NCLEX NGN PRE-TEST QUESTIONS AND ANSWERS
LATEST 2025 VERSION VERIFIED RATIONALE
GRADED A+
Zidovudine is prescribed for a client with AIDS. The nurse tells the client that it is important to report back to the clinic as scheduled
for which follow-up diagnostic?
Zidovudine is an antiviral medication that cause cause agranulocytosis and anemia.
Young= down
Yogurt
Wrapping the cord loosely in a sterile towel saturated with warm sterile normal saline solution - ansA, C, D
With two gloved fingers, exerting upward pressure, into the vagina, on the presenting part
Whole-grain bread - ansB
White blood cell (WBC) count - ansC
When the membranes rupture in the birth setting, the nurse immediately assesses the fetal heart rate to detect changes associated
with prolapse or compression of the umbilical cord.
Vomiting or spitting up after a meal, hiccupping, and recurrent otitis media resulting from pooling of secretions in the nasopharynx
during sleep are characteristics of all types of GER.
Uses a small speculum to decrease the discomfort
Turning the client's head to the side
Turn the client to the side
Turn the client onto his back
Treatment includes the administration of an antibiotic, but it is not necessary for sexual partners to be treated - ansB
Tomatoes
Tilts the client's head forward before inserting the speculum
Thrombus formation
Throat culture
This pain will go away once a prosthesis is used
The victim who must be treated immediately because of the threat to life, limb, or vision is categorized as emergent and is the
priority.
The spouse's statement "I don't approve of this treatment." - ansC
The preferred injection site for the administration of vitamin K in the newborn is the lateral aspect of the middle third of the vastus
lateralis muscle (the newborn's thigh). This muscle is the preferred injection site because it is free of major blood vessels and nerves
and is large enough to absorb the medication
The pattern of ventricular fibrillation is identified and can be a result after a patient with an MI. VF makes the patient feel faint, then
loses consciousness and becomes pulseless and apneic (BP and heart sounds absent). Treatment is to terminate VF and covert it
into a rhythm via defibrillation-> call a rapid and initiate CPR. Cardioversion is used for ventricular or supraventricular
tachydysrhythmias.
The pain occurs because nerves have been cut
The pain is a normal, temporary condition
The nurse realigns the client and, if this is ineffective, calls the primary health care provider. The nurse never removes traction
weights unless this is specifically prescribed by the primary health care provider. Severe leg pain, once traction has been
established, indicates a problem. The client should be medicated after an attempt has been made to identify and treat the cause of
the pain.
,NCLEX NGN PRE-TEST QUESTIONS AND ANSWERS
LATEST 2025 VERSION VERIFIED RATIONALE
GRADED A+
The nurse is participating in a facility's planning committee to deal with possible bioterrorism threats. The nurse should recommend
implementing which infection control measures to be used for clients in whom smallpox is diagnosed? Select all that apply.
The nurse is observing a new nurse employee perform an otoscopic examination of an adult client. The nurse determines the new
nurse employee understands the procedure if the new nurse employee takes which action?
The normal CD4+ count is 500 to 1600 cells/mm3. Because this child's CD4+ count is 1000 cells/mm3, the nurse would administer
the vaccine.
The mother of 6-year-old twins says to the nurse, "My mother-in-law doesn't think that the twins should come to the funeral service
for their grandfather. What do you advise?" Which response by the nurse would be therapeutic?
The most frequent cause of autonomic dysreflexias are a distended bladder and impacted feces. Other causes include stimulation of
the skin by tactile, thermal, or painful stimuli. The nurse renders care in such a way as to minimize these risks.
The inability to remove a suction catheter is a critical situation. This finding, along with the client's symptoms presented in the
question, indicates bronchospasm and bronchoconstriction. The nurse must immediately disconnect the suction source from the
catheter but leave the catheter in the trachea. The nurse then connects the oxygen source to the catheter, because the client is at
risk for hypoxia.
The client's report of suicidal thoughts
The client's report of not sleeping well
The client will walk on a treadmill until contractions begin.
The client may be asked to massage one or both nipples to stimulate uterine contractions. - ansC, E
The chest tube connection sites
The amount of suction being applied to the chest tube system - ansA
The amount of drainage in the collection chamber
Telling the caregiver that he or she is not allowed to care for the client - ansC
Tell the victim that the nurse is leaving to call an ambulance but will be right back - ansA
Tell the client that her bathroom privileges are being suspended because of her behavior
Tell the client firmly that burlesque shows are not allowed in the nursing unit
Take antacids as often as necessary
Take acetylsalicylic acid (aspirin) immediately if a fever develops
Stridor indication there is an obstruction and the HCP should be notified immediately. The patient should be placed in high Fowlers
and pulse oximetry can be completed by is not the priority.
Stop the oxytocin infusion
Start an intravenous line for the administration of glucose
Standard
Stabilize the neck area
Spinach
Spinach
Special body movements will be performed to stimulate contractions.
Softening and compressibility of the lower uterine segment, occurring around the sixth week of pregnancy, is called the Hegar sign.
, NCLEX NGN PRE-TEST QUESTIONS AND ANSWERS
LATEST 2025 VERSION VERIFIED RATIONALE
GRADED A+
Smallpox is transmitted from person to person in infected aerosols and air droplets spread by way of face-to-face contact with an
infected person after fever has begun, especially if the infected person is also coughing. The disease can also be transmitted in
contaminated clothes and bedding, although the risk of infection from this source is much lower. Therefore droplet and contact
precautions are necessary. Standard precautions are implemented for the care of all clients. Enteric precautions are implemented if
the infectious agent is transmitted by way of contact with feces. Protective isolation is implemented when the client is neutropenic
and needs to be protected from infection.
Sleep with an extra pillow under the head and shoulders - ansD
Shortening periods of uterine relaxation between contractions - ansD
Shellfish - ansA, B, D
Sardines
Risk for self-directed violence - ansD
Retaking the temperature rectally
Restrict fluid intake
Restrain the client's limbs
Renal failure
Removing the pads on the side rails
Removing some of the traction weights
Removing objects that might injure the client from the vicinity - ansA, B, C, F
Reinsert the chest tube
Refusal to suck
Recurrent otitis media
Rationalization
RAcidosis: paCo2 >45 mmHg and RAlkalosis is paCo2 <35 mmHg. MAcidosis is HCO3- is less than 22 mEq/L and MAlkalosis is
HCO3- greater than 26 mEq/L.
Quietly and firmly assist the client to her room and help her dress in appropriate clothes - ansD
Pulls the pinna up and back before inserting the speculum
Pulls the earlobe down and back before inserting the speculum - ansB
Providing pin care
Protective isolation - ansB, C, D
Proper positioning promotes venous drainage from the cranium to minimize ICP.
Projection
Preparing for immediate delivery - ansB
Placing the woman in knee-chest position
Place the client in a side-lying position - ansA
Phantom limb pain is a temporary condition that some people who undergo amputation experience. This sensation of burning,
aching, or cramping in the missing limb is most distressing to the client. The child should be reassured that the condition is normal.
LATEST 2025 VERSION VERIFIED RATIONALE
GRADED A+
Zidovudine is prescribed for a client with AIDS. The nurse tells the client that it is important to report back to the clinic as scheduled
for which follow-up diagnostic?
Zidovudine is an antiviral medication that cause cause agranulocytosis and anemia.
Young= down
Yogurt
Wrapping the cord loosely in a sterile towel saturated with warm sterile normal saline solution - ansA, C, D
With two gloved fingers, exerting upward pressure, into the vagina, on the presenting part
Whole-grain bread - ansB
White blood cell (WBC) count - ansC
When the membranes rupture in the birth setting, the nurse immediately assesses the fetal heart rate to detect changes associated
with prolapse or compression of the umbilical cord.
Vomiting or spitting up after a meal, hiccupping, and recurrent otitis media resulting from pooling of secretions in the nasopharynx
during sleep are characteristics of all types of GER.
Uses a small speculum to decrease the discomfort
Turning the client's head to the side
Turn the client to the side
Turn the client onto his back
Treatment includes the administration of an antibiotic, but it is not necessary for sexual partners to be treated - ansB
Tomatoes
Tilts the client's head forward before inserting the speculum
Thrombus formation
Throat culture
This pain will go away once a prosthesis is used
The victim who must be treated immediately because of the threat to life, limb, or vision is categorized as emergent and is the
priority.
The spouse's statement "I don't approve of this treatment." - ansC
The preferred injection site for the administration of vitamin K in the newborn is the lateral aspect of the middle third of the vastus
lateralis muscle (the newborn's thigh). This muscle is the preferred injection site because it is free of major blood vessels and nerves
and is large enough to absorb the medication
The pattern of ventricular fibrillation is identified and can be a result after a patient with an MI. VF makes the patient feel faint, then
loses consciousness and becomes pulseless and apneic (BP and heart sounds absent). Treatment is to terminate VF and covert it
into a rhythm via defibrillation-> call a rapid and initiate CPR. Cardioversion is used for ventricular or supraventricular
tachydysrhythmias.
The pain occurs because nerves have been cut
The pain is a normal, temporary condition
The nurse realigns the client and, if this is ineffective, calls the primary health care provider. The nurse never removes traction
weights unless this is specifically prescribed by the primary health care provider. Severe leg pain, once traction has been
established, indicates a problem. The client should be medicated after an attempt has been made to identify and treat the cause of
the pain.
,NCLEX NGN PRE-TEST QUESTIONS AND ANSWERS
LATEST 2025 VERSION VERIFIED RATIONALE
GRADED A+
The nurse is participating in a facility's planning committee to deal with possible bioterrorism threats. The nurse should recommend
implementing which infection control measures to be used for clients in whom smallpox is diagnosed? Select all that apply.
The nurse is observing a new nurse employee perform an otoscopic examination of an adult client. The nurse determines the new
nurse employee understands the procedure if the new nurse employee takes which action?
The normal CD4+ count is 500 to 1600 cells/mm3. Because this child's CD4+ count is 1000 cells/mm3, the nurse would administer
the vaccine.
The mother of 6-year-old twins says to the nurse, "My mother-in-law doesn't think that the twins should come to the funeral service
for their grandfather. What do you advise?" Which response by the nurse would be therapeutic?
The most frequent cause of autonomic dysreflexias are a distended bladder and impacted feces. Other causes include stimulation of
the skin by tactile, thermal, or painful stimuli. The nurse renders care in such a way as to minimize these risks.
The inability to remove a suction catheter is a critical situation. This finding, along with the client's symptoms presented in the
question, indicates bronchospasm and bronchoconstriction. The nurse must immediately disconnect the suction source from the
catheter but leave the catheter in the trachea. The nurse then connects the oxygen source to the catheter, because the client is at
risk for hypoxia.
The client's report of suicidal thoughts
The client's report of not sleeping well
The client will walk on a treadmill until contractions begin.
The client may be asked to massage one or both nipples to stimulate uterine contractions. - ansC, E
The chest tube connection sites
The amount of suction being applied to the chest tube system - ansA
The amount of drainage in the collection chamber
Telling the caregiver that he or she is not allowed to care for the client - ansC
Tell the victim that the nurse is leaving to call an ambulance but will be right back - ansA
Tell the client that her bathroom privileges are being suspended because of her behavior
Tell the client firmly that burlesque shows are not allowed in the nursing unit
Take antacids as often as necessary
Take acetylsalicylic acid (aspirin) immediately if a fever develops
Stridor indication there is an obstruction and the HCP should be notified immediately. The patient should be placed in high Fowlers
and pulse oximetry can be completed by is not the priority.
Stop the oxytocin infusion
Start an intravenous line for the administration of glucose
Standard
Stabilize the neck area
Spinach
Spinach
Special body movements will be performed to stimulate contractions.
Softening and compressibility of the lower uterine segment, occurring around the sixth week of pregnancy, is called the Hegar sign.
, NCLEX NGN PRE-TEST QUESTIONS AND ANSWERS
LATEST 2025 VERSION VERIFIED RATIONALE
GRADED A+
Smallpox is transmitted from person to person in infected aerosols and air droplets spread by way of face-to-face contact with an
infected person after fever has begun, especially if the infected person is also coughing. The disease can also be transmitted in
contaminated clothes and bedding, although the risk of infection from this source is much lower. Therefore droplet and contact
precautions are necessary. Standard precautions are implemented for the care of all clients. Enteric precautions are implemented if
the infectious agent is transmitted by way of contact with feces. Protective isolation is implemented when the client is neutropenic
and needs to be protected from infection.
Sleep with an extra pillow under the head and shoulders - ansD
Shortening periods of uterine relaxation between contractions - ansD
Shellfish - ansA, B, D
Sardines
Risk for self-directed violence - ansD
Retaking the temperature rectally
Restrict fluid intake
Restrain the client's limbs
Renal failure
Removing the pads on the side rails
Removing some of the traction weights
Removing objects that might injure the client from the vicinity - ansA, B, C, F
Reinsert the chest tube
Refusal to suck
Recurrent otitis media
Rationalization
RAcidosis: paCo2 >45 mmHg and RAlkalosis is paCo2 <35 mmHg. MAcidosis is HCO3- is less than 22 mEq/L and MAlkalosis is
HCO3- greater than 26 mEq/L.
Quietly and firmly assist the client to her room and help her dress in appropriate clothes - ansD
Pulls the pinna up and back before inserting the speculum
Pulls the earlobe down and back before inserting the speculum - ansB
Providing pin care
Protective isolation - ansB, C, D
Proper positioning promotes venous drainage from the cranium to minimize ICP.
Projection
Preparing for immediate delivery - ansB
Placing the woman in knee-chest position
Place the client in a side-lying position - ansA
Phantom limb pain is a temporary condition that some people who undergo amputation experience. This sensation of burning,
aching, or cramping in the missing limb is most distressing to the client. The child should be reassured that the condition is normal.
