Comprehensive 2023 without NGN Complete 135 Real Exam Questions

Comprehensive 2023 without NGN Complete 135 Real Exam Questions 1.A home health nurse is caring for a child who has lyme disease. Which of the following is an appropriate action for the nurse to take

• Ensure the state health department has been noti-

fied

• Administer antitoxin
• Educate the family to avoid sharing personal be-

longings

• Assess for skin necrosis
• Ensure the state

health department has been notified 2.A nurse is caring for a client who has a vented NG tube set to low intermittent suction and has vomited.Which of the following actions should the nurse per- form first?

• Administered an antiemetic medication
• Evaluate functioning of the suction device
• Provide oral hygrine care
• Replace the NG tube
• Evaluate func-

tioning of the suc- tion device 3.While performing a routine assessment, a nurse no- tices fraying on the electrical cord of a client's contin- uous passive motion device. Which of the following actions should the nurse take first

• Initiate a requisition for a replacement CPM device
• Report the defect to the equipment maintenance

staff

• Remove the device from the room
• Ensure the device inspection sticker is current
• Remove the de-

vice from the room 4.A nurse is setting up a sterile field to perform would irrigation for a client. Which of the following actions should the nurse take when pouring the sterile solu- tion

• Remove the cap and place it sterile-side up on a

clean surface

• Remove the cap

and place it ster- ile-side up on a clean surface

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Comprehensive 2023 without NGN

• Pace sterile gauze over areas of spilled
• Hold the bottle in the center of the sterile field when

pouring the solution

• Hold the irrigation solution bottle with the label

facing away from the palm of the hand 5.A nurse is creating a plan of care for a female client who has recurrent urinary tract infections. Which of the following interventions should the nurse include in the plan

• Wear loose-fitting underwear
• Take a bubble bath after intercourse
• Drink four 240 ml (8 oz) glasses of water each day
• Void every 5-6 hr during the day
• Wear loose-fit-

ting underwear 6.A nurse is caring for an infant who has gastroen- teritis. Which of the following assessment findings should the nurse report to the provider?

• Pale and a 24-hr fluid deficit of 30 mL
• Sunken fontanels and dry mucous membranes
• Decrease appetite and irritability
• Temperature 38 C and pulse rate of 124/min
• Sunken

fontanels and dry mucous mem- branes 7.A nurse is conducting health promotion education regarding contraindication to combination oral con- traceptive use to a group of women. Which of the following conditions should the nurse includes in the teaching?

• Hypertension
• Fibromyalgia
• Renal calculi
• Fibrocystic breast diseases
• Hypertension

8.A nurse is providing teaching to a client who has a depressive disorder and a new prescription for amitriptyline. Which of the following statements by the client indicates an understanding of the teach-

• I know it will be

a couple of weeks before the medica-

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Comprehensive 2023 without NGN ing?

• I can continue to take St. john wort while taking this

medication

• I know it will be a couple of weeks before the

medication helps me feel better

• I expect this medication to raise my blood pressure
• I should take this medication on an empty stomach

tion helps me feel better 9.A nurse is caring for a client who is immobile. Which of the following interventions is appropriate to pre- vent contracture

• Position a pillow under the client's knee
• Place a towel roll under the client's neck
• Align a trochanter wedge between the client's legs
• Apply an orthotic to the client's foot
• Align a

trochanter wedge between the client's legs 10.A nurse is assessing a client who is post-op follow- ing abdominal surgery and has an indwelling urinary catheter that is draining dark yellow urine at 25 ml/h.Which of the following should the nurse anticipate?

• Initiate continuous bladder irrigation
• Administer fluid bolus
• Clamp the catheter tubing for 30 min
• Obtain a urine specimen for culture and sensitivity
• Obtain a urine

specimen for cul- ture and sensitivity 11.A nurse is reporting a client's laboratory tests to the provider to obtain a prescription for the client's daily warfarin. Which of the following should the nurse report to obtain the prescription for warfarin

• Fibrinogen lv
• aPTT
• INR
• Platelet count
• INR

12.A nurse is assessing a client ho is taking haloperidol and is experiencing pseudo parkinsonism. Which of

• Shuffling gait

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Comprehensive 2023 without NGN the following is the signs of pseudo parkinsonism

• Serpentine limb movement
• Shuffling gait
• Nonreactive pupils
• Smacking lips

13.A nurse care for client with expressive aphasia and right hemiparesis after a stroke. What is the best way to promotes communication among staff caring for the client?

• Posting swallow precautions at the head of client's

bed

• Noting changes in the treatment plan in the client's

medical record

• Recording the clients progress in the nurse's note
• Have interdisciplinary team meetings for the client

on a regular basis

• Have inter-

disciplinary team meetings for the client on a regular basis 14.A nurse is caring for a 2 yo toddler. Which food choice should the nurse recommended to promote indepen- dence in eating?

• Banana slices
• Grapes
• Hot dog
• Popcorn
• Banana slices

15.A nurse on med-surge unit got notified that a mass casualty event has occurred. Which action should the nurse take?

• Act as a liaison between the facility and media
• Recommend to the provider specific acute care

clients for discharge

• Determine the medical needs of incoming clients

through the emergency department

• Call in additional med-surge unit nursing care staff
• Recommend to

the provider spe- cific acute care clients for dis- charge

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