NCLEX-RN Test 1 NGN Test Bank Latest Update 2026 |
Comprehensive Prep
1. Based on the nursing assessment progress notes what is the correct staging
of the client's pressure injury?
Stage 4
Stage 3
Stage 2
Stage 1
2. In a scenario where a patient presents with sudden chest pain and decreased
breath sounds on one side, what should be the immediate nursing
intervention?
Encourage the patient to take deep breaths.
Administer supplemental oxygen and prepare for possible chest
tube insertion.
Start intravenous fluids immediately.
Perform a full neurological assessment.
3. If a patient experiences adverse effects after receiving normal saline instead
of morphine, what should the charge nurse do first?
Wait for the physician to arrive before taking action.
Assess the patient's condition and intervene as necessary.
Inform the family about the error.
Call for a code blue immediately.
,4. A patient with a chest tube shows 200 mL of sanguineous output and
continuous bubbling in the water seal chamber. What should the nurse's
immediate action be?
Notify the health care provider.
Increase the suction on the drainage system.
Change the chest tube dressing.
Document the findings and monitor.
5. Why is it critical for the charge nurse to prioritize patient safety in the
scenario where normal saline is administered instead of morphine?
The charge nurse must follow hospital policy regardless of the
situation.
Patient safety is less important than following protocols.
Patient safety is paramount to prevent adverse effects from
medication errors.
The charge nurse needs to maintain a good relationship with the staff
nurse.
6. In a clinical scenario where a patient on second-generation antipsychotic
medication presents with tremors and rigidity, what should the nurse's
immediate action be?
Discontinue the medication immediately.
Assess the patient for additional EPSs and notify the healthcare
provider.
Provide the patient with reassurance and monitor for 24 hours.
Increase the dosage of the antipsychotic medication.
,7. A patient with type 1 diabetes is taking a mixture of NPH and regular insulin at
home. The patient has been NPO for surgery since midnight. What action
does the nurse take regarding the patient's morning dose of insulin?
Administer the dose that is routinely prescribed at home because the
patient has type 1 diabetes and needs the insulin
Administer half the dose because the patient is NPO
Hold the insulin with all the other medications because the patient is
NPO and there is no need for insulin
Contact the health care provider for an order regarding the insulin
8. When preparing to insert an indwelling urinary catheter, the nurse applies
sterile gloves and then tests the catheter balloon for patency. What action
should the nurse implement next?
Discard the gloves and apply new sterile gloves.
Place a sterile drape under the client's buttocks.
Instruct the client to inhale and then exhale slowly.
Apply a sterile lubricant to the end of the catheter.
9. Describe the significance of continuous bubbling in the water seal chamber
of a chest tube drainage system.
Continuous bubbling suggests the chest tube is blocked.
Continuous bubbling shows normal functioning of the drainage
system.
Continuous bubbling is a sign of fluid accumulation.
Continuous bubbling indicates a possible air leak in the system.
, 10. What is the ethical principle that is violated by administering a placebo
without consent?
Justice
Beneficence
Informed consent
Non-maleficence
11. A nurse is assessing a client who has a DNR order and has stopped
breathing. The family asks the nurse to resuscitate the client. Which action
should the nurse take?
Begin CPR on the client.
Respect the client's preferences.
Gather equipment for mechanical ventilation.
Apply oxygen at 4 L/min via nasal cannula.
12. What is the primary purpose of using a double-lumen PICC line in a patient
receiving intravenous therapy?
To prevent infection during IV therapy.
To provide a route for blood draws only.
To allow for the administration of multiple IV medications
simultaneously.
To facilitate blood transfusions only.
13. Interpret the significance of a client expressing plans for future events in
relation to their mental health status.
Comprehensive Prep
1. Based on the nursing assessment progress notes what is the correct staging
of the client's pressure injury?
Stage 4
Stage 3
Stage 2
Stage 1
2. In a scenario where a patient presents with sudden chest pain and decreased
breath sounds on one side, what should be the immediate nursing
intervention?
Encourage the patient to take deep breaths.
Administer supplemental oxygen and prepare for possible chest
tube insertion.
Start intravenous fluids immediately.
Perform a full neurological assessment.
3. If a patient experiences adverse effects after receiving normal saline instead
of morphine, what should the charge nurse do first?
Wait for the physician to arrive before taking action.
Assess the patient's condition and intervene as necessary.
Inform the family about the error.
Call for a code blue immediately.
,4. A patient with a chest tube shows 200 mL of sanguineous output and
continuous bubbling in the water seal chamber. What should the nurse's
immediate action be?
Notify the health care provider.
Increase the suction on the drainage system.
Change the chest tube dressing.
Document the findings and monitor.
5. Why is it critical for the charge nurse to prioritize patient safety in the
scenario where normal saline is administered instead of morphine?
The charge nurse must follow hospital policy regardless of the
situation.
Patient safety is less important than following protocols.
Patient safety is paramount to prevent adverse effects from
medication errors.
The charge nurse needs to maintain a good relationship with the staff
nurse.
6. In a clinical scenario where a patient on second-generation antipsychotic
medication presents with tremors and rigidity, what should the nurse's
immediate action be?
Discontinue the medication immediately.
Assess the patient for additional EPSs and notify the healthcare
provider.
Provide the patient with reassurance and monitor for 24 hours.
Increase the dosage of the antipsychotic medication.
,7. A patient with type 1 diabetes is taking a mixture of NPH and regular insulin at
home. The patient has been NPO for surgery since midnight. What action
does the nurse take regarding the patient's morning dose of insulin?
Administer the dose that is routinely prescribed at home because the
patient has type 1 diabetes and needs the insulin
Administer half the dose because the patient is NPO
Hold the insulin with all the other medications because the patient is
NPO and there is no need for insulin
Contact the health care provider for an order regarding the insulin
8. When preparing to insert an indwelling urinary catheter, the nurse applies
sterile gloves and then tests the catheter balloon for patency. What action
should the nurse implement next?
Discard the gloves and apply new sterile gloves.
Place a sterile drape under the client's buttocks.
Instruct the client to inhale and then exhale slowly.
Apply a sterile lubricant to the end of the catheter.
9. Describe the significance of continuous bubbling in the water seal chamber
of a chest tube drainage system.
Continuous bubbling suggests the chest tube is blocked.
Continuous bubbling shows normal functioning of the drainage
system.
Continuous bubbling is a sign of fluid accumulation.
Continuous bubbling indicates a possible air leak in the system.
, 10. What is the ethical principle that is violated by administering a placebo
without consent?
Justice
Beneficence
Informed consent
Non-maleficence
11. A nurse is assessing a client who has a DNR order and has stopped
breathing. The family asks the nurse to resuscitate the client. Which action
should the nurse take?
Begin CPR on the client.
Respect the client's preferences.
Gather equipment for mechanical ventilation.
Apply oxygen at 4 L/min via nasal cannula.
12. What is the primary purpose of using a double-lumen PICC line in a patient
receiving intravenous therapy?
To prevent infection during IV therapy.
To provide a route for blood draws only.
To allow for the administration of multiple IV medications
simultaneously.
To facilitate blood transfusions only.
13. Interpret the significance of a client expressing plans for future events in
relation to their mental health status.
