PN COMPREHENSIVE WITH NGN NEWEST ACTUAL EXAM
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
A charge nurse in a long-term care facility is reinforcing teaching with a group of
nurses about fall precautions. Which of the following statements made by the nurse
indicates an understanding of the teaching? - ANSWER: "I will instruct the client to
sit when putting on a pair of pants"
A charge nurse in a long-term care facility observes an assistive personnel (AP) who
appears to be under the influence of alcohol. Which of the following actions should
the nurse take first? - ANSWER: Confront the AP about suspected impairment
A charge nurse is observing a newly licensed nurse perform suctioning for a client
who has a tracheostomy. For which of the following actions by the newly licensed
nurse should the charge nurse intervene? - ANSWER: Suction for 30 seconds
A charge nurse is reinforcing teaching with a newly licensed nurse about floating to a
different unit. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching? - ANSWER: "I will document in the
medical record the support nurse who assists with planning care for my clients"
A charge nurse on a mental health unit is supervising a newly licensed nurse. For
which of the following actions by the newly licensed nurse should the supervising
nurse intervene? - ANSWER: Tells a client he will lose his phone privileges if he does
not take his medication
A charge nurse working in a long-term care facility overhears two AP's in the nurses'
stations discussing a client who was just admitted. Which of the following actions
should the charge nurse take? - ANSWER: Tell the APs to stop the conversation
A client comes to the clinic with reports to nasal congestion. Which of the following
medications should the nurse anticipate that the primary care provider will
prescribe? - ANSWER: Pseudoephedrine (Sufaded)
A client has a large, deep ulcer on her right hip. The primary care provider has
prescribed a woman vacuum to be applied. Which of the following is an appropriate
nursing action? - ANSWER: Maintain hydrophillic material deep into the ulcer
A client is prescribed 2g of ampicillin. The pharmacy dispenses this medication in 500
mg tablets. Which of the following should the nurse give the client? - ANSWER: 4
tablets
A client is requesting information from a nurse regarding the appointment of a
health care proxy. Which of the following responses by the nurse is appropriate? -
,ANSWER: The person you appoint will make health care decision for you if you
cannot do so yourself
A client who has asthma and is started on montelukast (Singular) returns to the clinic
1 month later. Which of the ff. indicates that the client is complying with this
medication regimen? - ANSWER: The client takes the medication once daily at
bedtime
A Client with emphysema asks the nurse why he has difficulty exhaling. Which of the
following statements by the nurse is appropriate? - ANSWER: "Your windpipe is
inflamed and constricted"
A client's daughter calls the nurse requesting information about her mother's
condition. The client's chart does not specify that information can be released to the
daughter. Which of the following is an appropriate response by the nurse? -
ANSWER: "You will need to contact your mother directly about her condition"
A nurse caring for the mother of a newborn finds the client crying in her room. The
client tells th nurse, "I don't think I can handle caring for a baby." Which of the
following nursing interventions is appropriate? - ANSWER: Encourage the client to
share her feelings
A nurse discovers a fire in the trash can of a client's room. Which of the following
actions should the nurse take first? - ANSWER: Escort the client to a secure area
A nurse enters client's room and sees smoke coming from a wastebasket next to the
bed. Which of the following actions should the nurse first? - ANSWER: Assist the
client to a nearby waiting room
A nurse has administered cephalexin (Keflex) to a client. Which of the following is
the earliest indicator of an anaphylatic reaction? - ANSWER: Wheezes.
Hypotension.
A nurse in a clinic is caring for a client who is at 40 weeks of gestation and
experiences a sudden gush of vaginal fluids. Which of the following findings is
evidence of an obstetric complication? - ANSWER: Appears greenish-brown in color
A nurse in a clinic is obtaining a health history from a client scheduled to un- dergo a
cardiac catheterization in 2 days. Which of the ff. questions is the most im- portant
for the nurse to ask? - ANSWER: "Do you know if you're allergic to iodine?"
A nurse in a long-term care facility has received a change-of-shift report on four
clients. Which of the following clients should the nurse attend to first? - ANSWER: A
client who has COPD and dementia and was agitated during the night shift
, A nurse in a long-term care facility is assisting with the admission of a client who
requires oropharyngeal suction. Which of the ff. supplies does the nurse need to
perform this task? - ANSWER: Yankauer catheter
A nurse in a long-term care facility is auscultating the lung sounds of a client who
reports shortness of breath and increase fatigue. Listen to the audio clip. Which of
the following lung sounds should the nurse report to the provider? - ANSWER: Fine
crackles
A nurse in a long-term care facility is caring for a client who has spinal cord injury.
The client is demonstrating manifestations of autonomic dysreflexia. Which of the
following actions should the nurse take first? - ANSWER: Check the client for bladder
distention.
Loosen the client's clothing.
A nurse in a long-term care facility is caring for a client who uses a continuous
positive airway pressure (CPAP) machine at night for sleep apnea. The client reports
daytime sleepiness. Which of the following actions should the nurse take first? -
ANSWER: Check for proper fit of the mask on the CPAP machine.
Provide activities during the day to stimulate the client.
A nurse in a provider's office is collecting data from a client who has psoriasis. Which
of the following statements made by the client should she report to the provider? -
ANSWER: "I try not to look at the scales on my body"
A nurse in a provider's office is reinforcing teaching with a client who has a new
prescription for ferrous sulfate elixir. Which of the ff. statements by the client
demonstrates understanding of the teaching? - ANSWER: "I will rinse my mouth after
taking this medication"
A nurse in a provider's office is reinforcing teaching with the parents of a school-age
child who has an active case of pediculosis capitis. Which of the following should be
included in the teaching? - ANSWER: Wash the bed linens in hot water.
Clean the child's toys with 1:10 bleach solution.
A nurse in an acute care setting is preparing to administer medications to a client.
Which of the following actions should the nurse verify the client's identity? -
ANSWER: Verify the client's identity using a photograph
A nurse in an acute mental health facility is caring for a newly admitted client. Which
of the following should occur during the orientation phase of the nurse-client
relationship? - ANSWER: Defining responsibilities
A nurse in an urgent-care facility is collecting data from a client who is scheduled for
a procedure. Which of the ff. clinical manifestations indicates a possi- ble latex
allergy? - ANSWER: Rhinorrhea
COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS
A charge nurse in a long-term care facility is reinforcing teaching with a group of
nurses about fall precautions. Which of the following statements made by the nurse
indicates an understanding of the teaching? - ANSWER: "I will instruct the client to
sit when putting on a pair of pants"
A charge nurse in a long-term care facility observes an assistive personnel (AP) who
appears to be under the influence of alcohol. Which of the following actions should
the nurse take first? - ANSWER: Confront the AP about suspected impairment
A charge nurse is observing a newly licensed nurse perform suctioning for a client
who has a tracheostomy. For which of the following actions by the newly licensed
nurse should the charge nurse intervene? - ANSWER: Suction for 30 seconds
A charge nurse is reinforcing teaching with a newly licensed nurse about floating to a
different unit. Which of the following statements by the newly licensed nurse
indicates an understanding of the teaching? - ANSWER: "I will document in the
medical record the support nurse who assists with planning care for my clients"
A charge nurse on a mental health unit is supervising a newly licensed nurse. For
which of the following actions by the newly licensed nurse should the supervising
nurse intervene? - ANSWER: Tells a client he will lose his phone privileges if he does
not take his medication
A charge nurse working in a long-term care facility overhears two AP's in the nurses'
stations discussing a client who was just admitted. Which of the following actions
should the charge nurse take? - ANSWER: Tell the APs to stop the conversation
A client comes to the clinic with reports to nasal congestion. Which of the following
medications should the nurse anticipate that the primary care provider will
prescribe? - ANSWER: Pseudoephedrine (Sufaded)
A client has a large, deep ulcer on her right hip. The primary care provider has
prescribed a woman vacuum to be applied. Which of the following is an appropriate
nursing action? - ANSWER: Maintain hydrophillic material deep into the ulcer
A client is prescribed 2g of ampicillin. The pharmacy dispenses this medication in 500
mg tablets. Which of the following should the nurse give the client? - ANSWER: 4
tablets
A client is requesting information from a nurse regarding the appointment of a
health care proxy. Which of the following responses by the nurse is appropriate? -
,ANSWER: The person you appoint will make health care decision for you if you
cannot do so yourself
A client who has asthma and is started on montelukast (Singular) returns to the clinic
1 month later. Which of the ff. indicates that the client is complying with this
medication regimen? - ANSWER: The client takes the medication once daily at
bedtime
A Client with emphysema asks the nurse why he has difficulty exhaling. Which of the
following statements by the nurse is appropriate? - ANSWER: "Your windpipe is
inflamed and constricted"
A client's daughter calls the nurse requesting information about her mother's
condition. The client's chart does not specify that information can be released to the
daughter. Which of the following is an appropriate response by the nurse? -
ANSWER: "You will need to contact your mother directly about her condition"
A nurse caring for the mother of a newborn finds the client crying in her room. The
client tells th nurse, "I don't think I can handle caring for a baby." Which of the
following nursing interventions is appropriate? - ANSWER: Encourage the client to
share her feelings
A nurse discovers a fire in the trash can of a client's room. Which of the following
actions should the nurse take first? - ANSWER: Escort the client to a secure area
A nurse enters client's room and sees smoke coming from a wastebasket next to the
bed. Which of the following actions should the nurse first? - ANSWER: Assist the
client to a nearby waiting room
A nurse has administered cephalexin (Keflex) to a client. Which of the following is
the earliest indicator of an anaphylatic reaction? - ANSWER: Wheezes.
Hypotension.
A nurse in a clinic is caring for a client who is at 40 weeks of gestation and
experiences a sudden gush of vaginal fluids. Which of the following findings is
evidence of an obstetric complication? - ANSWER: Appears greenish-brown in color
A nurse in a clinic is obtaining a health history from a client scheduled to un- dergo a
cardiac catheterization in 2 days. Which of the ff. questions is the most im- portant
for the nurse to ask? - ANSWER: "Do you know if you're allergic to iodine?"
A nurse in a long-term care facility has received a change-of-shift report on four
clients. Which of the following clients should the nurse attend to first? - ANSWER: A
client who has COPD and dementia and was agitated during the night shift
, A nurse in a long-term care facility is assisting with the admission of a client who
requires oropharyngeal suction. Which of the ff. supplies does the nurse need to
perform this task? - ANSWER: Yankauer catheter
A nurse in a long-term care facility is auscultating the lung sounds of a client who
reports shortness of breath and increase fatigue. Listen to the audio clip. Which of
the following lung sounds should the nurse report to the provider? - ANSWER: Fine
crackles
A nurse in a long-term care facility is caring for a client who has spinal cord injury.
The client is demonstrating manifestations of autonomic dysreflexia. Which of the
following actions should the nurse take first? - ANSWER: Check the client for bladder
distention.
Loosen the client's clothing.
A nurse in a long-term care facility is caring for a client who uses a continuous
positive airway pressure (CPAP) machine at night for sleep apnea. The client reports
daytime sleepiness. Which of the following actions should the nurse take first? -
ANSWER: Check for proper fit of the mask on the CPAP machine.
Provide activities during the day to stimulate the client.
A nurse in a provider's office is collecting data from a client who has psoriasis. Which
of the following statements made by the client should she report to the provider? -
ANSWER: "I try not to look at the scales on my body"
A nurse in a provider's office is reinforcing teaching with a client who has a new
prescription for ferrous sulfate elixir. Which of the ff. statements by the client
demonstrates understanding of the teaching? - ANSWER: "I will rinse my mouth after
taking this medication"
A nurse in a provider's office is reinforcing teaching with the parents of a school-age
child who has an active case of pediculosis capitis. Which of the following should be
included in the teaching? - ANSWER: Wash the bed linens in hot water.
Clean the child's toys with 1:10 bleach solution.
A nurse in an acute care setting is preparing to administer medications to a client.
Which of the following actions should the nurse verify the client's identity? -
ANSWER: Verify the client's identity using a photograph
A nurse in an acute mental health facility is caring for a newly admitted client. Which
of the following should occur during the orientation phase of the nurse-client
relationship? - ANSWER: Defining responsibilities
A nurse in an urgent-care facility is collecting data from a client who is scheduled for
a procedure. Which of the ff. clinical manifestations indicates a possi- ble latex
allergy? - ANSWER: Rhinorrhea
