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RN FUNDAMENTALS 2019 WITH NGN Exam 3

Total Questions : 46

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Question 1:

A nurse is assessing a client who has diabetes mellitus prior to performing a blood glucose test. Which of the following findings should indicate to the nurse that the client has hyperglycemia?

Answer and Explanation

A
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Question 2:

A nurse is caring for a client who has a prescription for a 250 mL IV fluid bolus. The nurse administers a 500 mL IV bolus. Which of the following actions should the nurse take first?

Answer and Explanation

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Question 3:

A nurse is documenting client care. Which of the following abbreviations should the nurse use?

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Question 4:

A nurse is caring for a client who has tuberculosis. Which of the following precautions should the nurse plan to implement when working with the client?

Answer and Explanation

A
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Question 5:

A nurse is caring for a client who is postoperative and has a new prescription to advance her diet to full liquids. Which of the following foods should the nurse offer the client as a part of a full liquid diet?

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Question 6:

A nurse is caring for a client who refuses to follow the provider's prescription for strict bed rest. The nurse overhears an assistive personnel (AP) telling the client, "If you do not remain in bed, I will place you in restraints." The nurse should identify that the AP is committing which of the following torts?

Answer and Explanation

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Question 7:

A nurse is caring for a client who is scheduled to have his alanine aminotransferase (ALT) level checked. The client asks the nurse to explain the laboratory test. Which of the following is an appropriate response by the nurse?

Answer and Explanation

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Question 8:

A nurse is preparing to insert an IV catheter for an adult client. Which of the following actions should the nurse take?

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Question 9:

A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include?

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Question 10:

A nurse is assessing the skin of a client who has worked outdoors for the past 20 years. Which of the following findings is the nurse's priority?

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Question 11:

A nurse is preparing to insert an IV catheter for an adult client. Which of the following actions should the nurse take?

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Question 12:

A nurse is discussing the stages of general adaptation syndrome with a newly licensed nurse. The nurse should identify that which of the following manifestations occurs during the alarm reaction stage?

Answer and Explanation

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Question 13:

A nurse is providing teaching to a client who has a newly prescribed hearing aid. Which of the following statements by the client indicates an understanding of the teaching?

Answer and Explanation

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Question 14:

A nurse is caring for a client who is 2 days postoperative following bowel resection and reports sudden, severe abdominal pain. Which of the following actions should the nurse take first?

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Question 15:

A nurse is caring for a client who is receiving continuous enteral feeding via NG tube. Which of the following is an unexpected finding?

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Question 16:

A nurse is preparing to administer gentamicin 2 mg/kg IV to a client who weighs 220 lb. How many mg should the nurse administer? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.)

Answer and Explanation
Correct Answer: 200 mg

Explanation

To calculate the dose of gentamicin, you need to convert the client's weight from pounds to kilograms, then multiply it by the dosage.

1 lb = 0.453592 kg (approximately)

Client's weight: 220 lb Weight in kg: 220 lb × 0.453592 kg/lb = 99.79048 kg

Dosage: 2 mg/kg

Dose = Weight (kg) × Dosage (mg/kg) Dose = 99.79048 kg × 2 mg/kg = 199.58096 mg

Rounding to the nearest whole number: 200 mg


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Question 17:

A nurse is planning care for a client who has a latex allergy and is scheduled for surgery. Which of the following actions is appropriate to include in the client's plan of care?

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Question 18:

A nurse is preparing to administer several medications via NG tube to a client who is receiving a continuous tube feeding. Which of the following actions should the nurse take?

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Question 19:

A nurse is documenting a dressing change for a client who has a pressure injury. Which of the following entries by the nurse demonstrates correct documentation?

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Question 20:

A nurse is caring for a client who is scheduled for surgery. While the nurse is witnessing the client's signature, the client states, "I trust my doctor, but I don't understand what is meant by resecting my intestines." Which of the following actions should the nurse take?

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Question 21:

A nurse is delegating client care tasks to assistive personnel. Which of the following tasks should the nurse delegate?

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Question 22:

A nurse is planning care for a female client who has an indwelling urinary catheter. Which of the following actions should the nurse include in the plan?

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Question 23:

A nurse is preparing to administer an injection to a client. Which of the following actions should the nurse plan to take after administering the Injection?

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Question 24:

A nurse is performing postural drainage with percussion and vibration for a client who has cystic fibrosis. Which of the following actions should the nurse take?

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Question 25:

A nurse is caring for a client who had a stroke and requires assistance with morning ADLs. Which of the following interprofessional team members should the nurse consult?

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