NGN/NCLEX Prep
Questions/Rationales Updated 2026
The Bnurse Bnotes Bthe Bpresence Bof Ba BP Bwave, BQRS Bcomplex, Bflattened BT Bwaves, Band
Boccasional BU Bwaves Bon Ba Bclient's Bcardiac Bmonitor Bscreen. BFill Bin Bthe Bcorrect Bmissing
Binformation Bby Bchoosing Bfrom Bthe Blists Bof Boptions Bin Bthe Bdrop-down Bmenus. B-
BAnswerThe Bnurse Bshould Bsuspect
Your BAnswer: BhypokalemiaCorrect BAnswer: Bhypokalemia
because Bof Bthe
Your BAnswer: Bflattened BT Bwaves Band Boccasional BU BwavesCorrect BAnswer: Bflattened BT
Bwaves Band Boccasional BU Bwaves
Rationale:Cardiac Bchanges Bin Bhypokalemia Binclude Bimpaired Brepolarization, Bresulting Bin Ba
Bflattening Bof Bthe BT Bwave Band Beventually Bthe Bemergence Bof Ba BU Bwave. BTherefore,
Bthe Bnurse Bshould Bsuspect Bhypokalemia. BThe Bincidence Bof Bpotentially Blethal Bventricular
Bdysrhythmias Bis Bincreased Bin Bhypokalemia. BThe Bnurse Bshould Bimmediately Bassess Bthe
Bclient's Bvital Bsigns Band Bcardiac Bstatus Bfor Bsigns Bof Bhypokalemia. BThe Bnurse Bshould
Balso Bcheck Bthe Bclient's Bmost Brecent Bserum Bpotassium Blevel Band Bthen Bcontact Bthe
Bprimary Bhealth Bcare Bprovider Bto Breport Bthe Bfindings Band Bobtain Bprescriptions Bto Btreat
Bthe Bhypokalemic Bstate.
The Bnurse Bis Bpreparing Ba Bclient Bfor Ba Bchest Bx-ray Band Bnotes Bthat Bthe Bclient Bis
Bwearing Ba Breligious Bmedal Bon Ba Bchain Baround Bthe Bneck. BWhat Bshould Bthe Bnurse Bdo
Bwith Bregard Bto Bthis Bpersonal Bitem? BClick Bto Bhighlight Bthe Bcorrect Banswer Bfrom Bthe
Boptions Bprovided. B- BAnswerThe Bnurse Bshould: B(Select B1 Boption)
✓Ask Bthe Bclient Bif Bthe Bchain Band Bmedal Bcan Bbe Bremoved Bduring Bthe Bprocedure.
Because: B(Select B1 Boption)
✓The Bchain Band Bmedal Bmay Bhave Bcultural Bsignificance.
Rationale:Before Bcertain Bdiagnostic Bprocedures, Bit Bis Btypical Bto Bhave Ba Bclient Bremove
Bpersonal Bobjects Bthat Bare Bworn Bon Bthe Bbody Bbecause Bof Bclient Bsafety Band Bthe
Bpossibility Bof Bcompromising Btest Bresults. BTherefore, Bthe Bnurse Bshould Bask Bthe Bclient
Babout Bthe Bsignificance Bof Bsuch Ban Bitem Band Bits Bremoval Bbecause Bit Bmay Bhave
Bcultural Bor Bspiritual Bsignificance. BIf Bso, Bthe Bnurse Bshould Bask Bthe Bclient Bif Bthe Bitem
Bcan Bbe Beither Bremoved Btemporarily Bor Bplaced Bon Banother Bpart Bof Bthe Bbody Bduring
Bthe Bprocedure Bif Bappropriate.
While Bpreparing Ba Bclient Bfor Bsurgery Bscheduled Bin B1 Bhour, Bthe Bclient Bstates Bto Bthe
Bnurse: B"I Bhave Bchanged Bmy Bmind. BI Bdon't Bwant Bthis Bsurgery." BClick Bto Bhighlight Bthe
,Bcorrect Banswer Bfrom Bthe Boptions Bprovided. B- BAnswerThe Bnurse Bshould: B(Select B1
Boption)
Cancel Bthe Bsurgery.
Contact Bthe Bsurgeon.
✓Discuss Bthe Bclient's Bconcerns.
Call Bthe Bidentified Bsupport Bperson.
Because: B(Select B1 Boption)
Client Bconsent Bis Brequired Bprior Bto Bany Bprocedure.
✓Further Bquestions Bor Bconcerns Bshould Bbe Bdetermined Band Baddressed.
Ethical Bconsiderations Bare Bimportant Bfor Ba Bclient Bundergoing Bsurgery.
The Bnursing Bscope Bof Bpractice Bplaces Blimitations Bon Bhow Bthe Bnurse Bcan Brespond.
Rationale:If Bthe Bclient Bindicates Bthat Bhe Bor Bshe Bdoes Bnot Bwant Ba Bprescribed Btherapy,
Btreatment, Bor Bprocedure Bsuch Bas Bsurgery, Bthe Bnurse Bshould Bfurther Binvestigate Bthe
Bclient's Brequest. BIf Bthe Bclient Bindicates Bthat Bhe Bor Bshe Bhas Bchanged Bhis Bor Bher
Bmind Babout Bsurgery, Bthe Bnurse Bshould Bassess Bthe Bclient Band Bexplore Bwith Bthe Bclient
Bhis Bor Bher Bconcerns Babout Bnot Bwanting Bthe Bsurgery. BThe Bnurse Bwould Bthen Bwithhold
Bfurther Bsurgical Bpreparation Band Bcontact Bthe Bsurgeon Bto Breport Bthe Bclient's Brequest
Bso Bthat Bthe Bsurgeon Bcan Bdiscuss Bthe Bconsequences Bof Bnot Bhaving Bthe Bsurgery Bwith
Bthe Bclient. BFurther Bassessment Band Bfollow-up Brelated Bto Bthe Bclient's Brequest Bneed Bto
Bbe Bdone. BIt Bis Bthe Bclient's Bright Bto Brefuse Btreatment; Bhowever, Bfurther Binvestigation
Bis Bneeded Bso Bthe Binterventions Bcan Bbe Btailored Bto Bspecific Bneeds.
The Bnurse Bnotes Bthat Bthere Bhas Bbeen Ban Bincrease Bin Bthe Bnumber Bof Bintravenous B(IV)
Bsite Binfections Bthat Bdeveloped Bin Bthe Bclients Bbeing Bcared Bfor Bon Bthe Bnursing Bunit.
BHow Bshould Bthe Bnurse Bproceed Bto Bimplement Ba Bquality Bimprovement Bprogram?For
Beach Baction, Bclick Bto Bspecify Bwhether Bthe Baction Bwould Bbe:
Indicated: Ban Baction Bthat Bthe Bnurse Bshould Btake Bto Bresolve Bthe Bproblem
Non-essential: Ban Baction Bthat Bthe Bnurse Bcould Btake Bwithout Bharming Bthe Bclient, Bbut
Bthe Baction Bwould Bnot Bbe Blikely Bto Baddress Bthe Bproblem
Contraindicated: Ban Baction Bthat Bcould Bharm Bthe Bclient Band Bshould Bnot Bbe Btaken B-
BAnswerCollect Bidentifying Bpatient Binformation
Contraindicated
Note Bthe Bmental Bstatus Bof Bthe Bclient
Non-essential
Note Bprimary Band Bsecondary Bdiagnoses Bof Bclients Baffected
, Indicated
Note Bthe Btype Bof BIV Bcatheter Bused
Indicated
Note Bthe Btype Bof BIV Bsite Bdressings Bbeing Bused
Indicated
Note Bthe Bmedication Btypes Bbeing Binfused
Non-essential
Note Bfrequency Bof Bassessments Bof BIV Bsites
Indicated
Note Bthe Bexpected Bduration Bof Bthe BIV Bsite
Non-essential
Note Bcare Bprocedures Bto Bthe BIV Bsite
Indicated
Note Bfrequency Bof Bchanging BIV Bsites
Indicated
Rationale:Quality Bimprovement, Balso Bknown Bas Bperformance Bimprovement, Bfocuses Bon
Bprocesses Bor Bsystems Bthat Bsignificantly Bcontribute Bto Bclient Bsafety Band Beffective Bclient
Bcare Boutcomes; Bcriteria Bare Bused Bto Bmonitor Boutcomes Bof Bcare Band Bto Bdetermine
Bthe Bneed Bfor Bchange Bto Bimprove Bthe Bquality Bof Bcare. BIf Bthe Bnurse Bnotes Ba
Bparticular Bproblem, Bsuch Bas Ban Bincrease Bin Bthe Bnumber Bof Bintravenous B(IV) Bsite
Binfections, Bthe Bnurse Bshould Bcollect Bdata Babout Bthe Bproblem. BThis Bshould Binclude
Binformation Bsuch Bas Bthe Bprimary Band Bsecondary Bdiagnoses Bof Bthe Bclients Bdeveloping
Bthe Binfection, Bthe Btype Bof BIV Bcatheters Bbeing Bused, Bthe Bsite Bof Bthe Bcatheter, BIV
Bsite Bdressings Bbeing Bused, Bfrequency Bof Bassessment Band Bmethods Bof Bcare Bto Bthe BIV
Bsite, Band Blength Bof Btime Bthat Bthe BIV Bcatheter Bwas Binserted. BOnce Bthese Bdata Bare
Bcollected Band Banalyzed, Bthe Bnurse Bshould Bexamine Bevidence-based Bpractice Bprotocols
Bto Bidentify Bthe Bbest Bpractices Bfor Bcare Bto BIV Bsites Bto Bprevent Binfection. BThese
Bpractices Bcan Bthen Bbe Bimplemented Band Bfollowed Bby Bevaluation Bof Bresults Bbased Bon
Bthe Bevidence-based Bpractice Bprotocols Bused. BCollecting Bidentifying Bclient Binformation Bis
Bcontraindicated Bbecause Bof Bconfidentiality Band Bis Bunnecessary Bin Bthis Bquality
Bimprovement Beffort. BNoting Bthe Bmental Bstatus Bof Bthe Bclients Bcan Bbe Bdone Bbut Bis
Bnot Blikely Bto Baddress Bthe
The Bnurse Bperforms Ban BAllen's Btest Bon Ba Bclient Bscheduled Bfor Ban Barterial Bblood Bgas
Bdraw Bfrom Bthe Bradial Bartery. BOn Brelease Bof Bpressure Bfrom Bthe Bulnar Bartery, Bcolor Bin
Bthe Bhand Breturns Bafter B20 Bseconds. BHow Bshould Bthe Bnurse Binterpret Bthe Bfinding? BFill
Questions/Rationales Updated 2026
The Bnurse Bnotes Bthe Bpresence Bof Ba BP Bwave, BQRS Bcomplex, Bflattened BT Bwaves, Band
Boccasional BU Bwaves Bon Ba Bclient's Bcardiac Bmonitor Bscreen. BFill Bin Bthe Bcorrect Bmissing
Binformation Bby Bchoosing Bfrom Bthe Blists Bof Boptions Bin Bthe Bdrop-down Bmenus. B-
BAnswerThe Bnurse Bshould Bsuspect
Your BAnswer: BhypokalemiaCorrect BAnswer: Bhypokalemia
because Bof Bthe
Your BAnswer: Bflattened BT Bwaves Band Boccasional BU BwavesCorrect BAnswer: Bflattened BT
Bwaves Band Boccasional BU Bwaves
Rationale:Cardiac Bchanges Bin Bhypokalemia Binclude Bimpaired Brepolarization, Bresulting Bin Ba
Bflattening Bof Bthe BT Bwave Band Beventually Bthe Bemergence Bof Ba BU Bwave. BTherefore,
Bthe Bnurse Bshould Bsuspect Bhypokalemia. BThe Bincidence Bof Bpotentially Blethal Bventricular
Bdysrhythmias Bis Bincreased Bin Bhypokalemia. BThe Bnurse Bshould Bimmediately Bassess Bthe
Bclient's Bvital Bsigns Band Bcardiac Bstatus Bfor Bsigns Bof Bhypokalemia. BThe Bnurse Bshould
Balso Bcheck Bthe Bclient's Bmost Brecent Bserum Bpotassium Blevel Band Bthen Bcontact Bthe
Bprimary Bhealth Bcare Bprovider Bto Breport Bthe Bfindings Band Bobtain Bprescriptions Bto Btreat
Bthe Bhypokalemic Bstate.
The Bnurse Bis Bpreparing Ba Bclient Bfor Ba Bchest Bx-ray Band Bnotes Bthat Bthe Bclient Bis
Bwearing Ba Breligious Bmedal Bon Ba Bchain Baround Bthe Bneck. BWhat Bshould Bthe Bnurse Bdo
Bwith Bregard Bto Bthis Bpersonal Bitem? BClick Bto Bhighlight Bthe Bcorrect Banswer Bfrom Bthe
Boptions Bprovided. B- BAnswerThe Bnurse Bshould: B(Select B1 Boption)
✓Ask Bthe Bclient Bif Bthe Bchain Band Bmedal Bcan Bbe Bremoved Bduring Bthe Bprocedure.
Because: B(Select B1 Boption)
✓The Bchain Band Bmedal Bmay Bhave Bcultural Bsignificance.
Rationale:Before Bcertain Bdiagnostic Bprocedures, Bit Bis Btypical Bto Bhave Ba Bclient Bremove
Bpersonal Bobjects Bthat Bare Bworn Bon Bthe Bbody Bbecause Bof Bclient Bsafety Band Bthe
Bpossibility Bof Bcompromising Btest Bresults. BTherefore, Bthe Bnurse Bshould Bask Bthe Bclient
Babout Bthe Bsignificance Bof Bsuch Ban Bitem Band Bits Bremoval Bbecause Bit Bmay Bhave
Bcultural Bor Bspiritual Bsignificance. BIf Bso, Bthe Bnurse Bshould Bask Bthe Bclient Bif Bthe Bitem
Bcan Bbe Beither Bremoved Btemporarily Bor Bplaced Bon Banother Bpart Bof Bthe Bbody Bduring
Bthe Bprocedure Bif Bappropriate.
While Bpreparing Ba Bclient Bfor Bsurgery Bscheduled Bin B1 Bhour, Bthe Bclient Bstates Bto Bthe
Bnurse: B"I Bhave Bchanged Bmy Bmind. BI Bdon't Bwant Bthis Bsurgery." BClick Bto Bhighlight Bthe
,Bcorrect Banswer Bfrom Bthe Boptions Bprovided. B- BAnswerThe Bnurse Bshould: B(Select B1
Boption)
Cancel Bthe Bsurgery.
Contact Bthe Bsurgeon.
✓Discuss Bthe Bclient's Bconcerns.
Call Bthe Bidentified Bsupport Bperson.
Because: B(Select B1 Boption)
Client Bconsent Bis Brequired Bprior Bto Bany Bprocedure.
✓Further Bquestions Bor Bconcerns Bshould Bbe Bdetermined Band Baddressed.
Ethical Bconsiderations Bare Bimportant Bfor Ba Bclient Bundergoing Bsurgery.
The Bnursing Bscope Bof Bpractice Bplaces Blimitations Bon Bhow Bthe Bnurse Bcan Brespond.
Rationale:If Bthe Bclient Bindicates Bthat Bhe Bor Bshe Bdoes Bnot Bwant Ba Bprescribed Btherapy,
Btreatment, Bor Bprocedure Bsuch Bas Bsurgery, Bthe Bnurse Bshould Bfurther Binvestigate Bthe
Bclient's Brequest. BIf Bthe Bclient Bindicates Bthat Bhe Bor Bshe Bhas Bchanged Bhis Bor Bher
Bmind Babout Bsurgery, Bthe Bnurse Bshould Bassess Bthe Bclient Band Bexplore Bwith Bthe Bclient
Bhis Bor Bher Bconcerns Babout Bnot Bwanting Bthe Bsurgery. BThe Bnurse Bwould Bthen Bwithhold
Bfurther Bsurgical Bpreparation Band Bcontact Bthe Bsurgeon Bto Breport Bthe Bclient's Brequest
Bso Bthat Bthe Bsurgeon Bcan Bdiscuss Bthe Bconsequences Bof Bnot Bhaving Bthe Bsurgery Bwith
Bthe Bclient. BFurther Bassessment Band Bfollow-up Brelated Bto Bthe Bclient's Brequest Bneed Bto
Bbe Bdone. BIt Bis Bthe Bclient's Bright Bto Brefuse Btreatment; Bhowever, Bfurther Binvestigation
Bis Bneeded Bso Bthe Binterventions Bcan Bbe Btailored Bto Bspecific Bneeds.
The Bnurse Bnotes Bthat Bthere Bhas Bbeen Ban Bincrease Bin Bthe Bnumber Bof Bintravenous B(IV)
Bsite Binfections Bthat Bdeveloped Bin Bthe Bclients Bbeing Bcared Bfor Bon Bthe Bnursing Bunit.
BHow Bshould Bthe Bnurse Bproceed Bto Bimplement Ba Bquality Bimprovement Bprogram?For
Beach Baction, Bclick Bto Bspecify Bwhether Bthe Baction Bwould Bbe:
Indicated: Ban Baction Bthat Bthe Bnurse Bshould Btake Bto Bresolve Bthe Bproblem
Non-essential: Ban Baction Bthat Bthe Bnurse Bcould Btake Bwithout Bharming Bthe Bclient, Bbut
Bthe Baction Bwould Bnot Bbe Blikely Bto Baddress Bthe Bproblem
Contraindicated: Ban Baction Bthat Bcould Bharm Bthe Bclient Band Bshould Bnot Bbe Btaken B-
BAnswerCollect Bidentifying Bpatient Binformation
Contraindicated
Note Bthe Bmental Bstatus Bof Bthe Bclient
Non-essential
Note Bprimary Band Bsecondary Bdiagnoses Bof Bclients Baffected
, Indicated
Note Bthe Btype Bof BIV Bcatheter Bused
Indicated
Note Bthe Btype Bof BIV Bsite Bdressings Bbeing Bused
Indicated
Note Bthe Bmedication Btypes Bbeing Binfused
Non-essential
Note Bfrequency Bof Bassessments Bof BIV Bsites
Indicated
Note Bthe Bexpected Bduration Bof Bthe BIV Bsite
Non-essential
Note Bcare Bprocedures Bto Bthe BIV Bsite
Indicated
Note Bfrequency Bof Bchanging BIV Bsites
Indicated
Rationale:Quality Bimprovement, Balso Bknown Bas Bperformance Bimprovement, Bfocuses Bon
Bprocesses Bor Bsystems Bthat Bsignificantly Bcontribute Bto Bclient Bsafety Band Beffective Bclient
Bcare Boutcomes; Bcriteria Bare Bused Bto Bmonitor Boutcomes Bof Bcare Band Bto Bdetermine
Bthe Bneed Bfor Bchange Bto Bimprove Bthe Bquality Bof Bcare. BIf Bthe Bnurse Bnotes Ba
Bparticular Bproblem, Bsuch Bas Ban Bincrease Bin Bthe Bnumber Bof Bintravenous B(IV) Bsite
Binfections, Bthe Bnurse Bshould Bcollect Bdata Babout Bthe Bproblem. BThis Bshould Binclude
Binformation Bsuch Bas Bthe Bprimary Band Bsecondary Bdiagnoses Bof Bthe Bclients Bdeveloping
Bthe Binfection, Bthe Btype Bof BIV Bcatheters Bbeing Bused, Bthe Bsite Bof Bthe Bcatheter, BIV
Bsite Bdressings Bbeing Bused, Bfrequency Bof Bassessment Band Bmethods Bof Bcare Bto Bthe BIV
Bsite, Band Blength Bof Btime Bthat Bthe BIV Bcatheter Bwas Binserted. BOnce Bthese Bdata Bare
Bcollected Band Banalyzed, Bthe Bnurse Bshould Bexamine Bevidence-based Bpractice Bprotocols
Bto Bidentify Bthe Bbest Bpractices Bfor Bcare Bto BIV Bsites Bto Bprevent Binfection. BThese
Bpractices Bcan Bthen Bbe Bimplemented Band Bfollowed Bby Bevaluation Bof Bresults Bbased Bon
Bthe Bevidence-based Bpractice Bprotocols Bused. BCollecting Bidentifying Bclient Binformation Bis
Bcontraindicated Bbecause Bof Bconfidentiality Band Bis Bunnecessary Bin Bthis Bquality
Bimprovement Beffort. BNoting Bthe Bmental Bstatus Bof Bthe Bclients Bcan Bbe Bdone Bbut Bis
Bnot Blikely Bto Baddress Bthe
The Bnurse Bperforms Ban BAllen's Btest Bon Ba Bclient Bscheduled Bfor Ban Barterial Bblood Bgas
Bdraw Bfrom Bthe Bradial Bartery. BOn Brelease Bof Bpressure Bfrom Bthe Bulnar Bartery, Bcolor Bin
Bthe Bhand Breturns Bafter B20 Bseconds. BHow Bshould Bthe Bnurse Binterpret Bthe Bfinding? BFill
