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NCLEX NGN RN Exam 2 Questions Covering Management of Care, Safety,
Pharmacology, and NGN Case Studies Ultimate NCLEX NGN RN Practice Exam 2:
All 150 Questions Formatted for Success 150 NCLEX NGN RN Questions Covering
Management of Care, Safety, Pharmacology, and NGN Case Studies
SECTION 1: MANAGEMENT OF CARE
1. The nurse receives handoff report on four clients. Which client should the
nurse assess FIRST?
• A. A client with COPD on 2 L/min oxygen with SpO2 of 92%
• B. A client with type 2 diabetes requesting a bedtime snack
• C. A client post-cardiac catheterization whose pedal pulse is diminished
compared to baseline
• D. A client with a stage 2 pressure injury requiring a dressing change
☑ correct answersC. A client post-cardiac catheterization whose pedal
pulse is diminished compared to baseline
Rationale: A diminished pedal pulse post-cardiac catheterization may indicate an
arterial occlusion or the formation of a hematoma, which is a vascular emergency
requiring immediate assessment. The other clients have expected or non-urgent
findings .
2. A nurse is preparing to witness a client sign an informed consent. Which
action is appropriate?
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• A. Explain the risks and benefits of the procedure
• B. Witness the client's signature and verify voluntariness
• C. Describe alternative treatments to surgery
• D. ☑ correct answers detailed questions about the surgical
technique
☑ correct answersB. Witness the client's signature and verify
voluntariness
Rationale: The provider performing the procedure is legally responsible for
obtaining informed consent. The nurse's role is to witness the client's signature
and confirm that the client appears to understand the information and is signing
voluntarily .
3. A client who is diagnosed with breast cancer asks the nurse, "Am I going to
die?" Which statement by the nurse promotes a therapeutic relationship?
• A. "Don't worry, you will be fine."
• B. "People with cancer experience fear of dying; tell me about your
concerns."
• C. "You shouldn't think like that; stay positive."
• D. "Only your doctor can ☑ correct answers that question."
☑ correct answersB. "People with cancer experience fear of dying; tell
me about your concerns."
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Rationale: This response uses an open-ended statement that validates the client's
feelings and encourages expression of concerns. It is a therapeutic
communication technique that fosters trust and exploration of fears .
4. A client at the end of life tells the nurse that they are glad their wife can make
decisions. The wife states, "That is not completely true. I can only make
decisions that are not already documented on your advance directive." How
should the nurse respond?
• A. "You are correct, your husband is mistaken."
• B. "You are correct. Only unanticipated treatments not included in the
advance directive can be made by the legally appointed durable power of
attorney for healthcare decisions."
• C. "You are incorrect. As a legally married spouse, you can make all
decisions."
• D. "You both need to speak with a lawyer."
☑ correct answersB. "You are correct. Only unanticipated treatments not
included in the advance directive can be made by the legally appointed durable
power of attorney for healthcare decisions."
Rationale: The wife has a correct understanding. A durable power of attorney for
healthcare is activated when a person is incapacitated and can make decisions for
them, but these decisions must align with any existing wishes documented in the
advance directive. Unanticipated issues not covered may be decided by the
proxy .
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SECTION 2: SAFETY & INFECTION CONTROL
5. A nurse is inserting a urinary catheter. After cleansing the meatus, the
catheter touches the client's thigh. What should the nurse do?
• A. Wipe the catheter with an alcohol swab and continue
• B. Continue insertion since the thigh is clean
• C. Obtain a new sterile catheter and restart the procedure
• D. Apply antiseptic to the catheter tip
☑ correct answersC. Obtain a new sterile catheter and restart
Rationale: The thigh is not sterile. Once sterility is broken, the catheter is
contaminated and must be replaced with a new, sterile one to prevent a catheter-
associated urinary tract infection (CAUTI) .
6. A housekeeping employee tells the nurse of having a headache and asks for
acetaminophen. How should the nurse respond?
• A. Provide the employee with two tablets of acetaminophen.
• B. Tell the employee to go home and rest.
• C. Refer the employee to the employee health provider.
• D. Assess the employee's headache history.
NCLEX NGN RN Exam 2 Questions Covering Management of Care, Safety,
Pharmacology, and NGN Case Studies Ultimate NCLEX NGN RN Practice Exam 2:
All 150 Questions Formatted for Success 150 NCLEX NGN RN Questions Covering
Management of Care, Safety, Pharmacology, and NGN Case Studies
SECTION 1: MANAGEMENT OF CARE
1. The nurse receives handoff report on four clients. Which client should the
nurse assess FIRST?
• A. A client with COPD on 2 L/min oxygen with SpO2 of 92%
• B. A client with type 2 diabetes requesting a bedtime snack
• C. A client post-cardiac catheterization whose pedal pulse is diminished
compared to baseline
• D. A client with a stage 2 pressure injury requiring a dressing change
☑ correct answersC. A client post-cardiac catheterization whose pedal
pulse is diminished compared to baseline
Rationale: A diminished pedal pulse post-cardiac catheterization may indicate an
arterial occlusion or the formation of a hematoma, which is a vascular emergency
requiring immediate assessment. The other clients have expected or non-urgent
findings .
2. A nurse is preparing to witness a client sign an informed consent. Which
action is appropriate?
,2
• A. Explain the risks and benefits of the procedure
• B. Witness the client's signature and verify voluntariness
• C. Describe alternative treatments to surgery
• D. ☑ correct answers detailed questions about the surgical
technique
☑ correct answersB. Witness the client's signature and verify
voluntariness
Rationale: The provider performing the procedure is legally responsible for
obtaining informed consent. The nurse's role is to witness the client's signature
and confirm that the client appears to understand the information and is signing
voluntarily .
3. A client who is diagnosed with breast cancer asks the nurse, "Am I going to
die?" Which statement by the nurse promotes a therapeutic relationship?
• A. "Don't worry, you will be fine."
• B. "People with cancer experience fear of dying; tell me about your
concerns."
• C. "You shouldn't think like that; stay positive."
• D. "Only your doctor can ☑ correct answers that question."
☑ correct answersB. "People with cancer experience fear of dying; tell
me about your concerns."
,3
Rationale: This response uses an open-ended statement that validates the client's
feelings and encourages expression of concerns. It is a therapeutic
communication technique that fosters trust and exploration of fears .
4. A client at the end of life tells the nurse that they are glad their wife can make
decisions. The wife states, "That is not completely true. I can only make
decisions that are not already documented on your advance directive." How
should the nurse respond?
• A. "You are correct, your husband is mistaken."
• B. "You are correct. Only unanticipated treatments not included in the
advance directive can be made by the legally appointed durable power of
attorney for healthcare decisions."
• C. "You are incorrect. As a legally married spouse, you can make all
decisions."
• D. "You both need to speak with a lawyer."
☑ correct answersB. "You are correct. Only unanticipated treatments not
included in the advance directive can be made by the legally appointed durable
power of attorney for healthcare decisions."
Rationale: The wife has a correct understanding. A durable power of attorney for
healthcare is activated when a person is incapacitated and can make decisions for
them, but these decisions must align with any existing wishes documented in the
advance directive. Unanticipated issues not covered may be decided by the
proxy .
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SECTION 2: SAFETY & INFECTION CONTROL
5. A nurse is inserting a urinary catheter. After cleansing the meatus, the
catheter touches the client's thigh. What should the nurse do?
• A. Wipe the catheter with an alcohol swab and continue
• B. Continue insertion since the thigh is clean
• C. Obtain a new sterile catheter and restart the procedure
• D. Apply antiseptic to the catheter tip
☑ correct answersC. Obtain a new sterile catheter and restart
Rationale: The thigh is not sterile. Once sterility is broken, the catheter is
contaminated and must be replaced with a new, sterile one to prevent a catheter-
associated urinary tract infection (CAUTI) .
6. A housekeeping employee tells the nurse of having a headache and asks for
acetaminophen. How should the nurse respond?
• A. Provide the employee with two tablets of acetaminophen.
• B. Tell the employee to go home and rest.
• C. Refer the employee to the employee health provider.
• D. Assess the employee's headache history.
