2025 LATEST UPDATE WITH NGN COMPILATION-3
VERSIONS (A,B,C)
A charged nurse is monitoring a newly licensed nurse who was caring for a client
who was receiving total parenteral nutrition (TPN). Which of the following
assessments by the newly licensed nurse indicate an understanding of the
procedure? - ANS-"I will hang a new bag of TPN and IV tubing every 24 hrs"
A nurse is caring for a client who is in active labor and notes the FHR baseline has
been 100 b/m for the past 15 minutes. The nurse should identify which of the
following conditions as a possible cause of fetal bradycardia? - ANS-Maternal
Hypoglycemia
A nurse is assessing a client who has histrionic personality disorder. Which of the
following manifestations should the nurse expect? - ANS-Self-centered behaviors
A nurse in an emergency department is caring for a three-year old child who
has suspected epiglottitis. Which of the following actions should the nurse
take? - ANS-Prepare to assist in intubation
In nurses teaching a client who is trying to conceive. Which of the following
should the nurse instruct the client to increase in her diet to prevent a neural
tube defect? - ANS-Folate
A nurse is assessing a client who is postoperative and has a history of pulmonary
embolism. Which of the following findings is a priority for the nurse to report to
the provider? - ANS-Dyspnea
A nurse is performing a neurological examination on the client as a part of a
complete physical assessment. The nurse should identify the cranial nerve XI is
intact when the client performs which of the following actions? - ANS-Shrugs his
shoulders
,A nurse is preparing to admit a six year old with varicella to the pediatric unit.
Which of the following actions should the nurse take? - ANS-Assign the child to a
negative air pressure room
A charge nurse is teaching a newly licensed nurse about medication administration,
which of the following information should the nurse include? - ANS-Inform client
about the action of each medication prior to administering
A nurse is planning care for a group of clients and is working with one licensed
practical nurse (LPN) and one assistive personnel (AP). Which of the following
actions should the nurse take first to manage her time effectively? - ANS-
Determine goals for the day
A nurse is inserting an indwelling catheter for a male client. Which of the
following actions should the nurse take? - ANS-Lift the penis so that it is
perpendicular to the client's body
A nurse is caring for a client who has severe hypertension and is to receive
Nitroprusside via continuous IV infusion. Which of the following actions should the
nurse plan to take? - ANS-Protect the IV bag from exposure to light
A Hospice nurse is visiting with a son of a client who has terminal cancer. The son
reports sleeping very little during the past week due to caring for his mother.
Which of the following responses should the nurse make? - ANS-I can give you
information about respite care if you are interested.
A nurse is speaking with a caregiver of a client who has Alzheimer's disease. The
caregiver states providing constant care is very stressful and is affecting all areas of
my life. Which of the following actions should the nurse take? - ANS-Assist the
caregiver to arrange for day care program for the client.
A nurse and assistive personnel AP are assigned to a group of clients on the unit.
Which of the following clients should the nurse instruct the AP to report to the
nurse? - ANS-A client who has a prescription for compression stockings and did
not receive them
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A nurse planning care for a client who sustained a major burn over 20% of the
body. Which of the following interventions should the nurse include to support
the clients nutritional requirements? - ANS-Keep a calorie count for foods and
beverages
A nurse is caring for a client who is receiving radiation therapy and is experiencing
anorexia. Which of the following actions should the nurse take? - ANS-Provided
the client with cold foods rather than hot foods
A nurse is teaching dietary guidelines to the client who has celiac disease.
Which of the following food choices is appropriate for this client? - ANS-
Potato pancakes
A nurse is collecting a sputum specimen from a client who has tuberculosis.
Which of the following actions should the nurse take? - ANS-Obtain the
specimen immediately upon the client waking up
A nurse is planning teaching for a client who has a newly implanted implantable
cardioverter/defibrillator. Which of the following information should the nurse
include? - ANS-Wear loose fitting clothing
A nurse is planning care for a client who has acute appendicitis. Which of the
following actions should the nurse plan to take? - ANS-Keep the client on NPO
status
A community health nurse is working with a family that is struggling to adapt
following the loss of a family member. Which of the following actions should the
nurse take first? - ANS-Determine the roles of individual family members
A nurse in a clinic is planning care for a child who has ADHD and is taking
atomoxetine. Which of the following laboratory values should the nurse
monitor? - ANS-Liver function test