NGN ATI RN OB COMPREHENSIVE EXAM LATEST
2024 WITH CORRECT ANS GRADED A+ PASS
American women who are at risk for developing breast cancer. Which resource is most
important in designing this program?
• A listing of African-American women so live in the community
• Participation of community leaders in planning the program
• Morbidity data for breast cancer in women of all races
• Technical assistance to produce a video on breast self-examination.
• Rationale: Whendevelopingaculturally-competenthealthpromotionproject, the
participation of stakeholders and community leaders is most important. A and B might
be useful background information, but t=first the program should be developed. D may
beusefulfulfilling theplan developed by thehealth care team and thecommunity
leaders if funding for this assistance is included in the budget.
3. The home care nurse provide self-care instruction for a client chronic venous
insufficiency cause by deep vein thrombosis. Which instructions should the nurse include in the
client’s discharge teaching plan? Select all that apply
• Avoid prolonged standing or sitting
• Use recliner for long period of sitting
• continue wearing elasticstocking
• Maintain the bed flat while sleeping
• Cross legs at knee but not at ankle
4. The nurse is interviewing a client with schizophrenia. Which client behavior
requires immediate intervention?
• Lip smacking and frequent eye blinking
• Shuffling gait and stooped posture
• Rocks back and forth in the chair
• Muscle spasms of the back and neck
• Rationale:Anextrapyramidalsymptom(EPS)characterizedbyabnormalmusclespasms
of the neck (A) requires immediate intervention because it can cause difficulty
swallowingandjeopardizetheairway. Though(A,BandC)arealso EPScausedby
,antipsychoticmedicationmedicationsused to manageschizophrenia (D)has thehighest
priority to insure client safety is (A)
,5. A maleclientwas transferred yesterday fromtheemergency department to the
telemetryunitbecausehehad STdepressionandresolved chestpain. Whenhis EKGmonitor
alarms for ventricular tachycardia (VT), what action should the nurse take first?
• Determine the client’s responsiveness and respirations
• Bring the crash cart to the room to defibrillate the client.
• Immediately initiate chestcompressions.
• Notify the emergency response team
• Rationale:Activities, suchas brushingteeth, canmimic thewaveformofVI,sofirsthe
client should be assessed (A) to determine if the alarm is accurate. The crash cart can be
broughttotheroombysomeoneelseanddefibrillation(B)deliveredasindicatedbythe
client’s rhythm. Based on as assessment of the client, CPR© as summoning the
emergency response team (D) may be indicated.
6. A client with a large pleural effusion undergoes a thoracentesis. Following the
procedure, which assessment finding warrants immediate intervention by the nurse?
• The client has asymmetrical chest wall expansion
• The clients complain of pain at the insertion site
• The client chest’s x-ray indicates decreased pleural effusion
• Theclient’s arterial blood gases are pH 7.35, PaO2 85, Pa CO2 35, HCO3 26
• Rationale: A potential complication of thoracentesis is a pneumothorax. The symptoms
of apneumothorax are uneven, unequal movementof thechest wall. A is an expected
findingafterthelocalanestheticeffects“wearoff”Bisa desiredresultofthoracentesis
and C is within normal limits.
7. Aclient is receiving an IV solution labeled Heparin Sodium 20,000 Units in 5% dextrose
injection 500 ml at 25 ml/hour. Howmany unitsofheparin istheclientreceivingeachhour?
• 1000 units/hour
• Rationale:20000/500=40x25=1000
8. The nurse is preparing a client for discharge from the hospital following a liver transplant.
Which instruction ismost importantforthe nurse toinclude in thisclient’s dischargeteaching
plan?
• Monitor for an elevated temperature
, • Measure the abdominal girth daily
• Report the onset of sclera jaundice
• Keep a record of daily urinary output
• Rationale: The client should be instructed to monitor or elevated temperature because
immunosuppressant agents, which are prescribed to reduce rejection after
transplantation,placetheclientatriskforinfection.Theclientshouldrecognizesignof
liver rejection, such as sclera jaundiceand increasing abdominalgirths, but fever may be
theonly sign of infection. A is not as importantand monitoring for signs of infection.
9. The nurse is conducting health assessments. Which assessment finding increases a 56-year-
old woman’s risk for developing osteoporosis?
• Body mass index of (BMI) of 31
• 20 pack-year history of cigarette smoking
• Birth control pill usage until age 45
• Diabetes mellitus in family history
• Rationale: Cigarettesmoking (2packs/day x310years= 20packs-year)increasestherisk
ofosteoporosis. BMI of 30 orgreater falls in thecategory ofobesity which increase
weightbearing that is protective againstosteoporosis. Ccontain estrogens, and are also
protectiveagainstdevelopmentofosteoporosis.Disnotrelatedtothedevelopmentof
osteoporosis.
10. Ayoungcouplewhohasbeenunsuccessful in conceiving achildforoverayear isseen in
thefamilyplanningclinic. Duringaninitialvisit,whichintervention ismostimportantforthe
nurse to implement?
• Determine current sexual practice
• Prepare a female client for an ultrasound
• Request an spermsamplefor ovulation
• Evaluate hormone levels on both client
• Rationale: First a history should be obtained including practices that might be related to
theinfertility, such as douching, daily ejaculationor the male partner’s exposureto
heat, such as frequent sauna or work environment which can decrease sperm
production(AB or C) may beindicated after acomplete assessment is obtained.
11. Thenurseadministers an oralantiviral to aclientwith shingles. Which finding is most
2024 WITH CORRECT ANS GRADED A+ PASS
American women who are at risk for developing breast cancer. Which resource is most
important in designing this program?
• A listing of African-American women so live in the community
• Participation of community leaders in planning the program
• Morbidity data for breast cancer in women of all races
• Technical assistance to produce a video on breast self-examination.
• Rationale: Whendevelopingaculturally-competenthealthpromotionproject, the
participation of stakeholders and community leaders is most important. A and B might
be useful background information, but t=first the program should be developed. D may
beusefulfulfilling theplan developed by thehealth care team and thecommunity
leaders if funding for this assistance is included in the budget.
3. The home care nurse provide self-care instruction for a client chronic venous
insufficiency cause by deep vein thrombosis. Which instructions should the nurse include in the
client’s discharge teaching plan? Select all that apply
• Avoid prolonged standing or sitting
• Use recliner for long period of sitting
• continue wearing elasticstocking
• Maintain the bed flat while sleeping
• Cross legs at knee but not at ankle
4. The nurse is interviewing a client with schizophrenia. Which client behavior
requires immediate intervention?
• Lip smacking and frequent eye blinking
• Shuffling gait and stooped posture
• Rocks back and forth in the chair
• Muscle spasms of the back and neck
• Rationale:Anextrapyramidalsymptom(EPS)characterizedbyabnormalmusclespasms
of the neck (A) requires immediate intervention because it can cause difficulty
swallowingandjeopardizetheairway. Though(A,BandC)arealso EPScausedby
,antipsychoticmedicationmedicationsused to manageschizophrenia (D)has thehighest
priority to insure client safety is (A)
,5. A maleclientwas transferred yesterday fromtheemergency department to the
telemetryunitbecausehehad STdepressionandresolved chestpain. Whenhis EKGmonitor
alarms for ventricular tachycardia (VT), what action should the nurse take first?
• Determine the client’s responsiveness and respirations
• Bring the crash cart to the room to defibrillate the client.
• Immediately initiate chestcompressions.
• Notify the emergency response team
• Rationale:Activities, suchas brushingteeth, canmimic thewaveformofVI,sofirsthe
client should be assessed (A) to determine if the alarm is accurate. The crash cart can be
broughttotheroombysomeoneelseanddefibrillation(B)deliveredasindicatedbythe
client’s rhythm. Based on as assessment of the client, CPR© as summoning the
emergency response team (D) may be indicated.
6. A client with a large pleural effusion undergoes a thoracentesis. Following the
procedure, which assessment finding warrants immediate intervention by the nurse?
• The client has asymmetrical chest wall expansion
• The clients complain of pain at the insertion site
• The client chest’s x-ray indicates decreased pleural effusion
• Theclient’s arterial blood gases are pH 7.35, PaO2 85, Pa CO2 35, HCO3 26
• Rationale: A potential complication of thoracentesis is a pneumothorax. The symptoms
of apneumothorax are uneven, unequal movementof thechest wall. A is an expected
findingafterthelocalanestheticeffects“wearoff”Bisa desiredresultofthoracentesis
and C is within normal limits.
7. Aclient is receiving an IV solution labeled Heparin Sodium 20,000 Units in 5% dextrose
injection 500 ml at 25 ml/hour. Howmany unitsofheparin istheclientreceivingeachhour?
• 1000 units/hour
• Rationale:20000/500=40x25=1000
8. The nurse is preparing a client for discharge from the hospital following a liver transplant.
Which instruction ismost importantforthe nurse toinclude in thisclient’s dischargeteaching
plan?
• Monitor for an elevated temperature
, • Measure the abdominal girth daily
• Report the onset of sclera jaundice
• Keep a record of daily urinary output
• Rationale: The client should be instructed to monitor or elevated temperature because
immunosuppressant agents, which are prescribed to reduce rejection after
transplantation,placetheclientatriskforinfection.Theclientshouldrecognizesignof
liver rejection, such as sclera jaundiceand increasing abdominalgirths, but fever may be
theonly sign of infection. A is not as importantand monitoring for signs of infection.
9. The nurse is conducting health assessments. Which assessment finding increases a 56-year-
old woman’s risk for developing osteoporosis?
• Body mass index of (BMI) of 31
• 20 pack-year history of cigarette smoking
• Birth control pill usage until age 45
• Diabetes mellitus in family history
• Rationale: Cigarettesmoking (2packs/day x310years= 20packs-year)increasestherisk
ofosteoporosis. BMI of 30 orgreater falls in thecategory ofobesity which increase
weightbearing that is protective againstosteoporosis. Ccontain estrogens, and are also
protectiveagainstdevelopmentofosteoporosis.Disnotrelatedtothedevelopmentof
osteoporosis.
10. Ayoungcouplewhohasbeenunsuccessful in conceiving achildforoverayear isseen in
thefamilyplanningclinic. Duringaninitialvisit,whichintervention ismostimportantforthe
nurse to implement?
• Determine current sexual practice
• Prepare a female client for an ultrasound
• Request an spermsamplefor ovulation
• Evaluate hormone levels on both client
• Rationale: First a history should be obtained including practices that might be related to
theinfertility, such as douching, daily ejaculationor the male partner’s exposureto
heat, such as frequent sauna or work environment which can decrease sperm
production(AB or C) may beindicated after acomplete assessment is obtained.
11. Thenurseadministers an oralantiviral to aclientwith shingles. Which finding is most
