RN fundamentals online practice 2019 A with NGN

"It might help me to listen to music while I'm lying in bed"

A client who is postoperative is verbalizing pain as a two on a pain scale of 0 to 10. Which of the following statements should the nurse identify as an indication that the client understands the preoperative teaching she received about pain management?

1. Obtain the pronouncement of death from the provider 2. Remove tubes and indwelling lines 3. Wash the client's body 4. Ask the clients family members if they would like to view the body 5. Place a name tag on the body

A nurse in a long-term care facility is caring for a client who dies during the nurses shift. Identify the sequence in which the nurse should perform the following steps

Decrease in heart rate

A nurse is administering 1 L of 0.9% sodium chloride to a client who is postoperative and has fluid volume deficit. Which of the following changes should the nurse identify as an indication that the treatment was successful?

Contact precautions

A nurse is admitting a client who has an abdominal wound with a large amount of purulent drainage. Which of the following types of transmission precaution should the nurse initiate?

During the admission process

A nurse is admitting a client who is having an exacerbation of heart failure. In planning this client care, when should the nurse initiate discharge planning?

Compare the clients home medication's with the Providers prescription

A nurse is admitting a new client. Which of the following actions should the nurse take while performing medication reconciliation?

Ensure the bladder of the blood pressure cuff surrounds 80% of the clients arm

A nurse is assessing 4 adult clients. Which of the following physical assessment techniques should the nurse use?

"Is your pain sharp or dull?"

A nurse is assessing a client who reports increased pain following physical therapy. Which of the following questions should the nurse ask when assessing the quality of the clients pain?

-pupil clarity -visual fields -visual acuity

A nurse is assessing an order a dog client risk for falls. Which of the following assessments should the nurse use to identify the client safety needs? Select all that apply

Examine personal values about the issue

A nurse is caring for a child who has a prescription for a blood transfusion. The child's parents have refused treatment due to their religious beliefs. Which of the following action should the nurse take?

"they indicate the form of treatment a client is willing to accept in the event of a serious illness"

A nurse is caring for a client who acts about the purpose of advanced directive. Which of the following statements should the nurse make?

Turn the client every 2 hr

A nurse is caring for a client who has a terminal illness and is approaching death. The client is short of breath and has noisy respirations from secretions in their airway. Which of the following actions should the nurse take

"I am relying on support from our family during this time."

A nurse is caring for a client who has a terminal illness and is at the end of life. The nurse should recognize that which of the following statements by the clients partner indicates effective coping?

"I am available to talk if you should change your mind."

A nurse is caring for a client who has an aggressive form of prostate cancer. The provider briefly discusses treatment options and leaves the clients room. When the nurse acts if the client would like to discuss any concerns, the client declined. Which of the following statements should the nurse make?

Use a bed exit alarm system

A nurse is caring for a client who has dementia which of the following interventions to the nurse take to minimize the risk for injury to the client?

Acupuncture

A nurse is caring for a client who has herpes zoster and asked the nurse about the use of complementary and alternative therapies for pain control. The nurse should inform the client that this condition is a contraindication of which of the following therapies?

Droplet

A nurse is caring for a client who has pharyngeal diphtheria. Which of the following types of transmission precautions should the nurse initiate?

Reassure the client that this is an expected response to grief

A nurse is caring for a client who is expressing anger about his diagnosis of colorectal cancer. Which of the following actions should the nurse take?

Notify the nursing manager

A nurse is caring for a client who is postoperative and is exhibiting signs of hemorrhagic shock. The nurse notifies the surgeon, who tells the nurse to continue to measure the clients vital signs every 15 minutes and to report back in one hour. Which of the following actions should the nurse take next?

Determine the reasons why the client is refusing to use the incentive spirometer

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 priority?

Make sure two fingers can fit under the sleeves

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?

Have the client take sips of water to promote insertion of the NG tube into the esophagus

A nurse is caring for a client who requires an NG tube for stomach decompression. Which of the following actions should the nurse take when inserting the NG tube?

"We would give you oxygen through a tube in your nose"

A nurse is educating a client who has a terminal illness about declining resuscitation in a living will. The client acts, "what would happen if I arrived at the emergency department and I had difficulty breathing?" Which of the following responses should the nurse make?

The client holds the cane on the stronger side of her body

A nurse is evaluating a clients use of a cane. Which of the following actions for the nurse identify as an indication of correct use?

Make sure the client wears a mask when outside her room if there is construction in the area

A nurse is initiating a protective environment for a client who has had an allogeneic stem cell transplant. Which of the following precautions should the nurse plan for this client?

Stand close to the cabinet when lifting it

A nurse is lifting a bedside cabinet to move it closer to a client who is sitting in a chair. To prevent self injury, which of the following actions should the nurse take when lifting this object?

The client identifies the location of a fire extinguisher

A nurse is performing a home safety assessment for a client who is receiving supplemental oxygen. Which of the following observations should the nurse identify as proper safety protocol?

A mole with an asymmetrical appearance

A nurse is performing a skin assessment for a client who expresses concerns about skin cancer. Which of the following findings should the nurse identify as a potential indication of a skin malignancy

Use the planning step of the nursing process to prioritize client care delivery

A nurse is planning strategies to manage time effectively for client care. Which of the following strategy should the nurse implement?

Place the clients arm in a dependent position

A nurse is planning to insert a peripheral IV catheter for an older adult client. Which of the following actions should the nurse plan to take?

Situation, background, assessment, and recommendation (SBAR)

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?

Advocacy ensures clients safety, health, and rights

A nurse is preparing an education program for staff about advocacy. Which of the following information should the nurse include?

107 mL/hr

A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 7 hours the nurse should set infusion pump to deliver how many ML/hour

Ask another nurse to observe the medication wastage

A nurse is preparing to administer an injection of an opioid medication to a client. The nurse draws out 1 mL of the medication from a 2 mL vial. Which of the following actions should the nurse take?

Administer the medication with a needle at a 45° angle

A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the following actions should the nurse take?

Hydrocolloid

A nurse is preparing to apply a dressing for a client who has a stage two pressure injury. Which of the following types of dressings should the nurse use?

"I will hire someone to trim the tree that hangs low over the stairs of my front porch."

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?

Administer the medication into the abdomen

A nurse is providing discharge teaching to a client about self administering heparin. Which of the following instructions should the nurse include in the teaching?

Check the client for injuries

A nurse is responding to a car light and finds a client laying on the bathroom floor. Which of the following actions should the nurse take first

Potassium 5.4 mEq/L

A nurse is reviewing a clients fluid and electroyte status. Which of the following findings should the nurse report to the provider?

Regulate oxygen via nasal cannula at a flow rate of no more than 6 L/min

A nurse is reviewing evidence-based practice principles about administration of oxygen therapy with a newly licensed nurse. Which of the following actions should the nurse include?

"let's talk about how the change in your job status will affect you."

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?

Role overload

A nurse is talking with the partner of a client who has dementia. The client's partner expresses frustration about finding time to manage household responsibilities while caring for their partner. The nurse should identify that that partner is experiencing which of the following types of Rover formance stress?

Use tracheotomy covers when outdoors

A nurse is teaching a client and his family how to care for the clients tracheostomy at home. Which of the following instructions should the nurse include in the teaching

Subtract the amount of irrigant used from the client's urine output

A nurse is using an open irrigation technique to irrigate a clients indwelling urinary catheter. Which of the following actions should the nurse take?

"Use the complete name of the medication magnesium sulfate."

A nurse manager is preparing to review medication documentation with a group of newly license nurses. Which of the following statements should the nurse manager plan to include in the following teaching?

Pad the clients wrist before applying the restraints

A nurse on a medical surgical unit is caring for a client who has a new prescription for wrist restraints. Which of the following actions to the nurse take?