RN ADULT MEDICAL SURGICAL ONLINE PRACTICE
2024 A NGN NEW EXAM UPDATE QUESTIONS WITH
CORRECT ANSWERS A+ GRADED
0530:
Client is awake and alert.
Arteriovenous fistula (AVF) to right forearm with
thrill palpated and auscultated for bruit. Lung
sounds clear upon auscultation; client denies
shortness of breath. No peripheral edema noted;
capillary refill is less than 3 seconds; +2 bilateral
pedal and radial pulses.
AVF access prepared and cannulated twice with no
difficulty. Lines are taped and secured; treatment is
initiated.0600:
Client is reading a book. Access is visible, and lines
are secure. Client reports no discomfort or
pain.0630:
Client reports feeling warm, nauseated, and
lightheaded; appears restless and slightly confused.
...ANSWER... Perform a 12-lead ECG is not indicated.
Place the client in Trendelenburg position is indicated.
,Administer a 0.9% sodium chloride 200 mL IV bolus is
indicated.
Apply oxygen at 2 L/min via nasal cannula is indicated
Notify the provider immediately is indicated
Obtain the client's blood glucose level is not indicated.
1000:Client presents to the ED with visual
disturbances, expressive aphasia, and numbness
and tingling of the lips. Manifestations started about
30 min ago. Client reports flashing lights in their
vision, especially on the right side.
Client's partner states the client had some difficulty
with finding words when speaking.
Client is alert and oriented x 3 and appears anxious.
No facial drooping noted. Right hand grasp is
weaker than left. Client denies pain. ...ANSWER...
Hand grasps is consistent with migraine, stroke, and
meningitis.
,Numbness is consistent with migraine and stroke.
Aphasia is consistent with migraine and stroke.
Visual changes are consistent with migraine, stroke, and
meningitis.
Family history is consistent with migraine and stroke.
1800:
Emergency medical team removed client's shirt at
the scene and initiated 18-gauge IV therapy in the
right antecubital space.
Client has full-thickness burns over the upper half
of the chest and both forearms; partial-thickness
burns are present on the client's face and neck.
Sinus tachycardia, pulses to brachial extremities
palpable. 1+ edema to upper extremities.
Respirations even, labored with scattered rhonchi.
Soot noted to the client's mouth and nose. Oxygen
40% via face tent applied.
Hypoactive bowel sounds.
16 French indwelling urinary catheter inserted with
return of 250 mL of yellow urine.
, Lactated Ringer's infusing to right antecubital.
Provider preparing to insert right femoral central
line catheter.
1830:
Client's voice is becoming hoarse and reports
difficulty swallowing. Wheezes present to upper
lobes bilaterally. Provider notified. Client positioned
upright, oxygen via face tent. Blood collected
...ANSWER... During the emergent phase of burn care,
the client is at risk for developing
hypovolemia
and
respiratory failure
.
1NGN
000:Client presents to the ED with visual
disturbances, expressive aphasia, and numbness
and tingling of the lips. Manifestations started about
30 min ago. Client reports flashing lights in their
vision, especially on the right side.
Client's partner states the client had some difficulty
with finding words when speaking.
Client is alert and oriented x 3 and appears anxious.
No facial drooping noted. Right hand grasp is
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