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NGN-RN Complete Package (S3)

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A nurse is reviewing a list of assigned clients during their shift.

 Which of the following clients is at the highest risk for developing renal calculi?

Ramanpreet Kaur Sidhu

ID: 137304
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A client comes into the emergency department (ED) with shortness of breath, confusion, and lethargy. An arterial blood gas (ABG) sample is taken and the results are below.

 The nurse interprets these results as which of the following?

pH: 7.29

paCO2: 20 mmHg

paO2: 95 mmHg

HCO3: 15 mEq/L (15 mmol/L)

Reference Ranges:

pH: 7.35-7.45

pCO2: 35-45 mmHg

pO2: 80-100 mmHg

HCO3: 22-26 mEq/L (22-26 mmol/L)

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is caring for a client on respiratory support. An ABG has been completed to assess the clients ventilation status. The results are provided below. The nurse interprets these results as which of the following?

pH: 7.43

PCO2: 25 mmHg

PO2: 60 mmHg

HCO3: 19 mEq/L (19 mmol/L)

Reference Ranges:

pH: 7.35-7.45

pCO2: 35-45 mmHg

pO2: 80-100 mmHg

HCO3: 22-26 mEq/L (22-26 mmol/L)

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is performing a vision assessment on a client with a suspected diagnosis of cataracts. 

 Which of the following clinical manifestations should the nurse expect when observing for an early symptom of cataracts?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is conducting an otoscopic examination on a 2 month-old infant with otitis media. The nurse can clearly observe the tympanic membrane by using which technique when conducting the examination?

Ramanpreet Kaur Sidhu

ID: 137304
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During dialysis, the nurse notices that the client's level of consciousness is decreasing. The client reports that they feel fine despite having a small headache.

 Which of the following actions should the nurse perform first?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is working in a pediatric medical unit and is caring for several dehydrated clients. During rounds, 4 newly admitted clients are prescribed the administration of an isotonic solution stat. 

For which of the following clients would the nurse question this order?

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is preparing to perform hemodialysis for a male client with chronic kidney disease (CKD). Which of the following client findings is the most concerning?

Reference Ranges:

Hemoglobin (male): 14-18 g/dL (140-180 g/L)

Ramanpreet Kaur Sidhu

ID: 137304
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The nurse is assigned a client who is preparing for a discharge home under specific dietary restrictions. The client is non-English-speaking. Which of the following would be the most appropriate person to assist the nurse in providing discharge teaching?

Ramanpreet Kaur Sidhu

ID: 137304
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A client with a chronic venous ulcer requires dressing changes every hour. The client asks the nurse to leave the wet dressing to save on costs for supplies. How should the nurse respond?

Ramanpreet Kaur Sidhu

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