NCLEX NGN Tips & Practice Questions, Answered-How to Recognize Cues - To Recognize Cues, carefully review the client's assessment data like developmental age and history to help determine if findings are relevant or of i
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NCLEX NGN Tips & Practice Questions, Answered-How to Recognize Cues - To Recognize Cues, carefully review the client's assessment data like developmental age and history to help determine if findings are relevant or of immediate concern to the nurse.
How to Analyze Cues - To Analyze Cues, you are not required to make a medical diagnosis but rather will be expected to connect or link client findings with selected client conditions or health problems, either actual or potential.
How to Generate Solutions - To Generate Solutions to meet a client's priority needs, determine the client's desired or expected outcomes first.
Informational: NGN Case Study - The Unfolding Case Study presents the client over time through several phases of care in the clinical scenario.
The client may initially be evaluated in an ED, acute care hospital, clinic, school, or urgent care center. As the scenario changes, or "unfolds," new NGN test items require that the candidate use the information in the current phase of the client's care to answer each question. Nursing candidates can expect to have three NGN Case Studies with six questions each. Each of the six questions rep- resents one of the clinical judgment cognitive skills discussed earlier.
A 42-year-old postpartum client who just gave birth to a third child in 4 years reports severe "afterbirth pains" of 9/10 on a 0 to 10 pain intensity scale. The client also reports having problems with getting the baby to latch for breast-feeding/chest-feeding. The nurse assesses that the client has a boggy uterus and is saturating a peri-pad every 20 to 30 minutes.
Rank the following items in order of priority:
Difficulty with breast-feeding/chest-feeding due to inability of baby to latch
Severe abdominal pain due to uterine contractions
Excessive post-partum bleeding due to boggy uterus - 1. Excessive postpartum bleeding due to boggy uterus
2. Severe abdominal pain due to uterine contractions
3. Difficulty with breast-feeding/chest-feeding due to inability of baby to latch
The priority for this client at this time is to manage excessive postpartum bleeding because the client could become hypovolemic and develop shock. In this situation, managing the client's bleeding is more urgent than managing severe pain or breast-feeding/ chest-feeding difficulty to prevent the risk of a life-threatening complication.
A 28-year-old client is brought to the ED by friends, who state that the client became violent this evening in a local bar after a partner "break up." The client accused the partner of "cheating" and pulled out a knife. The client's friends were able to stop the client and take the knife before any harm occurred. They state that they have never seen the client act like this and are worried that something might be seriously wrong. Currently the client seems agitated and restless, and begins pacing in the ED demand- ing to "see my partner right now."
Based on the client information provided, what is the nurse's first action?
A. Ask the client's friends to check the client for additional weapons.
B. Reassure the client that the client is safe and secure in the ED.
C. Call Security for assistance.
D. Allow the client to vent own feelings.
E. Administer an anti-anxiety medication.
F. Distract the client and guide the c - D. Allow the client to vent own feelings.
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