RN Comprehensive Online Practice 2019 B
with NGN Exam for Nursing
A nurse has just received change-of-shift report on four clients. Which of the following clients should the
nurse assess first?
A client who is postoperative with abdominal distention and no bowel sounds
A client who has diabetes mellitus and a blood glucose level of 105 mg/dL
A client who has heart failure and 2+ pitting edema
A client who is receiving maintenance IV fluids and needs a new IV catheter - CORRECT ANSWERS✔✔A
client who is postoperative with abdominal distention and no bowel sounds
Using the acute vs. chronic approach to client care, the nurse should first assess the client who is
postoperative with abdominal distention and no bowel sounds because these manifestations are
indications of a paralytic ileus.
For each assessment finding, click to specify if the finding is consistent with attention deficit
hyperactivity disorder (ADHD) or intellectual disability (ID). Each finding may support more than 1
disease process.
Assessment Findings
Intellectual impairment
Interrupting others
Impaired language skills
Hyperreactivity to sensory input
Losing necessary things
A nurse is caring for a school-age child.
,RN Comprehensive Online Practice 2019 B
with NGN Exam for Nursing
Nurses' Notes
First visit:
A child is brought to the clinic accompanied by guardians. The guardians have received feedback from
the child's teacher that the child has become disinterested in schoolwork and has difficulty paying
attention during class. The child often loses their school supplies.
The guardians report that the child demonstrates these behaviors at home as well. The child refuses to
participate in household chores, keeps their room untidy, does not clean up when told to, and is
generally careless and disinterested.
On assessing, the child is found to be talkative, restless, and easily distracted.
2 weeks later:
The child's guardians report that the child seems to be doing better at school. The child is improving at
paying attention during class and completing assignments on time.
Vital Signs
First visit:
Blood pressure 94/56 mm Hg
Heart rate 90/min
Respiratory rate 24/min
Temperature 37.2° C (99° F)
SaO2 99% on room air
2 weeks later:
Blood pressure 98/60 mm Hg
Heart rate 88/min
Respiratory rate 22/min
Temperature 37° C (98.6° F)
,RN Comprehensive Online Practice 2019 B
with NGN Exam for Nursing
SaO2 99% on room air
Provider Prescriptions
Atomoxetine 10 mg PO daily with breakfast for 5 days, then increase dose to 18 mg PO daily with
breakfast - CORRECT ANSWERS✔✔ADHD
Hyperreactivity to sensory input
Losing necessary things
Interrupting others
Intellectual impairment
ID
Intellectual impairment
Hyperreactivity to sensory input
When analyzing cues, the nurse should identify that manifestations of ADHD include losing necessary
things, interrupting others, intellectual impairment, and hyper reactivity to sensory input.
In ADHD, the client often loses necessary things in daily life, such as pencils, erasers, and books. The
client often interrupts others and has difficulty waiting for their turn in conversation.
The client might have an intellectual impairment, which can lead to poor academic performance and
difficulties with socialization. The client might exhibit hyperreactivity or hyporeactivity to stimuli.
A charge nurse is providing an educational session about infection control for a group of staff nurses.
Which of the following statements by one of the staff nurses indicates an understanding of isolation
precautions?
"Droplet precautions should be initiated for a client who tests positive for measles."
, RN Comprehensive Online Practice 2019 B
with NGN Exam for Nursing
"A client who requires airborne precautions should be placed in a negative-pressure airflow room."
"Airborne precautions should be initiated for a client who has Clostridium difficile."
"A client who is immunocompromised should be placed in a negative-pressure airflow room." - CORRECT
ANSWERS✔✔A client who requires airborne precautions should be placed in a negative-pressure airflow
room."
Airborne precautions require a negative-pressure airflow room that has at least six to 12 air exchanges
each hour using a HEPA filtration system.
A nurse is admitting a client who has pneumonia. The nurse should initiate which of the following
isolation precautions for the client?
Droplet
Airborne
Contact
Protective environment - CORRECT ANSWERS✔✔Droplet
The nurse should initiate droplet precautions for this client by placing the client in a private room and
wearing a surgical mask when caring for the client. Pneumonia is transmitted by droplet particles.
A nurse in a community center is providing an educational session to a group of clients about ovarian
cancer. Which of the following manifestations of ovarian cancer should the nurse include in the
teaching?
with NGN Exam for Nursing
A nurse has just received change-of-shift report on four clients. Which of the following clients should the
nurse assess first?
A client who is postoperative with abdominal distention and no bowel sounds
A client who has diabetes mellitus and a blood glucose level of 105 mg/dL
A client who has heart failure and 2+ pitting edema
A client who is receiving maintenance IV fluids and needs a new IV catheter - CORRECT ANSWERS✔✔A
client who is postoperative with abdominal distention and no bowel sounds
Using the acute vs. chronic approach to client care, the nurse should first assess the client who is
postoperative with abdominal distention and no bowel sounds because these manifestations are
indications of a paralytic ileus.
For each assessment finding, click to specify if the finding is consistent with attention deficit
hyperactivity disorder (ADHD) or intellectual disability (ID). Each finding may support more than 1
disease process.
Assessment Findings
Intellectual impairment
Interrupting others
Impaired language skills
Hyperreactivity to sensory input
Losing necessary things
A nurse is caring for a school-age child.
,RN Comprehensive Online Practice 2019 B
with NGN Exam for Nursing
Nurses' Notes
First visit:
A child is brought to the clinic accompanied by guardians. The guardians have received feedback from
the child's teacher that the child has become disinterested in schoolwork and has difficulty paying
attention during class. The child often loses their school supplies.
The guardians report that the child demonstrates these behaviors at home as well. The child refuses to
participate in household chores, keeps their room untidy, does not clean up when told to, and is
generally careless and disinterested.
On assessing, the child is found to be talkative, restless, and easily distracted.
2 weeks later:
The child's guardians report that the child seems to be doing better at school. The child is improving at
paying attention during class and completing assignments on time.
Vital Signs
First visit:
Blood pressure 94/56 mm Hg
Heart rate 90/min
Respiratory rate 24/min
Temperature 37.2° C (99° F)
SaO2 99% on room air
2 weeks later:
Blood pressure 98/60 mm Hg
Heart rate 88/min
Respiratory rate 22/min
Temperature 37° C (98.6° F)
,RN Comprehensive Online Practice 2019 B
with NGN Exam for Nursing
SaO2 99% on room air
Provider Prescriptions
Atomoxetine 10 mg PO daily with breakfast for 5 days, then increase dose to 18 mg PO daily with
breakfast - CORRECT ANSWERS✔✔ADHD
Hyperreactivity to sensory input
Losing necessary things
Interrupting others
Intellectual impairment
ID
Intellectual impairment
Hyperreactivity to sensory input
When analyzing cues, the nurse should identify that manifestations of ADHD include losing necessary
things, interrupting others, intellectual impairment, and hyper reactivity to sensory input.
In ADHD, the client often loses necessary things in daily life, such as pencils, erasers, and books. The
client often interrupts others and has difficulty waiting for their turn in conversation.
The client might have an intellectual impairment, which can lead to poor academic performance and
difficulties with socialization. The client might exhibit hyperreactivity or hyporeactivity to stimuli.
A charge nurse is providing an educational session about infection control for a group of staff nurses.
Which of the following statements by one of the staff nurses indicates an understanding of isolation
precautions?
"Droplet precautions should be initiated for a client who tests positive for measles."
, RN Comprehensive Online Practice 2019 B
with NGN Exam for Nursing
"A client who requires airborne precautions should be placed in a negative-pressure airflow room."
"Airborne precautions should be initiated for a client who has Clostridium difficile."
"A client who is immunocompromised should be placed in a negative-pressure airflow room." - CORRECT
ANSWERS✔✔A client who requires airborne precautions should be placed in a negative-pressure airflow
room."
Airborne precautions require a negative-pressure airflow room that has at least six to 12 air exchanges
each hour using a HEPA filtration system.
A nurse is admitting a client who has pneumonia. The nurse should initiate which of the following
isolation precautions for the client?
Droplet
Airborne
Contact
Protective environment - CORRECT ANSWERS✔✔Droplet
The nurse should initiate droplet precautions for this client by placing the client in a private room and
wearing a surgical mask when caring for the client. Pneumonia is transmitted by droplet particles.
A nurse in a community center is providing an educational session to a group of clients about ovarian
cancer. Which of the following manifestations of ovarian cancer should the nurse include in the
teaching?
