Exam (elaborations)
PN Comprehensive Online Practice 2020 A With NGN – Questions & Verified Solutions
- Course
- Institution
PN Comprehensive Online Practice 2020 A With NGN – Questions & Verified Solutions
[Show more]
Seller
Follow
Studyhall
Reviews received
Content preview
PN Comprehensive Online Practice 2020 A WithNGN – Questions & Verified Solutions
A nurse is caring for a client who adheres to a kosher diet. Which of the
following food selections should the nurse expect to see on the client's meal
tray? ✔️Ans - Spaghetti noodles with red sauce
A nurse is collecting data from a client who has chronic hepatitis. In which of
the following locations should the nurse expect the client to point to indicate
hepatic tenderness? (You will find hot spots to select in the artwork below.
Select only the hot spot that corresponds to your answer.) ✔️Ans -
A nurse is assisting with teaching a group of local residents at a community
health fair about the Dietary Approaches to Stop Hypertension (DASH) diet.
Which of the following statements by a resident indicates an understanding of
the teaching? ✔️Ans - "I will keep my intake of sodium less than 2,300
milligrams per day."
Rationale: DASH principles include limiting daily sodium intake to less than
2,300 mg/day. Individuals who have an increased risk for hypertension, such
as clients who have kidney disease and diabetes, should reduce intake of
sodium to 1,500 mg/day.
A nurse is reinforcing teaching about a high-protein diet with a client who has
HIV. Which of the following foods should the nurse recommend as containing
the highest amount of protein per serving? ✔️Ans - 2 Tbsp peanut butter
The nurse should recommend 2 Tbsp of peanut butter because it contains
approximately 7g of protein.
A nurse is reinforcing discharge teaching with the parents of a school-age
child who has severe hemophilia A. Which of the following statements by the
parents indicates an understanding of the teaching? ✔️Ans - "I will soak my
child's toothbrush in warm water to soften it before my child uses it."
A nurse is reinforcing teaching about self-administration of enoxaparin. Which
of the following instructions should the nurse include? ✔️Ans - ANS:
Administer by subcutaneous injection
,RAT: The nurse should include that enoxaparin should be injected into the
subcutaneous tissue
A nurse is collecting data from a client who has chronic pancreatitis and is
receiving pancrelipase.'
Which of the following client findings indicates
a therapeutic effect of this medication? ✔️Ans - ANS: Reports a decrease in
the number of stools
RAT: Pancrelipase is administered as replacement therapy for a deficiency in
pancreatic enzymes, which result in steatorrhea, or fatty stools. The nurse
should monitor for improved nutrition and a decrease in the number of bowel
movements, which would indicate a therapeutic response to the medication
A nurse is caring for a client who is recovering from a stroke and is
experiencing difficulty using eating utensils. The nurse should identify the
need for a referral to which of the following interprofessional team members?
✔️Ans - ANS: Occupational therapist
RAT: The nurse should identify the need for a referral to an occupational
therapist to teach the client how to use special eating utensils
A nurse is collecting data from a client who has schizophrenia. Which of the
following statements by the client should the nurse identify as a delusion?
✔️Ans - My doctors glasses have lasers that will burn holes in my brain if i
look at them.
rationale: The client's statement demonstrates a belief that is contrary to
reality that someone intends to cause them harm using unrealistic means.
Therefore, the nurse should identify this statement as a delusion of
persecution.
✔️Ans - When recognizing cues, the nurse should identify that a
temperature of 36.4° C (97.5° F) is below the expected reference range.
Hypothermia can lead to the occurrence of hypoglycemia and respiratory
distress. The newborn breastfeeding for short intervals, nipple discomfort,
and a weight loss of greater than 10% of birth weight can indicate inadequate
transfer of breastmilk, which can result in hypoglycemia. The presence of mild
tremors can be a manifestation of hypoglycemia,
,A nurse is reinforcing teaching with a client who has osteoarthritis. Which of
the following instructions should the nurse include? ✔️Ans - apply
capsaicin cream four times daily,
rationale: The nurse should instruct the client to apply capsaicin cream
topically to provide warmth and relieve joint pain. The client should apply the
cream no more than four times daily to avoid skin irritation.
A nurse is reinforcing discharge teaching with a client who has a prescription
for home oxygen therapy via nasal cannula. Which of the following
instructions should the nurse include? ✔️Ans - ANS: "Apply a water-based
lubricant around the nostrils to prevent irritation."
RAT: The client should protect their nares with a water-based lubricant to
prevent irritation from the nasal cannula. Petroleum and oil-based products
are combustible and should not be used with oxygen therapy
A nurse in a provider's office is collecting growth and development data from
a 7-month-old infant during a well-child visit. Which of the following images
should the nurse identify as an indication of expected gross motor skills for
the infant? ✔️Ans -
A nurse is assisting with the admission of an older adult client. Which of the
following actions should the nurse take first? ✔️Ans - ANS: Complete a fall
risk assessment on the client
RAT: The first action the nurse should take when using the nursing process is
to collect data from the client. By completing a fall risk assessment, the nurse
can identify the client's risk for falls and can then assist in planning
interventions to prevent client injury
A nurse is supervising an assistive personnel (AP) who is preparing to remove
personal protective equipment (PPE) after providing direct care to a client
who requires airborne and contact precautions. The nurse should recognize
that the AP understands the procedure when which of the following PPE is
removed first? ✔️Ans - ANS: Gloves
, RAT: The greatest risk to the AP is contamination from pathogens that might
be present on the PPE. Therefore, the priority actions for the AP to take is to
remove the gloves, which are considered the most contaminated of the PPE.
A client in a mental health facility unjustly accuses a nurse of stealing money
from their room. Which of the following therapeutic responses should the
nurse make? ✔️Ans - ANS: "Tell me how you decided who took your
money."
RAT: This response by the nurse is an example of therapeutic communication,
in which the nurse validates the client's concern by encouraging them to
describe their perception
Complete the following sentence by using the list of options.
The nurse should plan to first collect data about the newborn's :
followed by the newborn's: ✔️Ans - When generating solutions, the nurse
should identify that expiratory grunting and nasal flaring are unexpected
findings in a newborn and indicate respiratory distress. The presence of
meconium-stained amniotic fluid increases the risk that the newborn will
develop meconium aspiration syndrome. Therefore, the first action the nurse
should take is to collect data about the newborn's respiratory rate, followed
by the heart rate. The nurse should perform noninvasive data collection
techniques, such as observing the respiratory rate, before more invasive
techniques that might stimulate the newborn, such as auscultating the heart
rate, to avoid alteration of data.
A nurse is receiving change-of-shift report for four clients. The nurse should
plan to collect data from which of the following clients first? ✔️Ans - ANS: A
client who has asthma and had frequent exacerbations on the previous shift
RAT: When using the airway, breathing, circulation (ABC) approach to client
care, the nurse should prioritize data collection from a client who has asthma.
The client experienced several exacerbations of asthma on the previous shift,
which can result in an obstruction of the client's airway
A nurse in a provider's office is caring for a client who is at 34 weeks of
gestation. Which of the following instructions should the nurse anticipate
providing to the client? (Click on the exhibit button for additional information
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Studyhall. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $19.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
72042 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now