QUESTION 1 (Medication Calculation, NGN-style Short Scenario)
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Scenario: A nurse is preparing to administer diphenhydramine 20 mg orally
to a 6-year-old child who has difficulty swallowing pills. The pharmacy
dispenses diphenhydramine oral syrup labeled 12.5 mg per 5 mL.
Question: How many mL should the nurse administer? (Round the answer
to the nearest whole number.)
A. 4 mL
B. 6 mL
C. 8 mL
D. 10 mL
Answer: C (8 mL)
Expert-Verified Explanation:
• Dose required: 20 mg.
• Concentration: 12.5 mg in 5 mL.
• Calculation: (20 mg ÷ 12.5 mg) × 5 mL = 8 mL.
• Rounding to the nearest whole number yields 8 mL.
QUESTION 2 (Therapeutic Communication)
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Scenario: A malnourished client voices concern about a loose wedding ring
and fears it might fall off.
,Question: Which of the following is the most appropriate nursing response?
A. “I will place it in your drawer so it won’t get lost.”
B. “I can pin it to your hospital gown so you won’t lose it.”
C. “I will hold onto it until a family member can take it home.”
D. “I can put it in a locked storage unit for you.”
Answer: D
Expert-Verified Explanation:
• Valuables should be kept secure, ideally in a locked facility or hospital
safe.
• This ensures the client’s property remains protected, reducing the risk of
loss.
• Other options (A, B, C) do not ensure optimal security for valuables.
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QUESTION 3 (Client Safety and Restraints)
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Scenario: A charge nurse is teaching newly licensed nurses about using
restraints.
Question: In which of the following situations is applying restraints
appropriate?
A. The client is pacing in the hallway.
,B. As part of a fall prevention program.
C. At the request of the client’s family.
D. When the client poses a threat to self.
Answer: D
Expert-Verified Explanation:
• Restraints should only be used when the client poses a risk to self or
others and less-restrictive measures have failed.
• Pacing (A) does not necessarily indicate imminent harm, nor do questions
about fall prevention (B) or family request (C).
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QUESTION 4 (Roles of the Nurse)
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Scenario: A nurse manager is planning to observe a newly licensed nurse
perform a straight catheterization to ensure client safety and proper
technique.
Question: In this observation, the nurse manager is acting in which of the
following roles?
A. Case manager
B. Client educator
C. Client care provider
D. Client advocate
, Answer: D
Expert-Verified Explanation:
• By ensuring a newly licensed nurse uses proper technique to protect the
client from harm, the nurse manager is advocating for the client’s safety.
• Although education (B) or direct client care (C) may be functions here, the
primary focus is upholding the client’s rights and well-being, which is
advocacy.
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QUESTION 5 (Geriatric Care, NGN-style)
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Scenario: A charge nurse prepares an educational program on delirium for
newly hired nurses at a long-term care facility.
Question: Which statement about delirium should the nurse include?
A. “Delirium does not affect a client’s perception of their environment.”
B. “Delirium does not affect a client’s sleep cycle.”
C. “Delirium typically has an abrupt onset.”
D. “Delirium has a slow progression.”
Answer: C
Expert-Verified Explanation:
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Scenario: A nurse is preparing to administer diphenhydramine 20 mg orally
to a 6-year-old child who has difficulty swallowing pills. The pharmacy
dispenses diphenhydramine oral syrup labeled 12.5 mg per 5 mL.
Question: How many mL should the nurse administer? (Round the answer
to the nearest whole number.)
A. 4 mL
B. 6 mL
C. 8 mL
D. 10 mL
Answer: C (8 mL)
Expert-Verified Explanation:
• Dose required: 20 mg.
• Concentration: 12.5 mg in 5 mL.
• Calculation: (20 mg ÷ 12.5 mg) × 5 mL = 8 mL.
• Rounding to the nearest whole number yields 8 mL.
QUESTION 2 (Therapeutic Communication)
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Scenario: A malnourished client voices concern about a loose wedding ring
and fears it might fall off.
,Question: Which of the following is the most appropriate nursing response?
A. “I will place it in your drawer so it won’t get lost.”
B. “I can pin it to your hospital gown so you won’t lose it.”
C. “I will hold onto it until a family member can take it home.”
D. “I can put it in a locked storage unit for you.”
Answer: D
Expert-Verified Explanation:
• Valuables should be kept secure, ideally in a locked facility or hospital
safe.
• This ensures the client’s property remains protected, reducing the risk of
loss.
• Other options (A, B, C) do not ensure optimal security for valuables.
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QUESTION 3 (Client Safety and Restraints)
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Scenario: A charge nurse is teaching newly licensed nurses about using
restraints.
Question: In which of the following situations is applying restraints
appropriate?
A. The client is pacing in the hallway.
,B. As part of a fall prevention program.
C. At the request of the client’s family.
D. When the client poses a threat to self.
Answer: D
Expert-Verified Explanation:
• Restraints should only be used when the client poses a risk to self or
others and less-restrictive measures have failed.
• Pacing (A) does not necessarily indicate imminent harm, nor do questions
about fall prevention (B) or family request (C).
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QUESTION 4 (Roles of the Nurse)
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Scenario: A nurse manager is planning to observe a newly licensed nurse
perform a straight catheterization to ensure client safety and proper
technique.
Question: In this observation, the nurse manager is acting in which of the
following roles?
A. Case manager
B. Client educator
C. Client care provider
D. Client advocate
, Answer: D
Expert-Verified Explanation:
• By ensuring a newly licensed nurse uses proper technique to protect the
client from harm, the nurse manager is advocating for the client’s safety.
• Although education (B) or direct client care (C) may be functions here, the
primary focus is upholding the client’s rights and well-being, which is
advocacy.
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QUESTION 5 (Geriatric Care, NGN-style)
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Scenario: A charge nurse prepares an educational program on delirium for
newly hired nurses at a long-term care facility.
Question: Which statement about delirium should the nurse include?
A. “Delirium does not affect a client’s perception of their environment.”
B. “Delirium does not affect a client’s sleep cycle.”
C. “Delirium typically has an abrupt onset.”
D. “Delirium has a slow progression.”
Answer: C
Expert-Verified Explanation:
