RN COMPREHENSIVE ONLINE PRACTICE 2019
A AND B WITH NGN (2 VERSIONS) WITH 180
ACTUAL EXAM QUESTIONS WITH CORRECT
ANSWERS AND RATIONALES GRADED A+
RN COMPREHENSIVE ONLINE PRACTICE 2019 A
A nurse is caring for a client who is in the fourth stage of labor and is receiving oxytocin via continuous IV infusion. Which of the following assessments is the nurse's priority?
Amount of vaginal bleeding
Amount of urinary output
Pain level
Fundal height - ANSWER-Amount of vaginal bleeding The first action the nurse should take using the nursing process is to assess the amount of vaginal bleeding. A client who is in the fourth stage of labor is at risk for hemorrhage, so assessing the amount of vaginal bleeding is the nurse's priority.
A nurse is caring for a client who is pregnant.
The nurse is providing discharge teaching to the client.For each discharge instruction, click to specify if each action is recommended or contraindicated for the client.
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Nursing action Drink warm ginger ale when nauseated.Eat every 2 to 3 hr.Alternate eating solid foods and liquids.Increase intake of high-fat foods. - ANSWER-Recommended Drink warm ginger ale when nauseated.Eat every 2 to 3 hr.Alternate eating solid foods and liquids.
Contraindicated Increase intake of high-fat foods.
When taking action and providing discharge teaching for a client who has hyperemesis gravidarum, the nurse should recommend the client should eat every 2 to 3 hr to avoid having an empty stomach, which can increase nausea. The client should separate liquids from solids every 2 to 3 hr to help minimize nausea. The client should eat foods high in protein that are low in fat. Warm ginger ale or ginger tea can also decrease nausea.
A nurse is providing dietary teaching to a client who has a new prescription for phenelzine. Which of the following food recommendations should the nurse make?(Select all that apply.) Broccoli Yogurt Pepperoni pizza Cream cheese Bologna sandwich - ANSWER-Broccoli is correct. Clients who take phenelzine, an MAOI, should not eat foods that contain tyramine. Broccoli does not contain tyramine.
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Yogurt is correct. Clients who take phenelzine, an MAOI, should not eat foods that contain tyramine. Yogurt contains little or no tyramine.
Cream cheese is correct. Clients who take phenelzine, an MAOI, should not eat foods that contain tyramine. Cream cheese contains little or no tyramine.
A nurse is preparing to transfer a client from the ICU to the medical floor. The client was recently weaned from mechanical ventilation following a pneumonectomy. Which of the following information should the nurse include in the change-of-shift report?
The last time the provider evaluated the client
The client's most recent ventilator settings
The time of the client's last dose of pain medication
The frequency in which the client presses the call button - ANSWER-The time of the client's last dose of pain medication
The nurse should recognize that an effective handoff report provides a baseline of the client's status for comparison and should include any recent changes or priority situations affecting the client's condition. Therefore, the time of the client's last dose of pain medication is important to include so the receiving nurse can anticipate what time to give the next dose.
A school nurse is notified of an emergency in which several children were injured following the collapse of playground equipment. Upon arrival at the playground, which of the following actions should the nurse take first?
Instruct a staff member to maintain a log of emergency care provided. 3 / 4
Apply cervical spine collars to children who have suspected neck trauma.
Notify guardians of the emergency and injuries to their children.
Survey the scene for potential hazards to staff and children. - ANSWER-Survey the scene for potential hazards to staff and children.
The first action the nurse should take when using the nursing process is to assess the situation. By surveying the scene, the nurse can identify potential hazards to staff and children. These findings allow the nurse and staff to enter the scene and safely provide care to injured children and help decrease the risk for further injury.
A nurse is caring for a client who is receiving positive end-expiratory pressure (PEEP) via mechanical ventilation. The nurse should monitor the client for which of the following adverse effects of PEEP?
Hypoxemia
Tension pneumothorax
Malignant hypertension
Atelectasis - ANSWER-Tension pneumothorax
The nurse should identify that tension pneumothorax is a possible adverse effect of PEEP. The nurse should monitor the client's lung sounds hourly for indications of a tension pneumothorax, such as tracheal deviation, absent breath sounds, and distended neck veins.
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