TheoryNGN PN Nursing Exam Prep Practice Questions
Free NGN PN Nursing Exam Prep practice questions with answers and plain-English explanations. Browse the PDF, video and online mock test.
NGN PN Nursing Exam Prep Questions
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Q1Which federal regulation is most essential in ensuring that healthcare providers undertake measures to protect patient data from cyber threats?
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✓ Correct answer: Health Insurance Portability and Accountability Act (HIPAA)
Answer: The Health Insurance Portability and Accountability Act (HIPAA) The Health Insurance Portability and Accountability Act (HIPAA) outlines how personal health information (PHI) must be protected, including against digital threats. It mandates that healthcare entities implement security measures to safeguard patient data and articulates legal responsibilities alongside patients' rights. HIPAA violations entail severe legal penalties.
Q2A patient with a new prescription for liquid potassium supplement is being educated by the nurse. Which of the following instructions should be included in this education? Select all that apply.
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✓ Correct answer: Take the medication with a full glass of water
Liquid potassium supplements can irritate the stomach, so it is advisable to take them with water or juice to minimize discomfort and enhance absorption. Dilution with juice is often recommended as it not only aids in absorption but also reduces the unpleasant taste. Avoiding foods high in sodium is important as high sodium intake can counteract the effect of potassium, especially for patients managing blood pressure. Taking the medication on an empty stomach can increase gastric irritation, and consuming with dairy might decrease effectiveness due to calcium interference.
Q3What is the optimal position for a patient receiving oxygen via nasal cannula to ensure effective breathing and comfort?
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✓ Correct answer: Semi-Fowler's
Answer: Semi-Fowler's To ensure optimal lung expansion and breathing efficiency, a patient receiving oxygen via nasal cannula should be positioned in a Semi-Fowler's position. This semi-sitting position aids comfort and improves respiratory function.
Q4A nurse is using a patient lift to reposition a bedridden patient. What is the primary reason for utilizing this device?
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✓ Correct answer: Prevent injury to healthcare staff and patients
The primary purpose of using a patient lift is to prevent injuries to both healthcare workers and patients by safely transferring or repositioning the patient without manual lifting. While enhancing mobility and comfort can be secondary goals, injury prevention is the main reason for using such devices.
Q5Which of the following statements is/are true about administering comfort care to a patient in palliative care? Select all that apply.
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✓ Correct answer: Comfort care focuses on the quality of life for the patient.
Palliative care aims to improve the quality of life for patients with serious illnesses. It includes the management of pain and other distressing symptoms. Unlike curative treatment, palliative care focuses on comfort rather than trying to cure the disease. Pain management is a crucial aspect of comfort care. Maintaining quality of life is prioritized over extending life without considering the patient's comfort.
Q6You are caring for an elderly patient with congestive heart failure (CHF). The patient is prescribed diuretics to manage their condition. You will include all the following interventions in the care plan except:
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✓ Correct answer: Monitoring an arteriovenous (AV) fistula
Answer: Monitoring an arteriovenous (AV) fistula Diuretics are used in CHF to remove excess fluid, reduce symptoms, and prevent complications. Important interventions include fluid restriction, regular monitoring of electrolytes due to the risk of imbalances, and assessing for dehydration. AV fistulas are related to hemodialysis, not typically relevant in the care of CHF patients receiving diuretics.
Q7The licensed practical nurse is caring for a 45-year-old female who believes she can communicate with world leaders telepathically and influences global decisions. Her beliefs are best described as:
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✓ Correct answer: Delusions of grandeur
Delusions of grandeur are characterized by beliefs of exaggerated self-importance, such as the belief that one can control global events or communicate with world leaders telepathically. Other types of delusions include persecutory delusions (belief in being targeted or harassed), reference delusions (believing external events relate directly to oneself), and somatic delusions (belief in bodily malfunctions or disorders).
Q8A patient with dementia often becomes agitated in the late afternoon. Which of the following interventions should the nurse implement immediately? Select all that apply.
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✓ Correct answer: Decrease environmental stimuli
The immediate nursing actions for a patient with dementia experiencing agitation include decreasing stimuli in the environment and providing a calm and quiet setting. These actions help minimize confusion and agitation. Engaging the patient in detailed conversations or introducing stimulating activities are not recommended as immediate interventions as they can increase agitation. Encouraging group activities may also be overwhelming in this context.
Q9You are tasked with discharging a patient who is visually impaired. What is the most appropriate action to ensure the patient understands their discharge instructions?
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✓ Correct answer: Locate a visually impaired patients' specialist and ask them to assist in providing the discharge instructions using suitable methods.
Engaging a specialist who can adapt the discharge instructions into a format understandable by visually impaired patients is crucial. Family members may not be trained to convey the necessary information correctly or use the right communication methods. Remember to use resources like braille or audio instructions if appropriate.
Q10A young patient in your care has been experimenting with methamphetamine. During your discussion about health risks, you explain that using methamphetamine can lead to which of the following critical health conditions?
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✓ Correct answer: Cardiac arrest
Answer: Cardiac arrest Methamphetamine use significantly increases the risk of cardiac arrest due to its stimulant effects, which can lead to severe cardiovascular strain.
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