RN Question Trainer Test 1 NGN | 2025/2026 | 70 QUESTIONS
AND ANSWERS
Terms in this set (70)
The nurse will first determine if the client has an advance directive If the client is
The nurse case manager reviews the
incapacitated, and cannot make medical decisions, those decisions can be made by
nurse's notes.
a durable power of attorney for healthcare In the absence of an advance
Complete the following sentences by
directive, or established domestic partner or spouse, the consent for the client's
choosing from the list of options.
surgery would be given by client's adult children
The nurse provides care for a client "I will call my health care provider if I have bruising or bleeding."
who has a new prescription for warfarin.
Which client statement indicates an Warfarin is an anticoagulant medication so the client should report bruising and
understanding of the medication bleeding
teaching? to the health care provider.
1. "I will take my temperature every
day."
2. "I will stay away from people
who are sick."
3."I will increase my intake of fruits
and vegetables."
4. "I will call my health care provider if
I have bruising or bleeding."
,The client has a long history of cirrhosis The client's ammonia level decreased from 110 to 75 mcg/dL (80.7 to 55 mcmol/L
with acute hepatic encephalopathy. The
nurse assesses the daily lab reports. Which The normal ammonia level is 15 to 45 mcg/dL (11 to 33 mcmol/L). The client's level is
finding indicates the client is improving? elevated, as would be expected with hepatic encephalopathy, but it is decreasing,
indicating
1. The client's fasting blood improvement.
glucose (FBG) decreased from 100 to 90
mg/dL (5.6 to 5 mmol/L).
2. The client's prothrombin
time (PT) increased from 20 to
25 seconds.
3. The client's ammonia level
decreased from 110 to 75 mcg/dL (80.7 to
55 mcmol/L).
4.The client's aspartate
aminotransferase (AST) increased from 24
to 30 units (0.4 to
0.5 mckat/L).
The nurse receives a message on social Ignore the message and delete it.
media from a former client. The message
reads, "I thought you were so nice and
would like to be friends." Which action by
the nurse is appropriate?
1. Ignore the message and delete it.
2. Reply and accept the client's
invitation.
3.Explain that is it unprofessional to
accept the invitation. X (opt)
4.Apologize for not remembering
the identity of the client.
Which 4 comments does the nurse pass on The teacher's concern that the client has developed ADHD or gotten into drugs.
to the physician? The parent's statement that the client does not want to go to school anymore.
1. The teacher's concern that the The client's statement, "I can't see the black board or understand what the teacher
client has developed ADHD or gotten is saying."
into drugs. The teacher's report of behavior changing from attentive to unengaged and
2. The client's statement that the disruptive.
teacher refused a request to move back to
the front of the classroom.
3. The parent's statement that
the client does not want to go to school
anymore.
4.The client's statement, "I can't see the
black board or understand what the
teacher is saying."
5. The teacher's report of
behavior changing from attentive to
unengaged and disruptive.
6. The clients reports that the other
students made fun of the clients desire
to sit at the front.
, The client's behavior has changed from attentive to unengaged and disruptive.=
ADHD/Drug use/Depression/Sensory alteration
The client used to love school and suddenly does not want to go.= ADHD/Drug
Finding
use/Depression/Sensory alteration
ADHD/Drug use/Depression/Sensory
The client reports being unable to see
alteration
or understand what is going on in the classroom.= Sensory alteration
The client is tearful and states, "I must be dumb."= Depression
Depression.
Which is the nurse's priority concern for this
While all of these possible diagnoses are concerning, the priority concern is
client?
depression, as it can lead to self harm and possible suicide.
1. ADHD.
ADHD is not going to cause the client to intentionally cause self harm. Drug use
2. Drug use.
might cause harm, but at this time there are no symptoms of acute intoxication or
3.Depression.
proof that the client is using illicit
4. Sensory alteration.
drugs. The physical problems related to vision and auditory problems are
not immediately life threatening.
Which intervention does the nurse expect Perform a Snellen exam.
the physician to implement or request? Collect a urine specimen for drug screening.
(Select all that apply.) Perform a screening for depression and suicide
risk.
1. Perform a Snellen exam.
2. Collect a urine specimen for
culture and sensitivity.
3.Examine the ears with an otoscope.
4. Collect a urine specimen for drug
screening.
5.Perform a screening for depression and
suicide risk.
6. Write a prescription for antibiotics.
7. Perform an abdominal ultrasound.
8. Write a prescription for
methylphenidate hydrochloride
The nurse's priority action is to explain to the parent how to monitor the
client's depression. It is also a priority for
Complete the following sentences by
the nurse to provide a physician's statement requesting the client sit in the front of the
choosing from the list of options.
room until glasses are obtained. The nurse reinforces to the client and parent that the
physician did not see indications of ADHD
Assessment Finding
Assessment Finding The client no longer has stomach aches in the morning or refuses to go to school.=
Improved Improved
No The parent reports the client is enjoying school again. = Improved
Change The client states, "I can see the black board with my new glasses."= Improved
Declined The client reports, "The other kids make fun of my glasses." = No Change
AND ANSWERS
Terms in this set (70)
The nurse will first determine if the client has an advance directive If the client is
The nurse case manager reviews the
incapacitated, and cannot make medical decisions, those decisions can be made by
nurse's notes.
a durable power of attorney for healthcare In the absence of an advance
Complete the following sentences by
directive, or established domestic partner or spouse, the consent for the client's
choosing from the list of options.
surgery would be given by client's adult children
The nurse provides care for a client "I will call my health care provider if I have bruising or bleeding."
who has a new prescription for warfarin.
Which client statement indicates an Warfarin is an anticoagulant medication so the client should report bruising and
understanding of the medication bleeding
teaching? to the health care provider.
1. "I will take my temperature every
day."
2. "I will stay away from people
who are sick."
3."I will increase my intake of fruits
and vegetables."
4. "I will call my health care provider if
I have bruising or bleeding."
,The client has a long history of cirrhosis The client's ammonia level decreased from 110 to 75 mcg/dL (80.7 to 55 mcmol/L
with acute hepatic encephalopathy. The
nurse assesses the daily lab reports. Which The normal ammonia level is 15 to 45 mcg/dL (11 to 33 mcmol/L). The client's level is
finding indicates the client is improving? elevated, as would be expected with hepatic encephalopathy, but it is decreasing,
indicating
1. The client's fasting blood improvement.
glucose (FBG) decreased from 100 to 90
mg/dL (5.6 to 5 mmol/L).
2. The client's prothrombin
time (PT) increased from 20 to
25 seconds.
3. The client's ammonia level
decreased from 110 to 75 mcg/dL (80.7 to
55 mcmol/L).
4.The client's aspartate
aminotransferase (AST) increased from 24
to 30 units (0.4 to
0.5 mckat/L).
The nurse receives a message on social Ignore the message and delete it.
media from a former client. The message
reads, "I thought you were so nice and
would like to be friends." Which action by
the nurse is appropriate?
1. Ignore the message and delete it.
2. Reply and accept the client's
invitation.
3.Explain that is it unprofessional to
accept the invitation. X (opt)
4.Apologize for not remembering
the identity of the client.
Which 4 comments does the nurse pass on The teacher's concern that the client has developed ADHD or gotten into drugs.
to the physician? The parent's statement that the client does not want to go to school anymore.
1. The teacher's concern that the The client's statement, "I can't see the black board or understand what the teacher
client has developed ADHD or gotten is saying."
into drugs. The teacher's report of behavior changing from attentive to unengaged and
2. The client's statement that the disruptive.
teacher refused a request to move back to
the front of the classroom.
3. The parent's statement that
the client does not want to go to school
anymore.
4.The client's statement, "I can't see the
black board or understand what the
teacher is saying."
5. The teacher's report of
behavior changing from attentive to
unengaged and disruptive.
6. The clients reports that the other
students made fun of the clients desire
to sit at the front.
, The client's behavior has changed from attentive to unengaged and disruptive.=
ADHD/Drug use/Depression/Sensory alteration
The client used to love school and suddenly does not want to go.= ADHD/Drug
Finding
use/Depression/Sensory alteration
ADHD/Drug use/Depression/Sensory
The client reports being unable to see
alteration
or understand what is going on in the classroom.= Sensory alteration
The client is tearful and states, "I must be dumb."= Depression
Depression.
Which is the nurse's priority concern for this
While all of these possible diagnoses are concerning, the priority concern is
client?
depression, as it can lead to self harm and possible suicide.
1. ADHD.
ADHD is not going to cause the client to intentionally cause self harm. Drug use
2. Drug use.
might cause harm, but at this time there are no symptoms of acute intoxication or
3.Depression.
proof that the client is using illicit
4. Sensory alteration.
drugs. The physical problems related to vision and auditory problems are
not immediately life threatening.
Which intervention does the nurse expect Perform a Snellen exam.
the physician to implement or request? Collect a urine specimen for drug screening.
(Select all that apply.) Perform a screening for depression and suicide
risk.
1. Perform a Snellen exam.
2. Collect a urine specimen for
culture and sensitivity.
3.Examine the ears with an otoscope.
4. Collect a urine specimen for drug
screening.
5.Perform a screening for depression and
suicide risk.
6. Write a prescription for antibiotics.
7. Perform an abdominal ultrasound.
8. Write a prescription for
methylphenidate hydrochloride
The nurse's priority action is to explain to the parent how to monitor the
client's depression. It is also a priority for
Complete the following sentences by
the nurse to provide a physician's statement requesting the client sit in the front of the
choosing from the list of options.
room until glasses are obtained. The nurse reinforces to the client and parent that the
physician did not see indications of ADHD
Assessment Finding
Assessment Finding The client no longer has stomach aches in the morning or refuses to go to school.=
Improved Improved
No The parent reports the client is enjoying school again. = Improved
Change The client states, "I can see the black board with my new glasses."= Improved
Declined The client reports, "The other kids make fun of my glasses." = No Change
