RN Comprehensive Online Practice 2019 B with NGN Exam with NGN Qu
tions and Revised Correct Answers, ( ) 100% Guarantee Pass
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1. A nurse has just received change-of-shift report A client who is postoperative
on four clients. Which of the following clients with abdominal distention and
should the nurse assess first? no bowel sounds
A client who is postoperative with abdominal dis- Using the acute vs. chronic ap-
tention and no bowel sounds proach to client care, the nurse
should first assess the client
A client who has diabetes mellitus and a blood who is postoperative with ab-
glucose level of 105 mg/dL dominal distention and no bowel
sounds because these manifes-
A client who has heart failure and 2+ pitting ede-
tations are indications of a para-
ma
lytic ileus.
A client who is receiving maintenance IV fluids
and needs a new IV catheter
2. For each assessment finding, click to specify if the ADHD
finding is consistent with attention deficit hyper- Hyperreactivity to sensory input
activity disorder (ADHD) or intellectual disability Losing necessary things
(ID). Each finding may support more than 1 dis- Interrupting others
ease process. Intellectual impairment
Assessment Findings ID
Intellectual impairment Intellectual impairment
Interrupting others Hyperreactivity to sensory input
Impaired language skills
Hyperreactivity to sensory input When analyzing cues, the nurse
Losing necessary things should identify that manifes-
tations of ADHD include los-
A nurse is caring for a school-age child. ing necessary things, interrupt-
ing others, intellectual impair-
Nurses' Notes ment, and hyper reactivity to sen-
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tions and Revised Correct Answers, ( ) 100% Guarantee Pass
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First visit: sory input.
A child is brought to the clinic accompanied by
guardians. The guardians have received feedback In ADHD, the client often los-
from the child's teacher that the child has be- es necessary things in daily life,
come disinterested in schoolwork and has diffi- such as pencils, erasers, and
culty paying attention during class. The child of- books. The client often interrupts
ten loses their school supplies. others and has difficulty waiting
The guardians report that the child demonstrates for their turn in conversation.
these behaviors at home as well. The child refuses
The client might have an intellec-
to participate in household chores, keeps their
tual impairment, which can lead
room untidy, does not clean up when told to, and
to poor academic performance
is generally careless and disi
and difficulties with socialization.
The client might exhibit hyperre-
activity or hyporeactivity to stim-
uli.
3. A charge nurse is providing an educational ses- A client who requires airborne
sion about infection control for a group of staff precautions should be placed
nurses. Which of the following statements by one in a negative-pressure airflow
of the staff nurses indicates an understanding of room."
isolation precautions?
Airborne precautions require a
"Droplet precautions should be initiated for a negative-pressure airflow room
client who tests positive for measles." that has at least six to 12 air ex-
changes each hour using a HEPA
"A client who requires airborne precautions filtration system.
should be placed in a negative-pressure airflow
room."
"Airborne precautions should be initiated for a
client who has Clostridium difficile."
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tions and Revised Correct Answers, ( ) 100% Guarantee Pass
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"A client who is immunocompromised should be
placed in a negative-pressure airflow room."
4. A nurse is admitting a client who has pneumonia. Droplet
The nurse should initiate which of the following
isolation precautions for the client? The nurse should initiate droplet
precautions for this client by
Droplet placing the client in a private
room and wearing a surgical
Airborne mask when caring for the client.
Pneumonia is transmitted by
Contact
droplet particles.
Protective environment
5. A nurse in a community center is providing an Abdominal bloating
educational session to a group of clients about
ovarian cancer. Which of the following manifesta- The nurse should include the
tions of ovarian cancer should the nurse include presence of abdominal bloating
in the teaching? as an early manifestation of ovar-
ian cancer. Other manifestations
Diarrhea include an increase in abdom-
inal girth, pelvic or abdominal
Urinary retention pain, early satiety, and urinary
frequency or urgency.
Purulent discharge
Abdominal bloating
6. A nurse is reviewing the ABG values of a client. Respiratory acidosis
The client has a pH of 7.2, PaCO2 of 60 mm
Hg, and HCO3- of 25 mEq/L. The nurse should A client who has respiratory aci-
, RN Comprehensive Online Practice 2019 B with NGN Exam with NGN Qu
tions and Revised Correct Answers, ( ) 100% Guarantee Pass
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identify that the client has which of the following dosis will have a decreased pH
acid-base imbalances? below the expected reference
range of 7.35 to 7.45, an in-
Respiratory alkalosis creased PaCO2 above the ex-
pected reference range of 35 to
Metabolic alkalosis
45 mm Hg, and an HCO3- within
the expected reference range of
Respiratory acidosis
22 to 26 mEq/L.
Metabolic acidosis
7. A nurse is caring for a client who has type 1 Apply a cold pack to the client's
diabetes mellitus and reports severe ankle pain ankle for 30 min every hour.
after falling off a stepstool at home. Which of the
following prescriptions should the nurse clarify The nurse should clarify a pre-
with the provider? scription for a cold pack to the
client's ankle because type 1 di-
Obtain capillary blood glucose level every 2 hr. abetes mellitus is a contraindi-
cation for receiving cold thera-
Check the neurovascular status of the client's low- py. A client who has type 1 dia-
er extremities every hour. betes mellitus can have impaired
circulation due to arteriosclerosis
Apply a cold pack to the client's ankle for 30 min
and a loss of sensory perception
every hour.
due to neuropathy. Ice can fur-
ther impair circulation.
Maintain the affected ankle elevated and immobi-
lized.
8. A nurse is caring for a client who has active tuber- Have the client wear a surgi-
culosis (TB). Which of the following actions should cal mask while being transported
the nurse plan to take to prevent the transmission outside the room.
of the disease?
A client who has active TB should
tions and Revised Correct Answers, ( ) 100% Guarantee Pass
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1. A nurse has just received change-of-shift report A client who is postoperative
on four clients. Which of the following clients with abdominal distention and
should the nurse assess first? no bowel sounds
A client who is postoperative with abdominal dis- Using the acute vs. chronic ap-
tention and no bowel sounds proach to client care, the nurse
should first assess the client
A client who has diabetes mellitus and a blood who is postoperative with ab-
glucose level of 105 mg/dL dominal distention and no bowel
sounds because these manifes-
A client who has heart failure and 2+ pitting ede-
tations are indications of a para-
ma
lytic ileus.
A client who is receiving maintenance IV fluids
and needs a new IV catheter
2. For each assessment finding, click to specify if the ADHD
finding is consistent with attention deficit hyper- Hyperreactivity to sensory input
activity disorder (ADHD) or intellectual disability Losing necessary things
(ID). Each finding may support more than 1 dis- Interrupting others
ease process. Intellectual impairment
Assessment Findings ID
Intellectual impairment Intellectual impairment
Interrupting others Hyperreactivity to sensory input
Impaired language skills
Hyperreactivity to sensory input When analyzing cues, the nurse
Losing necessary things should identify that manifes-
tations of ADHD include los-
A nurse is caring for a school-age child. ing necessary things, interrupt-
ing others, intellectual impair-
Nurses' Notes ment, and hyper reactivity to sen-
, RN Comprehensive Online Practice 2019 B with NGN Exam with NGN Qu
tions and Revised Correct Answers, ( ) 100% Guarantee Pass
Study online at https://quizlet.com/_h5xgux
First visit: sory input.
A child is brought to the clinic accompanied by
guardians. The guardians have received feedback In ADHD, the client often los-
from the child's teacher that the child has be- es necessary things in daily life,
come disinterested in schoolwork and has diffi- such as pencils, erasers, and
culty paying attention during class. The child of- books. The client often interrupts
ten loses their school supplies. others and has difficulty waiting
The guardians report that the child demonstrates for their turn in conversation.
these behaviors at home as well. The child refuses
The client might have an intellec-
to participate in household chores, keeps their
tual impairment, which can lead
room untidy, does not clean up when told to, and
to poor academic performance
is generally careless and disi
and difficulties with socialization.
The client might exhibit hyperre-
activity or hyporeactivity to stim-
uli.
3. A charge nurse is providing an educational ses- A client who requires airborne
sion about infection control for a group of staff precautions should be placed
nurses. Which of the following statements by one in a negative-pressure airflow
of the staff nurses indicates an understanding of room."
isolation precautions?
Airborne precautions require a
"Droplet precautions should be initiated for a negative-pressure airflow room
client who tests positive for measles." that has at least six to 12 air ex-
changes each hour using a HEPA
"A client who requires airborne precautions filtration system.
should be placed in a negative-pressure airflow
room."
"Airborne precautions should be initiated for a
client who has Clostridium difficile."
, RN Comprehensive Online Practice 2019 B with NGN Exam with NGN Qu
tions and Revised Correct Answers, ( ) 100% Guarantee Pass
Study online at https://quizlet.com/_h5xgux
"A client who is immunocompromised should be
placed in a negative-pressure airflow room."
4. A nurse is admitting a client who has pneumonia. Droplet
The nurse should initiate which of the following
isolation precautions for the client? The nurse should initiate droplet
precautions for this client by
Droplet placing the client in a private
room and wearing a surgical
Airborne mask when caring for the client.
Pneumonia is transmitted by
Contact
droplet particles.
Protective environment
5. A nurse in a community center is providing an Abdominal bloating
educational session to a group of clients about
ovarian cancer. Which of the following manifesta- The nurse should include the
tions of ovarian cancer should the nurse include presence of abdominal bloating
in the teaching? as an early manifestation of ovar-
ian cancer. Other manifestations
Diarrhea include an increase in abdom-
inal girth, pelvic or abdominal
Urinary retention pain, early satiety, and urinary
frequency or urgency.
Purulent discharge
Abdominal bloating
6. A nurse is reviewing the ABG values of a client. Respiratory acidosis
The client has a pH of 7.2, PaCO2 of 60 mm
Hg, and HCO3- of 25 mEq/L. The nurse should A client who has respiratory aci-
, RN Comprehensive Online Practice 2019 B with NGN Exam with NGN Qu
tions and Revised Correct Answers, ( ) 100% Guarantee Pass
Study online at https://quizlet.com/_h5xgux
identify that the client has which of the following dosis will have a decreased pH
acid-base imbalances? below the expected reference
range of 7.35 to 7.45, an in-
Respiratory alkalosis creased PaCO2 above the ex-
pected reference range of 35 to
Metabolic alkalosis
45 mm Hg, and an HCO3- within
the expected reference range of
Respiratory acidosis
22 to 26 mEq/L.
Metabolic acidosis
7. A nurse is caring for a client who has type 1 Apply a cold pack to the client's
diabetes mellitus and reports severe ankle pain ankle for 30 min every hour.
after falling off a stepstool at home. Which of the
following prescriptions should the nurse clarify The nurse should clarify a pre-
with the provider? scription for a cold pack to the
client's ankle because type 1 di-
Obtain capillary blood glucose level every 2 hr. abetes mellitus is a contraindi-
cation for receiving cold thera-
Check the neurovascular status of the client's low- py. A client who has type 1 dia-
er extremities every hour. betes mellitus can have impaired
circulation due to arteriosclerosis
Apply a cold pack to the client's ankle for 30 min
and a loss of sensory perception
every hour.
due to neuropathy. Ice can fur-
ther impair circulation.
Maintain the affected ankle elevated and immobi-
lized.
8. A nurse is caring for a client who has active tuber- Have the client wear a surgi-
culosis (TB). Which of the following actions should cal mask while being transported
the nurse plan to take to prevent the transmission outside the room.
of the disease?
A client who has active TB should
