2025 With NGN
1. Anurseisprovidingdischargeteachingtoaclientwhohasanewprescriptionforsublingual
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nitroglycerin. Which of the following client statements indicates an understanding of the
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teaching? ,i
a. "Should DiscontinueThis Medication If DevelopAHeadache." ,i ,i ,i ,i ,i ,i ,i
b. "CanKeepMyMedicationFor1YearBeforeReplacingIt." ,i ,i ,i ,i ,i ,i ,i ,i ,i
c. CanTakeUpToFiveTabletsIn15MinutesBeforeSeekingMedicalAttention. ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
d. "IShouldLieDownWhenITakeThisMedication." ,i ,i ,i ,i ,i ,i ,i ,i ,i
Anurseisprovidingdischargeteachingtoanolderadultclientfollowingalefttotalhiparthroplasty. Which of the
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following instructions should the nurse include in the teaching?
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A. "Youcancrossyourlegsattheankleswhensittingdown." ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
B. installaraisedtoiletseatinyourbathroom." ,i ,i ,i ,i ,i ,i ,i
C. ``Youshoulduseanincentivespirometerevery8hours." ,i ,i ,i ,i ,i ,i ,i ,i
D. "Cleantheincisiondailywithhydrogenperoxide ,i ,i ,i ,i ,i ,i
AnurseinthePACUisassessingaclientwhoispostoperativefollowinggeneralanesthesia.Whichofthe
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following findings is the priority to address?
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A. Protectionoftheskin ,i ,i ,i
B. Vomitinguponarousal—>anotherquizletsaysthis? ,i ,i ,i ,i ,i ,i ,i
C. Indistinctrambling speech ,i ,i
D. Decreasedbodytemperature ,i ,i
Anurseisprovidinginstructionstoaclientwhohasprimarysyphilis.Whichofthefollowinginstructions should
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the nurse include in the discharge plan?
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A. "Youwillneedtobemonitoredfor15minutesafterreceivingeach ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
medication dose." ,i ,i
B. "Youwillneedcryotherapyfor1to2weeks." ,i ,i ,i ,i ,i ,i ,i ,i
C. "Youwillneedthreefollow-upbloodtestswithina24-monthperiod."? ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
D. "Youwillneedtotakeanantiviralmedicationfor6months." ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
Anurseiscaringforaclientwhoisscheduledforamastectomy.Theclienttellsthenurse,"I'mnotsureI want to have
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a mastectomy." Which of the following statements should the nurse make?
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A. Icangiveyouadditionalinformationabouttheprocedure
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Anurseisprovidingdischargeteachingtoaclientwhoisrecoveringfromasicklecellcrisis.Whichof the
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following instructions should the nurse include?
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A. Avoidextremelyhotorcoldtemperatures
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Anurseiscaringforaclientimmediatelyfollowingalumbarpuncture.Whichofthefollowingactions should the
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nurse take?
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A. Instructtheclienttolieflat←cantfindthisquestionbutithinkit'sthisone→yes ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
B. limittheclient'sfluidintake ,i ,i ,i ,i
C. Measurebloodglucoseevery2hr. ,i ,i ,i ,i ,i
D. Instructtheclienttoexpecttinglingintheirextremities. ,i ,i ,i ,i ,i ,i ,i ,i
,Anurseispreparingaclientforalumbarpuncturewhichofthefollowingimagesindicatesthe position the
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nurse should assist the client into for this procedure?
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FetalPosition(SideLying) ,i ,i ,i
Anurseisteachingaboutmeasurestopreventrecurringurinarytractinfectionswithafemaleclient. Whichofthe
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followinginformationshouldthenurseincludeintheteaching?(Selectallthatapply.)
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A. Takeawarmbubblebathdaily. ,i ,i ,i ,i ,i
B. Drinklow-fructosecranberryjuice. ,i ,i ,i
C. voldevery6hrduringtheday. ,i ,i ,i ,i ,i ,i
D. Wipetheperinealareafromfronttobackafterurinating. ,i ,i ,i ,i ,i ,i ,i ,i ,i
E. Drink3Lof fluids daily ,i ,i ,i ,i ,i
Anurseinaproviderofficeisteachingaclientabouttheself-managementofGERD.Whichofthe following
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instructions should the nurse include?
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A. “Sleepwiththeheadofyourbedelevated6inches” ,i ,i ,i ,i ,i ,i ,i ,i ,i
Anurseispreparingtodischargeaclientwhohasahalodeviceandisreviewingnewprescriptionsfrom the
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provider. The nurse should clarify which of the following prescriptions with the provider?
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A. Taketubbathsinsteadofshowers. ,i ,i ,i ,i ,i
B. Mayplaceasmallpillowundertheheadwhensleeping ,i ,i ,i ,i ,i ,i ,i ,i ,i
C. Increaseintakeoffiber-richfoods. ,i ,i ,i ,i
D. Mayoperateamotorvehiclewhennolongertakinganalgesics ,i ,i ,i ,i ,i ,i ,i ,i ,i
Anurseisplanningcareforaclientwhohasosteoarthritisoftheknees.Whichofthefollowing interventions should
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the nurse include in the plan?
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A. Placealargepillowundertheclient'skneeswhenresting. ,i ,i ,i ,i ,i ,i ,i ,i ,i
,Anurseiscaringforaclientwhohasahistoryofchemotherapy-Inducednauseaandvomiting.Whichof the
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following medications should the nurse administer prior to chemotherapy?
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A. Ondansetron
Anurseiscaringforaclientwhohashypervolemia.Whichofthefollowingisanexpectedassessment finding?
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A. Bradycardia
B. Hypotension
C. Lossofskinturgor ,i ,i ,i
D. Weightgain ,i
Anurseispreparingtoperformocularirrigationforaclientfollowingachemicalsplashtotheeye. Which of the
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following actions should the nurse plan to take first?
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A. instill0.9%sodiumchloridesolutionintotheaffectedeye ,i ,i ,i ,i ,i ,i ,i ,i
Anurseispreparingtoadministerlactatedringer’sviacontinuousIVinfusionat200ml/hr.TheIVtubing has a
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drop factor of 10 drops/ml. How many gtt/min should the nurse set the IV pump to administer?
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Roundtonearwholenumber ,i ,i ,i ,i
a. 33gtt/min ,i
Anurseisplanningcareforaclientfollowingacardiaccatheterization.Whichofthefollowingactions should the
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nurse take?
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A. Keeptheclientonbedrestfor24hours ,i ,i ,i ,i ,i ,i ,i ,i
B. Limittheclient’sfluidintaketo1lperday ,i ,i ,i ,i ,i ,i ,i ,i ,i
C. Maintaintheclient’saffectedextremityinextension ,i ,i ,i ,i ,i ,i
D. Changetheclient’sdressingevery8hour ,i ,i ,i ,i ,i ,i
Anurseiscaringforaclientwhohasalowerextremityfractureandaprescriptionforcrutches.Whichof the
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following client statements indicates that the client is adapting to their role change?
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A. Iwillneedtohavemypartnertakeovershoppingforgroceriesandcookingthe meals ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
for us ,i ,i
B. Thesecrutcheswillmakeitimpossibletocareformychild ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
C. IfeelbadthatIhavetoaskmypartnertokeep thehouse clean ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
D. ItsgoingtobedifficulttotellmyparentsIcan'ttakethemtotheirappointmentsanymore ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
Anurseiscaringforaclientwhohasgastroenteritis.Whichofthefollowingassessment findingsshould the nurse
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recognize as an indication that the client is experiencing dehydration?
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A. Pitting,dependentedema ,i ,i
B. Distendedjugularveins ,i ,i
C. IncreasedBP ,i
D. Decreased BP ,i
Anurseiscaringforaclientwhohasacontusionofthebrainstemandreportsthirst.Theclient’s urinary output was
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4,000 ml over the past 24 hour.The nurse should anticipate a prescription for which of the
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, followingIVmedication? ,i ,i
A. Desmopressin
B. Epinephrine
C. Furosemide
D. Nitroprusside
Anurse in a clinic receives a phone call from a client who recently started therapy with anACE inhibitorand
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reportsanaggingdrycough.Whichofthefollowingresponsesbythenurseisappropriate?
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A. “yourcoughmayrequirethatyoustoporchangeyourmedication” ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
B. “Increasingyourdailyfluidintakemayeliminateyourcough” ,i ,i ,i ,i ,i ,i ,i ,i
C. “suckingonlozengemayreducethefrequencyofyourcough” ,i ,i ,i ,i ,i ,i ,i ,i ,i
D. “Youcoughshouldgoawayintime” ,i ,i ,i ,i ,i ,i
A nurse is taking an admission history from a client who reports Raynaud’s disease. Which of the
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following assessment findings should the nurse identify as a potential trigger for exacerbations of
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Raynaud’s?
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A. Eatingastrictvegetariandiet ,i ,i ,i ,i
B. Ahistoryofherpeszoster ,i ,i ,i ,i
C. Takingamlodipine for hypertension ,i ,i ,i
D. Usinganicotinetransdermalpatch ,i ,i ,i ,i
A nurseiscaringfor aclient whohasa central venous access deviceand notes the tubinghas become disconnected.
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Theclientdevelopsdyspneaandtachycardia.Whichofthefollowingactionsshouldthe nurse take first?
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A. PerformanECG ,i ,i
B. ObtainABG values ,i ,i
C. Turntheclienttohisleftside ,i ,i ,i ,i ,i ,i
D. Clampthecatheter ,i ,i
A nurse is completing an assessment of an older adult client and notes reddened areas over the bony
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prominences,buttheclient’sskinisintact.Which ofthefollowinginterventionsshouldthenurseinclude in the
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plan of care?
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A. Turnandrepositiontheclientevery4hr→noevery2hours ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
B. Applyanocclusivedressing ,i ,i ,i
C. Supportbonyprominenceswithpillows ,i ,i ,i ,i
D. Massagethereddenedareasthreetimesaday→nevermassagebonyprominences ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
Ahomehealthnurseismakinganinitialvisittoaclientwhohasmultiplesclerosis.Whichofthe following actions is
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the priority for the nurse to take?
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A. Discussrecommendationsforeatingandswallowingtechniques ,i ,i ,i ,i ,i ,i
B. Liststrategiesforfamilycopingwhendealingwithpossiblerolechanges ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
C. Reviewtheuseofadaptivegroomingdevicestopromoteclientindependence ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i
D. Givetheclientinformationaboutthelocalnationalmultiplesclerosissociety ,i ,i ,i ,i ,i ,i ,i ,i ,i ,i