RN Fundamentals Online Practice 2019 B with NGN

A nurse is discussing the use of herbal supplements for health promotion with a client. Which of the following client statements indicates an understanding of herbal supplement use?

"I can take echinacea to improve my immune system."

A nurse is caring for a client who requires a 24 hr urine collection. Which is the following statements by the client indicates and understanding of the teaching?

"I flushed what I urinated at 7:00 a.m. and have saved all urine since."

A middle adult client tells the nurse, "I feel so useless now that my children do not need me anymore." Which of the following responses should the nurse make?

"People in middle adulthood often find satisfaction in nurturing and guiding young people."

A nurse is caring for a client who reports pain. When documenting the quality of the clients pain in an initial pain assessment, the nurse should record which of the following client statements?

"The pain is like a dull ache in my stomach."

A nurse is caring for a client who has a terminal diagnosis whose health is declining. The client requests information about advance directives. Which of the following responses should the nurse make?

"We can talk about advance directives, and I can also give you some brochures about them."

A nurse is caring for a client who has terminal liver cancer. Which of the following statements should the nurse identify as an indication that the client is experiencing spiritual distress?

"What could I have done to deserve this illness?"

A nurse is teaching a client whose left leg is in a cast about using crutches. Which of the following statements should the nurse identify as an indication that the client understands the teaching?

"When descending stairs, I will first shift my weight to my right leg."

A nurse in a clinic is caring for a middle adult client who states, "The doctor says that, since I am at an average risk for colon cancer, I should have routine screening. What does that involve?" Which of the following responses should the nurse make?

"You should have a fecal occult blood test every year."

A nurse is planning an educational program for a group of older adults at a senior living center. Which of the following recommendations should the nurse include?

"You should receive a pneumococcal immunization when you are 65 years old."

A nurse is preparing to obtain a lower extremity blood pressure from a client and no longer palpated the popliteal pulse after 92 mm Hg. Which of the following images displays the measurement in mm Hg to which the nurse should inflate the cuff when obtaining the blood pressure.

(Pic of the one almost at 120- 30 mm Hg above 92)

A nurse has accepted a verbal prescription for "three tenths of a milligram of levothyroxine IV stat"for a client who has myxedema coma. How should the nurse transcribe the dosage of this medication in the client's medical record?

0.3 mg

NGN QUESTION: complete the following sentence by using the lists of options. The client is at risk for ____ as evidenced by ____.

1. Bleeding 2. Platelet count

NGN QUESTION: complete the following sentence by using the lists of options. The first client the nurse should assess is ____ followed by ____.

1. Client 3 2. Client 4

NGN QUESTION: complete the following sentence by using the lists of options. The nurse should address the _____ followed by the _____.

1. Stoma color 2. Skin around the stoma

A nurse is preparing a heparin infusion for a client who was admitted to the facility with deep-vein thrombosis. The prescription reads: 25,000 units of heparin in 0.9% sodium chloride 250 mL to infuse at 800 units/hr. At what rate should the nurse set the infusion pump? (Round the answer to the nearest whole number. Use. Leading zero if it applies. Do not use a trailing zero.)

8 mL/hr

A nurse is calculating a client's fluid intake over the past 8 hr. Which of the following should the nurse plan to document on the client's intake and output record as 120 mL of fluid?

8 oz of ice chips The nurse should document half of the volume of ice chips when calculating fluid intake to account for the air in between the chips. The nurse should understand that 4oz of liquid water is equal to 120 mL of fluid.

A nurse is caring for a group of clients on a medical surgical unit. In which of the following situations does the nurse demonstrate the ethical principle of veracity?

A client unaware of her recent cancer diagnosis asks the nurse if she has cancer, and the nurse responds affirmatively.

A nurse is teaching a group of staff members about the use of essential oils for aromatherapy. The nurse should include in the teaching that this therapy might be contraindicated for which of the following clients?

A client who has asthma

A nurse manager is overseeing the care activities on a unit. For which of the following situations should the nurse manager intervene due to a violation of HIPAA guidelines?

A nurse asks a nurse from another unit to assist with documentation for a client

A nurse is caring for a client who has tuberculosis. Which of the following actions should the nurse take? (Select all that apply.)

A) Place the client in a room with negative-pressure airflow. B) Wear gloves when assisting the client with oral care. E) Use antimicrobial sanitizer for hand hygiene.

A nurse is preparing to delegate client care task to an assistive personnel a P. Which of the following tasks should the nurse delegate?

Ambulating a client who is postoperative

A nurse is caring for a client who has decreased mobility. Which of the following actions should the nurse take to decrease the client's risk of developing plantar flexion contractures?

Apply an ankle-foot orthotic device to the client's feet. The nurse should use a device to maintain dorsiflexion, such as an ankle-foot orthotic device or a foot board placed perpendicular to the mattress.

NGN QUESTION: Based on the clients clinical findings, which of the following actions should the nurse take?

Assist client to a left side lying position with the right knee flexed Administer a cleansing enema Auscultate the clients bowel sounds Perform a manual digital examination of the client's rectum

A nurse is administering IV fluids to a client. When monitoring for adverse effects, which of the following assessments should the nurse identify as the priority?

Auscultate lung sounds Manifestations of fluid volume excess include moist crackles in lung fields, dyspnea, and SOB.

A nurse is giving a change-of-shift report about a client they admitted earlier that day who has pneumonia. Which of the following pieces of information is the priority for the nurse to provide?

Breath sounds When using the airway, breathing, circulation approach to client care, the nurse should determine that the priority information to provide is the current status of the client's breath sounds.

NGN QUESTION: click to highlight the findings that indicate the client is malnourished.

Cachectic, with flaccid muscle tone Skin dry and scaly with bruises on extremities Pulse rate 118/min Abdomen distended BMI 17

A nurse is providing discharge teaching for a client who has a new prescription for a home oxygen concentrator. Which of the following instructions should the nurse provide to the client and his family? (Select all that apply.)

Check the cord routinely for frays or tearing Consider purchasing a generator for power backup Observe for signs of hypoxia

A nurse on a medical unit is preparing to discharge a client to home. Which of the following actions should the nurse take as part of the medication reconciliation process?

Compare prescriptions with medications the client received during hospitalization.

a nurse in an acute care facility is preparing a discharge summary for a client who is transferring to a long-term care facility. Which of the following documentation should the nurse include?

Current medications

A nurse is assessing a client who received an IV fluid bolus for dehydration. Which of the following findings should the nurse identify as an indication of fluid volume excess?

Distended neck veins

A nurse is preparing to administer multiple medications to a client who has an enteral feeding tube. Which of the following actions should the nurse plan to take?

Flush the tube with 15 mL of sterile water.

A nurse is preparing to administer 0.5 mL of oral single-dose liquid medication to a client. Which of the following actions should the nurse take?

Gently shake the container of medication prior to administration.

A charge nurse is discussing the responsibility of nurses caring for clients who have Clostridium difficile infection. Which of the following information should the nurse include in the teaching?

Have family members wear a gown and gloves when visiting.

A nurse is performing a Romberg's test during the physical assessment of a client. Which of the following techniques should the nurse use?

Have the client stand with their arms at her side and their feet together.

A nurse is reviewing practice guidelines with a group of newly licensed nurses. Which of the following interventions should the nurse include that is within the RN scope of practice?

Initiate an enteral feeding through a gastrostomy tube.

A nurse is caring for a client who is receiving pain medication through a patient-controlled analgesia (PCA) pump. Which of the following actions should the nurse take?

Instruct the family to refrain from pushing the button for the client while she is asleep.

A nurse is reviewing a client's medication prescription that reads, "digoxin 0.25 by mouth every day." Which of the following components of the prescription should the nurse verify with the provider?

Medication dose

A nurse is planning care for a client who has tuberculosis. The nurse should wear which of the following pieces of personal protective equipment when providing care for the client?

N95 respirator

A nurse is preforming a peripheral vascular assessment for a client, when placing the bell of the stethoscope on the clients neck, the nurse hears the following sound. This sound indicates which of the following?

Narrowed arterial lumen

NGN QUESTION: the nurse is reviewing the clients medical record. Click to highlight the findings that require intervention by then nurse.

Passive ROM exercises to lower extremities preformed once each day Plantar flexion contractures noted bilaterally Left heel with area of nonblanchable erythema, skin intact. .

NGN QUESTION: the nurse is reviewing the client's medical record. Which of the following actions should the nurse take? Select all that apply.

Place the client on droplet isolation precautions. Request a prescription for an antipyretic medication. Remain 1 m (3 feet) from the client Apply oxygen at 2 L/min via nasal cannula

A nurse is completing an admission assessment for a client who reports vomiting and diarrhea for the past 3 days. Which of the following assessment findings should the nurse expect?

Rapid heart rate Tachycardia indicates fluid volume deficit, which is an expected finding for a client who has had vomiting and diarrhea for 3 days.

A nurse is admitting a client who reports experiencing a sore throat, productive cough, and fever for the past 3 days NGN QUESTION: the nurse is reviewing the client's medical record. Which of the following actions should the nurse take? Select all that apply.

Request a prescription for an antibiotic medication Initiate droplet precautions Wear a mask within 1 m (3 feet) of the client Apply a mask on the client when they leave their room

A nurse is reviewing protocol in preparation for suctioning secretions from a client who has a new tracheostomy. Which of the following actions should the nurse plan to take?

Select a suction catheter that is half the size of the lumen.

A nurse is caring for a client who is receiving fluid through a peripheral IV catheter. Which of the following findings at the IV site should the nurse identify as indicating infiltration?

Skin blanching

A nurse is caring for a client who has an NG tube and is receiving intermittent feedings through and open system. Which of the following actions should the nurse take first?

Tell the client to keep the head of the bed elevated at least 30 degrees. Prevents aspiration!!

NGN QUESTION: click to highlight the findings that the nurse should report to the provider.

Temperature WBC count Prealbumin level Pain level Odor of wound

A home health nurse is completing and admission assessment of an older adult client who has their caregiver present. Which of the following findings should the nurse identify as a potential indication of elder abuse?

The caregiver insists on remaining in the room.

A charge nurse is observing a newly licensed nurse prepare a sterile field for a dressing change. Which of the following actions by the newly licensed nurse requires intervention by the charge nurse.

The newly licensed nurse places the cap of a bottle of sterile saline solution on the sterile field.

NGN QUESTION: a nurse is caring for a client who has a prescription for 5 units of regular and 10 units of NPH insulin to mix together and administer subcutaneously. Determine the correct order of steps for this procedure.

The nurse should first inject air into the vial of NPH insulin without roughing the needle to the solution. Next, the nurse should inject air into the vial of regular insulin and withdraw the correct amount of the regular insulin. Finally, the nurse should insert the needle into the NPH insulin vial and withdraw the correct amount of NPH insulin. The nurse should follow these steps to prevent contamination of the regular insulin with NPH insulin.

A nurse is teaching an older adult client who is at risk for osteoporosis about beginning a program of regular physical activity. Which of the following types of activities should the nurse recommend?

Walking briskly

A nurse is caring for a client who is refusing a blood transfusion for religious reasons. The client's partner wants the client to have the blood transfusion. Which of the following actions should the nurse take?

Withhold the blood transfusion

A nurse is caring for a client who requires an informed consent for a surgical procedure. Which of the following actions is the nurse's responsibility?

Witness the client's signature on the consent form.

A nurse in a surgical suite notes documentation on a client's medical record that he has a latex allergy. In preparation for the client's procedure, which of the following precautions should the nurse take?

Wrap monitoring cords with stockinette and tape them in place.

A community health nurse is checking blood pressures for a group of clients at a community health screening. Which of the following clients is at an increased risk for hypertension?

a client who smokes one pack of cigarettes each day

A nurse is planning care for a client who has vision loss. Which of the following interventions should the nurse include in the plan of care to assist the client with feeding?

arrange food in a consistent pattern on the client's plate

A nurse is preparing to transfer a client who can bear weight on one leg from the bed to a chair. After securing a safe environment, which of the following actions should the nurse take next?

assess the client for orthostatic hypotension

A client who is nonambulatory notifies the nurse that his trash can is on fire. After the nurse confirms the fire, which of the following actions should the nurse take next?

evacuate the client

A nurse is caring for a client who reports difficulty falling asleep. Which of the following recommendations should the nurse make?

maintain a consistent time to wake up each day

A nurse is planning teaching for a group of adolescents who each recently had a surgical placement of an ostomy. Which of the following methods should the nurse use as a psychomotor approach to learning.

practice sessions