RN Trainer NGN Test 4QUESTIONS AND ANSWERS |
2025/2026
Terms in this set (100)
A preschooler returns to the Semi-Fowler position.
recovery room after a bronchoscopy.
The nurse places the client in which The nurse places the client in semi-Fowler position to facilitate lung
position? expansion and breathing. The nurse will assess for respiratory
difficulty indicated by stridor and dyspnea. Respiratory distress can
1. Semi-Fowler position. result from laryngeal edema or laryngospasm.
2. Prone with the head turned to
the side.
3. With the head of the bed
elevated 90 degrees and the
neck extended.
4. Supine with the head in the
midline position.
The nurse knows which finding is a Describes self as worthless.
warning sign of suicide in Withdraws from social
adolescents? (Select all that apply.) activities. Resists or refuses
to go to school.
1. Describes self as worthless. Sudden cheerfulness following deep depression.
2. Hides cherished possessions.
3. Withdraws from social activities.
4. Resists or refuses to go to school.
5.Has never attempted suicide before.
6. Appears exhausted
without obvious cause.
7. Sudden cheerfulness
following deep depression.
The nurse reviews the client's lab The nurse recognizes the client is exhibiting symptoms of opioid
results. overdose as evidenced by the response to naloxone and a period of
apnea
Complete the following sentence by
choosing from the list of options.
,The nurse has completed the "My parent died last year."
admission assessment. "I quit taking my
The nurse is most concerned about antidepressant." "A classmate
which 3 client statements? died by suicide."
1. "My parent died last year."
2. "Gym class is my favorite."
3."I'm not crazy about school."
4. "I quit taking my antidepressant."
5."A classmate died by suicide."
6. "I had asthma when I was
younger."
Potential Intervention
Resume fluoxetine.= Indicated
Indicated Obtain substance use history.=
Not Indicated Begin metformin.= Not
indicated Indicated
Teach about medication.= Indicated
Reinforce importance of grief counseling.=
Indicated Request Physical Therapy consult.=
Not indicated
One hour later the client is Administer naloxone per protocol.
discovered unresponsive with a heart
rate of 42 and a respiratory rate of 6. The client is unresponsive with bradycardia and poor respiratory effort.
Which action by the nurse is most Naloxone is a short-acting antagonist. Symptoms of respiratory
important? depression may return as the effect of the opioids outlasts the effect of
naloxone; additional doses may be necessary.
1. Check blood glucose.
2. Administer 0.9% normal saline Checking blood glucose, administering the antidepressant, and
IV. administering fluids will not address the client's respiratory depression.
3. Administer naloxone per
protocol.
4.Administer fluoxetine.
The client is discharged 24 hours understanding that therapy can lessen depression after a week
after admission and the nurse
documents discharge teaching. or two once the medication is started, the client will no longer
Click to highlight the sections of
the discharge nurse's notes be at risk for suicide
indicating lack of understanding of
outpatient treatment plan.
Discharge teaching with both client
and parent. Client stared at the floor
during the 10 minute encounter.
Client and parent state they agree to
attend recommended counseling
sessions. The client and parent voice
understanding that therapy can
lessen depression after a week or
two.
Client states, "I know it may take
several weeks for me to start feeling
better after I start taking the new
antidepressant ." Client states, "It's
good to know that the adverse effects
of the medication can get better over
time." The parent expresses relief
that once the medication is started,
,the client will no longer be at risk for
suicide.
, The nurse provides care for a client "Please tell me how you feel about canceling the surgery."
scheduled for a surgical procedure in 2
hours. The client states, "I changed my This allows the client to voice concerns about the surgery. The client
mind. I don't want to have this realizes surgery must be done and signed the consent but still may feel
surgery." Which statement reflects the unable to opt out of the surgery.
nurse's first action?
1. "Let's call your family to
encourage you to have surgery."
2. "Please tell me how
you feel about canceling the
surgery."
3."The consent form has been
signed already."
4. "The operating room schedule
will be delayed."
A young adult client is brought to the "Morphine sulfate 10 mg IM every 4 hours."
emergency department (ED) after a
motorcycle accident. A closed head Morphine is a narcotic analgesic that causes central nervous system
injury with suspected subdural (CNS) and respiratory depression. Giving morphine is contraindicated in a
hematoma is diagnosed. The client is head injury because it masks signs of increased intracranial pressure.
alert and answers questions
appropriately and reports a severe
headache. The nurse questions
which prescription?
1. "Promethazine 25 mg IM every
3 hours."
2. "Morphine sulfate 10
mg IM every 4 hours."
3."Docusate sodium 50 mg PO twice
daily."
4. "Famotidine 40 mg oral suspension
once daily."
The nurse prepares for admission for A client diagnosed with hepatitis A who has vomiting and diarrhea.
several adult clients. Which client is
prioritized to be placed under The client diagnosed with hepatitis A is placed on contact
contact precautions? precautions because hepatitis A is transmitted through the oral-fecal
route, and vomiting and diarrhea place the client at higher risk for
1. A client diagnosed with hepatitis transmission.
A who has vomiting and diarrhea.
2. A client diagnosed with hepatitis B
who has a productive cough.
3. A client diagnosed with hepatitis C
who received hemodialysis.
4. A client diagnosed with hepatitis D
who exhibits signs of illegal drug
withdrawal.
2025/2026
Terms in this set (100)
A preschooler returns to the Semi-Fowler position.
recovery room after a bronchoscopy.
The nurse places the client in which The nurse places the client in semi-Fowler position to facilitate lung
position? expansion and breathing. The nurse will assess for respiratory
difficulty indicated by stridor and dyspnea. Respiratory distress can
1. Semi-Fowler position. result from laryngeal edema or laryngospasm.
2. Prone with the head turned to
the side.
3. With the head of the bed
elevated 90 degrees and the
neck extended.
4. Supine with the head in the
midline position.
The nurse knows which finding is a Describes self as worthless.
warning sign of suicide in Withdraws from social
adolescents? (Select all that apply.) activities. Resists or refuses
to go to school.
1. Describes self as worthless. Sudden cheerfulness following deep depression.
2. Hides cherished possessions.
3. Withdraws from social activities.
4. Resists or refuses to go to school.
5.Has never attempted suicide before.
6. Appears exhausted
without obvious cause.
7. Sudden cheerfulness
following deep depression.
The nurse reviews the client's lab The nurse recognizes the client is exhibiting symptoms of opioid
results. overdose as evidenced by the response to naloxone and a period of
apnea
Complete the following sentence by
choosing from the list of options.
,The nurse has completed the "My parent died last year."
admission assessment. "I quit taking my
The nurse is most concerned about antidepressant." "A classmate
which 3 client statements? died by suicide."
1. "My parent died last year."
2. "Gym class is my favorite."
3."I'm not crazy about school."
4. "I quit taking my antidepressant."
5."A classmate died by suicide."
6. "I had asthma when I was
younger."
Potential Intervention
Resume fluoxetine.= Indicated
Indicated Obtain substance use history.=
Not Indicated Begin metformin.= Not
indicated Indicated
Teach about medication.= Indicated
Reinforce importance of grief counseling.=
Indicated Request Physical Therapy consult.=
Not indicated
One hour later the client is Administer naloxone per protocol.
discovered unresponsive with a heart
rate of 42 and a respiratory rate of 6. The client is unresponsive with bradycardia and poor respiratory effort.
Which action by the nurse is most Naloxone is a short-acting antagonist. Symptoms of respiratory
important? depression may return as the effect of the opioids outlasts the effect of
naloxone; additional doses may be necessary.
1. Check blood glucose.
2. Administer 0.9% normal saline Checking blood glucose, administering the antidepressant, and
IV. administering fluids will not address the client's respiratory depression.
3. Administer naloxone per
protocol.
4.Administer fluoxetine.
The client is discharged 24 hours understanding that therapy can lessen depression after a week
after admission and the nurse
documents discharge teaching. or two once the medication is started, the client will no longer
Click to highlight the sections of
the discharge nurse's notes be at risk for suicide
indicating lack of understanding of
outpatient treatment plan.
Discharge teaching with both client
and parent. Client stared at the floor
during the 10 minute encounter.
Client and parent state they agree to
attend recommended counseling
sessions. The client and parent voice
understanding that therapy can
lessen depression after a week or
two.
Client states, "I know it may take
several weeks for me to start feeling
better after I start taking the new
antidepressant ." Client states, "It's
good to know that the adverse effects
of the medication can get better over
time." The parent expresses relief
that once the medication is started,
,the client will no longer be at risk for
suicide.
, The nurse provides care for a client "Please tell me how you feel about canceling the surgery."
scheduled for a surgical procedure in 2
hours. The client states, "I changed my This allows the client to voice concerns about the surgery. The client
mind. I don't want to have this realizes surgery must be done and signed the consent but still may feel
surgery." Which statement reflects the unable to opt out of the surgery.
nurse's first action?
1. "Let's call your family to
encourage you to have surgery."
2. "Please tell me how
you feel about canceling the
surgery."
3."The consent form has been
signed already."
4. "The operating room schedule
will be delayed."
A young adult client is brought to the "Morphine sulfate 10 mg IM every 4 hours."
emergency department (ED) after a
motorcycle accident. A closed head Morphine is a narcotic analgesic that causes central nervous system
injury with suspected subdural (CNS) and respiratory depression. Giving morphine is contraindicated in a
hematoma is diagnosed. The client is head injury because it masks signs of increased intracranial pressure.
alert and answers questions
appropriately and reports a severe
headache. The nurse questions
which prescription?
1. "Promethazine 25 mg IM every
3 hours."
2. "Morphine sulfate 10
mg IM every 4 hours."
3."Docusate sodium 50 mg PO twice
daily."
4. "Famotidine 40 mg oral suspension
once daily."
The nurse prepares for admission for A client diagnosed with hepatitis A who has vomiting and diarrhea.
several adult clients. Which client is
prioritized to be placed under The client diagnosed with hepatitis A is placed on contact
contact precautions? precautions because hepatitis A is transmitted through the oral-fecal
route, and vomiting and diarrhea place the client at higher risk for
1. A client diagnosed with hepatitis transmission.
A who has vomiting and diarrhea.
2. A client diagnosed with hepatitis B
who has a productive cough.
3. A client diagnosed with hepatitis C
who received hemodialysis.
4. A client diagnosed with hepatitis D
who exhibits signs of illegal drug
withdrawal.
