NGN Test questions with verified answers
A nurse is reinforcing teaching with a client who has a new
prescription for alprazolam. Which of the following is the priority
instruction the nurse should include when reinforcing teaching?
1. Avoid drinking beverages that contain caffeine.
2. This medication can affect the ability to drive or handle mechanical
equipment.
3. Avoid taking antacids within 2 hours of taking this medication.
4. This medication should be taken with or shortly after meals. ---
correct precise answer ---2. This medication can affect the ability to
drive or handle mechanical equipment.
The greatest risk to this client is injury to self; therefore, the priority
information the nurse should include is to tell the client not to drive
or handle mechanical equipment while taking alprazolam.
A nurse is caring for a client 2 days post hip arthroplasty. When a
news report about combat activity comes on the television, the client
says to the nurse, "My youngest son died in combat 6 months ago."
,Which of the following responses by the nurse is appropriate? (Select
ALL that apply)
1. This must be a very difficult time for you.
2. Your son's death must be a terrible loss.
3. It's just awful what goes on in the world
4. You need to focus on getting better
5.Tell me something you remember about your son --- correct precise
answer ---1. This must be a very difficult time for you. (this is an
open-ended therapeutic response that encourages communication by
allowing further expression of the client's feelings)
2. Your son's death must be a terrible loss.
(This is the therapeutic response of accepting, which is
nonjudgmental and indicates the client's feelings are understood)
5.Tell me something you remember about your son
(This is an op-ended therapeutic response that encourages
communication by allowing further expression of the client's feelings)
A nurse is collecting data from a client who has schizophrenia. Which
of the following behaviors observed by the nurse during the interview
should the nurse document as a negative manifestation of
schizophrenia?
1. Neologisms
,2. Clang association
3. Avolition
4. Religiosity --- correct precise answer ---3. Avolition
Negative manifestations of schizophrenia are behaviors or thought
patterns that are absent and should be present. Avolition is a lack of
motivation.
A nurse is reinforcing teaching about withdrawal manifestations to a
client who is making plans to quit smoking. Which of the following
statements by the client indicates an understanding of the teaching?
1. I can expect my cravings for a cigarette to go away within 7 to 10
days
2. Even when I'm resting, I will probably feel like my heart is racing.
3. I should increase my intake of calories because of the expected
weight loss.
4. I will probably feel irritable within 24 hours of my last cigarette. ---
correct precise answer ---4. I will probably feel irritable within 24
hours of my last cigarette.
, The nurse should inform the client that withdrawal symptoms
typically start within 24 hours of the last cigarette or nicotine use and
may last for days, weeks, or more.
A nurse is caring for a client who has developed acute delirium. Which
of the following findings should the nurse expect?
1. A progressive deterioration of cognitive function.
2. A rapid fluctuation in the client's level of consciousness.
3. A loss of language ability.
4. Inability to perform purposeful tasks. --- correct precise answer ---
2. A rapid fluctuation in the client's level of consciousness.
Rapid fluctuating level of consciousness in delirium is an expected
finding of this disorder.
A client who was voluntarily admitted to a mental health facility for
treatment of major depressive disorder has given consent for
electroconvulsive therapy (ECT). Shortly before initiation of ECT, the
client tells the nurse she no longer wishes to have the procedure.
Which of the following actions should the nurse take?
1. Help the client understand the ECT helps many clients recover from
depression.