RN MS EXAM 2019 NGN ACTUAL REAL
QUESTIONS AND CORRECT ANSWERS
WITH EXPLANATIONS GRADE A LATEST
UPDATE FOR 2024 EXAM.
A nurse is assessing a client who has had a plaster cast applied
to their left leg 2 hr ago. Which of the following actions should the
nurse take? - ANSWER >>>>Check that one finger fits between
the cast and the leg.
To make sure the cast is not too tight, the nurse should be able to
slide one finger under the cast. It is not uncommon for casts to
loosen as swelling subsides, but that should not be an issue 2 hr
after application.
A nurse is providing teaching to a client who has esophageal
cancer and is to undergo radiation therapy. Which of the following
statements should the nurse identify as an indication that the
client understands the teaching? - ANSWER >>>>"I will use my
hands rather than a washcloth to clean the radiation area."
The client should gently wash the radiation area with their hands
using warm water and mild soap to protect the skin from further
irritation.
A nurse is planning to provide discharge teaching for the family of
an older adult client who has hemianopsia and is at risk for falls.
Which of the following instructions should the nurse include? -
ANSWER >>>>Remind the client to scan their complete range of
vision during ambulation.
The nurse should instruct the family to remind a client who has
hemianopsia, or blindness in half of the visual field, to use visual
scanning to look over their complete range of vision during
,ambulation. This practice can accommodate for the loss of vision
and help to reduce the risk for falls.
A nurse has received change-of-shift report for a group of clients.
Which of the following clients should the nurse assess first? -
ANSWER >>>>A client who had a myocardial infarction (MI) 4
days ago and is asking for a PRN sublingual nitroglycerin tablet
A nurse is caring for a client who is postoperative following a total
hip arthroplasty. Which of the following laboratory values should
the nurse report to the provider? - ANSWER >>>>Hgb 8 g/dL
A nurse in a provider's office is assessing a client who has
migraine headaches and is taking feverfew to prevent headaches.
The nurse should identify that which of the following client
medications interacts with feverfew? - ANSWER >>>>Naproxen
An older adult client is brought to an emergency department by a
family member. Which of the following assessment findings
should cause the nurse to suspect that the client has hypertonic
dehydration? - ANSWER >>>>Urine specific gravity 1.045
A nurse is preparing to admit a client who has dysphagia. The
nurse should plan to place which of the following items at the
client's bedside? - ANSWER >>>>Suction machine
A nurse in a provider's office is assessing a client who has
hypertension and takes propranolol. Which of the following
findings should indicate to the nurse that the client is experiencing
an adverse reaction to this medication? - ANSWER >>>>Report
of a night cough
A nurse is caring for a client who has a new prescription for total
parenteral nutrition (TPN). The client is to receive 2,000 kcal per
day. The TPN solution has 500 kcal/L. The IV pump should be set
, at how many mL/hr? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing
zero.) - ANSWER >>>>167
X mL/hr = Volume (mL)/Time (hr)
X mL/hr =4000mL/24 hr
X mL/hr = 166.67
Round if necessary. 166.67 = 167 mL/hr
A nurse is caring for a client who is having a seizure. Which of the
following interventions is the nurse's priority? - ANSWER
>>>>Turn the client to the side.
A nurse is creating a plan of care for a client who has neutropenia
as a result of chemotherapy. Which of the following interventions
should the nurse include in the plan? - ANSWER >>>>Monitor the
client's temperature every 4 hr.
A nurse is planning care for a client who is undergoing
brachytherapy via a sealed vaginal implant to treat endometrial
cancer. Which of the following actions should the nurse include in
the client's plan of care? - ANSWER >>>>Wear a lead apron
while providing care to the client.
A nurse is preparing to administer a unit of packed RBCs to a
client. Which of the following actions should the nurse take? -
ANSWER >>>>Remain with the client for the first 15 min of the
infusion.
A nurse is preparing a client who has supraventricular tachycardia
for elective cardioversion. Which of the following prescribed
medications should the nurse instruct the client to withhold for 48
hr prior to cardioversion? - ANSWER >>>>Digoxin
A nurse is caring for a client who has anorexia, low-grade fever,
night sweats, and a productive cough. Which of the following
QUESTIONS AND CORRECT ANSWERS
WITH EXPLANATIONS GRADE A LATEST
UPDATE FOR 2024 EXAM.
A nurse is assessing a client who has had a plaster cast applied
to their left leg 2 hr ago. Which of the following actions should the
nurse take? - ANSWER >>>>Check that one finger fits between
the cast and the leg.
To make sure the cast is not too tight, the nurse should be able to
slide one finger under the cast. It is not uncommon for casts to
loosen as swelling subsides, but that should not be an issue 2 hr
after application.
A nurse is providing teaching to a client who has esophageal
cancer and is to undergo radiation therapy. Which of the following
statements should the nurse identify as an indication that the
client understands the teaching? - ANSWER >>>>"I will use my
hands rather than a washcloth to clean the radiation area."
The client should gently wash the radiation area with their hands
using warm water and mild soap to protect the skin from further
irritation.
A nurse is planning to provide discharge teaching for the family of
an older adult client who has hemianopsia and is at risk for falls.
Which of the following instructions should the nurse include? -
ANSWER >>>>Remind the client to scan their complete range of
vision during ambulation.
The nurse should instruct the family to remind a client who has
hemianopsia, or blindness in half of the visual field, to use visual
scanning to look over their complete range of vision during
,ambulation. This practice can accommodate for the loss of vision
and help to reduce the risk for falls.
A nurse has received change-of-shift report for a group of clients.
Which of the following clients should the nurse assess first? -
ANSWER >>>>A client who had a myocardial infarction (MI) 4
days ago and is asking for a PRN sublingual nitroglycerin tablet
A nurse is caring for a client who is postoperative following a total
hip arthroplasty. Which of the following laboratory values should
the nurse report to the provider? - ANSWER >>>>Hgb 8 g/dL
A nurse in a provider's office is assessing a client who has
migraine headaches and is taking feverfew to prevent headaches.
The nurse should identify that which of the following client
medications interacts with feverfew? - ANSWER >>>>Naproxen
An older adult client is brought to an emergency department by a
family member. Which of the following assessment findings
should cause the nurse to suspect that the client has hypertonic
dehydration? - ANSWER >>>>Urine specific gravity 1.045
A nurse is preparing to admit a client who has dysphagia. The
nurse should plan to place which of the following items at the
client's bedside? - ANSWER >>>>Suction machine
A nurse in a provider's office is assessing a client who has
hypertension and takes propranolol. Which of the following
findings should indicate to the nurse that the client is experiencing
an adverse reaction to this medication? - ANSWER >>>>Report
of a night cough
A nurse is caring for a client who has a new prescription for total
parenteral nutrition (TPN). The client is to receive 2,000 kcal per
day. The TPN solution has 500 kcal/L. The IV pump should be set
, at how many mL/hr? (Round the answer to the nearest whole
number. Use a leading zero if it applies. Do not use a trailing
zero.) - ANSWER >>>>167
X mL/hr = Volume (mL)/Time (hr)
X mL/hr =4000mL/24 hr
X mL/hr = 166.67
Round if necessary. 166.67 = 167 mL/hr
A nurse is caring for a client who is having a seizure. Which of the
following interventions is the nurse's priority? - ANSWER
>>>>Turn the client to the side.
A nurse is creating a plan of care for a client who has neutropenia
as a result of chemotherapy. Which of the following interventions
should the nurse include in the plan? - ANSWER >>>>Monitor the
client's temperature every 4 hr.
A nurse is planning care for a client who is undergoing
brachytherapy via a sealed vaginal implant to treat endometrial
cancer. Which of the following actions should the nurse include in
the client's plan of care? - ANSWER >>>>Wear a lead apron
while providing care to the client.
A nurse is preparing to administer a unit of packed RBCs to a
client. Which of the following actions should the nurse take? -
ANSWER >>>>Remain with the client for the first 15 min of the
infusion.
A nurse is preparing a client who has supraventricular tachycardia
for elective cardioversion. Which of the following prescribed
medications should the nurse instruct the client to withhold for 48
hr prior to cardioversion? - ANSWER >>>>Digoxin
A nurse is caring for a client who has anorexia, low-grade fever,
night sweats, and a productive cough. Which of the following
