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!!)
the nurse cares for clients on the medical surgical unit. the nurse identifies which
client is most at risk for developing herpes zoster? - ANSWER: the 62 year old heart
transplant with suspected rejection. rationale - immunocompromised due to
immune suppression therapy. clients with compromised immune system is at risk for
reactivation of the varicella zoster virus.
the nurse supervises the staff providing care for the 18 month old hospitalized with
hepatitis A. the nurse determines the staffs care is appropriate if which action is
observed? - ANSWER: the child is placed in a private room. rationale - contact
precautions required for diapered or incontinent clients.
diet for hepatitis A - ANSWER: high in carbohydrates, high in protein, low in fat.
the client is diagnosed with rheumatoid arthritis. which nursing intervention is most
important? - ANSWER: assist the client with heat application and range of motion
exercises. rationale - range of motion exercises are key for the client with
rheumatoid arthritis, as they reduce swelling, increase circulation, diminish stiffness
and preserve joint mobility.
the older client is seen in the outpatient clinic for treatment of an acute attack of
gout. which nursing intervention is most beneficial in decreasing the clients pain
during ambulation? - ANSWER: encourage partial weight bearing while ambulating.
rationale - would relieve weight, pressure, and stress on affected leg, may use
walker.
the client receives parental nutrition (PN). to determine the clients tolerance of this
treatment, the nurse assess which physiological sign? - ANSWER: urine output of at
least 30 mL per hour. rationale - the nurse know if the client is being properly
hydrated with hypertonic IV such as PN. urine output needs to be atleast 30 mL per
hour, other nursing actions include assessment of blood glucose levels.
increase of pulse rate on parental nutrition indicates what? - ANSWER: fluid overload
a nurse knows a client on parental nutrition with a decrease in the diastolic blood
pressure might indicate what? - ANSWER: shock or lack of blood volume
the nurse knows the administration of parental nutrition should not affect what vital
sign of the client? - ANSWER: temperature
, the nurse cares for the post cholecystectomy client who has the T tube removed this
morning. two hours after removal of the T tube, the 4 x 4 dressing covering the stab
site is saturated with dark, greenish - yellow drainage. it is most appropriate for the
nurse to take which action? - ANSWER: remove the dressing and replace it with a
more absorbent dressing. rationale - it is expected that a stab wound, type of
incision, will continue to drain until the wound seals. the nurse should keep wound
clean and dry changing the dressing as needed.
an older client is admitted to the hospital for treatment of a fractured femur. the
clients spouse tells the nurse the client has become very hard of hearing. which
characteristic does the nurse expect the client to exhibit? - ANSWER: the client has
increased volume of speech. rationale - people who have difficulty hearing often
speak louder. this may be due to the persons not hearing themselves well and so
speak louder.
the client receives procainamide slowly by intravenous push. which observation
causes the nurse to withhold the next dose? - ANSWER: occurrence of severe
hypotension. rationale - severe hypotension and bradycardia are signs of adverse
reaction to this medication.
procainamide - ANSWER: medication of the antiarrhythmic class used for treatment
of cardiac arrhythmias. sodium channel blocker. given to treat premature ventricular
contractions or atrial tachycardia.
the nurse provides care for an adult client prescribed regular insulin before
breakfast. the nurse notes the client is nauseated with blood glucose level of 74.
which action does the nurse take? - ANSWER: administers the insulin on time.
the nurse notes the child is able to sit unsupported, play peek a boo with the nurse,
and is starting to say mama and dada. the nurse determines the infants behaviors
are consistent with which age? - ANSWER: 9 months of age. rationale - a child can
pull self up and assume a sitting position at 8 months. saying mama and dada begins
at about 9 months and they begin comprehending what words mean about that age
as well.
by what month of age would a child be able to say three to five words in addition to
dada and mama - ANSWER: 12 months of age
most children do not sit unsupported until about what month of age? playing peek a
boo may start as early as what month of age? - ANSWER: 8 months of age; 6 months
of age
the nurse cares for clients on a medical surgical unit. the nurse determines several
situations need to be addressed. in which order does the nurse address the
situations? - ANSWER: the clients spouse reports the clients nose is bleeding. the
angry adult child is threatening to sue the hospital because the confused parent fell
QUESTION TRAINER TEST 4 WITH RATIONALES
(VERIFIED SOLUTIONS) A NEW UPDATED VERSION |
ALREADY GRADED A+ (BRAND NEW!!)
the nurse cares for clients on the medical surgical unit. the nurse identifies which
client is most at risk for developing herpes zoster? - ANSWER: the 62 year old heart
transplant with suspected rejection. rationale - immunocompromised due to
immune suppression therapy. clients with compromised immune system is at risk for
reactivation of the varicella zoster virus.
the nurse supervises the staff providing care for the 18 month old hospitalized with
hepatitis A. the nurse determines the staffs care is appropriate if which action is
observed? - ANSWER: the child is placed in a private room. rationale - contact
precautions required for diapered or incontinent clients.
diet for hepatitis A - ANSWER: high in carbohydrates, high in protein, low in fat.
the client is diagnosed with rheumatoid arthritis. which nursing intervention is most
important? - ANSWER: assist the client with heat application and range of motion
exercises. rationale - range of motion exercises are key for the client with
rheumatoid arthritis, as they reduce swelling, increase circulation, diminish stiffness
and preserve joint mobility.
the older client is seen in the outpatient clinic for treatment of an acute attack of
gout. which nursing intervention is most beneficial in decreasing the clients pain
during ambulation? - ANSWER: encourage partial weight bearing while ambulating.
rationale - would relieve weight, pressure, and stress on affected leg, may use
walker.
the client receives parental nutrition (PN). to determine the clients tolerance of this
treatment, the nurse assess which physiological sign? - ANSWER: urine output of at
least 30 mL per hour. rationale - the nurse know if the client is being properly
hydrated with hypertonic IV such as PN. urine output needs to be atleast 30 mL per
hour, other nursing actions include assessment of blood glucose levels.
increase of pulse rate on parental nutrition indicates what? - ANSWER: fluid overload
a nurse knows a client on parental nutrition with a decrease in the diastolic blood
pressure might indicate what? - ANSWER: shock or lack of blood volume
the nurse knows the administration of parental nutrition should not affect what vital
sign of the client? - ANSWER: temperature
, the nurse cares for the post cholecystectomy client who has the T tube removed this
morning. two hours after removal of the T tube, the 4 x 4 dressing covering the stab
site is saturated with dark, greenish - yellow drainage. it is most appropriate for the
nurse to take which action? - ANSWER: remove the dressing and replace it with a
more absorbent dressing. rationale - it is expected that a stab wound, type of
incision, will continue to drain until the wound seals. the nurse should keep wound
clean and dry changing the dressing as needed.
an older client is admitted to the hospital for treatment of a fractured femur. the
clients spouse tells the nurse the client has become very hard of hearing. which
characteristic does the nurse expect the client to exhibit? - ANSWER: the client has
increased volume of speech. rationale - people who have difficulty hearing often
speak louder. this may be due to the persons not hearing themselves well and so
speak louder.
the client receives procainamide slowly by intravenous push. which observation
causes the nurse to withhold the next dose? - ANSWER: occurrence of severe
hypotension. rationale - severe hypotension and bradycardia are signs of adverse
reaction to this medication.
procainamide - ANSWER: medication of the antiarrhythmic class used for treatment
of cardiac arrhythmias. sodium channel blocker. given to treat premature ventricular
contractions or atrial tachycardia.
the nurse provides care for an adult client prescribed regular insulin before
breakfast. the nurse notes the client is nauseated with blood glucose level of 74.
which action does the nurse take? - ANSWER: administers the insulin on time.
the nurse notes the child is able to sit unsupported, play peek a boo with the nurse,
and is starting to say mama and dada. the nurse determines the infants behaviors
are consistent with which age? - ANSWER: 9 months of age. rationale - a child can
pull self up and assume a sitting position at 8 months. saying mama and dada begins
at about 9 months and they begin comprehending what words mean about that age
as well.
by what month of age would a child be able to say three to five words in addition to
dada and mama - ANSWER: 12 months of age
most children do not sit unsupported until about what month of age? playing peek a
boo may start as early as what month of age? - ANSWER: 8 months of age; 6 months
of age
the nurse cares for clients on a medical surgical unit. the nurse determines several
situations need to be addressed. in which order does the nurse address the
situations? - ANSWER: the clients spouse reports the clients nose is bleeding. the
angry adult child is threatening to sue the hospital because the confused parent fell
