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NGN Question & Answers 2024
A nurse is caring for a client who is scheduled for surgery and is experiencing anxiety. Which of the following interventions should the nurse identify as the priority? - Correct Answers ✅Determine the client's understanding of the procedure. A nurse is contributing to the plan of care for a client who has peripheral arterial disease of the lower extremities. Which of the following interventions should the nurse include? - Correct Answers ✅Dangle the extremities off the side of the bed. A nurse is assisting in the plan of care for a client who had a recent left hemispheric stroke. Which of the following actions should the nurse include in the plan? - Correct Answers ✅Use simple verbal cues when directing tasks. A nurse is reinforcing teaching with the caregiver of a client who is terminally ill about manifestations of impending death. Which of the following manifestations should the nurse include? - Correct Answers ✅Incontinence of the bowel and bladder A nurse is preparing to remove a client's NG tube. Which of the following interventions should the nurse take to decrease the risk for aspiration? - Correct Answers ✅Pinch the NG tube.
NGN Question & Answers 2024
A nurse is caring for a client who is preoperative and is receiving an IV infusion of cefazolin. Ten minutes after beginning the infusion, the client reports intense itching. Which of the following actions should the nurse take first? - Correct Answers ✅Stop the medication infusion. A nurse is reinforcing discharge teaching with a client who has cirrhosis. Which of the following instructions should the nurse include? - Correct Answers ✅"Consume foods that are low in sodium." A nurse is reinforcing teaching with a client who is scheduled for a guaiac fecal occult blood test. Which of the following instructions should the nurse include in the teaching? - Correct Answers ✅Avoid eating red meat for 3 days prior to the test. A nurse is preparing to administer phytonadione 7 mg subcutaneously to a client who has an INR of 4. Available is phytonadione 10 mg/mL. How many mL should the nurse administer? (Round the answer to the nearest tenth. Use a leading zero if it applies. Do not use a trailing zero.) - Correct Answers ✅0.7 mL A nurse is reinforcing teaching with a client who is taking insulin glargine. Which of the following information should the nurse include in the teaching? - Correct Answers ✅"This type of insulin should be given at the same time every day."
NGN Question & Answers 2024
A nurse is assisting with the care of a client who is receiving 0.9% sodium chloride by continuous IV infusion. The client reports pain and swelling at the IV site. In which order should the nurse perform the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.) - Correct Answers ✅Check IV site Stop the infusion Withdraw the IV catheter Elevate the affected arm Notify the charge nurse Drag words from the choices below to fill in each blank in the following sentence. During the emergent phase of burn care, the client is at risk for developing____________ and _____________. - Correct Answers ✅Hypovolemia Respiratory failure A nurse in an oncology clinic is reinforcing teaching about Mohs surgery with a client who has skin cancer. Which of the following information should the nurse include in the teaching? - Correct Answers ✅Mohs surgery is a horizontal shaving of thin layers of the tumor.
NGN Question & Answers 2024
A nurse is contributing to the plan of care for a client who is postoperative following a total knee arthroplasty. The client is using a continuous passive motion (CPM) machine. Which of the following interventions should the nurse recommend for the plan of care? - Correct Answers ✅Keep a sheepskin pad between the client's extremity and the CPM machine. A nurse is reinforcing teaching about joint protection with a client who has an acute exacerbation of rheumatoid arthritis. Which of the following information should the nurse include in the teaching? - Correct Answers ✅Apply cold packs to the inflamed joints. A nurse is caring for a client who has difficulty swallowing. Which of the following actions should the nurse implement to prevent aspiration? - Correct Answers ✅Give the client liquids with increased viscosity. A nurse is discussing health screening guidelines with an older adult client. Which of the following statements should the nurse include? - Correct Answers ✅"You should have a pneumococcal immunization every 10 years." A nurse is planning to implement droplet precautions for a client who has manifestations of pertussis. Which of the following interventions should the nurse include when contributing to the plan of care? - Correct Answers ✅Apply a mask on the client if transport is needed.
NGN Question & Answers 2024
Limit visitors Hyperthyroidism Increased temperature Weight daily A nurse is caring for a client who reports stomatitis. Which of the following dietary recommendations should the nurse make? - Correct Answers ✅"Eat soft foods." A nurse is caring for a client who has a history of breast cancer. The client asks the nurse about birth control. Which of the following methods of birth control is contraindicated for this client? - Correct Answers ✅Combination oral contraceptives A nurse is collecting data from a client and notices several skin lesions. Which of the following findings should the nurse report as possible melanoma? - Correct Answers ✅Irregular borders A nurse is contributing to the plan of care for a client who has COPD and is dyspneic. Which of the following interventions should the nurse include in the plan? - Correct Answers ✅Encourage abdominal breathing
NGN Question & Answers 2024
A nurse is assisting with the care of a client who has a newly-inserted water-seal closed chest tube. Which of the following findings should the nurse report to the provider? - Correct Answers ✅Chest drainage is greater than 70 mL/hr. A nurse is reinforcing teaching with a client who is to begin using an insulin pump. Which of the following instructions should the nurse include? - Correct Answers ✅"Use rapid-acting insulin in the infusion device." Which of the following actions should the nurse take? Select all that apply. - Correct Answers ✅Instruct the client to splint their abdomen with a pillow when coughing plan to ambulate the client as soon as possible report the client's urinary output to the charge nurse monitor the client's pain level A nurse is caring for a client who is in Buck's traction. Which of the following interventions should the nurse perform to reduce skin breakdown? - Correct Answers ✅Keep the skin dry and free of perspiration.
NGN Question & Answers 2024
Complete the following sentence by using the lists of options. After reviewing the findings in the client's medical record, the nurse should first address the client's_____________ followed by the client's ________. - Correct Answers ✅Abdominal distention Acute pain The nurse is collecting data on the client For each client finding, click to specify if the finding is consistent with appendicitis, diverticular disease, or Crohn's disease. Each finding may support more than 1 disease process. - Correct Answers ✅Blood in the stool - Diverticular disease Drag 1 condition and 1 client finding to fill in each blank in the following sentence. The client has manifestations of ___________ ; therefore, the priority finding for the nurse to report is the __________. - Correct Answers ✅peritonitis laboratory values The nurse is contributing to the plan of care for the client who has peritonitis and Crohn's disease.
NGN Question & Answers 2024
For each potential intervention, click to specify if the intervention is indicated or contraindicated for the client. - Correct Answers ✅Obtain blood cultures - indicated obtain the client's vital signs every 15 min - indicated Administer a hypotonic IV solution - contraindicated insert a nasogastric tube - indicated The nurse is assisting with the care of the client who is preoperative for an exploratory laparotomy. Select the 4 actions the nurse should take. - Correct Answers ✅Administer phenytoin with a sip of water on the day of surgery. Assist with the administration of gentamicin 100 mg IV. Assist with the administration of dextrose 5% in lactated Ringer's. Contact the wound, ostomy, and continence nurse. The nurse is reinforcing discharge teaching with the client. Which of the following client statements indicates an understanding of the teaching? Select all that apply. - Correct Answers ✅"I should schedule several rest periods throughout the day" "I should notify my provider if my temperature is higher than 101 degrees Fahrenheit".
NGN Question & Answers 2024
Answers ✅Instruct the client to swish the medication in their mouth. A nurse is reviewing the laboratory results of a client who has type 2 diabetes mellitus. The nurse should identify that which of the following laboratory values indicates the client is at risk for delayed wound healing? - Correct Answers ✅Prealbumin 12 mg/dL A nurse is caring for a client who had an acute ischemic stroke 1 day ago. Which of the following actions should the nurse take to reduce the risk for aspiration? - Correct Answers ✅Allow for 30 min of rest before meals. A nurse is reinforcing teaching with the client. Which of the following instructions should the nurse include? Select all that apply. - Correct Answers ✅Avoid drinking fluids with meals. Eat several small meals per day. Consume high-protein snacks. A nurse is contributing to the plan of care for a client who has Ménière's disease. Which of the following interventions should the nurse include in the plan of care? - Correct Answers ✅Administer an antiemetic to the client.
NGN Question & Answers 2024
A nurse is examining a client's IV site and notes a red line up their arm. The client reports a throbbing, burning pain at the IV site. The nurse should identify that the client's manifestations indicate which of the following complications of IV therapy? - Correct Answers ✅Thrombophlebitis A nurse is reinforcing teaching about glycosylated hemoglobin (HbA1c) testing with a client who has diabetes mellitus. Which of the following statements indicates that the client understands the teaching? - Correct Answers ✅"I will have my HbA1c checked twice per year." A nurse enters the room of a client whose transfusion of packed RBCs was initiated 15 min ago by the RN. The client reports dyspnea and urticaria. After stopping the infusion, which of the following actions should the nurse take next? - Correct Answers ✅Take the client's vital signs. A nurse is contributing to the plan of care for a client who has multiple sclerosis and is taking dantrolene to manage muscle spasms. Which of the following interventions should the nurse include? - Correct Answers ✅Encourage the client to complete ADLs.
NGN Question & Answers 2024
A nurse is assisting a client who reports difficulty falling asleep. Which of the following activities should the nurse recommend to promote sleep? - Correct Answers ✅Listen to soft music before sleeping. A nurse is reinforcing teaching with a client who has asthma. Which of the following client statements indicates an understanding of the use of budesonide and albuterol inhalers? (Select all that apply.) - Correct Answers ✅"I never forget to rinse my mouth after using my budesonide inhaler" "Between office visits, I keep a record of how many times I use my albuterol inhaler" "I use my albuterol inhaler before I go swimming" The nurse is reviewing the client's diagnostic results. Which of the following findings require follow up? Select all that apply. - Correct Answers ✅PaCO WBC count Chest x-ray Oxygen saturation BUN The nurse is reviewing the client's medical record.
NGN Question & Answers 2024
Click to highlight the findings below that indicate that the client has a potential problem. To deselect a finding, click on the finding again. - Correct Answers ✅Client is short of breath and has a productive cough with yellow mucus States, "I could barely breathe when I got up this morning and I had a throbbing headache" Client is diaphoretic Crackles heard in posterior lung A nurse is prioritizing care for the client. Complete the following sentence by using the lists of options. At 1000, the nurse should first address the client's________, followed by the client's________. - Correct Answers ✅Oxygen saturation Heart rate The nurse is assisting with the plan of care for the client. For each potential provider prescription, click to specify if the potential prescription is anticipated, nonessential, or contraindicated for the client. - Correct Answers ✅Cough and deep breathe every 2 hr is anticipated Obtain a sputum culture and sensitivity is anticipated Titrate oxygen to keep oxygen saturation greater than 90% is anticipated.
NGN Question & Answers 2024
A nurse is preparing to administer furosemide to a client who has heart failure. Which of the following findings should the nurse report before administering the medication? - Correct Answers ✅Decreased potassium A nurse is reinforcing teaching with an adolescent client regarding testicular self-examination. Which of the following statements by the client demonstrates an understanding of the teaching? - Correct Answers ✅"I understand that testicular cancer is typically painless." A nurse observes a client who is lying in bed and experiencing a tonic- clonic seizure. Which of the following actions should the nurse take? - Correct Answers ✅Loosen clothing around the client's neck. Complete the diagram by dragging from the choices below to specify what condition the client is most likely experiencing, 2 actions the nurse should take to address that condition, and 2 parameters the nurse should monitor to assess the client's progress. - Correct Answers ✅Hypovolemia Insert a large gauge IV Initiate a fluid challenge Urine output blood pressure
NGN Question & Answers 2024
A nurse is preparing to administer scheduled medications to a client. Which of the following prescriptions should the nurse verify with the provider? (Click on the exhibit tabs for additional information about the client. There are three tabs that contain separate categories of data.) - Correct Answers ✅Ceftriaxone A nurse is contributing to the plan of care for a client who is at risk for osteoporosis. Which of the following interventions should the nurse include to prevent bone loss? - Correct Answers ✅Encourage weight-bearing exercises. A home health nurse is reinforcing teaching with a client about preventing complications of peripheral vascular disease. Which of the following statements indicates that the client is adhering to the nurse's instructions? - Correct Answers ✅"I don't cross my legs anymore." A nurse is reviewing the laboratory results of a client who has chronic kidney failure and is receiving epoetin alfa. The nurse should identify that which of the following laboratory values indicates the treatment is effective? - Correct Answers ✅Hgb 11 g/dL A nurse is caring for a client who has meningococcal pneumonia. Which of the following personal protective equipment should the nurse use? - Correct Answers ✅Mask
