NGN RN Comprehensive Predictor 2019
Form B and C
A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age child.
Which of the following instructions should the nurse take?
A. Administer the feeding over 30 min.
B. Place the child in as supine position ...
NGN RN Comprehensive Predictor 2019
Form B and C
A nurse is providing teaching about the gastrostomy tube feedings to the parents of a school age child.
Which of the following instructions should the nurse take?
A. Administer the feeding over 30 min.
B. Place the child in as supine position after the feeding.
C. Charge the feeding bag and tubing every 3 days.
D. Warm the formula in the microwave prior to administration. - CORRECT ANSWER A. Administer the
feeding over 30 min.
2. A nurse is administering digoxin 0.125 mg Po to an adult client. For which of the following findings
should the nurse report to the provider?
A. Potassium level 4.2 mEq/L.
B. Apical pulse 58/min.
C. Digoxin level 1 ng/ml.
D.Constipation for 2 days. - CORRECT ANSWER B. Apical pulse 58/min
A nurse is creating a plan of care for a newly admitted client who has obsessive-compulsive disorder.
Which of the following interventions should the nurse take?
A. Allow the client enough time to perform rituals.
B. Give the client autonomy in scheduling activities.
C. Discourage the client from exploring irrational fears.
D. Provide negative reinforcement for ritualistic behaviors. - CORRECT ANSWER A. Allow the client
enough time to perform rituals.
A nurse is caring for a client who has depression and reports taking ST. John's wort along with
citalopram. The nurse should monitor the client for which of the following conditions as a result of an
interaction between these substances?
A. Serotonin syndrome
,B. Tardive dyskinesia
C.Pseudo parkinsonism.
D. Acute dystonia. - CORRECT ANSWER A. Serotonin syndrome
A nurse is assessing a client who is receiving packed RBCs. Which of the following findings indicate fluid
overload?
A. Low back pain.
B. Dyspnea.
C. Hypotension.
D. Thready pulse. - CORRECT ANSWER B. Dyspnea.
A nurse is calculating a client's expected date of delivery. The client's last menstrual period began on
April 12. Using Nagele's rule, what date should the nurse determine to be the client's expected delivery
date? (Use mmdd format.) - CORRECT ANSWER 0119 date
A nurse is discussing group treatment and therapy with a client. The nurse should include which of the
following as being a characteristic of a therapeutic group?
A. The group is organized in an autocratic structure.
B. The group encourages members to focus on a particular issue.
C. The group must be led by a licensed psychiatrist.
D. The group encourages clients to form dependent relationships. - CORRECT ANSWER B. The group
encourages members to focus on a particular issue.
A nurse manger is reviewing documentation with a newly licensed nurse. Which of the following
notations by the newly licensed nurse indicates an understanding of the teaching.
A. "OOB with assistance for breakfast"
B. "Given 2 mg MSO4 IM for report of pain"
C. "Dressing changed qd"
D. "Administered 8 u regular insulin sq." - CORRECT ANSWER D. "Administered 8 u regular insulin sq."
,A nurse is preparing to administer eye drops to a school-age child. Identify the actions the nurse should
take. (Move the steps into the box on the right, placing them in the order of performance. Use all the
steps.)
1. Apply pressure to the lacrimal punctum.
2. Ask the child to look upward.
3. Pull the lower eyelid downward.
4. Instill the drops of medication.
5. Place the child in a sitting position. - CORRECT ANSWER 5. Place the child in a sitting position.
2. Ask the child to look upward.
3. Pull the lower eyelid downward.
4. Instill the drops of medication.
1. Apply pressure to the lacrimal punctum.
A nurse is caring for a client who speaks a language different from the nurse. Which of the following
should the nurse take?
A. Request an interpreter of a different sex from the client.
B. Request a family member or friend to interpret information for the client.
C. Direct attention toward the interpreter when speaking to the client.
D. Review the facility policy about the use of an interpreter. - CORRECT ANSWER D. Review the facility
policy about the use of an interpreter.
A nurse is caring for a client who is in labor and is receiving oxytocin. Which of the following findings
indicates that the nurse should increase the rate of infusion?
A. Urine output 20 ml/hr.
B. Montevideo units constantly 300 mm Hg.
C. FHR pattern with absent variability.
D. Contractions every 5 min that last 30 seconds. - CORRECT ANSWER B. Montevideo units constantly
300 mm Hg.
A public health nurse is managing several projects for the community. Which of the following
interventions should the nurse identify as a primary prevention strategy?
, A. Teaching parenting skills to expectant mothers and their partners.
B. Conducting mental health screenings at the local community center.
C. Referring client who have obesity to community exercise programs.
D. Providing crisis intervention through a mobile counseling unit. - CORRECT ANSWER A. Teaching
parenting skills to expectant mothers and their partners.
A nurse is preparing to administer an autologous blood product to a client. Which of the following
actions should the nurse take to identify the client?
A. Match the client's blood type with the type and cross match specimens.
B. Confirm the provider's prescription matches the number on the blood component.
C. Ask the client to state the blood type and the date of their last blood donation.
D. Ensure that the client's identification band matches the number on the blood unit. - CORRECT
ANSWER A. Match the client's blood type with the type and cross match specimens.
A nurse is performing physical therapy for a client who has Parkinson's disease. Which of the following
statements by the client indicates the need for a referral to physical therapy?
A. "I have been experiencing more tremors in my left arm than before"
B. "I noticed that I am having a harder time holding on to my toothbrush"
C. "Lately, I feel like my feet are freezing up, as they are stuck to the ground"
D. "Sometimes, I feel I am making a chewing motion when I'm not eating" - CORRECT ANSWER C.
"Lately, I feel like my feet are freezing up, as they are stuck to the ground"
A nurse is reviewing laboratory data for a client who has chronic kidney disease. Which of the following
findings should the nurse expect?
A. Increased creatine.
B. Increased hemoglobin.
C. Increased bicarbonate.
D. Increased calcium. - CORRECT ANSWER A. Increased creatine.
A nurse is administering a scheduled medication to a client. The client reports that the medication
appears different than what they take at home. Which of the following responses should the nurse take?
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