PN COMPREHENSIVE ONLINE PRACTICE EXAM
LATEST 2024| WITH 100% VEERIFIED 750+
NGN QUESTIONSWITH GOLDEN TIPS
SOLUTIONS AND ANSWERS
A nurse is assisting in the care of a client who is 1 hr postpartum.
Exhibit 1
Nurses' Notes
1200:
Large amount of lochia rubra noted on perineal pad. Fundus boggy at
two fingerbreadths above the umbilicus.Oxytocin 20 units being
administered via continuous IV infusion
1215:
,Large amount of lochia rubra with several large clots noted. Client
reports feeling anxious. Skin cool and clammy. Provider notified.
Exhibit 2
Vital Signs
1200:
Temperature 37.5° C (99.5° F)Heart rate 92/minRespiratory - ✔✔
ANSWER✔✔-Select the 6 actions the nurse should take.
Weigh the perineal pads.
Insert an indwelling urinary catheter.
Administer methylergonovine.
Provide emotional support.
Administer oxygen at 12 L/min via nonrebreather face mask.
Firmly massage the uterine fundus.
When taking action for the client, the nurse should firmly massage the
uterine fundus, administer methylergonovine, weigh the perineal pads,
provide emotional support, insert an indwelling urinary catheter, and
administer oxygen at 12 L/min via nonrebreather face mask. The nurse
should identify that the client is experiencing a postpartum
,hemorrhage, which requires immediate intervention to prevent
hemorrhagic shock.
A nurse is collecting data from a client who is scheduled for surgery.
Exhibit 1
Vital Signs
0630:
Temperature 36.9° C (98.5° F)Heart rate 74/minRespiratory rate
20/minBlood pressure 122/76 mmHgOxygen saturation 96% on room
air
0730:
Temperature 36.9° C (98.5° F)Heart rate 76/minRespiratory rate
20/minBlood pressure 128/78 mmHgOxygen saturation 95% on room
air
Exhibit 2
Nurses' Notes
0630:
Client reports restlessness and inability to sleep more than 3 to 4 hr per
night for the last week. Cli - ✔✔ANSWER✔✔-Click to highlight the
data collection findings that the nurse should report to the provider
prior to the procedure. To deselect a finding, click on the finding again.
Hemoglobin level
, Allergy
Family history
When collecting data from the client and analyzing cues, the nurse
should determine the client's hemoglobin level, latex allergy, and family
history of malignant hyperthermia should be reported to the provider.
When the client's hemoglobin level is below the expected range, the
client might require blood products during the intraoperative phase.
The client's allergy to avocados and bananas can indicate an allergy to
latex products and should be reported to the provider. The surgical
team will need to remove all latex products from the operating room.
During the intraoperative phase, the nurses must be diligent in
monitoring the client's vital signs and laboratory values, especially in a
client who has a family history of malignant hyperthermia.
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? - ✔✔ANSWER✔✔-Occupational therapist
The nurse should identify the need for a referral to an occupational
therapist to teach the client how to use special eating utensils.
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