RN COMPREHENSIVE PRACTICE A NGN
EXAM | QUESTIONS & ANSWERS
(VERIFIED) | LATEST UPDATE | GRADED
A+
A nurse working on a med-surge floor receives a telephone call requesting the status of
a client form an individual who identifies themself as the clients parent. Which action
should the nurse take?
Correct Answer: Ask the caller for verification of their identity.
A nurse is caring for a client who has a fractured femur and has had a fiberglass leg
cylinder cast for 24hr. Which of the following assessment findings should the nurse
identify as the priority?
Correct Answer: The client's heel is reddened and tender.
A nurse is teaching a client who is to start taking misoprostol and currently is on long-
term therapy with NSAIDs for arthritis. The nurse should provide the client with which of
the following information?
Correct Answer: Complete a serum pregnancy text before taking the medication.
A nurse is teaching a client who has a new prescription for digoxin about manifestations
of toxicity. Which of the following findings should the nurse include in the teaching?
1
,Correct Answer: Nausea
A nurse is assessing a client who has obstructive sleep apnea. For which of the
following complications should the nurse monitor?
Correct Answer: Hypertension
A nurse is providing teaching to a parent of a child who has a permanent tracheostomy
tube. Identify the sequence of steps the parent should follow to perform tracheostomy
care?
Correct Answer: -Remove the inner cannula
-Remove the soiled dressing
-Clean the stoma with 0.9% sodium chloride irrigation
-Change the tracheostomy collar
A charge nurse is observing a newly licensed nurse administer enteral feedings via NG
tube. Which of the following actions by the newly licensed indicates an understanding of
the procedure?
Correct Answer: Keeps the head of the bed elevated to 45* for 1hr after feedings.
A nurse is caring for a client who has a closed-head injury and is receiving mechanical
ventilation. The nurse should expect to administer which of the following medications to
reduce intracranial pressure?
Correct Answer: Mannitol
2
,An assistive personnel and a nurse are turning a client onto the right side. Which of the
following actions by the AP requires the nurse to intervene?
Correct Answer: Places a pillow under the client's right arm.
a nurse is proving teaching about improving nutrition for a client who has multiple
sclerosis. Which of the following instructions should the nutse include? (SATA)
Correct Answer: - "A speech pathologist will be performing a swallowing study for
you."
- "You should rest before eating a meal."
- "Thicken your beverage before drinking."
A nurse is caring for a 1-month-old infant.
Exhibit 1: Nurses' Notes
1500:
Infant admitted to the pediatric unit. Parent reports infant has been irritable and has
vomited after each feeding within the last 3 days.Infant alert, not crying. S1 and S2
noted without murmurs. Lungs clear to auscultation anterior/posterior. Respirations
even, unlabored. Abdomen firm. Bowel sounds hypoactive x 4 quadrants. Small 1 x 1
cm2 mass palpated near umbilicus. Skin warm and dry, turgor with tenting.
1600:Called to room by parent. Parent attempted breastfeeding. Infant projectile
vomited. No bile noted in vomit. Some blood-tinged vomitus noted. Instructed parent to
keep child NPO.
3
, 1800:Infant crying. Soothed with pacifier.
Exhibit 2: Diagnostic Results
1545:
Hgb 20 g/dL
Hct 60%
Potassium 5.8 mEq/L
Sodium 132 mEq/L
Chloride 110 mEq/L
WBC count 16,000/mm3
BUN 20 mg/dL
Creatinine 0.2 mg/dL
1730:
Abdominal ultrasound: Narrowing
Correct Answer: The infant is at highest for developing *DEHYDRATION*, as
evidence by the infant's *VOMITING*
A nurse is caring for a client who is 4hr postpartum and has a boggy uterus with heavy
lochia. Which of the folloeing actions should the nurse take first?
Correct Answer: Massage the uterus to expel clots
A nurse is caring for a group of clients. For which of the following events should the
nurse complete an incident report?
4
EXAM | QUESTIONS & ANSWERS
(VERIFIED) | LATEST UPDATE | GRADED
A+
A nurse working on a med-surge floor receives a telephone call requesting the status of
a client form an individual who identifies themself as the clients parent. Which action
should the nurse take?
Correct Answer: Ask the caller for verification of their identity.
A nurse is caring for a client who has a fractured femur and has had a fiberglass leg
cylinder cast for 24hr. Which of the following assessment findings should the nurse
identify as the priority?
Correct Answer: The client's heel is reddened and tender.
A nurse is teaching a client who is to start taking misoprostol and currently is on long-
term therapy with NSAIDs for arthritis. The nurse should provide the client with which of
the following information?
Correct Answer: Complete a serum pregnancy text before taking the medication.
A nurse is teaching a client who has a new prescription for digoxin about manifestations
of toxicity. Which of the following findings should the nurse include in the teaching?
1
,Correct Answer: Nausea
A nurse is assessing a client who has obstructive sleep apnea. For which of the
following complications should the nurse monitor?
Correct Answer: Hypertension
A nurse is providing teaching to a parent of a child who has a permanent tracheostomy
tube. Identify the sequence of steps the parent should follow to perform tracheostomy
care?
Correct Answer: -Remove the inner cannula
-Remove the soiled dressing
-Clean the stoma with 0.9% sodium chloride irrigation
-Change the tracheostomy collar
A charge nurse is observing a newly licensed nurse administer enteral feedings via NG
tube. Which of the following actions by the newly licensed indicates an understanding of
the procedure?
Correct Answer: Keeps the head of the bed elevated to 45* for 1hr after feedings.
A nurse is caring for a client who has a closed-head injury and is receiving mechanical
ventilation. The nurse should expect to administer which of the following medications to
reduce intracranial pressure?
Correct Answer: Mannitol
2
,An assistive personnel and a nurse are turning a client onto the right side. Which of the
following actions by the AP requires the nurse to intervene?
Correct Answer: Places a pillow under the client's right arm.
a nurse is proving teaching about improving nutrition for a client who has multiple
sclerosis. Which of the following instructions should the nutse include? (SATA)
Correct Answer: - "A speech pathologist will be performing a swallowing study for
you."
- "You should rest before eating a meal."
- "Thicken your beverage before drinking."
A nurse is caring for a 1-month-old infant.
Exhibit 1: Nurses' Notes
1500:
Infant admitted to the pediatric unit. Parent reports infant has been irritable and has
vomited after each feeding within the last 3 days.Infant alert, not crying. S1 and S2
noted without murmurs. Lungs clear to auscultation anterior/posterior. Respirations
even, unlabored. Abdomen firm. Bowel sounds hypoactive x 4 quadrants. Small 1 x 1
cm2 mass palpated near umbilicus. Skin warm and dry, turgor with tenting.
1600:Called to room by parent. Parent attempted breastfeeding. Infant projectile
vomited. No bile noted in vomit. Some blood-tinged vomitus noted. Instructed parent to
keep child NPO.
3
, 1800:Infant crying. Soothed with pacifier.
Exhibit 2: Diagnostic Results
1545:
Hgb 20 g/dL
Hct 60%
Potassium 5.8 mEq/L
Sodium 132 mEq/L
Chloride 110 mEq/L
WBC count 16,000/mm3
BUN 20 mg/dL
Creatinine 0.2 mg/dL
1730:
Abdominal ultrasound: Narrowing
Correct Answer: The infant is at highest for developing *DEHYDRATION*, as
evidence by the infant's *VOMITING*
A nurse is caring for a client who is 4hr postpartum and has a boggy uterus with heavy
lochia. Which of the folloeing actions should the nurse take first?
Correct Answer: Massage the uterus to expel clots
A nurse is caring for a group of clients. For which of the following events should the
nurse complete an incident report?
4
