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Fundamentals Practice Test A With NGN – NGN (Next Generation NCLEX) -Questions/Answers
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Fundamentals Practice Test A With NGN – NGN(Next Generation NCLEX) -Questions/Answers
A nurse is caring for a client who has an aggressive form of prostate cancer.
The provider briefly discusses treatment options and leaves the client's room.
When the nurse asks if the client would like to discuss any concerns, the client
declines. Which of the following statements should the nurse make? ✔️Ans
-"I am available to talk if you should change your mind."
A nurse is planning strategies to manage time effectively for client care. Which
of the following strategies should the nurse implement? ✔️Ans -Use the
planning step of the nursing process to prioritize client care delivery.
A nurse is preparing to administer enoxaparin subcutaneously to a client.
Which of the following actions should the nurse take? ✔️Ans -Administer
the medication with the needle at a 45° angle.
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? ✔️Ans -
Check the client for injuries.
A nurse is using an open irrigation technique to irrigate a client's indwelling
urinary catheter. Which of the following actions should the nurse take?
✔️Ans -Subtract the amount of irrigant used from the client's urine output.
A nurse is providing discharge instructions to a client who will be using a
walker. Which of the following client statements indicates an understanding
of the teaching? ✔️Ans -"I will hire someone to trim the tree that hangs low
over the stairs of my front porch."
A nurse is caring for a client who is postoperative and refuses to use an
incentive spirometer following major abdominal surgery. Which of the
following actions is the nurse's priority? ✔️Ans -Determine the reasons
why the client is refusing to use the incentive spirometer.
A nurse is preparing a change-of-shift report. Which of the following tools or
documents should the nurse use to communicate continuity of care? ✔️Ans
-Situation, background, assessment, and recommendation (SBAR)
, A nurse is talking with an older adult client who is contemplating retirement.
The client states, "I keep thinking about how much I enjoy my job. I'm not sure
I want to retire." Which of the following responses should the nurse make?
✔️Ans -"Let's talk about how the change in your job status will affect you."
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? ✔️Ans -Make
sure two fingers can fit under the sleeves.
Select the 3 tasks the nurse should delegate to an assistive personnel (AP).
A nurse is caring for a client who has pancreatitis.
Exhibit 1:
Nurses' Notes: 1000: Client states, "I am unable to eat anything without
vomiting." Client reports pain in left upper quadrant of abdomen that radiates
to their back. States that pain is a "7" on a 0 to 10 pain scale. Bruising noted on
client's abdomen. Client is pale and diaphoretic. Provider prescribed blood
work, abdominal CT, and NG tube insertion with low-intermittent
decompression. IV fluids started and infusing in left peripheral IV site.
Exhibit 2:
Vital Signs: 1000: BP 96/52 mm Hg, Heart rate 110/min, Respirations 22/min,
Temperature 38.4° C (101.1° F), Oxygen saturation 92% on room air
Exhibit 3:
Prescriptions: 1100: CT of abdomen, NG tube to low wall suction, Serum
amylase level ✔️Ans -- Document the client's vital signs
- Measure the client's intake and output
- Transfer the client from wheelchair to bed
A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse
over 7 hr. The nurse should set the infusion pump to deliver how many
mL/hr? (Round the answer to the nearest whole number. Use a leading zero if
it applies. Do not use a trailing zero.) ✔️Ans -107 mL/hr
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