NGN NCLEX COMPLETE GUIDE QUESTIONS
AND ANSWERS COMPLETE SOLUTIONS
◉ The nurse is contributing to the plan of care for a client with
chronic obstructive pulmonary disease (COPD). Which of the
following interventions should the nurse suggest including in the
client's plan of care?
1.Place the client in low-Fowler's position for meals.
2.Provide the client with a high-carbohydrate diet and high-
carbohydrate snacks.
3.Restrict the client's fluid intake to 500 mL daily.
4.Provide the client with small, frequent meals, and schedule a rest
period before and after meals. Answer: 2.Provide the client with a
high-carbohydrate diet and high-carbohydrate snacks.
◉ The nurse has reinforced teaching with a client who is scheduled
for electroconvulsive therapy (ECT). Which of the following
statements by the client would indicate a correct understanding of the
teaching?
1."I will experience a tonic-clonic seizure for approximately 15
minutes during the ECT procedure."
2."ECT is commonly used to treat depression when several
antidepressants have not been effective."
,3."ECT is effective because it decreases the level of neurotransmitters
in the central nervous system."
4."Common side effects of ECT are diarrhea, a low-grade fever and
short-term memory loss." Answer: 2. "ECT is commonly used to treat
depression when several antidepressants have not been effective."
◉ The nurse is caring for a 6-year-old client who is receiving
prescribed skeletal traction. Which of the following would be a
priority for the nurse to monitor?
1.the distance between the client's knees
2.the pull of the traction on the client's pins
3.the degree of flexion of the client's ankles
4.the position of the client's cervical spine on the bed Answer: 2 the
pull of the traction on the client's pins
◉ The nurse is caring for a client with dysthymic disorder. Which of
the following behaviors would the nurse expect to observe?
1.grandiose actions
2.reports of auditory hallucinations
3.expansive, pressured speech
4.inability to experience joy or pleasure in life Answer: 4.inability to
experience joy or pleasure in life
,◉ The nurse is caring for a client. Which of the following
prescriptions should the nurse clarify? Click the exhibit button for
additional client information.
1.2 g sodium diet
2.implement bed rest
3.furosemide 20 mg, p.o., once daily
4.enalapril 5 mg, p.o., twice daily Answer: 3.furosemide 20 mg, p.o.,
once daily
◉ The nurse is talking with the spouse of a client with left-sided
hemiplegia. The spouse tells the nurse, "I scheduled this appointment
because I noticed a sore had developed on my spouse's hip. I feel so
guilty because I caused this to happen. I do not know what to do."
Which of the following would be an appropriate initial response for
the nurse to make?
1."Have you been offering your spouse fluids at regular time
intervals?"
2."How often do you change your spouse's position?"
3."The type of care that you have undertaken is not easy."
4."We will make sure that you have help if this requires special
dressings." Answer: 3."The type of care that you have undertaken is
not easy."
◉ The nurse is assisting to admit a client who has Streptococcal
pharyngitis. Which of the following actions should the nurse take?
, 1.Wear a surgical mask when checking the client's vital signs.
2.Ensure the assigned room has monitored negative air pressure.
3.Obtain particulate respirator masks for staff members to use when
providing client care.
4.Request the dietary department provide disposable dishes and
utensils for the client's meals. Answer: 4.Request the dietary
department provide disposable dishes and utensils for the client's
meals.
◉ The nurse is reinforcing teaching with the parents of a child who is
scheduled for surgical repair of hypospadias. The nurse should
reinforce that intended outcomes of the procedure include
1.relief from pain
2.relief from bladder obstruction
3.the ability to void while standing
4.the ability to achieve an erection Answer: 3.the ability to void while
standing
◉ The nurse has reinforced teaching with a client who is receiving
prescribed alendronate. Which of the following statements by the
client would indicate a correct understanding of the teaching?
1."I should take the medication with orange juice."
2."I can take the medication at any time of day."
AND ANSWERS COMPLETE SOLUTIONS
◉ The nurse is contributing to the plan of care for a client with
chronic obstructive pulmonary disease (COPD). Which of the
following interventions should the nurse suggest including in the
client's plan of care?
1.Place the client in low-Fowler's position for meals.
2.Provide the client with a high-carbohydrate diet and high-
carbohydrate snacks.
3.Restrict the client's fluid intake to 500 mL daily.
4.Provide the client with small, frequent meals, and schedule a rest
period before and after meals. Answer: 2.Provide the client with a
high-carbohydrate diet and high-carbohydrate snacks.
◉ The nurse has reinforced teaching with a client who is scheduled
for electroconvulsive therapy (ECT). Which of the following
statements by the client would indicate a correct understanding of the
teaching?
1."I will experience a tonic-clonic seizure for approximately 15
minutes during the ECT procedure."
2."ECT is commonly used to treat depression when several
antidepressants have not been effective."
,3."ECT is effective because it decreases the level of neurotransmitters
in the central nervous system."
4."Common side effects of ECT are diarrhea, a low-grade fever and
short-term memory loss." Answer: 2. "ECT is commonly used to treat
depression when several antidepressants have not been effective."
◉ The nurse is caring for a 6-year-old client who is receiving
prescribed skeletal traction. Which of the following would be a
priority for the nurse to monitor?
1.the distance between the client's knees
2.the pull of the traction on the client's pins
3.the degree of flexion of the client's ankles
4.the position of the client's cervical spine on the bed Answer: 2 the
pull of the traction on the client's pins
◉ The nurse is caring for a client with dysthymic disorder. Which of
the following behaviors would the nurse expect to observe?
1.grandiose actions
2.reports of auditory hallucinations
3.expansive, pressured speech
4.inability to experience joy or pleasure in life Answer: 4.inability to
experience joy or pleasure in life
,◉ The nurse is caring for a client. Which of the following
prescriptions should the nurse clarify? Click the exhibit button for
additional client information.
1.2 g sodium diet
2.implement bed rest
3.furosemide 20 mg, p.o., once daily
4.enalapril 5 mg, p.o., twice daily Answer: 3.furosemide 20 mg, p.o.,
once daily
◉ The nurse is talking with the spouse of a client with left-sided
hemiplegia. The spouse tells the nurse, "I scheduled this appointment
because I noticed a sore had developed on my spouse's hip. I feel so
guilty because I caused this to happen. I do not know what to do."
Which of the following would be an appropriate initial response for
the nurse to make?
1."Have you been offering your spouse fluids at regular time
intervals?"
2."How often do you change your spouse's position?"
3."The type of care that you have undertaken is not easy."
4."We will make sure that you have help if this requires special
dressings." Answer: 3."The type of care that you have undertaken is
not easy."
◉ The nurse is assisting to admit a client who has Streptococcal
pharyngitis. Which of the following actions should the nurse take?
, 1.Wear a surgical mask when checking the client's vital signs.
2.Ensure the assigned room has monitored negative air pressure.
3.Obtain particulate respirator masks for staff members to use when
providing client care.
4.Request the dietary department provide disposable dishes and
utensils for the client's meals. Answer: 4.Request the dietary
department provide disposable dishes and utensils for the client's
meals.
◉ The nurse is reinforcing teaching with the parents of a child who is
scheduled for surgical repair of hypospadias. The nurse should
reinforce that intended outcomes of the procedure include
1.relief from pain
2.relief from bladder obstruction
3.the ability to void while standing
4.the ability to achieve an erection Answer: 3.the ability to void while
standing
◉ The nurse has reinforced teaching with a client who is receiving
prescribed alendronate. Which of the following statements by the
client would indicate a correct understanding of the teaching?
1."I should take the medication with orange juice."
2."I can take the medication at any time of day."
