RN Comprehensive Practice A 2019 NGN QUESTIONS AND ANSWERS 100% CORRECT RATED & GRADED A+ LATEST UPDATE

A charge nurse is observing a newly licensed nurse administer enteral feedings via NG tube. Which of the following actions by the newly licensed indicates an understanding of the procedure?
- ANSWER>>Keeps the head of the bed elevated to 45* for 1hr after feedings.

A nurse is caring for a client who has a closed-head injury and is receiving mechanical ventilation. The nurse should expect to administer which of the following medications to reduce intracranial pressure?
- ANSWER>>Mannitol

An assistive personnel and a nurse are turning a client onto the right side. Which of the following actions by the AP requires the nurse to intervene?
- ANSWER>>Places a pillow under the client's right arm.

a nurse is proving teaching about improving nutrition for a client who has multiple sclerosis. Which of the following instructions should the nutse include? (SATA)
- ANSWER>>- "A speech pathologist will be performing a swallowing study for you."
- "You should rest before eating a meal."
- "Thicken your beverage before drinking."

A nurse is caring for a 1-month-old infant.
Exhibit 1: Nurses' Notes
1500:
Infant admitted to the pediatric unit. Parent reports infant has been irritable and has vomited after each feeding within the last 3 days.Infant alert, not crying. S1 and S2 noted without murmurs. Lungs clear to auscultation anterior/posterior. Respirations even, unlabored. Abdomen firm. Bowel sounds hypoactive x 4 quadrants. Small 1 x 1 cm2 mass palpated near umbilicus. Skin warm and dry, turgor with tenting.
1600:Called to room by parent. Parent attempted breastfeeding. Infant projectile vomited. No bile noted in vomit. Some blood-tinged vomitus noted. Instructed parent to keep child NPO.
1800:Infant crying. Soothed with pacifier.

Exhibit 2: Diagnostic Results
1545:
Hgb 20 g/dL
Hct 60%
Potassium 5.8 mEq/L
Sodium 132 mEq/L
Chloride 110 mEq/L
WBC count 16,000/mm3
BUN 20 mg/dL
Creatinine 0.2 mg/dL
1730:
Abdominal ultrasound: Narrowing
- ANSWER>>The infant is at highest for developing *DEHYDRATION*, as evidence by the infant's *VOMITING*

A nurse is caring for a client who is 4hr postpartum and has a boggy uterus with heavy lochia. Which of the folloeing actions should the nurse take first?
ANSWER>>Massage the uterus to expel clots

A nurse is caring for a group of clients. For which of the following events should the nurse complete an incident report?
- ANSWER>>A client;s IV pump devlivers an inadequate dose of medication.

A nurse is administering medications to a client who has a percutaneous gastrostomy tube for enteral feedings. Which of the following actions should the nurse take to prevent clogging of the tube?
- ANSWER>>Flush the client's gastrostomy tube with 30mL of water before administering the medication.

A nurse is caring for a client who has hypertension and is taking captopril. Which of the following tasks should the nurse delegate to an assistive personnel (AP)?
- ANSWER>>Obtain the client's blood pressure before the nurse administer medication.

A nurse is caring for a client who is on the spinal cord injury (SCI) unit.
Exhibit 1: Nurses' Notes
Day 3