PN COMPREHENSIVE ONLINE PRACTICE 20 19 A
WITH NGN LATEST VERSION 2024 WITH ALL 150
QUESTIONS AND ANSWERS WITH RATIONALES/ ATI
PN COMPREHENSIVE ONLINE PRACTICE 2019 A
WITH NGN LATEST VERSION 2024 (BRAND NEW!!)
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?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.
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?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.)
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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?"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?
- 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?"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: 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: Reports a decrease in the number of stools
RAT: Pancrelipase is administered as replacement therapy for a deficiency in 2 / 4
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: 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 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?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? 3 / 4
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?
A nurse is assisting with the admission of an older adult client. Which of the following actions should the nurse take first?
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: 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.
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