RN Comprehensive with NGN
1. A nurse is caring for an older adult client who is experiencing chronic
anorexia and is receiving enteral tube feedings. Which of the following
laboratory values indicates that the client needs additional nutrients added to
the feeding?
(A) Creatinine 1.1 mg/dL
(B) Albumin 2.8 g/dL
(C) Triglycerides 100 mg/dL
(D) Alkaline phosphatase 118 units/L: Albumin 2.8 g/dL
[The expected reference range for albumin is 3.5 to 5 g/dL]
(A creatinine level of 1.1 mg/dL is within the expected reference range of 0.5 to 1.1 mg/dL
for a female client, and 0.7 to 1.3 mg/dL for a male client)
(A triglyceride level of 100 mg/dL is within the expected reference range of 35 to 135 mg/dL
for a female client, and 40 to 160 mg/dL for a male client)
(An alkaline phosphatase level of 118 units/L is within the expected reference range of 30
to 120 units/L. An elevated alkaline phosphatase level is an indication of liver or bone
disorders, with a decreased level indicating malnutrition)
2. Burkholderia cepacia lung infection: what type of precautions will be
initiated?: Contact isolation precautions
3. A nurse is preparing a sterile field to perform a sterile dressing change.
Which of the following interventions should the nurse use to maintain
surgical aseptic technique?
(A) Hold hands folded below the waist after donning sterile gloves.
, RN Comprehensive with NGN
(B) Pick up and pour solutions with the palm of the hand covering bottle labels.
(C) Keep sterile items within a 1.3 cm (0.5 in) border of the sterile drape.
(D) Maintain sterile objects within the line of vision.: Maintain sterile objects within
the line of vision.
4. A nurse is planning care for a client who has rheumatoid arthritis and has
moderate to severe pain in multiple joints. Which of the following actions
should the nurse plan to take?
(A) Perform ADLs for the client to promote rest.
(B) Allow for frequent rest periods throughout the day.
(C) Use heat to reduce joint inflammation.
(D) Develop a daily schedule for acetaminophen up to 6 g/day that covers peak periods of
pain.: Allow for frequent rest periods throughout the day.
[The nurse should encourage clients who have rheumatoid arthritis to balance rest with
exercise to maintain muscle strength, joint function, and range of motion]
(The nurse should allow the client to perform their own ADLs to promote the client's joint
mobility and independence)
(The nurse should use ice to reduce joint inflammation and heat to alleviate joint
discomfort)
(The nurse should not administer more than 3 g of acetaminophen to the client each day
to reduce the risk of injury to the client)
5. A nurse is caring for a client during a follow up visit at a gastrointestinal clinic.
, RN Comprehensive with NGN
NURSE NOTES:
0600:
Client admitted to the ED with fatigue, shortness of breath, and weakness for the last 2
days. Client states that they have a history of sickle cell disease (SCD). Client is alert and
orientated to person, place, and time. Restless. Client rates generalized pain as a 9 on a
scale of 0 to 10. Vital signs taken and blood drawn for laboratory tests. Oxygen 2 L via nasal
cannula applied. Awaiting prescription for pain management.
0615:
Client still rates pain as a 9 on a scale of 0 to 10. Hydromorphone 4 mg IV administered.
Vital Signs 0600:
Temperature 37.8° C (100° F)Heart rate 104/minRespiratory rate 26/minBlood pressure
88/56 mm HgOxygen saturation 90% on 2 L via nasal cannula
Diagnostic Results 0645:
Hematocrit 25% (37% to 52%)Hemoglobin 8.3 g/dL (12 to 16 g/dL)WBC count
18,000/mm3 (5,000 to 10,000/mm3)Reticulocytes 8% (0.5% to 2%)Total bilirubin
1.9 mg/dL (0.3 to 1.0 mg/dL)
What are the expected nursing interventions?
[ ] Assess peripheral circulation hourly
[ ] Use an automated blood pressure cuff on the client's arm
[ ] Prepare for platelet transfusion
[ ] Use humidification with oxygen therapy
[ ] Assess the client's mouth every 8 hr
1. A nurse is caring for an older adult client who is experiencing chronic
anorexia and is receiving enteral tube feedings. Which of the following
laboratory values indicates that the client needs additional nutrients added to
the feeding?
(A) Creatinine 1.1 mg/dL
(B) Albumin 2.8 g/dL
(C) Triglycerides 100 mg/dL
(D) Alkaline phosphatase 118 units/L: Albumin 2.8 g/dL
[The expected reference range for albumin is 3.5 to 5 g/dL]
(A creatinine level of 1.1 mg/dL is within the expected reference range of 0.5 to 1.1 mg/dL
for a female client, and 0.7 to 1.3 mg/dL for a male client)
(A triglyceride level of 100 mg/dL is within the expected reference range of 35 to 135 mg/dL
for a female client, and 40 to 160 mg/dL for a male client)
(An alkaline phosphatase level of 118 units/L is within the expected reference range of 30
to 120 units/L. An elevated alkaline phosphatase level is an indication of liver or bone
disorders, with a decreased level indicating malnutrition)
2. Burkholderia cepacia lung infection: what type of precautions will be
initiated?: Contact isolation precautions
3. A nurse is preparing a sterile field to perform a sterile dressing change.
Which of the following interventions should the nurse use to maintain
surgical aseptic technique?
(A) Hold hands folded below the waist after donning sterile gloves.
, RN Comprehensive with NGN
(B) Pick up and pour solutions with the palm of the hand covering bottle labels.
(C) Keep sterile items within a 1.3 cm (0.5 in) border of the sterile drape.
(D) Maintain sterile objects within the line of vision.: Maintain sterile objects within
the line of vision.
4. A nurse is planning care for a client who has rheumatoid arthritis and has
moderate to severe pain in multiple joints. Which of the following actions
should the nurse plan to take?
(A) Perform ADLs for the client to promote rest.
(B) Allow for frequent rest periods throughout the day.
(C) Use heat to reduce joint inflammation.
(D) Develop a daily schedule for acetaminophen up to 6 g/day that covers peak periods of
pain.: Allow for frequent rest periods throughout the day.
[The nurse should encourage clients who have rheumatoid arthritis to balance rest with
exercise to maintain muscle strength, joint function, and range of motion]
(The nurse should allow the client to perform their own ADLs to promote the client's joint
mobility and independence)
(The nurse should use ice to reduce joint inflammation and heat to alleviate joint
discomfort)
(The nurse should not administer more than 3 g of acetaminophen to the client each day
to reduce the risk of injury to the client)
5. A nurse is caring for a client during a follow up visit at a gastrointestinal clinic.
, RN Comprehensive with NGN
NURSE NOTES:
0600:
Client admitted to the ED with fatigue, shortness of breath, and weakness for the last 2
days. Client states that they have a history of sickle cell disease (SCD). Client is alert and
orientated to person, place, and time. Restless. Client rates generalized pain as a 9 on a
scale of 0 to 10. Vital signs taken and blood drawn for laboratory tests. Oxygen 2 L via nasal
cannula applied. Awaiting prescription for pain management.
0615:
Client still rates pain as a 9 on a scale of 0 to 10. Hydromorphone 4 mg IV administered.
Vital Signs 0600:
Temperature 37.8° C (100° F)Heart rate 104/minRespiratory rate 26/minBlood pressure
88/56 mm HgOxygen saturation 90% on 2 L via nasal cannula
Diagnostic Results 0645:
Hematocrit 25% (37% to 52%)Hemoglobin 8.3 g/dL (12 to 16 g/dL)WBC count
18,000/mm3 (5,000 to 10,000/mm3)Reticulocytes 8% (0.5% to 2%)Total bilirubin
1.9 mg/dL (0.3 to 1.0 mg/dL)
What are the expected nursing interventions?
[ ] Assess peripheral circulation hourly
[ ] Use an automated blood pressure cuff on the client's arm
[ ] Prepare for platelet transfusion
[ ] Use humidification with oxygen therapy
[ ] Assess the client's mouth every 8 hr
