1) A female client with a nasogastric tube attached to low suction states thatshe is nauseated.

The nurse assesses that there has been no drainage through the nasogastric tube in the last 2

hours. Which action should the nurse take first?

A. Irrigate the nasogastric tube with sterile normal saline.

B. Reposition the client on her side.

C. Advance the nasogastric tube 5 cm.

D. Administer an intravenous antiemetic as prescribed.

B. The priority is to determined if the tube is functioning correctly, which would relieve the

client's nausea. The least invasive intervention is to reposition the client (B), should be

attempted first, followed by (A & C) if these are unsuccessful then (D).

2)When assigning clients on a medical-surgical floor to a RN and a LPN, it is best for the charge

nurse to assign which client to the LPN?

A. A child with bacterial meningitis with recentseizures.

B. An older adult client with pneumonia and viral meningitis.

C. A female client in isolation wiht meningococcal meningitis.

D. A male client 1 day post-op after drainage of a brain abscess.

B. Is the moststable. A, C, D have an increased risk for elevated ICP.

3)Which description ofsymptoms is characteristic of a client with diagnosed with trigeminal

neuralgia (tic douloureux)?

A. Tinnitus, vertigo, and hearing difficulties.

B. Sudden,stabbing,severe pain over the lip and chin.

C. Unilateral facial weakness and paralysis.

D. Difficulty in talking, chewing, and swallowing.

B. Trigeminal neuralgia is characterized by paroxysms of pain,similar to an electric shock, in the

area innervated by one or more branches of the trigeminal nerve. A. Characteristic of Meniere's

C. Characteristic of Bell palsey D. Characteristic of disorders of the hypoglossal (12th cranial

nerve)

4)Which abnormal lab finding indicates that a client with diabetes needs further evaluation for

diabetic nephropathy?