the fol- ing cardiac dysrhythmias, is the priority for the nurse to report
lowing findings is the priority to the provider.
for the nurse to report to the
provider?
8. A nurse is facilitating a group Arm cast for a spiral fracture of the forearm [Spiral fractures
discussion with preschool occur from twisting of an extremity. In most instances, spiral
teachers about child abuse. fractures of the arm result from an abusive injury.]
Which of the following data
should the nurse use as a com-
mon example of a suggestive
finding?
9. Due to staffing shortages, a Assign a unit nurse to act as a resource to act as a resource for
nurse manager floats a med- the medical-surgical nurse. [Assigning a nurse who usually
ical-surgical nurse to the pe- works on the pediatric unit to work with the medical-surgical
diatric unit. The nurse has nurse will provide consistent support]
limited experience with chil-
dren. Which of the following
actions should the nurse man-
ager take?
10.
, RN Learning System Comprehensive Quiz Final Exam with NGN Questio
and Revised Correct Answers, ( ) 100% Guarantee Pass
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A nurse is developing a plan Aspiration [Aspiration is a common complication of GERD,
of care for a client who has which results when the esophageal sphincter malfunctions,
gastroesophageal reflux dis- allowing gastric acid and undigested food to back up into
ease (GERD). The nurse should the esophagus. This places the client at risk for aspiration.
plan to monitor the client for GERD causes effortless, uncontrolled regurgitation whether
which of the following compli- the client is in an upright position or reclining. The most
cations? common results of regurgitation are heartburn and indiges-
tion; however, aspiration is also possible. Therefore, the nurse
should monitor the client for crackles in the lung fields, which
is an indication of aspiration.]
11. A client at a routine prenatal "The hormonal changes of pregnancy change the acidity of
care visit asks the nurse if it the vagina, making yeast infections more common." [This is
is common to develop vaginal an information-seeking question; therefore, the therapeutic
yeast infections during preg- response is an answer that provides the client with the infor-
nancy. Which of the following mation she requested.]
responses should the nurse
make?
12. A community health nurse Hemothorax [The nurse should apply the survival potential
is performing client triage priority-setting framework. The nurse should reserve the use
while participating in a disas- of this framework for mass casualty situations, when resources
ter drill. The nurse should rec- are scarce and he must allocate resources to save the greatest
ommend that which of the fol- number of lives. While it might seem that the client least likely
lowing clients receives treat- to survive should receive priority care, this is the client who
ment first? is the lowest priority. The nurse should assign the highest
priority to the client who has injuries that are severe but has
the potential to survive with treatment. Therefore, the nurse
should recommend that the client who has a hemothorax
receive treatment first. A hemothorax is life-threatening, but
and Revised Correct Answers, ( ) 100% Guarantee Pass
Study online at https://quizlet.com/_h5xhpp
1. A nurse is teaching the parent Oral glucocorticoids are more like to slow linear growth in
of a child who has severe reac- children. (Chronic use of oral glucocorticoids in high doses
tive airway disease about glu- by children can result in decreased linear growth. Inhaled
cocorticoid therapy. The par- glucocorticoids deliver the anti-inflammatory agent directly to
ent asks why her child has to the local target area (pts airways) resulting in an decreased
inhale the medication instead risk for adrenal suppression).
of taking it orally. Which of the
following information should
the nurse provide the parent?
2. A nurse is providing teaching "Your risk of ectopic pregnancy increases with an IUD." [An
to a client who has come to IUD is a family planning device the provider inserts through
the family planning clinic re- the cervix into the uterus to prevent pregnancy. The IUD works
questing an intrauterine de- by changing the lining of the uterus and fallopian tubes,
vice (IUD). Which of the fol- making fertilization in the uterus more difficult. Consequently,
lowing information should the an IUD increases the risk for ectopic pregnancy.]
nurse provide the client?
3. A nurse is assessing a "Does anyone smoke around or in the same house as your
preschooler who has recur- child?" [Otitis media is an infection of the middle ear. Passive
rent and persistent otitis me- smoking promotes adherence of respiratory pathogens to the
dia. When obtaining the child's lining of the middle ear space. It also prolongs the inflamma-
history from her parent, which tion and impedes drainage from the ear.]
of the following questions
should the nurse ask?
4. A nurse is providing teach- Stop taking the herbal supplement while taking the med-
ing to a client who has a ication. [Taking the antidepressant sertraline and the herbal
new prescription for sertra- supplement St. John's wort together puts the client at risk for
line. The client asks the nurse serotonin syndrome.]
if he should continue to take
, RN Learning System Comprehensive Quiz Final Exam with NGN Questio
and Revised Correct Answers, ( ) 100% Guarantee Pass
Study online at https://quizlet.com/_h5xhpp
St. John's wort for depression.
Which of the following instruc-
tions should the nurse give the
client?
5. A nurse is caring for a client Pulmonary function [The nurse should apply the safety and
who is receiving bleomycin IV risk reduction priority-setting framework. This framework as-
to treat lymphoma. Which of signs priority to the factor or situation posing the greatest
the following assessments is safety risk to the client. When there are several risks to client
the nurse's priority? safety, the one posing the greatest threat is the highest priori-
ty. The nurse should use Maslow's Hierarchy of needs, the ABC
priority-setting framework, or nursing knowledge to identify
which risk poses the greatest threat to the client. Bleomycin
can cause severe lung injury, including pneumonitis and pul-
monary fibrosis, and it affects a significant percentage of
clients receiving this medication; therefore, pulmonary func-
tion is the priority assessment.]
6. A nurse is teaching a client 1. The client should hold the mouthpiece 2-4 cm (1-2 in)
how to use an albuterol me- from his mouth 2. Tilt his head back slightly, and then open
tered dose inhaler. After re- his mouth 3. Next, he should depress the medication can-
moving the cap from the in- ister while taking a deep breath to facilitate delivery of the
haler and shaking the canis- medication through the airway 4. After holding his breath
ter, identify the sequence of for 10 seconds, the client should resume his usual breathing
instructions the nurse should pattern.
give the client. (Move the steps
into the box on the right, plac-
ing them in the selected order
of performance. Use all the
steps.)
, RN Learning System Comprehensive Quiz Final Exam with NGN Questio
and Revised Correct Answers, ( ) 100% Guarantee Pass
Study online at https://quizlet.com/_h5xhpp
7. A nurse is reviewing the lab- Hyperkalemia [The nurse should apply the urgent versus
oratory report for a client nonurgent priority-setting framework when caring for this
who has chronic kidney dis- client. Using this framework, the nurse should consider ur-
ease (CKD). The nurse finds gent needs the priority need because they pose more of a
the following laboratory test threat to the client. The nurse may also need to use Maslow's
results: potassium 6.8 mEq/L, hierarchy of needs, the ABC priority-setting framework, or
calcium 7.4 mg/dL, hemoglo- nursing knowledge to identify which finding is the most ur-
bin 10.2 g/dL, and phosphate gent. Therefore, hyperkalemia, which can cause life-threaten-
4.8 mg/dL. Which of the fol- ing cardiac dysrhythmias, is the priority for the nurse to report
lowing findings is the priority to the provider.
for the nurse to report to the
provider?
8. A nurse is facilitating a group Arm cast for a spiral fracture of the forearm [Spiral fractures
discussion with preschool occur from twisting of an extremity. In most instances, spiral
teachers about child abuse. fractures of the arm result from an abusive injury.]
Which of the following data
should the nurse use as a com-
mon example of a suggestive
finding?
9. Due to staffing shortages, a Assign a unit nurse to act as a resource to act as a resource for
nurse manager floats a med- the medical-surgical nurse. [Assigning a nurse who usually
ical-surgical nurse to the pe- works on the pediatric unit to work with the medical-surgical
diatric unit. The nurse has nurse will provide consistent support]
limited experience with chil-
dren. Which of the following
actions should the nurse man-
ager take?
10.
, RN Learning System Comprehensive Quiz Final Exam with NGN Questio
and Revised Correct Answers, ( ) 100% Guarantee Pass
Study online at https://quizlet.com/_h5xhpp
A nurse is developing a plan Aspiration [Aspiration is a common complication of GERD,
of care for a client who has which results when the esophageal sphincter malfunctions,
gastroesophageal reflux dis- allowing gastric acid and undigested food to back up into
ease (GERD). The nurse should the esophagus. This places the client at risk for aspiration.
plan to monitor the client for GERD causes effortless, uncontrolled regurgitation whether
which of the following compli- the client is in an upright position or reclining. The most
cations? common results of regurgitation are heartburn and indiges-
tion; however, aspiration is also possible. Therefore, the nurse
should monitor the client for crackles in the lung fields, which
is an indication of aspiration.]
11. A client at a routine prenatal "The hormonal changes of pregnancy change the acidity of
care visit asks the nurse if it the vagina, making yeast infections more common." [This is
is common to develop vaginal an information-seeking question; therefore, the therapeutic
yeast infections during preg- response is an answer that provides the client with the infor-
nancy. Which of the following mation she requested.]
responses should the nurse
make?
12. A community health nurse Hemothorax [The nurse should apply the survival potential
is performing client triage priority-setting framework. The nurse should reserve the use
while participating in a disas- of this framework for mass casualty situations, when resources
ter drill. The nurse should rec- are scarce and he must allocate resources to save the greatest
ommend that which of the fol- number of lives. While it might seem that the client least likely
lowing clients receives treat- to survive should receive priority care, this is the client who
ment first? is the lowest priority. The nurse should assign the highest
priority to the client who has injuries that are severe but has
the potential to survive with treatment. Therefore, the nurse
should recommend that the client who has a hemothorax
receive treatment first. A hemothorax is life-threatening, but
