RN fundamentals online practice 2019 A with NGN exam questions with solutions verified for accuracy

A nurse prepare to apply dressing for client with stage 2 pressure injury. WHat types of dressing should the nurse use? A. Alginate B. Gauze C. Transparent D. Hydrocolloid D. Hydrocolloid Client has terminal illness and is at the end of life. Which one of the following statements by the client's partner indicates effective coping? A. I am not worried because I still have hope that he will be okay B. I am relying on support from our family during this time C. We can plan our family reunion once he recovers and comes home D. We don't see any reason to start discussing funeral arrangements right now B. I am relying on support from our family during this time Older adult with fall risk. Which assessments should the nurse use to identify the client's safety need? Select all that apply. A. Lacrimal apparatus B. Pupil clarity C. Appearance of bulbar conjunctivae D. Visual fields E. Visual acuity B. Pupil clarity D. Visual fields E. Visual acuity Nurse evaluates a client's use of cane. Which of the following actions is the indication of correct use of cane? A. The top of the cane is parallel to the client's waist. B. When walking, the client moves the cane 46 cm (18 in) forward. C. The client holds the cane on the stronger side of her body. D. The client moves her stronger limb forward with the cane. C. the client holds the cane on the stronger side Nurse initiates protective environments for client with allogeneic stem cell transplant. Which of the following precautions should the nurse plan for this patient? A. Make sure the client's room has at least six air exchanges per hour. B. Make sure the client wears a mask when outside her room if there is construction in the area. C. Place the client in a private room with negative-pressure airflow. D. Wear an N95 respirator when giving the client direct care. D. Wear an N95 respirator when giving the client direct care. The nurse provides discharge teaching for a patient who will be using a walker. Which of the following client statements indicates an understanding of the teaching? A. "I can place an extension cord across my living room to plug in my television." B. "I will hire someone to trim the tree that hangs low over the stairs of my front porch." C. "I will place my alarm clock on my bedroom dresser across the room." D. I will replace the throw rug in my kitchen with a new one." B. "I will hire someone to trim the tree that hangs low over the stairs of my front porch." A nurse is preparing to administer enoxaparin to a client. Which of the following actions should the nurse take? A. Administer the medication with the needle at a 45° angle. B. Administer the medication with the needle at a 45° angle. C. Pull the client's skin laterally or downward prior to administration. D. Massage the injection site after administration. A. Administer the medication with the needle at a 45° angle. A nurse manager is preparing to review medication documentation with a group of newly licensed nurses. Which of the following statements should the nurse manager plan to include in the teaching? A. "Use the complete name of the medication magnesium sulfate." B. "Delete the space between the numerical dose and the unit of measure." C. "Write the letter U when noting the dosage of insulin." D. "Use the abbreviation SC when indicating an injection." A. "Use the complete name of the medication magnesium sulfate." A nurse is talking with the partner of an older adult male client who has dementia. The client's partner expresses frustration about finding time to manage household responsibilities while caring for his partner. The nurse should identify that he is going through which of the following types of role-performance stress? A. Role ambiguity B. Sick role C. Role overload D. Role conflict C. Role overload Rationales the partner's expression of frustration is an example of role overload, which refers to having more responsibilities within a role than one person can perform. A nurse is preparing an education program for staff about advocacy. Which of the following information should the nurse include? A. advocacy ensures clients' safety, health, and rights. B. advocacy ensures that nurses are able to explain their own actions. C. advocacy ensures that nurses follow through on their promises to clients. D. advocacy ensures fairness in client care delivery and use of resources. A. advocacy ensures clients' safety, health, and rights. A nurse is caring for a client who requires an NG tube for stomach decompression. Which of the following action should the nurse take when inserting the NG tube? a. position the client with the head of the bed elevated to 30 degrees prior to insertion of the NG tube. b. removes the NG tube if the client begins to gag or choke. c. apply suction to the NG tube prior to insertion. d. has the client take sips of water to promote insertion of the NG tube into the esophagus.. d. have the client take sips of water to promote insertion of the NG tube into the esophagus Taking sips of water as the NG tube passes through the oropharynx will close the epiglottis over the trachea and prevent the tube's passage into the trachea. A nurse is admitting a new client. Which of the following action should the nurse take while performing medication reconciliation? 1. verify the client's name on his ID bracelet with the MAR 2. call the pharmacy to determine if the client's medications are available 3. compare the client's home medications with the provider's prescriptions 4. place the client's home medication bottles in a secure location compare the client's home medications with the provider's prescription. reconciliation is the process of creating the most accurate list possible of all meds a patient is taking. A nurse is providing teaching to a client about self-administering heparin. Which of the following instructions should the nurse include in the teaching? A. Insert the needle at a 15° angle. B. Aspirate for blood return prior to administration. C. Administer the medication into the abdomen. D. Massage the site following the injection. Administer into the abdomen. A nurse is admitting a client who is having an exacerbation of heart failure. In the planning this client's care, when should the nurse initiate discharge planning? A. During the admission process B. As soon as the client's condition is stable C. During the initial team conference D. After consulting with the client's family During the admission process A nurse is reviewing a client's fluid and electrolyte status. Which of the following findings should the nurse report to the provider? A. BUN 15 B. Creatinine 0.8 C. Sodium 143 D. Potassium 5.4 D. Potassium 5.4 A nurse is teaching a client and his family how to care for the client's tracheostomy at home. Which of the following instructions should the nurse include in the teaching? A. Remove the outer cannula cautiously for routine cleaning. B. Use tracheostomy covers when outdoors. C. Use sterile techniques when performing tracheostomy care at home. D. Cleanse irritated skin with full-strength hydrogen peroxide. Use tracheostomy covers when outdoors. -Tracheostomy covers protect the client airway from cold air, dust, and other airborne particles. A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Which of the following types of transmission precautions should the nurse initiate? A. Protective environment B. Airborne precautions C. Droplet precautions D. Contact precautions Contact precautions A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a chair. To prevent self-injury, which of the following actions should the nurse take when lifting this object? A. Bend at the waist. B. Keep his feet close together. C. Use his back muscles for lifting. D. Stand close to the cabinet when lifting it. Stand close to the cabinet when lifting it. A nurse on a medical-surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following action should the nurse take? A. pad the client's wrist before applying the restraints B. evaluate the client's circulation every 8 hr after application C. remove the restraints every 4 hr to evaluate client's status D. secure the restraint ties to the bed's side rails Pad the client's wrist before applying the restraints. A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following actions should the nurse take first? A. Check the client for injuries. B. Move hazardous objects away from the client. C. Notify the provider. D. Ask the client to describe how she felt prior to the fall. A. Check the client for injuries. A nurse is caring for a client who is postoperative following a knee arthroplasty and requires the use of thigh- length sequential compression sleeves. Which of the following actions should the nurse take? a. assist the client into a prone position b. place a sleeve over the top of each leg with the opening at the knee c. Make sure two fingers can fit under the sleeves. D. Set the ankle pressure at 65 mm Hg. Make sure two fingers can fit under the sleeves. A nurse is caring for a child who has a prescription for blood transfusion. The child's parents have refused the treatment due to their religious belief. Which of the following actions should the nurse take? A. Examine personal values about the issue B. Tell the parents that this is a necessary procedure. C. Inform the parents that the staff does not require their consent. D. Contact a spiritual support person to explain the importance of the procedure. Examine personal values about the issue. Rationale: The nurse should examine personal values about the issue in order to provide unbiased care. A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. The nurse notifies the surgeon, who tells the nurse to continue to measure the client's vital signs every 15 min and to report back in 1 hr. Which of the following actions should the nurse take next? A. document the provider's statement in the medical record B. complete an incident report C. consult the facility's risk manager D. notify the nursing manager D. notify the nursing manager Rationale: The greatest risk to the client is not receiving timely intervention for a deterioration in physiological status; therefore, the next action the nurse should take is to activate the chain of command to ensure that the client receives the necessary care. A nurse is caring for a client who has a terminal illness and is approaching death. The client is short of breath and has noisy respirations from secretions in their airway. Which of the following actions should the nurse take? A. turn the client every 2 hr B. administer and antiemetic every 6 hr C. hold oral care D. increase the room temp A. turn the client every 2 hr A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take? A. discuss the risk factors for colon cancer B. focus teaching on what the client will need to do in the future to manage his illness C. provide the client with written information about the phases of loss and grief D. reassure the client that this is an expected response to grief D. reassure the client that this is an expected response to grief