EXAM 2025/REAL EXAM WITH NGN QUESTIONS AND
CORRECT VERIFIED ANSWERS/A+ GRADE
1. What would you do for wound Evisceration ( removal of internal organs) ,
Emergency management?
Saline cover wound
2. What would you do for an ASTHMA emergency management of a bee sting
allergies?
Epi Pen
3. Seizures and Epilepsy: Seizure precautions
During a seizure:
1) Position client on the floor
2) Provide a patent airway
3) Turn client to side
4) Loosen restrictive clothing
4. Cancer treatment options: Protective Isolation
If WBC drops below 1,000, place the client in a private room and initiate neutropenic
precautions.
, - Have client remain in his room unless he needs to leave for a diagnostic procedure, in
H H H H H H H H H H H H H H H
that case transport patient and place a mask on him.
H H H H H H H H H
- Protect from possible sources of infection (plants, change water in equipment daily)
H H H H H H H H H H H
- Have client, staff and visitors perform frequent hand hygiene, restrict ill visitors
H H H H H H H H H H H
- Avoid invasive procedures (rectal temps, injections)
H H H H H H
- Administer (neupogen, neulasta) to stimulate WBC production
H H H H H H H
5. Infection control: Appropriate room assignment
H H H H
Standard Precautions: H
1. applies to all patients H H H
2. Hand washing H
a. alcohol based preferred unless hands visually soiled ( then soap and water )
H H H H H H H H H H H H H
3. Gloves - when touching anything that has the potential to contaminate.
H H H H H H H H H H
4. Masks, eye protection & face shields when care may cause splashing or spraying of
H H H H H H H H H H H H H
body fluids H
Droplet:
1. private room or with someone with same illness
H H H H H H H
2. masks
, Airborne:
1. private room H
2. masks or respiratory protection devices
H H H H
a. use an N95 respirator for tuberculosis
H H H H H H
3. Negative pressure airflow H H
4. full face protection if splashing or spraying is possible
H H H H H H H H
Contact:
1. private room or room with same illness
H H H H H H
2. gloves & gowns H H
3. disposal of infections dressing materials into a single, nonporous bag without
H H H H H H H H H H
touching the outside of the bag
H H H H H
6. TB: Priority action for a client in the emergency department
H H H H H H H H H
-Wear an N95 or HEPA respirator
H H H H H
-Place client in negative airflow room and implement airborne precautions
H H H H H H H H H
-use barrier protection when the risk of hand or clothing contamination exists
H H H H H H H H H H H
7. Immunizations: Recommended vaccinations for older adult clients
H H H H H H
Adults age 50 or older: H H H H
- Pneumococcal Vaccine (PPSV) H H
- Influenza vaccine
H H
- Herpes Zoster Vaccine H H
, - Hepatitis A H
- Hepatitis B H
- Meningococcal Vaccine H
8. Pulmonary Embolism: Risk factors for DVT
H H H H H
- Long term immobilityH H
- Oral contraceptives
H
- Pregnancy
- Tobacco use
H H
- Hypercoagulabilty
- Obesity
- Surgery
- Heart failure or chronic A-Fib
H H H H H
- Autoimmune hemolytic anemia (sickle cell)
H H H H H
- Long bone fractures
H H H
- Advanced age
H H
9. Disorders of the male reproductive system: Complications of
H H H H H H H
continuousirrigation following Trans-urethral Resection
H H H H H
- Urethral trauma H
- Urinary retention H
- Bleeding
- Infection
10. Non-modifiable risk factors ( Page 3 ATI )
H H H H H H H