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RN COMPREHENSIVE ONLINE
PRACTICE 2019 B WITH NGN 2025
BRAND NEW ACTUAL EXAM WITH
ANSWERS.
A nurse has just received change-of-shift report on four clients.
Which of the following clients should the nurse assess first?
A client who is postoperative with abdominal distention and no
bowel sounds
A client who has diabetes mellitus and a blood glucose level of
105 mg/dL
A client who has heart failure and 2+ pitting edema
A client who is receiving maintenance IV fluids and needs a new
IV catheter - correct answer -A client who is postoperative with
abdominal distention and no bowel sounds
Using the acute vs. chronic approach to client care, the nurse
should first assess the client who is postoperative with abdominal
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distention and no bowel sounds because these manifestations are
indications of a paralytic ileus.
For each assessment finding, click to specify if the finding is
consistent with attention deficit hyperactivity disorder (ADHD) or
intellectual disability (ID). Each finding may support more than 1
disease process.
Assessment Findings
Intellectual impairment
Interrupting others
Impaired language skills
Hyperreactivity to sensory input
Losing necessary things
A nurse is caring for a school-age child.
Nurses' Notes
First visit:
A child is brought to the clinic accompanied by guardians. The
guardians have received feedback from the child's teacher that
the child has become disinterested in schoolwork and has
difficulty paying attention during class. The child often loses their
school supplies.
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The guardians report that the child demonstrates these behaviors
at home as well. The child refuses to participate in household
chores, keeps their room untidy, does not clean up when told to,
and is generally careless and disi - correct answer -ADHD
Hyperreactivity to sensory input
Losing necessary things
Interrupting others
Intellectual impairment
ID
Intellectual impairment
Hyperreactivity to sensory input
When analyzing cues, the nurse should identify that
manifestations of ADHD include losing necessary things,
interrupting others, intellectual impairment, and hyper reactivity to
sensory input.
In ADHD, the client often loses necessary things in daily life, such
as pencils, erasers, and books. The client often interrupts others
and has difficulty waiting for their turn in conversation.
The client might have an intellectual impairment, which can lead
to poor academic performance and difficulties with socialization.
The client might exhibit hyperreactivity or hyporeactivity to stimuli.
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A charge nurse is providing an educational session about
infection control for a group of staff nurses. Which of the following
statements by one of the staff nurses indicates an understanding
of isolation precautions?
"Droplet precautions should be initiated for a client who tests
positive for measles."
"A client who requires airborne precautions should be placed in a
negative-pressure airflow room."
"Airborne precautions should be initiated for a client who has
Clostridium difficile."
"A client who is immunocompromised should be placed in a
negative-pressure airflow room." - correct answer -A client who
requires airborne precautions should be placed in a negative-
pressure airflow room."
Airborne precautions require a negative-pressure airflow room
that has at least six to 12 air exchanges each hour using a HEPA
filtration system.
RN COMPREHENSIVE ONLINE
PRACTICE 2019 B WITH NGN 2025
BRAND NEW ACTUAL EXAM WITH
ANSWERS.
A nurse has just received change-of-shift report on four clients.
Which of the following clients should the nurse assess first?
A client who is postoperative with abdominal distention and no
bowel sounds
A client who has diabetes mellitus and a blood glucose level of
105 mg/dL
A client who has heart failure and 2+ pitting edema
A client who is receiving maintenance IV fluids and needs a new
IV catheter - correct answer -A client who is postoperative with
abdominal distention and no bowel sounds
Using the acute vs. chronic approach to client care, the nurse
should first assess the client who is postoperative with abdominal
, Page | 2
distention and no bowel sounds because these manifestations are
indications of a paralytic ileus.
For each assessment finding, click to specify if the finding is
consistent with attention deficit hyperactivity disorder (ADHD) or
intellectual disability (ID). Each finding may support more than 1
disease process.
Assessment Findings
Intellectual impairment
Interrupting others
Impaired language skills
Hyperreactivity to sensory input
Losing necessary things
A nurse is caring for a school-age child.
Nurses' Notes
First visit:
A child is brought to the clinic accompanied by guardians. The
guardians have received feedback from the child's teacher that
the child has become disinterested in schoolwork and has
difficulty paying attention during class. The child often loses their
school supplies.
, Page | 3
The guardians report that the child demonstrates these behaviors
at home as well. The child refuses to participate in household
chores, keeps their room untidy, does not clean up when told to,
and is generally careless and disi - correct answer -ADHD
Hyperreactivity to sensory input
Losing necessary things
Interrupting others
Intellectual impairment
ID
Intellectual impairment
Hyperreactivity to sensory input
When analyzing cues, the nurse should identify that
manifestations of ADHD include losing necessary things,
interrupting others, intellectual impairment, and hyper reactivity to
sensory input.
In ADHD, the client often loses necessary things in daily life, such
as pencils, erasers, and books. The client often interrupts others
and has difficulty waiting for their turn in conversation.
The client might have an intellectual impairment, which can lead
to poor academic performance and difficulties with socialization.
The client might exhibit hyperreactivity or hyporeactivity to stimuli.
, Page | 4
A charge nurse is providing an educational session about
infection control for a group of staff nurses. Which of the following
statements by one of the staff nurses indicates an understanding
of isolation precautions?
"Droplet precautions should be initiated for a client who tests
positive for measles."
"A client who requires airborne precautions should be placed in a
negative-pressure airflow room."
"Airborne precautions should be initiated for a client who has
Clostridium difficile."
"A client who is immunocompromised should be placed in a
negative-pressure airflow room." - correct answer -A client who
requires airborne precautions should be placed in a negative-
pressure airflow room."
Airborne precautions require a negative-pressure airflow room
that has at least six to 12 air exchanges each hour using a HEPA
filtration system.
