NCLEX NGN Pre-Test (Latest 2026/2027 Update) Questions with Verified Answers | 100% Correct| Graded A+

NCLEX NGN Pre-Test (Latest 2026/2027
Update) Questions with Verified
Answers | 100% Correct| Graded A+
Question:

A nurse of the telemetry unit is caring for a client who has had a MI and is
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now attached to a cardiac monitor. The nurse is monitoring the client's
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cardiac rhythm and nots ventricular fibrillation. Which nursing intervention
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should the nurse take first?
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a. Calling the rapid response team
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b. Preparing the client for cardioversion
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c. Asking the client to bear down and cough
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d. Preparing to administer diltiazem?
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Answer:
A
The pattern of ventricular fibrillation is identified and can be a result after
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a patient with an MI. VF makes the patient feel faint, then loses
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consciousness and becomes pulseless and apneic (BP and heart sounds
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absent). Treatment is to terminate VF and covert it into a rhythm via
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defibrillation-> call a rapid and initiate CPR. Cardioversion is used for
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ventricular or supraventricular tachydysrhythmias.
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Question:

,A nurse developing a plan of care for a client with a spinal cord injury
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includes measures to prevent autonomic dysreflexia (hyperreflexia). Which
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intervention does the nurse incorporate into the plan to prevent this
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complication?

a. Keeping the fan running in the client's room
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b. Keeping the linens wrinkle free under the client
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c. Limiting bladder catheterization to once every 12 hours
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d. Avoiding the administration of enemas and rectal suppositories?
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Answer:

B
The most frequent cause of autonomic dysreflexias are a distended
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bladder and impacted feces. Other causes include stimulation of the skin
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by tactile, thermal, or painful stimuli. The nurse renders care in such a way
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as to minimize these risks.
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Question:
A nurse provides home care instructions to a client who has been fitted
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with a halo device to treat a cervical fracture. Which statement by the
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client indicates the need for further teaching?
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a. I need to get more fluids and fiber into my diet
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b. I should cut my food into small pieces before I eat
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c. I need to put powder under the vest twice a day to prevent sweating
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d. I have to check the pin sites everyday and watch for signs of infection?
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Answer:

,C
Cleanse the skin under the wool liner each day to prevent rashes and
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soars.




Question:

A nurse is caring for a client with increased intracranial pressure. In which
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position should the nurse maintain the client?
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a. Supine with the head extended
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b. Side lying with the neck flexed
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c. Supine with the head turned to the side
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d. Head midline and elevated 30-45 degrees?
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Answer:

D

Proper positioning promotes venous drainage from the cranium to
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minimize ICP. i,-




Question:

A client with a basilar skull fracture has clear fluid leaking from the ears.
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The nurse should take which action first?
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a. Asses the clear fluid for protein
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b. Check the clear fluid for glucose
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c. Place cotton calls or dry gauze loosely in the ears
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, d. Use an otoscope to assess the tympanic membrane for rupture?
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Answer:

B

CSF contains glucose not protein.
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Question:

A nurse is assigned to care for a client with chronic renal failure who is
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undergoing hemodialysis through an internal AV fistula in the RA. Which
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intervention should the nurse implement in caring for the client? SATA
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a. Assessing the radial pulse in the right extremity
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b. Using the LA ti take BP readings
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c. Drawing pre-dialysis blood specimens from the LA
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d. Assessing the area over the AV fistula for a bruit and three each shift
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e. Placing a pressure dressing over the site after each dialysis treatment
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f. Administering IV fluids through the venous site of the AV fistula as
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needed?

Answer:
A, B, C, D
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Question:

A nurse is evaluating outcomes for a client with Guillain-Barre syndrome.
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Which outcome does the nurse recognize as optimal respiratory outcomes
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for the client?
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