NCLEX NGN PRE-TEST QUESTIONS
ACTUAL EXAM ALL QUESTIONS AND
WELL ELABORATED ANSWERS TOP
RATED VERSION FOR ALREADY A+
GRADED HIGHLY RECOMMENDED
|NEW AND REVISED
ARnurseRisRassignedRtoRcareRforRaRclientRwithRchronicRrenalRfailureRwhoRisRundergoingRhemodialysisR
throughRanRinternalRAVRfistulaRinRtheRRA.RWhichRinterventionRshouldRtheRnurseRimplementRinRcarin
gRforRtheRclient?RSATA
a.RAssessingRtheRradialRpulseRinRtheRrightRextremity
b.RUsingRtheRLARtiRtakeRBPRreadings
c.RDrawingRpre-dialysisRbloodRspecimensRfromRtheRLA
d.RAssessingRtheRareaRoverRtheRAVRfistulaRforRaRbruitRandRthreeReachRshift
e.RPlacingRaRpressureRdressingRoverRtheRsiteRafterReachRdialysisRtreatment
f.RAdministeringRIVRfluidsRthroughRtheRvenousRsiteRofRtheRAVRfistulaRasRneededR-
RCORRECTRANSWERA,RB,RC,RD
ARnurseRisRevaluatingRoutcomesRforRaRclientRwithRGuillain-
BarreRsyndrome.RWhichRoutcomeRdoesRtheRnurseRrecognizeRasRoptimalRrespiratoryRoutcomesRforRt
heRclient?
a.RNormalRdeepRtendonRreflexes
b.RImprovedRskeletalRmuscleRtone
c.RAbsencesRofRparesthesiasRinRtheRlowerRextremities
d.RClearRsoundRinRtheRlowerRlungRfieldsRbilaterally
e.RpO2RofR85RmmHgRandRpCO2RofR40RmmHgR-RCORRECTRANSWERD,RE
,ARnurseRofRtheRtelemetryRunitRisRcaringRforRaRclientRwhoRhasRhadRaRMIRandRisRnowRattachedRtoRaRcar
diacRmonitor.RTheRnurseRisRmonitoringRtheRclient'sRcardiacRrhythmRandRnotsRventricularRfibrillation
.RWhichRnursingRinterventionRshouldRtheRnurseRtakeRfirst?
a.RCallingRtheRrapidRresponseRteam
b.RPreparingRtheRclientRforRcardioversion
c.RAskingRtheRclientRtoRbearRdownRandRcough
d.RPreparingRtoRadministerRdiltiazemR-RCORRECTRANSWERA
TheRpatternRofRventricularRfibrillationRisRidentifiedRandRcanRbeRaRresultRafterRaRpatientRwithRanRMI.R
VFRmakesRtheRpatientRfeelRfaint,RthenRlosesRconsciousnessRandRbecomesRpulselessRandRapneicR(BPR
andRheartRsoundsRabsent).RTreatmentRisRtoRterminateRVFRandRcovertRitRintoRaRrhythmRviaRdefibrilla
tion-
>RcallRaRrapidRandRinitiateRCPR.RCardioversionRisRusedRforRventricularRorRsupraventricularRtachydysr
hythmias.
ARnurseRdevelopingRaRplanRofRcareRforRaRclientRwithRaRspinalRcordRinjuryRincludesRmeasuresRtoRprev
entRautonomicRdysreflexiaR(hyperreflexia).RWhichRinterventionRdoesRtheRnurseRincorporateRintoRt
heRplanRtoRpreventRthisRcomplication?
a.RKeepingRtheRfanRrunningRinRtheRclient'sRroom
b.RKeepingRtheRlinensRwrinkleRfreeRunderRtheRclient
c.RLimitingRbladderRcatheterizationRtoRonceReveryR12Rhours
d.RAvoidingRtheRadministrationRofRenemasRandRrectalRsuppositoriesR-RCORRECTRANSWERB
TheRmostRfrequentRcauseRofRautonomicRdysreflexiasRareRaRdistendedRbladderRandRimpactedRfeces.
ROtherRcausesRincludeRstimulationRofRtheRskinRbyRtactile,Rthermal,RorRpainfulRstimuli.RTheRnurseRre
ndersRcareRinRsuchRaRwayRasRtoRminimizeRtheseRrisks.
ARnurseRprovidesRhomeRcareRinstructionsRtoRaRclientRwhoRhasRbeenRfittedRwithRaRhaloRdeviceRtoRtre
atRaRcervicalRfracture.RWhichRstatementRbyRtheRclientRindicatesRtheRneedRforRfurtherRteaching?
a.RIRneedRtoRgetRmoreRfluidsRandRfiberRintoRmyRdiet
b.RIRshouldRcutRmyRfoodRintoRsmallRpiecesRbeforeRIReat
c.RIRneedRtoRputRpowderRunderRtheRvestRtwiceRaRdayRtoRpreventRsweating
, d.RIRhaveRtoRcheckRtheRpinRsitesReverydayRandRwatchRforRsignsRofRinfectionR-RCORRECTRANSWERC
CleanseRtheRskinRunderRtheRwoolRlinerReachRdayRtoRpreventRrashesRandRsoars.
ARnurseRisRcaringRforRaRclientRwithRincreasedRintracranialRpressure.RInRwhichRpositionRshouldRtheRn
urseRmaintainRtheRclient?
a.RSupineRwithRtheRheadRextended
b.RSideRlyingRwithRtheRneckRflexed
c.RSupineRwithRtheRheadRturnedRtoRtheRside
d.RHeadRmidlineRandRelevatedR30-45RdegreesR-RCORRECTRANSWERD
ProperRpositioningRpromotesRvenousRdrainageRfromRtheRcraniumRtoRminimizeRICP.
ARclientRwithRaRbasilarRskullRfractureRhasRclearRfluidRleakingRfromRtheRears.RTheRnurseRshouldRtakeR
whichRactionRfirst?
a.RAssesRtheRclearRfluidRforRprotein
b.RCheckRtheRclearRfluidRforRglucose
c.RPlaceRcottonRcallsRorRdryRgauzeRlooselyRinRtheRears
d.RUseRanRotoscopeRtoRassessRtheRtympanicRmembraneRforRruptureR-RCORRECTRANSWERB
CSFRcontainsRglucoseRnotRprotein.
ARnurseRisRcaringRforRaRclientRwhoRhasRjustRundergoneRcardioversion.RWhichRinterventionRisRtheRnu
rse'sRpriorityRafterRthisRprocedure.R
a.RAdministerRoxygen
b.RMonitoringRtheRBP
c.RAdministeringRantidysrhythmicRmedications
d.RMonitoringRtheRclient'sRLOCR-RCORRECTRANSWERA
ABC'sRofRnursing.RAllRotherRchoicesRareRcorrect,RbutRnotRpriority.
ACTUAL EXAM ALL QUESTIONS AND
WELL ELABORATED ANSWERS TOP
RATED VERSION FOR ALREADY A+
GRADED HIGHLY RECOMMENDED
|NEW AND REVISED
ARnurseRisRassignedRtoRcareRforRaRclientRwithRchronicRrenalRfailureRwhoRisRundergoingRhemodialysisR
throughRanRinternalRAVRfistulaRinRtheRRA.RWhichRinterventionRshouldRtheRnurseRimplementRinRcarin
gRforRtheRclient?RSATA
a.RAssessingRtheRradialRpulseRinRtheRrightRextremity
b.RUsingRtheRLARtiRtakeRBPRreadings
c.RDrawingRpre-dialysisRbloodRspecimensRfromRtheRLA
d.RAssessingRtheRareaRoverRtheRAVRfistulaRforRaRbruitRandRthreeReachRshift
e.RPlacingRaRpressureRdressingRoverRtheRsiteRafterReachRdialysisRtreatment
f.RAdministeringRIVRfluidsRthroughRtheRvenousRsiteRofRtheRAVRfistulaRasRneededR-
RCORRECTRANSWERA,RB,RC,RD
ARnurseRisRevaluatingRoutcomesRforRaRclientRwithRGuillain-
BarreRsyndrome.RWhichRoutcomeRdoesRtheRnurseRrecognizeRasRoptimalRrespiratoryRoutcomesRforRt
heRclient?
a.RNormalRdeepRtendonRreflexes
b.RImprovedRskeletalRmuscleRtone
c.RAbsencesRofRparesthesiasRinRtheRlowerRextremities
d.RClearRsoundRinRtheRlowerRlungRfieldsRbilaterally
e.RpO2RofR85RmmHgRandRpCO2RofR40RmmHgR-RCORRECTRANSWERD,RE
,ARnurseRofRtheRtelemetryRunitRisRcaringRforRaRclientRwhoRhasRhadRaRMIRandRisRnowRattachedRtoRaRcar
diacRmonitor.RTheRnurseRisRmonitoringRtheRclient'sRcardiacRrhythmRandRnotsRventricularRfibrillation
.RWhichRnursingRinterventionRshouldRtheRnurseRtakeRfirst?
a.RCallingRtheRrapidRresponseRteam
b.RPreparingRtheRclientRforRcardioversion
c.RAskingRtheRclientRtoRbearRdownRandRcough
d.RPreparingRtoRadministerRdiltiazemR-RCORRECTRANSWERA
TheRpatternRofRventricularRfibrillationRisRidentifiedRandRcanRbeRaRresultRafterRaRpatientRwithRanRMI.R
VFRmakesRtheRpatientRfeelRfaint,RthenRlosesRconsciousnessRandRbecomesRpulselessRandRapneicR(BPR
andRheartRsoundsRabsent).RTreatmentRisRtoRterminateRVFRandRcovertRitRintoRaRrhythmRviaRdefibrilla
tion-
>RcallRaRrapidRandRinitiateRCPR.RCardioversionRisRusedRforRventricularRorRsupraventricularRtachydysr
hythmias.
ARnurseRdevelopingRaRplanRofRcareRforRaRclientRwithRaRspinalRcordRinjuryRincludesRmeasuresRtoRprev
entRautonomicRdysreflexiaR(hyperreflexia).RWhichRinterventionRdoesRtheRnurseRincorporateRintoRt
heRplanRtoRpreventRthisRcomplication?
a.RKeepingRtheRfanRrunningRinRtheRclient'sRroom
b.RKeepingRtheRlinensRwrinkleRfreeRunderRtheRclient
c.RLimitingRbladderRcatheterizationRtoRonceReveryR12Rhours
d.RAvoidingRtheRadministrationRofRenemasRandRrectalRsuppositoriesR-RCORRECTRANSWERB
TheRmostRfrequentRcauseRofRautonomicRdysreflexiasRareRaRdistendedRbladderRandRimpactedRfeces.
ROtherRcausesRincludeRstimulationRofRtheRskinRbyRtactile,Rthermal,RorRpainfulRstimuli.RTheRnurseRre
ndersRcareRinRsuchRaRwayRasRtoRminimizeRtheseRrisks.
ARnurseRprovidesRhomeRcareRinstructionsRtoRaRclientRwhoRhasRbeenRfittedRwithRaRhaloRdeviceRtoRtre
atRaRcervicalRfracture.RWhichRstatementRbyRtheRclientRindicatesRtheRneedRforRfurtherRteaching?
a.RIRneedRtoRgetRmoreRfluidsRandRfiberRintoRmyRdiet
b.RIRshouldRcutRmyRfoodRintoRsmallRpiecesRbeforeRIReat
c.RIRneedRtoRputRpowderRunderRtheRvestRtwiceRaRdayRtoRpreventRsweating
, d.RIRhaveRtoRcheckRtheRpinRsitesReverydayRandRwatchRforRsignsRofRinfectionR-RCORRECTRANSWERC
CleanseRtheRskinRunderRtheRwoolRlinerReachRdayRtoRpreventRrashesRandRsoars.
ARnurseRisRcaringRforRaRclientRwithRincreasedRintracranialRpressure.RInRwhichRpositionRshouldRtheRn
urseRmaintainRtheRclient?
a.RSupineRwithRtheRheadRextended
b.RSideRlyingRwithRtheRneckRflexed
c.RSupineRwithRtheRheadRturnedRtoRtheRside
d.RHeadRmidlineRandRelevatedR30-45RdegreesR-RCORRECTRANSWERD
ProperRpositioningRpromotesRvenousRdrainageRfromRtheRcraniumRtoRminimizeRICP.
ARclientRwithRaRbasilarRskullRfractureRhasRclearRfluidRleakingRfromRtheRears.RTheRnurseRshouldRtakeR
whichRactionRfirst?
a.RAssesRtheRclearRfluidRforRprotein
b.RCheckRtheRclearRfluidRforRglucose
c.RPlaceRcottonRcallsRorRdryRgauzeRlooselyRinRtheRears
d.RUseRanRotoscopeRtoRassessRtheRtympanicRmembraneRforRruptureR-RCORRECTRANSWERB
CSFRcontainsRglucoseRnotRprotein.
ARnurseRisRcaringRforRaRclientRwhoRhasRjustRundergoneRcardioversion.RWhichRinterventionRisRtheRnu
rse'sRpriorityRafterRthisRprocedure.R
a.RAdministerRoxygen
b.RMonitoringRtheRBP
c.RAdministeringRantidysrhythmicRmedications
d.RMonitoringRtheRclient'sRLOCR-RCORRECTRANSWERA
ABC'sRofRnursing.RAllRotherRchoicesRareRcorrect,RbutRnotRpriority.