RN Question Trainer Test 2 NGN
Terms in this set (70)
A client is diagnosed with pneumonia Improve the status of ventilation.
secondary to chronic pulmonary disease.
Which nursing goal is most appropriate? Improving the quality of ventilation refers to levels of carbon dioxide and oxygen.
1. Maintain and improve the
quality of oxygenation.
2. Improve the status of ventilation.
3.Increase oxygenation of peripheral
circulation.
4. Correct the bicarbonate deficit.
The nurse provides care for a client Alcohol.
diagnosed with insomnia who has a sleep
study. The nurse understands which Alcohol is a stimulant and should be avoided to promote better sleep.
information from the client's history can
lead to sleep disturbances?
1. Dark environment.
2. Sleep schedule.
3. Alcohol.
4. Exercise.
,Select the client finding that requires Altered mental status.
immediate follow-up by the nurse. (Select Pulse oximetry.
all that apply.) Respiratory assessment.
Blood pressure.
1. Altered mental status. Substance misuse.
2. Body mass index.
3.Pulse oximetry.
4. Respiratory assessment.
5.Blood pressure.
6. Substance misuse.
7. Leg numbness.
8. Bruising of legs.
Alcohol toxicity.
The nurse suspects alcohol toxicity. Alcohol toxicity is the result of too much alcohol
being ingested. This client is also taking opiates, which increases the risks
The nurse suspects the client
associated with drinking alcohol. This client's spouse reports heavy drinking has
is experiencing which
occurred.
condition?
There are no indications the client is experiencing hepatitis at this time. Severe
1. Hepatitis.
alcohol abuse over time may lead to hepatitis. Delirium tremens occurs usually 2-5
2. Alcohol toxicity.
days after a client who abuses alcohol has last had a drink. It is a rapid
3.Delirium tremens.
deterioration of mentation accompanied by high blood pressure, fever, and
4. Peripheral neuropathy.
hallucinations. This client's symptoms are not consistent with delirium tremens.
Peripheral neuropathy occurs in clients with peripheral vascular disease resulting
from diabetes mellitus.
Currently, this client has random periods of numbness which are mostly likely a
consequence of the back injury.
Drag words from the choices below to fill in The client is at greatest risk for developing respiratory arrest as evidenced by
each blank in the following sentence. Each shallowed breathing and
word will only be used once. bradypnea
Intravenous therapy = Indicated
Potential
Obtain a blood alcohol concentration = Indicated
Order
Oxygen by nasal cannula= Indicated
Indicated
Morphine 2 mg intravenous= Not Indicated
Not Indicated
The nurse obtains a urine drug screen and Start intravenous infusion of 0.9% normal saline 200 mL/hour
blood alcohol concentration per the Administer naloxone 0.4 mg IM
physician's orders. The results are called Administer oxygen 2 L/min per nasal cannula.
to the ED. Place client on seizure precautions.
Highlight the actions the nurse will
perform immediately.
Select the 2 findings that indicate the Respirations 16/ minute.
client is improving.
Pulse oximetry 95% (room air).
1. BP 182/98 mm Hg.
2. Bibasilar crackles.
3.Respirations 16/ minute.
4.Temperature 101°F (38.3°C).
5. Awake, agitated, pushing nurse
away.
6. Pulse oximetry 95% (room air).
, A client diagnosed with an immune Headache.
deficiency is scheduled to receive an initial Fever and chills.
infusion of intravenous immune globulin Joint pains.
(IVIG). The nurse understands which is an Fatigue.
expected adverse effect? (Select all Skin rash.
that apply.)
1. Headache.
2. Fever and chills.
3. Joint pains.
4. Fatigue.
5.Elevated liver enzymes.
6. Skin rash.
The nurse turns an older client in bed 2.
and notes a small serum filled blister
over the greater trochanter area. The A stage 2 pressure injury would consist of an intact or ruptured blister or it can
nurse identifies this pressure injury as develop into a shallow ulcer with a loss of dermis.
which stage?
1. 1.
2.2.
3. 3.
4. 4.
A client with a diagnosis of alcohol use The nurse believes the client's symptoms reflect alcohol withdrawal.
disorder develops restlessness, agitation,
and irritability following surgery. The Chlorpromazine is primarily given to treat psychotic disorders, such as schizophrenia.
health care provider orders The medication is contraindicated for the treatment of alcohol withdrawal symptoms.
chlorpromazine. The nurse checks the This medication will lower the client's seizure threshold and BP, causing potentially
order with the health care provider serious medical consequences.
because of which rationale?
1. The nurse believes the client's
symptoms reflect alcohol withdrawal.
2. The nurse does not know if
the client is allergic to this
medication.
3. The nurse knows the
client is not psychotic.
4.The nurse routinely checks on the
health care provider's orders.
The home health nurse is expected Keeps clean bed linens off the floor.
to maintain medical asepsis while
providing client care in the home. The others are surgical asepsis
nurse understands which action is
medical asepsis?
1. Lifts a swab from a urinary
catheterization tray.
2. Dons sterile gloves prior to
performing wound care.
3. Washes hands with soap for 5-7
minutes.
4. Keeps clean bed linens off the floor.
Terms in this set (70)
A client is diagnosed with pneumonia Improve the status of ventilation.
secondary to chronic pulmonary disease.
Which nursing goal is most appropriate? Improving the quality of ventilation refers to levels of carbon dioxide and oxygen.
1. Maintain and improve the
quality of oxygenation.
2. Improve the status of ventilation.
3.Increase oxygenation of peripheral
circulation.
4. Correct the bicarbonate deficit.
The nurse provides care for a client Alcohol.
diagnosed with insomnia who has a sleep
study. The nurse understands which Alcohol is a stimulant and should be avoided to promote better sleep.
information from the client's history can
lead to sleep disturbances?
1. Dark environment.
2. Sleep schedule.
3. Alcohol.
4. Exercise.
,Select the client finding that requires Altered mental status.
immediate follow-up by the nurse. (Select Pulse oximetry.
all that apply.) Respiratory assessment.
Blood pressure.
1. Altered mental status. Substance misuse.
2. Body mass index.
3.Pulse oximetry.
4. Respiratory assessment.
5.Blood pressure.
6. Substance misuse.
7. Leg numbness.
8. Bruising of legs.
Alcohol toxicity.
The nurse suspects alcohol toxicity. Alcohol toxicity is the result of too much alcohol
being ingested. This client is also taking opiates, which increases the risks
The nurse suspects the client
associated with drinking alcohol. This client's spouse reports heavy drinking has
is experiencing which
occurred.
condition?
There are no indications the client is experiencing hepatitis at this time. Severe
1. Hepatitis.
alcohol abuse over time may lead to hepatitis. Delirium tremens occurs usually 2-5
2. Alcohol toxicity.
days after a client who abuses alcohol has last had a drink. It is a rapid
3.Delirium tremens.
deterioration of mentation accompanied by high blood pressure, fever, and
4. Peripheral neuropathy.
hallucinations. This client's symptoms are not consistent with delirium tremens.
Peripheral neuropathy occurs in clients with peripheral vascular disease resulting
from diabetes mellitus.
Currently, this client has random periods of numbness which are mostly likely a
consequence of the back injury.
Drag words from the choices below to fill in The client is at greatest risk for developing respiratory arrest as evidenced by
each blank in the following sentence. Each shallowed breathing and
word will only be used once. bradypnea
Intravenous therapy = Indicated
Potential
Obtain a blood alcohol concentration = Indicated
Order
Oxygen by nasal cannula= Indicated
Indicated
Morphine 2 mg intravenous= Not Indicated
Not Indicated
The nurse obtains a urine drug screen and Start intravenous infusion of 0.9% normal saline 200 mL/hour
blood alcohol concentration per the Administer naloxone 0.4 mg IM
physician's orders. The results are called Administer oxygen 2 L/min per nasal cannula.
to the ED. Place client on seizure precautions.
Highlight the actions the nurse will
perform immediately.
Select the 2 findings that indicate the Respirations 16/ minute.
client is improving.
Pulse oximetry 95% (room air).
1. BP 182/98 mm Hg.
2. Bibasilar crackles.
3.Respirations 16/ minute.
4.Temperature 101°F (38.3°C).
5. Awake, agitated, pushing nurse
away.
6. Pulse oximetry 95% (room air).
, A client diagnosed with an immune Headache.
deficiency is scheduled to receive an initial Fever and chills.
infusion of intravenous immune globulin Joint pains.
(IVIG). The nurse understands which is an Fatigue.
expected adverse effect? (Select all Skin rash.
that apply.)
1. Headache.
2. Fever and chills.
3. Joint pains.
4. Fatigue.
5.Elevated liver enzymes.
6. Skin rash.
The nurse turns an older client in bed 2.
and notes a small serum filled blister
over the greater trochanter area. The A stage 2 pressure injury would consist of an intact or ruptured blister or it can
nurse identifies this pressure injury as develop into a shallow ulcer with a loss of dermis.
which stage?
1. 1.
2.2.
3. 3.
4. 4.
A client with a diagnosis of alcohol use The nurse believes the client's symptoms reflect alcohol withdrawal.
disorder develops restlessness, agitation,
and irritability following surgery. The Chlorpromazine is primarily given to treat psychotic disorders, such as schizophrenia.
health care provider orders The medication is contraindicated for the treatment of alcohol withdrawal symptoms.
chlorpromazine. The nurse checks the This medication will lower the client's seizure threshold and BP, causing potentially
order with the health care provider serious medical consequences.
because of which rationale?
1. The nurse believes the client's
symptoms reflect alcohol withdrawal.
2. The nurse does not know if
the client is allergic to this
medication.
3. The nurse knows the
client is not psychotic.
4.The nurse routinely checks on the
health care provider's orders.
The home health nurse is expected Keeps clean bed linens off the floor.
to maintain medical asepsis while
providing client care in the home. The others are surgical asepsis
nurse understands which action is
medical asepsis?
1. Lifts a swab from a urinary
catheterization tray.
2. Dons sterile gloves prior to
performing wound care.
3. Washes hands with soap for 5-7
minutes.
4. Keeps clean bed linens off the floor.
