KPLN RN Trainer NGN 2024 2 - Study Guide
Correct Answer: Improve the status of ventilation.
A client is diagnosed with pneumonia
secondary to COPD. Which nursing goal is Rationale: This was a question that I got caught up in the wording and totally
most appropriate? ignored the word ventilation in the correct answer. Improving the quality of
ventilation refers to levels of carbon dioxide and oxygen.
The home health nurse is expected to Correct Answer: Keeps clean bed linens off the floor.
maintain medical asepsis while proving
client care in the home. The nurse Rationale: Keeping clean bed linens off the floor is an example of medical asepsis.
understands which action is medical
asepsis?
Correct Answer: An enema can help to relieve constipation; an enema can soft and
eliminate stool; an enema solution should be retained as long as possible; an enema
The nurse plans to administer an enema can decrease abdominal distention
to an older adult client. The nurse
recalls which statement about an enema Rationale: An enema can assist in relieving constipation and soften stool for
is true? easier evacuation. The enema should be retained as long as possible for best
results and can assist in decreasing abdominal distention, once the stool is
evacuated.
Correct Answer: 10-15 minutes
The nurse provides care for a client
Rationale: 30-60 minutes is the onset for short acting insulin, such as regular
diagnosed with DM1. The nurse recalls
insulin. 10-15 minutes is the onset for rapid acting insulins, such as aspart, glulisine,
lispro insulin has which onset time?
and lispro. 1-2 hours is the onset for intermediate acting insulin, such as NPH. 3-6
hours is the duration of rapid acting insulin.
, Correct Answer:
A client diagnosed with HIV;
The nurse provide care for clients on a Aclient diagnosed with cancer receiving chemo;
medical surgical unit. The nurse recalls A client who had a kidney transplant six months ago
which client may be placed on neutropenic
precautions? SATA Rationale: Clients with HIV, cancer receiving chemo, and those receiving organ
transplants have a compromised immune system may need neutropenic
precautions for protection.
Correct Answer:
Headache
A client diagnosed with an immune Fever and chills
deficiency is scheduled to receive an initial Joint pains
infusion of IVIG. The nurse understands Fatigue
which is an expected adverse effect? Skin rash
(Select all that apply)
Rationale: Clients have commonly reported headaches, fever and chills, joint pain,
fatigue, mild skin rash after receiving IVIG for the first time.
Correct Answer:
The home care nurse plans activities for
1. The order adult client using diuretic medication and is expecting pink-tinged mucus.
the day. In which order does the nurse
2. The client discharged yesterday after IV heparin therapy for a DVT.
see the clients? (Place the answers in
3. The older adult client diagnosed with pneumonia and discharged from the
order of priority, beginning with the first
hospital 3 days ago.
client to see. All options must be used.)
4.The client breastfeeding a 2-day-old infant born 5 days before the due date.
Correct Answer:
A client after a motor vehicle accident Osteoporosis;
has multiple fractures and is placed on DVT;
bedrest. The nurse understands which Pressure injury;
condition can develop as a result of Orthostatic hypotension
immobility? SATA Depression
Correct Answer: considerable weight loss
The health care provider diagnoses a client
with Graves disease. The nurse expects Rationale: Graves disease symptoms include feeling anxious and restless, heat
the client to exhibit which symptom? intolerance due to increased metabolic demand, weight loss with increased
appetite, and an increase in deep tendon reflexes.
Correct Answer:
Anger;
The nurse identifies which behaviors are Depression;
expected during the grieving process? Denial;
(Select all that apply) No eye contact;
Withdrawn
Appetite
changes
Correct Answer: Improve the status of ventilation.
A client is diagnosed with pneumonia
secondary to COPD. Which nursing goal is Rationale: This was a question that I got caught up in the wording and totally
most appropriate? ignored the word ventilation in the correct answer. Improving the quality of
ventilation refers to levels of carbon dioxide and oxygen.
The home health nurse is expected to Correct Answer: Keeps clean bed linens off the floor.
maintain medical asepsis while proving
client care in the home. The nurse Rationale: Keeping clean bed linens off the floor is an example of medical asepsis.
understands which action is medical
asepsis?
Correct Answer: An enema can help to relieve constipation; an enema can soft and
eliminate stool; an enema solution should be retained as long as possible; an enema
The nurse plans to administer an enema can decrease abdominal distention
to an older adult client. The nurse
recalls which statement about an enema Rationale: An enema can assist in relieving constipation and soften stool for
is true? easier evacuation. The enema should be retained as long as possible for best
results and can assist in decreasing abdominal distention, once the stool is
evacuated.
Correct Answer: 10-15 minutes
The nurse provides care for a client
Rationale: 30-60 minutes is the onset for short acting insulin, such as regular
diagnosed with DM1. The nurse recalls
insulin. 10-15 minutes is the onset for rapid acting insulins, such as aspart, glulisine,
lispro insulin has which onset time?
and lispro. 1-2 hours is the onset for intermediate acting insulin, such as NPH. 3-6
hours is the duration of rapid acting insulin.
, Correct Answer:
A client diagnosed with HIV;
The nurse provide care for clients on a Aclient diagnosed with cancer receiving chemo;
medical surgical unit. The nurse recalls A client who had a kidney transplant six months ago
which client may be placed on neutropenic
precautions? SATA Rationale: Clients with HIV, cancer receiving chemo, and those receiving organ
transplants have a compromised immune system may need neutropenic
precautions for protection.
Correct Answer:
Headache
A client diagnosed with an immune Fever and chills
deficiency is scheduled to receive an initial Joint pains
infusion of IVIG. The nurse understands Fatigue
which is an expected adverse effect? Skin rash
(Select all that apply)
Rationale: Clients have commonly reported headaches, fever and chills, joint pain,
fatigue, mild skin rash after receiving IVIG for the first time.
Correct Answer:
The home care nurse plans activities for
1. The order adult client using diuretic medication and is expecting pink-tinged mucus.
the day. In which order does the nurse
2. The client discharged yesterday after IV heparin therapy for a DVT.
see the clients? (Place the answers in
3. The older adult client diagnosed with pneumonia and discharged from the
order of priority, beginning with the first
hospital 3 days ago.
client to see. All options must be used.)
4.The client breastfeeding a 2-day-old infant born 5 days before the due date.
Correct Answer:
A client after a motor vehicle accident Osteoporosis;
has multiple fractures and is placed on DVT;
bedrest. The nurse understands which Pressure injury;
condition can develop as a result of Orthostatic hypotension
immobility? SATA Depression
Correct Answer: considerable weight loss
The health care provider diagnoses a client
with Graves disease. The nurse expects Rationale: Graves disease symptoms include feeling anxious and restless, heat
the client to exhibit which symptom? intolerance due to increased metabolic demand, weight loss with increased
appetite, and an increase in deep tendon reflexes.
Correct Answer:
Anger;
The nurse identifies which behaviors are Depression;
expected during the grieving process? Denial;
(Select all that apply) No eye contact;
Withdrawn
Appetite
changes
