NCLEX NGN PRE- TEST QUESTIONS,COMPLETE
SOLUTIONS,100% VERIFIED,A+GRADED
1. 2aA 2anurse 2ais 2aassigned 2ato 2acare 2afor 2aa 2aclient 2awith 2achronic 2arenal 2afailure 2awho 2ais
2aundergoing 2ahemodialysis 2athrough 2aan 2ainternal 2aAV 2afistula 2ain 2athe 2aRA. 2aWhich
2aintervention 2ashould 2athe 2anurse 2aimplement 2ain 2acaring 2afor 2athe 2aclient? 2aSATA 2aa.
2aAssessing 2athe 2aradial 2apulse 2ain 2athe 2aright 2aextremity
b. Using 2athe 2aLA 2ati 2atake 2aBP 2areadings
c. Drawing 2apre-dialysis 2ablood 2aspecimens 2afrom 2athe 2aLA
d. Assessing 2athe 2aarea 2aover 2athe 2aAV 2afistula 2afor 2aa 2abruit 2aand 2athree 2aeach 2ashift
e. Placing 2aa 2apressure 2adressing 2aover 2athe 2asite 2aafter 2aeach 2adialysis 2atreatment
f. Administering 2aIV 2afluids 2athrough 2athe 2avenous 2asite 2aof 2athe 2aAV 2afistula 2aas 2aneeded:
(ans) aA, 2a
B, 2aC, 2aD
2. 2aA 2anurse 2ais 2aevaluating 2aoutcomes 2afor 2aa 2aclient 2awith 2aGuillain-Barre 2asyndrome. 2a
Which 2aoutcome 2adoes 2athe 2anurse 2arecognize 2aas 2aoptimal 2arespiratory 2aoutcomes 2afor 2athe
2aclient?
a. Normal 2adeep 2atendon 2areflexes
b. Improved 2askeletal 2amuscle 2atone
c. Absences 2aof 2aparesthesias 2ain 2athe 2alower 2aextremities
d. Clear 2asound 2ain 2athe 2alower 2alung 2afields 2abilaterally
e. pO2 2aof 2a85 2ammHg 2aand 2apCO2 2aof 2a40 2ammHg: 2(ans) aD, 2aE
3. 2aA 2anurse 2aof 2athe 2atelemetry 2aunit 2ais 2acaring 2afor 2aa 2aclient 2awho 2ahas 2ahad 2aa 2aMI 2aand 2ais
2anow 2aattached 2ato 2aa 2acardiac 2amonitor. 2aThe 2anurse 2ais 2amonitoring 2athe 2aclient's 2acardiac
2arhythm 2aand 2anots 2aventricular 2afibrillation. 2aWhich 2anursing 2aintervention 2ashould 2athe
2anurse 2atake 2afirst?
a. Calling 2athe 2arapid 2aresponse 2ateam
b. Preparing 2athe 2aclient 2afor 2acardioversion
, NCLEX NGN Pre-Test Questions
c. Asking 2athe 2aclient 2ato 2abear 2adown 2aand 2acough
d. Preparing 2ato 2aadminister 2adiltiazem: 2(ans) aA
Deep rationale :The 2apattern 2aof 2aventricular 2afibrillation 2ais 2aidentified 2aand 2acan 2abe 2aa
2aresult 2aafter 2aa 2apatient 2awith 2aan 2aMI. 2aVF 2amakes 2athe 2apatient 2afeel 2afaint, 2athen 2aloses
2aconsciousness 2aand 2abecomes 2apulseless 2aand 2aapneic 2a(BP 2aand 2aheart 2asounds 2aabsent).
2aTreatment 2ais 2ato 2aterminate 2aVF 2aand 2acovert 2ait 2ainto 2aa 2arhythm 2avia 2adefibrillation-> 2acall
2aa 2arapid 2aand 2ainitiate 2aCPR. 2aCardioversion 2ais 2aused 2afor 2aventricular 2aor 2asupraventricular
2atachydysrhythmias.
4. 2aA 2anurse 2adeveloping 2aa 2aplan 2aof 2acare 2afor 2aa 2aclient 2awith 2aa 2aspinal 2acord 2ainjury 2aincludes
2ameasures 2ato 2aprevent 2aautonomic 2adysreflexia 2a(hyperreflexia). 2aWhich 2aintervention
2adoes 2athe 2anurse 2aincorporate 2ainto 2athe 2aplan 2ato 2aprevent 2athis 2acomplication? 2aa. 2aKeeping
2athe 2afan 2arunning 2ain 2athe 2aclient's 2aroom
b. Keeping 2athe 2alinens 2awrinkle 2afree 2aunder 2athe 2aclient
c. Limiting 2abladder 2acatheterization 2ato 2aonce 2aevery 2a12 2ahours
d. Avoiding 2athe 2aadministration 2aof 2aenemas 2aand 2arectal 2asuppositories: 2(ans) aB
Deep rationale :The 2amost 2afrequent 2acause 2aof 2aautonomic 2adysreflexias 2aare 2aa 2adistended
2abladder 2aand 2aimpacted 2afeces. 2aOther 2acauses 2ainclude 2astimulation 2aof 2athe 2askin 2aby
2atactile, 2athermal, 2aor 2apainful 2astimuli. 2aThe 2anurse 2arenders 2acare 2ain 2asuch 2aa 2away 2aas 2ato
2aminimize 2athese 2arisks.
5. 2aA 2anurse 2aprovides 2ahome 2acare 2ainstructions 2ato 2aa 2aclient 2awho 2ahas 2abeen 2afitted 2awith 2aa
2ahalo 2adevice 2ato 2atreat 2aa 2acervical 2afracture. 2aWhich 2astatement 2aby 2athe 2aclient 2aindicates
2athe 2aneed 2afor 2afurther 2ateaching?
a. I 2aneed 2ato 2aget 2amore 2afluids 2aand 2afiber 2ainto 2amy 2adiet
b. I 2ashould 2acut 2amy 2afood 2ainto 2asmall 2apieces 2abefore 2aI 2aeat
c. I 2aneed 2ato 2aput 2apowder 2aunder 2athe 2avest 2atwice 2aa 2aday 2ato 2aprevent 2asweating
d. I 2ahave 2ato 2acheck 2athe 2apin 2asites 2aeveryday 2aand 2awatch 2afor 2asigns 2aof 2ainfection: 2(ans) aC
Deep rationale :Cleanse 2athe 2askin 2aunder 2athe 2awool 2aliner 2aeach 2aday 2ato 2aprevent 2arashes
2aand 2asoars.
6. 2aA 2anurse 2ais 2acaring 2afor 2aa 2aclient 2awith 2aincreased 2aintracranial 2apressure. 2aIn 2awhich
2aposition 2ashould 2athe 2anurse 2amaintain 2athe 2aclient? 2aa. 2aSupine 2awith 2athe 2ahead
2aextended
b. Side 2alying 2awith 2athe 2aneck 2aflexed
, c. Supine 2awith 2athe 2ahead 2aturned 2ato 2athe 2aside
d. Head 2amidline 2aand 2aelevated 2a30-45 2adegrees: 2(ans) aD
Deep rationale :Proper 2apositioning 2apromotes 2avenous 2adrainage 2afrom 2athe 2acranium 2ato
2aminimize 2aICP.
7. 2aA 2aclient 2awith 2aa 2abasilar 2askull 2afracture 2ahas 2aclear 2afluid 2aleaking 2afrom 2athe 2aears. 2aThe
2anurse 2ashould 2atake 2awhich 2aaction 2afirst? 2aa. 2aAsses 2athe 2aclear 2afluid 2afor 2aprotein
b. Check 2athe 2aclear 2afluid 2afor 2aglucose
c. Place 2acotton 2acalls 2aor 2adry 2agauze 2aloosely 2ain 2athe 2aears
d. Use 2aan 2aotoscope 2ato 2aassess 2athe 2atympanic 2amembrane 2afor 2arupture: (ans) 2aB
Deep rationale :CSF 2acontains 2aglucose 2anot 2aprotein.
8. 2aA 2anurse 2ais 2acaring 2afor 2aa 2aclient 2awho 2ahas 2ajust 2aundergone 2acardioversion. 2aWhich
2aintervention 2ais 2athe 2anurse's 2apriority 2aafter 2athis 2aprocedure. 2a
a. Administer 2aoxygen
b. Monitoring 2athe 2aBP
c. Administering 2aantidysrhythmic 2amedications
d. Monitoring 2athe 2aclient's 2aLOC: (ans) 2aA
Deep rationale :ABC's 2aof 2anursing. 2aAll 2aother 2achoices 2aare 2acorrect, 2abut 2anot 2apriority.
9. 2aA 2aclient 2awith 2adiabetes 2amellitus 2awho 2ais 2ascheduled 2ato 2ahave 2ablood 2adrawn 2afor
2adetermination 2aof 2athe 2aglycosylated 2ahemoglobin 2a(HbA1c) 2alevel 2aasks 2athe 2anurse 2awhy
2athe 2atest 2ais 2anecessary 2aif 2ahe 2ais 2aperforming 2ablood 2aglucose 2amonitoring 2aat 2ahome.
2aWhich 2ais 2athe 2abest 2aresponse 2afor 2athe 2anurse 2ato 2aprovide? 2aa. 2aDetect 2adiabetic
2acomplications
b. Assess 2along-term 2aglycemic 2acontrol
c. Determine 2awhether 2athe 2aclient 2ais 2aat 2arisk 2afor 2ahypoglycemiad 2aDetermine
2awhether 2athe 2aprescribed 2ainsulin 2adosage 2ais 2acorrect: (ans) 2aB
10. 2aA 2anurse 2acaring 2afor 2aa 2aclient 2awith 2aacquired 2aimmunodeficiency 2asyndrome 2ais
2amonitoring 2athe 2aclient 2afor 2asigns 2aof 2acomplications. 2aWhich 2aof 2athe 2afollowing 2awould
2acause 2athe 2anurse 2ato 2asuspect 2ainfection 2awith 2aPneumocystis 2ajirovec? 2aSATA 2aa. 2aDiarrhea
b. Tachypnea
c. Pedal 2aedema
d. Intermittent 2afever
e. Dyspnea 2awith 2aambulating
SOLUTIONS,100% VERIFIED,A+GRADED
1. 2aA 2anurse 2ais 2aassigned 2ato 2acare 2afor 2aa 2aclient 2awith 2achronic 2arenal 2afailure 2awho 2ais
2aundergoing 2ahemodialysis 2athrough 2aan 2ainternal 2aAV 2afistula 2ain 2athe 2aRA. 2aWhich
2aintervention 2ashould 2athe 2anurse 2aimplement 2ain 2acaring 2afor 2athe 2aclient? 2aSATA 2aa.
2aAssessing 2athe 2aradial 2apulse 2ain 2athe 2aright 2aextremity
b. Using 2athe 2aLA 2ati 2atake 2aBP 2areadings
c. Drawing 2apre-dialysis 2ablood 2aspecimens 2afrom 2athe 2aLA
d. Assessing 2athe 2aarea 2aover 2athe 2aAV 2afistula 2afor 2aa 2abruit 2aand 2athree 2aeach 2ashift
e. Placing 2aa 2apressure 2adressing 2aover 2athe 2asite 2aafter 2aeach 2adialysis 2atreatment
f. Administering 2aIV 2afluids 2athrough 2athe 2avenous 2asite 2aof 2athe 2aAV 2afistula 2aas 2aneeded:
(ans) aA, 2a
B, 2aC, 2aD
2. 2aA 2anurse 2ais 2aevaluating 2aoutcomes 2afor 2aa 2aclient 2awith 2aGuillain-Barre 2asyndrome. 2a
Which 2aoutcome 2adoes 2athe 2anurse 2arecognize 2aas 2aoptimal 2arespiratory 2aoutcomes 2afor 2athe
2aclient?
a. Normal 2adeep 2atendon 2areflexes
b. Improved 2askeletal 2amuscle 2atone
c. Absences 2aof 2aparesthesias 2ain 2athe 2alower 2aextremities
d. Clear 2asound 2ain 2athe 2alower 2alung 2afields 2abilaterally
e. pO2 2aof 2a85 2ammHg 2aand 2apCO2 2aof 2a40 2ammHg: 2(ans) aD, 2aE
3. 2aA 2anurse 2aof 2athe 2atelemetry 2aunit 2ais 2acaring 2afor 2aa 2aclient 2awho 2ahas 2ahad 2aa 2aMI 2aand 2ais
2anow 2aattached 2ato 2aa 2acardiac 2amonitor. 2aThe 2anurse 2ais 2amonitoring 2athe 2aclient's 2acardiac
2arhythm 2aand 2anots 2aventricular 2afibrillation. 2aWhich 2anursing 2aintervention 2ashould 2athe
2anurse 2atake 2afirst?
a. Calling 2athe 2arapid 2aresponse 2ateam
b. Preparing 2athe 2aclient 2afor 2acardioversion
, NCLEX NGN Pre-Test Questions
c. Asking 2athe 2aclient 2ato 2abear 2adown 2aand 2acough
d. Preparing 2ato 2aadminister 2adiltiazem: 2(ans) aA
Deep rationale :The 2apattern 2aof 2aventricular 2afibrillation 2ais 2aidentified 2aand 2acan 2abe 2aa
2aresult 2aafter 2aa 2apatient 2awith 2aan 2aMI. 2aVF 2amakes 2athe 2apatient 2afeel 2afaint, 2athen 2aloses
2aconsciousness 2aand 2abecomes 2apulseless 2aand 2aapneic 2a(BP 2aand 2aheart 2asounds 2aabsent).
2aTreatment 2ais 2ato 2aterminate 2aVF 2aand 2acovert 2ait 2ainto 2aa 2arhythm 2avia 2adefibrillation-> 2acall
2aa 2arapid 2aand 2ainitiate 2aCPR. 2aCardioversion 2ais 2aused 2afor 2aventricular 2aor 2asupraventricular
2atachydysrhythmias.
4. 2aA 2anurse 2adeveloping 2aa 2aplan 2aof 2acare 2afor 2aa 2aclient 2awith 2aa 2aspinal 2acord 2ainjury 2aincludes
2ameasures 2ato 2aprevent 2aautonomic 2adysreflexia 2a(hyperreflexia). 2aWhich 2aintervention
2adoes 2athe 2anurse 2aincorporate 2ainto 2athe 2aplan 2ato 2aprevent 2athis 2acomplication? 2aa. 2aKeeping
2athe 2afan 2arunning 2ain 2athe 2aclient's 2aroom
b. Keeping 2athe 2alinens 2awrinkle 2afree 2aunder 2athe 2aclient
c. Limiting 2abladder 2acatheterization 2ato 2aonce 2aevery 2a12 2ahours
d. Avoiding 2athe 2aadministration 2aof 2aenemas 2aand 2arectal 2asuppositories: 2(ans) aB
Deep rationale :The 2amost 2afrequent 2acause 2aof 2aautonomic 2adysreflexias 2aare 2aa 2adistended
2abladder 2aand 2aimpacted 2afeces. 2aOther 2acauses 2ainclude 2astimulation 2aof 2athe 2askin 2aby
2atactile, 2athermal, 2aor 2apainful 2astimuli. 2aThe 2anurse 2arenders 2acare 2ain 2asuch 2aa 2away 2aas 2ato
2aminimize 2athese 2arisks.
5. 2aA 2anurse 2aprovides 2ahome 2acare 2ainstructions 2ato 2aa 2aclient 2awho 2ahas 2abeen 2afitted 2awith 2aa
2ahalo 2adevice 2ato 2atreat 2aa 2acervical 2afracture. 2aWhich 2astatement 2aby 2athe 2aclient 2aindicates
2athe 2aneed 2afor 2afurther 2ateaching?
a. I 2aneed 2ato 2aget 2amore 2afluids 2aand 2afiber 2ainto 2amy 2adiet
b. I 2ashould 2acut 2amy 2afood 2ainto 2asmall 2apieces 2abefore 2aI 2aeat
c. I 2aneed 2ato 2aput 2apowder 2aunder 2athe 2avest 2atwice 2aa 2aday 2ato 2aprevent 2asweating
d. I 2ahave 2ato 2acheck 2athe 2apin 2asites 2aeveryday 2aand 2awatch 2afor 2asigns 2aof 2ainfection: 2(ans) aC
Deep rationale :Cleanse 2athe 2askin 2aunder 2athe 2awool 2aliner 2aeach 2aday 2ato 2aprevent 2arashes
2aand 2asoars.
6. 2aA 2anurse 2ais 2acaring 2afor 2aa 2aclient 2awith 2aincreased 2aintracranial 2apressure. 2aIn 2awhich
2aposition 2ashould 2athe 2anurse 2amaintain 2athe 2aclient? 2aa. 2aSupine 2awith 2athe 2ahead
2aextended
b. Side 2alying 2awith 2athe 2aneck 2aflexed
, c. Supine 2awith 2athe 2ahead 2aturned 2ato 2athe 2aside
d. Head 2amidline 2aand 2aelevated 2a30-45 2adegrees: 2(ans) aD
Deep rationale :Proper 2apositioning 2apromotes 2avenous 2adrainage 2afrom 2athe 2acranium 2ato
2aminimize 2aICP.
7. 2aA 2aclient 2awith 2aa 2abasilar 2askull 2afracture 2ahas 2aclear 2afluid 2aleaking 2afrom 2athe 2aears. 2aThe
2anurse 2ashould 2atake 2awhich 2aaction 2afirst? 2aa. 2aAsses 2athe 2aclear 2afluid 2afor 2aprotein
b. Check 2athe 2aclear 2afluid 2afor 2aglucose
c. Place 2acotton 2acalls 2aor 2adry 2agauze 2aloosely 2ain 2athe 2aears
d. Use 2aan 2aotoscope 2ato 2aassess 2athe 2atympanic 2amembrane 2afor 2arupture: (ans) 2aB
Deep rationale :CSF 2acontains 2aglucose 2anot 2aprotein.
8. 2aA 2anurse 2ais 2acaring 2afor 2aa 2aclient 2awho 2ahas 2ajust 2aundergone 2acardioversion. 2aWhich
2aintervention 2ais 2athe 2anurse's 2apriority 2aafter 2athis 2aprocedure. 2a
a. Administer 2aoxygen
b. Monitoring 2athe 2aBP
c. Administering 2aantidysrhythmic 2amedications
d. Monitoring 2athe 2aclient's 2aLOC: (ans) 2aA
Deep rationale :ABC's 2aof 2anursing. 2aAll 2aother 2achoices 2aare 2acorrect, 2abut 2anot 2apriority.
9. 2aA 2aclient 2awith 2adiabetes 2amellitus 2awho 2ais 2ascheduled 2ato 2ahave 2ablood 2adrawn 2afor
2adetermination 2aof 2athe 2aglycosylated 2ahemoglobin 2a(HbA1c) 2alevel 2aasks 2athe 2anurse 2awhy
2athe 2atest 2ais 2anecessary 2aif 2ahe 2ais 2aperforming 2ablood 2aglucose 2amonitoring 2aat 2ahome.
2aWhich 2ais 2athe 2abest 2aresponse 2afor 2athe 2anurse 2ato 2aprovide? 2aa. 2aDetect 2adiabetic
2acomplications
b. Assess 2along-term 2aglycemic 2acontrol
c. Determine 2awhether 2athe 2aclient 2ais 2aat 2arisk 2afor 2ahypoglycemiad 2aDetermine
2awhether 2athe 2aprescribed 2ainsulin 2adosage 2ais 2acorrect: (ans) 2aB
10. 2aA 2anurse 2acaring 2afor 2aa 2aclient 2awith 2aacquired 2aimmunodeficiency 2asyndrome 2ais
2amonitoring 2athe 2aclient 2afor 2asigns 2aof 2acomplications. 2aWhich 2aof 2athe 2afollowing 2awould
2acause 2athe 2anurse 2ato 2asuspect 2ainfection 2awith 2aPneumocystis 2ajirovec? 2aSATA 2aa. 2aDiarrhea
b. Tachypnea
c. Pedal 2aedema
d. Intermittent 2afever
e. Dyspnea 2awith 2aambulating
