NGN AT I MED SURG PROCTORED EXAM 2024 ACTUAL EXAM COMPLETE 20 0 QUESTIONS WITH DETAILED VERIFIED ANSWERS (100% CORRECT) /ALREADY GRADED A+ // BRAND NEW!! .A nurse is contacting the provider of a client who has cancer and is experiencing breakthrough pain. Which of the following prescriptions should the nurse anticipate? 1.Intravenous dexamethasone 2.Transmucosal fentanyl 3.Oral acetaminophen - not strong enough 4.Intramuscular meperidine - ANSWER2.Transmucosal fentanyl A charge nurse is called to a client's room aft er a staff nurse reports a client has had a wound evisceration. Which of the following actions should the charge nurse take? a. Attempt to reinsert the protruding viscera - DO NOT ATTEMPT TO REINSERT ORGANS b. Obtain bottles of warm, sterile 0.9% sodium c hloride solution c. Place the client in left lateral recumbent position - low fowlers hips knees bent d. Apply a firm pressure dressing across the client's abdomen - ANSWERd. Apply a firm pressure dressing across the client's abdomen A charge nurse recei ves a call from the house supervisor requesting room assignments for four new clients. Based on the information diagnosis which of the following clients requires a private room? a) A client service port reports having fever, night sweats, and call for 2 d ays b) an older adult client who was admitted with aspiration pneumonia c) a client who has diabetes mellitus and is presenting with acute ketoacidosis d) a client who has a compound fracture of the right femur - ANSWERa) A client service port reports h aving fever, night sweats, and call for 2 days A community health nurse is reviewing home care instructions with an older adult client who has a new diagnosis of heart failure. Which of the following is the priority topic for the nurse to review with the client? a) Daily sodium restriction b) Daily exercise routine c) Changes in weight d) Fluid intake record - ANSWERc) Changes in weight A home care nurse is planning to use nonpharmacological pain relief measures for an older adult who has sever chronic back pain. Which of the following guidelines should the nurse use? 1.Discontinue opioids before trying nonpharmacological methods of pain relief 2.Pain relief from the use of heat and cold continues for several hours after removal of the stimulus 3.Use imagery with clients who have difficulty with focus and concentration 4.Distraction changes the client's perception of pain, but does not affect the cause - ANSWER3.Use imagery with clients who have difficulty with focus and concentration A home he alth nurse is providing nutrition education for a client who has trigeminal neuralgia. Which of the following foods should the nurse recommend? a) Graham crackers b) iced coffee c) vanilla pudding d) vegetable soup - ANSWERc) vanilla pudding A nurse a t a long -term facility is assessing an older adult client. Which of the following findings should the nurse identify as an indication that the client has a recall memory impairment? 1.Inability to state his current age 2.Inability to name the members of his family 3.Inability to count backwards from 10 4.Inability to state what he had for dinner last night - ANSWER4.Inability to state what he had for dinner last night A nurse finds a client in bed, unresponsive and breathing. Which of the following act ion should the nurse take first? a) Establish IV access b) Apply blood pressure cuff c) Palpate for the client's carotid pulse d) Initiate cardiac monitoring for the client - ANSWERc) Palpate for the client's carotid pulse A nurse in a clinic is provid ing for preventive teaching to an older client during a Well Visit. The nurse should instruct the client that which of the following immunizations are recommended for healthy adults after age 60 (select all that apply) a) human papillomavirus b) pneumoco ccal polysaccharide c) Meningococcal d) Influenza e) herpes zoster - ANSWERa) human papillomavirus d) Influenza e) herpes zoster A nurse in a clinic is providing preventive teaching to an older adult client during a well visit. The nurse should instruct the client that which of the following immunizations are recommended for healthy adults after age 60? (Select all that apply.) 1.Influenza 2.Human Papillomavirus 3.Meningococcal 4.Herpes Zoster 5.Pneumococcal polysaccharide - ANSWER1.Influenza 4.Herpes Zoster 5.Pneumococcal polysaccharide A nurse in a provider's office is teaching a client about the self management of GERD which of the following instruction should the nurse include? a) Lie down 30 minutes after each meal b) sleep with the head of your bed elevated 6 inches c) increase your caloric intake by 250 calories per day d) Eat A light meal 1 hour before bedtime - ANSWERb) sleep with the head of your bed elevated 6 inches A nurse in a provider's office is teaching a client about the self -management of GERD. Which of the following instructions should the nurse include? a. "Eat a light meal 1 hour before bedtime" - avoid eating before bedtime b. "Lie down for 30 minutes after each meal" - CANNOT BE SUPINE c. "Increase your caloric intake by 250 calories per day" d. "Sleep with the head of your bed elevated 6 inches" - ANSWERd. "Sleep with the head of your bed elevated 6 inches" A nurse in an emergency department is assessing a client who has cirrhosis of the liver. Which of the following is a priority finding? 1.Yellow sclera 2.Mental confusion 3.Palmar erythema 4.Spider angiomas - ANSWER2.Mental confusion A nurs e in an emergency department is assessing a client who has diabetic ketoacidosis. Which of the following findings should the nurse expect? (select all the apply) a) Tremors b) reports of nausea and vomiting c) Serum glucose 380 mg / DL d) serum pH 7.6 e) fruity smelling breath - ANSWERb) reports of nausea and vomiting c) Serum glucose 380 mg / DL d) serum pH 7.6 e) fruity smelling breath A nurse in an emergency department is caring for a client who has sin us bradycardia. Which of the following actions should the nurse take first? 1.Administer atropine to the client 2.Initiate IV therapy for the client 3.Measure the client's blood pressure 4.Prepare the client for temporary pacing - ANSWER1.Administer at ropine to the client A nurse in an emergency department is caring for a client who is receiving treatment for excessive ingestion of antacids. The nurse should identify that this client is at risk for which of the following acid -base imbalances? 1.Metabo lic acidosis 2.Respiratory acidosis 3.Respiratory alkalosis 4.Metabolic alkalosis - ANSWER4.Metabolic alkalosis A nurse in an emergency department is preparing a client for emergency surgery. The client's blood alcohol level is 180 mg / DL which of the following action is the nurse's priority? a) Insert an NG Tube b) obtain consent for surgery c) apply anti embolic stockings d) insert an indwelling urinary catheter - ANSWERa) Insert an NG Tube a nurse in an emergency department is reviewing a client 's ECG reading. Which of the following finding should the nurse identify as an indication that the client has first -degree heart block? 1.Prolonged PR intervals 2.More P waves than QRS complexes 3.Non discernible P waves 4.No correlation between P and QRS waves - ANSWER1.Prolonged PR intervals A nurse in the emergency department is assessing a client. Which of the following actions should the nurse take first? (Click on the "Exhibit" button for additional information about the client. There are three tabs that contain separate categories of data.) 1.Obtain a sputum sample for culture. 2.Prepare the client for a chest x -ray. 3.Initiate airborne precautions 4.Administer ondansetron - ANSWER3.Initiate airborne precautions A nurse in the emergency department is caring for a client who has deep pa rtial thickness burns over 30% of his body, including his upper chest and abdomen. Which of the following actions is the nurse priority? 1.Insert an 18 -gauge IV catheter 2.Administer tetanus toxoid 3.Check the clients mouth for black particles 4.Remove the clients burned clothing. - ANSWER1.Insert an 18 -gauge IV catheter 3.Check the clients mouth for black particles
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