NGN FUNDAMENTALS 2019 FORM A, B & C /2019 RN
FUNDAMENTALS NGN FORM A, B & C EACH FORM
CONTAINS 70 QUESTIONS AND CORRECT
ANSWERS|AGRADE (BRAND NEW!!)
FORM A
A nurse is talking with the partner of an older adult male client who has
dementia.The client's partner expresses frustration about finding time to
manage household responsibilities while caring for his partner. The
nurse should identify that he is going through which of the following
types of role-performance stress?
A. Role ambiguity
B. Sick role
C. Role overload
D. Role conflict - ANSWER- C. Role overload
Rationales
the partner's expression of frustration is an example of role overload,
which refersto having more responsibilities within a role than one
person can perform.
A nurse is preparing an education program for staff about advocacy.
Which of thefollowing information should the nurse include?
• advocacy ensures clients' safety, health, and rights.
• advocacy ensures that nurses are able to explain their own actions.
• advocacy ensures that nurses follow through on their promises
to clients.D. advocacy ensures fairness in client care delivery and
use of resources. - ANSWER- A. advocacy ensures clients'
safety, health, and rights.
A nurse is caring for a client who requires an NG tube for stomach
decompression.Which of the following action should the nurse take
when inserting the NG tube?
• position the client with the head of the bed elevated to 30
degrees prior toinsertion of the NG tube.
,• removes the NG tube if the client begins to gag
or choke.c. apply suction to the NG tube prior to
insertion.
d. has the client take sips of water to promote insertion of the NG tube
into the esophagus.. - ANSWER- d. have the client take sips of water to
promote insertionof the NG tube into the esophagus
Taking sips of water as the NG tube passes through the oropharynx will
close theepiglottis over the trachea and prevent the tube's passage into the
trachea.
A nurse is admitting a new client. Which of the following action
should the nursetake while performing medication reconciliation?
• verify the client's name on his ID bracelet with the MAR
• call the pharmacy to determine if the client's medications are
available 3. compare the client's home medications with the
provider's prescriptions
4. place the client's home medication bottles in a secure location -
ANSWER-compare the client's home medications with the
provider's prescription.
reconciliation is the process of creating the most accurate list possible of
all meds apatient is taking.
A nurse is providing teaching to a client about self-administering
heparin. Whichof the following instructions should the nurse include in
the teaching?
• Insert the needle at a 15° angle.
• Aspirate for blood return prior to
administration.C. Administer the
medication into the abdomen.
D. Massage the site following the injection. - ANSWER-
Administer into theabdomen.
A nurse is admitting a client who is having an exacerbation of heart
failure. In theplanning this client's care, when should the nurse initiate
discharge planning?
• During the admission process
,• As soon as the client's
condition is stableC. During the
initial team conference
D. After consulting with the client's family - ANSWER- During the
admissionprocess
A nurse is reviewing a client's fluid and electrolyte status. Which of the
followingfindings should the nurse report to the provider?
• BUN 15
• Creatinine 0.8
• C. Sodium 143
D. Potassium 5.4 - ANSWER- D. Potassium 5.4
A nurse is teaching a client and his family how to care for the client's
tracheostomyat home. Which of the following instructions should the
nurse include in the teaching?
A. Remove the outer cannula cautiously for
routine cleaning.
B. Use tracheostomy covers when outdoors.
C. Use sterile techniques when performing tracheostomy care at home.
D. Cleanse irritated skin with full-strength hydrogen peroxide. -
ANSWER- Usetracheostomy covers when outdoors.
-Tracheostomy covers protect the client airway from cold air, dust,
and otherairborne particles.
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 precautions shouldthe nurse initiate?
A. Protective environment
B. Airborne precautions
C. Droplet precautions
D. Contact precautions - ANSWER- Contact precautions
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 takewhen lifting this object?
• Bend at the waist.
, • Keep his feet close together.
• Use his back muscles for lifting.
• Stand close to the cabinet when lifting it. - ANSWER- Stand
close to thecabinet when lifting it.
A nurse on a medical-surgical unit is caring for a client who has a new
prescriptionfor wrist restraints. Which of the following action should the
nurse take?
• pad the client's wrist before applying the restraints
• evaluate the client's circulation every 8 hr after
applicationC. remove the restraints every 4 hr to
evaluate client's status
D. secure the restraint ties to the bed's side rails - ANSWER- Pad the
client's wristbefore applying the restraints.
A nurse is responding to a call light and finds a client lying on the
bathroom floor.Which of the following actions should the nurse take
first?
• Check the client for injuries.
• Move hazardous objects away from
the client.
• C. Notify the provider.
D. Ask the client to describe how she felt prior to the fall. - ANSWER-
A. Checkthe client for injuries.
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 thefollowing actions should the nurse
take?
• assist the client into a prone position
• place a sleeve over the top of each leg with the opening
at the knee
• c. Make sure two fingers can fit under the sleeves.
D. Set the ankle pressure at 65 mm Hg. - ANSWER- Make sure two
fingers can fitunder the sleeves.
FUNDAMENTALS NGN FORM A, B & C EACH FORM
CONTAINS 70 QUESTIONS AND CORRECT
ANSWERS|AGRADE (BRAND NEW!!)
FORM A
A nurse is talking with the partner of an older adult male client who has
dementia.The client's partner expresses frustration about finding time to
manage household responsibilities while caring for his partner. The
nurse should identify that he is going through which of the following
types of role-performance stress?
A. Role ambiguity
B. Sick role
C. Role overload
D. Role conflict - ANSWER- C. Role overload
Rationales
the partner's expression of frustration is an example of role overload,
which refersto having more responsibilities within a role than one
person can perform.
A nurse is preparing an education program for staff about advocacy.
Which of thefollowing information should the nurse include?
• advocacy ensures clients' safety, health, and rights.
• advocacy ensures that nurses are able to explain their own actions.
• advocacy ensures that nurses follow through on their promises
to clients.D. advocacy ensures fairness in client care delivery and
use of resources. - ANSWER- A. advocacy ensures clients'
safety, health, and rights.
A nurse is caring for a client who requires an NG tube for stomach
decompression.Which of the following action should the nurse take
when inserting the NG tube?
• position the client with the head of the bed elevated to 30
degrees prior toinsertion of the NG tube.
,• removes the NG tube if the client begins to gag
or choke.c. apply suction to the NG tube prior to
insertion.
d. has the client take sips of water to promote insertion of the NG tube
into the esophagus.. - ANSWER- d. have the client take sips of water to
promote insertionof the NG tube into the esophagus
Taking sips of water as the NG tube passes through the oropharynx will
close theepiglottis over the trachea and prevent the tube's passage into the
trachea.
A nurse is admitting a new client. Which of the following action
should the nursetake while performing medication reconciliation?
• verify the client's name on his ID bracelet with the MAR
• call the pharmacy to determine if the client's medications are
available 3. compare the client's home medications with the
provider's prescriptions
4. place the client's home medication bottles in a secure location -
ANSWER-compare the client's home medications with the
provider's prescription.
reconciliation is the process of creating the most accurate list possible of
all meds apatient is taking.
A nurse is providing teaching to a client about self-administering
heparin. Whichof the following instructions should the nurse include in
the teaching?
• Insert the needle at a 15° angle.
• Aspirate for blood return prior to
administration.C. Administer the
medication into the abdomen.
D. Massage the site following the injection. - ANSWER-
Administer into theabdomen.
A nurse is admitting a client who is having an exacerbation of heart
failure. In theplanning this client's care, when should the nurse initiate
discharge planning?
• During the admission process
,• As soon as the client's
condition is stableC. During the
initial team conference
D. After consulting with the client's family - ANSWER- During the
admissionprocess
A nurse is reviewing a client's fluid and electrolyte status. Which of the
followingfindings should the nurse report to the provider?
• BUN 15
• Creatinine 0.8
• C. Sodium 143
D. Potassium 5.4 - ANSWER- D. Potassium 5.4
A nurse is teaching a client and his family how to care for the client's
tracheostomyat home. Which of the following instructions should the
nurse include in the teaching?
A. Remove the outer cannula cautiously for
routine cleaning.
B. Use tracheostomy covers when outdoors.
C. Use sterile techniques when performing tracheostomy care at home.
D. Cleanse irritated skin with full-strength hydrogen peroxide. -
ANSWER- Usetracheostomy covers when outdoors.
-Tracheostomy covers protect the client airway from cold air, dust,
and otherairborne particles.
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 precautions shouldthe nurse initiate?
A. Protective environment
B. Airborne precautions
C. Droplet precautions
D. Contact precautions - ANSWER- Contact precautions
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 takewhen lifting this object?
• Bend at the waist.
, • Keep his feet close together.
• Use his back muscles for lifting.
• Stand close to the cabinet when lifting it. - ANSWER- Stand
close to thecabinet when lifting it.
A nurse on a medical-surgical unit is caring for a client who has a new
prescriptionfor wrist restraints. Which of the following action should the
nurse take?
• pad the client's wrist before applying the restraints
• evaluate the client's circulation every 8 hr after
applicationC. remove the restraints every 4 hr to
evaluate client's status
D. secure the restraint ties to the bed's side rails - ANSWER- Pad the
client's wristbefore applying the restraints.
A nurse is responding to a call light and finds a client lying on the
bathroom floor.Which of the following actions should the nurse take
first?
• Check the client for injuries.
• Move hazardous objects away from
the client.
• C. Notify the provider.
D. Ask the client to describe how she felt prior to the fall. - ANSWER-
A. Checkthe client for injuries.
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 thefollowing actions should the nurse
take?
• assist the client into a prone position
• place a sleeve over the top of each leg with the opening
at the knee
• c. Make sure two fingers can fit under the sleeves.
D. Set the ankle pressure at 65 mm Hg. - ANSWER- Make sure two
fingers can fitunder the sleeves.
