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RN Question Trainer Test 3
NGN||Latest Questions And
Answers||Guaranteed Pass
The nurse prepares a subcutaneous injection for a client. Which statement describes a
subcutaneous injection?

1. Injections are administered into the muscle.
2. Injections are administered just below the skin.
3. Injections are administered creating a seal over the muscle site.
4. Injections are administered into the dermal layer of skin. -CORRECT ANSWER
Injections are administered just below the skin.

Subcutaneous injections are administered just below the skin in the subcutaneous
tissue.

The nurse cares for a multipara client who delivered a newborn 1 hour ago. The nurse
observes the client's breasts are soft, the uterus is boggy to the right of the midline and
2 cm below the umbilicus, and there is moderate lochia rubra. Which action is most
important for the nurse to take?

1. Perform a straight catheterization.
2. Offer the client the bedpan.
3. Place the newborn to the breast.
4. Massage the uterine fundus. -CORRECT ANSWER Offer the client the bedpan.

The client is encouraged to void as the uterus is boggy and deviated to right, indicating
a full bladder.

The nurse provides care for a client with a peripheral intravenous (IV) saline lock. The
nurse recalls which is an advantage to using a saline lock? (Select all that apply.)

1. It provides IV access for clients on a fluid restriction.
2. It provides access for intermittent IV medications.
3. It allows the client more mobility than continuous IV fluids.
4. It does not require flushing before and after medication administration
5. It is more cost effective than continuous IV infusions. -CORRECT ANSWER It
provides IV access for clients on a fluid restriction.
A saline lock provides IV access without the client needing continuous IV infusions. This
is helpful in clients on a fluid restriction.

It provides access for intermittent IV medications.
A saline lock provides IV access for intermittent IV infusions, such as antibiotics.

,It allows the client more mobility than continuous IV fluids.
Because the client does not have continuous IV fluids, the client may have increased
mobility.

It is more cost effective than continuous IV infusions.
Because a saline lock can be easily inserted for medication administration only, it is
more cost effective than continuous IV infusions. Clients in outpatient situations can
have a saline lock inserted, the medication given, and the saline lock discontinued,
which decreases the overall cost.

The nurse provides care for clients on a psychiatric unit and is suddenly faced with
multiple issues. In which order does the nurse address these situations? (Place the
CORRECT ANSWERs in order of priority starting with the first client to be seen. All
options must be used.) -CORRECT ANSWER The client diagnosed with depression
says to the nurse, "My plan is complete, and I'm ready to go."
The client diagnosed with schizophrenia tells the nurse the TV should be destroyed.
The client with substance abuse reports harassment by another client.
The client diagnosed with bipolar disorder walks into the day room wearing only
underwear.

The nurse provides care to clients in a community health clinic. The nurse recalls which
is a level of disease prevention? (Select all that apply.)

1. Tertiary.
2. Secondary.
3. Primary.
4. Preventative.
5. Restorative. -CORRECT ANSWER Tertiary.
Reducing complications is the tertiary level of prevention.

Secondary.
Measures to cure a disease are the secondary level of prevention.

Primary.
Health promotion is the primary level of prevention.

A client has partial-thickness and full-thickness burns over 75% of the body. The nurse
is most concerned if which symptom is observed?

1. Epigastric pain.
2. Restlessness.
3. Tachypnea.
4. Lethargy. -CORRECT ANSWER Tachypnea.

,A responsive client with partial and full thickness burns over 75% of the body responds
to early hypovolemic shock by adrenergic stimulation that can cause tachycardia. The
priority is to monitor airway, breathing, and circulation and provide supplemental oxygen
and cardiac monitoring.

The nurse provides care for a client in the health provider's office. The client is
prescribed fiber daily for constipation. The nurse understands that fiber helps bowel
elimination in which way?

1. Fiber increases water intake into the intestines, making bowel movements loose.
2. Fiber decreases the weight of stool, making it easier to move through the intestines.
3. Fiber causes the intestines to contract to move stool through the intestines.
4. Fiber increases the bulk of fecal matter, making it easier to pass. -CORRECT
ANSWER Fiber increases the bulk of fecal matter, making it easier to pass.

Fiber provides bulk in the fecal material, making it easier for the client to pass, and it
prevents constipation when ingested regularly.

A client has just indicated a wish to commit suicide. The client then asks the nurse not
to tell anyone. Which action by the nurse is best?

1. Encourage the client not to do anything without thinking it through very carefully.
2. Explain to the client that anything told to the nurse is kept strictly confidential.
3. Report the client's wish to commit suicide to the health care provider.
4. Encourage the client to tell the nurse more about what is being felt. -CORRECT
ANSWER Report the client's wish to commit suicide to the health care provider.

To ensure client safety, the nurse must share this information, starting with the health
care provider. The nurse should be transparent and let the client know this information
must be shared. One-to-one client monitoring is required.

A nurse gives a presentation at the local community center on hurricane disaster
preparedness because hurricanes have devastated the community in the past. Which
information is helpful for the nurse to include in the presentation? (Select all that apply.)

1. Store important documents in an easily accessible location.
2. Obtain a supply of prescription medications for at least 72 hours.
3. Become certified in basic cardiac life support (BCLS).
4. Identify a family emergency meeting place to reunite if separated.
5. Make plans to shelter in place instead of evacuating. -CORRECT ANSWER Store
important documents in an easily accessible location.
Copies of insurance and health insurance cards, vaccination records, birth certificates,
and identification are a few important documents that should be kept together in an
easily accessible location.

Obtain a supply of prescription medications for at least 72 hours.

, Clients are instructed to speak to the health care provider about how to create a 72-
hour emergency supply of medications.

Become certified in basic cardiac life support (BCLS).
Taking a class on basic cardiac life support may be very helpful in a disaster situation.

Identify a family emergency meeting place to reunite if separated.
An emergency action plan should include important phone numbers and identify at least
two emergency meeting places for reuniting with family or friends. Microchipping pets
ensures they are reunited with the client if separated. Clients should have multiple ways
to connect to family and friends. Oftentimes cell towers are not operational.

An adult client diagnosed with type 1 diabetes contacts the home care nurse to report
nausea and vomiting. Which is the best statement for the nurse to make to the client?

1. "Do not take your usual dose of insulin."
2. "Check your blood glucose level every 3 to 4 hours."
3. "Increase your consumption of fruit juices and yogurt."
4. "Eat six small meals a day plus a bedtime snack." -CORRECT ANSWER "Check
your blood glucose level every 3 to 4 hours."

The client must determine blood glucose levels and check the urine for ketones
frequently throughout the day. During times of illness, apply "sick day rules" for clients
diagnosed with diabetes mellitus.

The charge nurse makes client assignments for a medical-surgical unit. The nurse who
is floated from which unit needs a longer orientation?

1. The surgical floor.
2. The step-down unit.
3. Intensive care.
4. Labor and delivery. -CORRECT ANSWER Labor and delivery.

The labor and delivery nurse would be the least familiar with caring for medical-surgical
clients and would require a longer orientation for client care on this unit.

The nurse provides care for a client prescribed furosemide 40 mg IV. The client reports
shortness of breath at rest, and the nurse notes bilateral 2+ pretibial pitting edema.
Which action is most important for the
nurse to take after administration of the medication?

1. Check the serum potassium level.
2. Weigh the client.
3. Measure the client's urine output.
4. Obtain the client's blood pressure. -CORRECT ANSWER Obtain the client's blood
pressure.

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