PHARM CMS 2024 NGN ACTUAL TEST COMPLETE 100 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES

{NGN} ATI RN VATI COMPREHENSIVE PREDICTOR 2
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023FORM A,B&C VATI RN COMPREHENSIVE PRED k k k k k




ICTOR 2024 k




1. A nurse is caring for a client who is taking alprazolam. Which of the followi
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ng prescriptions
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should the nurse clarify with the provider?
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A. Digoxin
B. Lorazepam
C. Atomoxetine
D. Ceftriaxon - ANSWER-B. Lorazepam k k k




2. A nurse is assessing a client who is postoperative following abdominal s
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urgery. The client k k




states "I feel like my incision ripped open" the nurse notes dehiscence of the
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incision. which
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of the following actions should the nurse take?
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A. Extend the client's legs above heart level k k k k k k




B. Place the client in low fowlers position.
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C. Instruct the client to perform the Valsalva maneuver
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D. Apply a dry gauze dressing to the incision. - ANSWER-
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B. Place the client in low fowlers position.
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3. A nurse is caring for a client who is receiving radiation therapy through
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a sealed implant.
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, {NGN} ATI RN VATI COMPREHENSIVE PREDICTOR 2 k k k k k k




023FORM A,B&C VATI RN COMPREHENSIVE PRED k k k k k




ICTOR 2024 k




Which of the following actions should the nurse take? - ANSWER-
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Wear a lead apron when providing care for the client.
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4. A nurse is inserting an IV catheter for a client who requires fluid replacemen
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t. Which of the
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following actions should the nurse take? k k k k k




A. Apply the tourniquet 15cm (6 in) above the insertion site
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B. Check for pulsation at sited proximal to the tourniquet
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C. Anchor the vein by stretching the skin 2.5 cm (1 in) proximal to the ins
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ertion site k




D. Wipe the skin dry before inserting the catheter - ANSWER-
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A. Apply the tourniquet 15cm (6 in) above the insertion site
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5. A nurse is administering medications to a client who has dysphagia and a
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new prescription
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for divalproex sodium extended-
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release tablets. Which of the following actions should the
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nurse take? - ANSWER-Administer the medication with applesauce
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6. A nurse is completing a dietary assessment for a client who is Jewish an
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d observes kosher
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dietary practices. Which of the following behaviors would the nurse expec
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t to fine?
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, {NGN} ATI RN VATI COMPREHENSIVE PREDICTOR 2 k k k k k k




023FORM A,B&C VATI RN COMPREHENSIVE PRED k k k k k




ICTOR 2024 k




A. Leavened bread maybe eaten during Passover. k k k k k




B. Shellfish is commonly consumed in the diet. k k k k k k




C. Meat and dairy products are eaten separately.
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D. Fasting from meat occurs during Hanukkah - ANSWER- k k k k k k k


C. Meat and dairy products are eaten separately.
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7. A nurse is assessing a client who has minor injuries following a m
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otor-vehicle crash and k k




appears agitated and apprehensive. The nurse identifies that the client is in
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the arm stage ofk k k




general adaptation syndrome and should expect which of the following findin
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gs. - ANSWER-Tachycardia
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8. A nurse is caring for a client who has a femur fracture and is on bedrest
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with Buck's extension k k




traction. which of the following actions should the nurse take? -
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kANSWER-A. Inspect the client's skin under the device every 8 hours k k k k k k k k k k




9. A charge nurse is creating assignments for the next shift for several nurs
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es and one of them is
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pregnant. Which of the following clients should the charge nurse assign to
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a nurse who is not
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pregnant?

, {NGN} ATI RN VATI COMPREHENSIVE PREDICTOR 2 k k k k k k




023FORM A,B&C VATI RN COMPREHENSIVE PRED k k k k k




ICTOR 2024 k




A. A 60-year-old client who is recovering from shingles
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B. A 20-year-old client who is HIV positive
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C. A 40-year-old client who is suspected of having tuberculosis
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D. An 80-year- k


old client who has alcoholic pancreatitis and is being treated for impeti
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go - ANSWER-A. A 60-year-
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old client who is recovering from shingles
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10. A nurse is caring for a client who has a partial laryngectomy and is recei
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ving continuous k




internal feeding at 65 ml/hr through a gastrostomy tube. which of the followin
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g findings
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requires immediate intervention by the nurse?
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A. The gastric residual volume is 250 mL following two hours of in
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fusion.
B. The client is lying in a supine position.
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C. The infusion pump for administering continuous feeding is turned off.
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D. Interior feeding bag and tubing are not dated - ANSWER-
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B. The client is lying in a supine position.
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1. A nurse is teaching a client about smoking cessation. Which of the followin
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g client
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statements should the nurse identify as an understanding of the teaching?
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A. If I stop abruptly I cannot use a nicotine replacement.
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