NGN RN QUESTION TRAINER TEST 4 / NEWEST 2024 RN
QUESTION TRAINER TEST 4 WITH RATIONALES
(VERIFIED SOLUTIONS) A NEW UPDATED VERSION |
ALREADY GRADED A+ (BRAND NEW!!)
Respiratory syncytial virus - ANSWER: Acute viral infection
What precautions should be in place for respiratory syncytial virus ? - ANSWER:
Requires contact precautions; assign to private room or with other RSV-infected
children
The nurse supervises care given to a group of clients on the unit. The nurse observes
a staff member entering a client's room wearing gown and gloves. The nurse knows
the staff member is caring for which client?
1. An 18-month-old with respiratory syncytial virus
2. A 4-year-old with Kawasaki disease
3. A 10-year-old with Lyme disease
4. A 16-year-old with infectious mononucleosis - ANSWER: 1. An 18-month-old with
respiratory syncytial virus - acute viral infection; requires contact precautions
All rest are standard precautions
Contact precautions - ANSWER: Requires gown and gloves
Droplet precautions - ANSWER: Requires a mask
Airborne precautions - ANSWER: Requires a mask (respirator/N-95 for TB/SARS) also
requires a private room
For any "protective environment" question, you would need ...? - ANSWER: Positive
pressure !
Airborne precautions mnemonic - ANSWER: MTV - Measles Tuberculosis Varicella
Autonomic dysreflexia - ANSWER: A syndrome in which there is a sudden onset of
excessively high blood pressure.
The nurse assesses the client diagnosed with a spinal cord injury. Which findings
suggests the complication of autonomic dysreflexia ?
1. Urinary bladder spasm pain
2. Severe pounding headache
3. Profuse sweating
4. Tachycardia
, 5. Severe hypotension
6. Nasal congestion - ANSWER: 2. Severe pounding headache
3. Profuse sweating
6. Nasal congestion
4. Tachycardia - no because pulse will slow
The adolescent is scheduled for a below-knee (BK) amputation following a
motorcycle accident. The nurse includes which information in the preop teaching
session? - ANSWER: Encourage the client to share feelings and fears about the
surgery
Amniocentesis - ANSWER: The sampling of amniotic fluid using a hollow needle
inserted into the uterus, to screen for developmental abnormalities in the fetus
The client at 16 weeks gestation has an amniocentesis. The client asks what will be
learned from this procedure. Which condition can be detected?
1. Tetralogy of fallot
2. Talipes equinovarus
3. Hemolytic disease of the newborn
4. Cleft lip and palate - ANSWER: 3. Hemolytic disease of the newborn
Maternal antibodies destroy fetal RBCs; bilirubin secreted because of hemolysis
The nurse notes that an adolescent female attending camp consumes 3 meals day,
averaging 900 cals and 3 mg of iron for each meal. The client menstruates monthly
and is of appropriate weight for height. Which statement best describes the
adolescent's intake? - ANSWER: High in calories and low in iron
The client is consuming 900 x 3 =2,700 kcals/day. Females 12-18 years old need 2000
kcal/day. The client is consuming 3 mg x 3 = 9 mg/day of iron. Females 12-13 years
old need 8 mg/day, and females 14-18 years old need 15 mg/day of iron
The client returns from surgery. There is a fine, reddened rash around the area
where providone iodine prep was applied prior to surgery. The nursing notation in
the client's record includes which observation?
1. Time and circumstances under which the rash was noted
3. Notation on an allergy list and notification of the health care provider - ANSWER:
3. Notation on an allergy list and notification of the health care provider
Suspected reaction to substances should be reported to the health care provider and
noted on list of possible allergies
Hemolytic reaction to a blood transfusion - ANSWER: Hypotension, Low back pain,
fever
QUESTION TRAINER TEST 4 WITH RATIONALES
(VERIFIED SOLUTIONS) A NEW UPDATED VERSION |
ALREADY GRADED A+ (BRAND NEW!!)
Respiratory syncytial virus - ANSWER: Acute viral infection
What precautions should be in place for respiratory syncytial virus ? - ANSWER:
Requires contact precautions; assign to private room or with other RSV-infected
children
The nurse supervises care given to a group of clients on the unit. The nurse observes
a staff member entering a client's room wearing gown and gloves. The nurse knows
the staff member is caring for which client?
1. An 18-month-old with respiratory syncytial virus
2. A 4-year-old with Kawasaki disease
3. A 10-year-old with Lyme disease
4. A 16-year-old with infectious mononucleosis - ANSWER: 1. An 18-month-old with
respiratory syncytial virus - acute viral infection; requires contact precautions
All rest are standard precautions
Contact precautions - ANSWER: Requires gown and gloves
Droplet precautions - ANSWER: Requires a mask
Airborne precautions - ANSWER: Requires a mask (respirator/N-95 for TB/SARS) also
requires a private room
For any "protective environment" question, you would need ...? - ANSWER: Positive
pressure !
Airborne precautions mnemonic - ANSWER: MTV - Measles Tuberculosis Varicella
Autonomic dysreflexia - ANSWER: A syndrome in which there is a sudden onset of
excessively high blood pressure.
The nurse assesses the client diagnosed with a spinal cord injury. Which findings
suggests the complication of autonomic dysreflexia ?
1. Urinary bladder spasm pain
2. Severe pounding headache
3. Profuse sweating
4. Tachycardia
, 5. Severe hypotension
6. Nasal congestion - ANSWER: 2. Severe pounding headache
3. Profuse sweating
6. Nasal congestion
4. Tachycardia - no because pulse will slow
The adolescent is scheduled for a below-knee (BK) amputation following a
motorcycle accident. The nurse includes which information in the preop teaching
session? - ANSWER: Encourage the client to share feelings and fears about the
surgery
Amniocentesis - ANSWER: The sampling of amniotic fluid using a hollow needle
inserted into the uterus, to screen for developmental abnormalities in the fetus
The client at 16 weeks gestation has an amniocentesis. The client asks what will be
learned from this procedure. Which condition can be detected?
1. Tetralogy of fallot
2. Talipes equinovarus
3. Hemolytic disease of the newborn
4. Cleft lip and palate - ANSWER: 3. Hemolytic disease of the newborn
Maternal antibodies destroy fetal RBCs; bilirubin secreted because of hemolysis
The nurse notes that an adolescent female attending camp consumes 3 meals day,
averaging 900 cals and 3 mg of iron for each meal. The client menstruates monthly
and is of appropriate weight for height. Which statement best describes the
adolescent's intake? - ANSWER: High in calories and low in iron
The client is consuming 900 x 3 =2,700 kcals/day. Females 12-18 years old need 2000
kcal/day. The client is consuming 3 mg x 3 = 9 mg/day of iron. Females 12-13 years
old need 8 mg/day, and females 14-18 years old need 15 mg/day of iron
The client returns from surgery. There is a fine, reddened rash around the area
where providone iodine prep was applied prior to surgery. The nursing notation in
the client's record includes which observation?
1. Time and circumstances under which the rash was noted
3. Notation on an allergy list and notification of the health care provider - ANSWER:
3. Notation on an allergy list and notification of the health care provider
Suspected reaction to substances should be reported to the health care provider and
noted on list of possible allergies
Hemolytic reaction to a blood transfusion - ANSWER: Hypotension, Low back pain,
fever
