NCLEX RN EXIT EXAM V1 -V7 WITH NGN
NEWEST 2024 -2025 TESTBANK ACTUAL
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+
TABLE OF CONTENT;
• NGN NCLEX RN EXIT EXAM V1…………………………………………
• NGN NCLEX RN EXIT EXAM V2…………………………………………
• NGN NCLEX RN EXIT EXAM V3…………………………………………
• NGN NCLEX RN EXIT EXAM V4…………………………………………
• NGN NCLEX RN EXIT EXAM V5…………………………………………
• NGN NCLEX RN EXIT EXAM V6………………………………………..
• NGN NCLEX RN EXIT EXAM V7 …………………………………………
pg. 1
,The nurse is caring for a 12-hour-old neonate born to a mother with
diabetes mellitus. The neonate's respiratory rate is 70 breaths/minute, heart
rate 162 beats/minute, oxygen saturation is 92% on room air, and the blood
glucose 30 mg/dL (1.7 mmol/L). What is the priority intervention for the
nurse to implement?
a) Administer glucose.
b) Administer oxygen.
c) Assess the temperature.
d) Start an IV. - Correct Answer – A
Hypoglycemia is the most common metabolic disorder in infants. It is
especially true for those infants born to type 1 diabetic mothers. In infants,
blood glucose levels fall to a low point during the first few hours of life
because the source of the maternal glucose is removed when the placenta
is expelled. Hypoglycemia is defined as < 30 mg/dL (1.7 mmol/L) in the first
24 hours of life and < 45 mg/dL (2.6 mmol/L) thereafter, but this is qualified
further by whether or not the infant is symptomatic. The symptoms of
hypoglycemia include jitteriness, tachycardia, lethargy, cyanosis, a weak
cry, and apnea. Early feeding helps prevent hypoglycemia. The treatment
for hypoglycemia is a rapid-acting source of glucose. This can be given via
a bottle or, if needed, an IV infusion. It is important to treat the infant early
to prevent permanent neurological damage and seizures. The symptoms
this infant is exhibiting are related to hypoglycemia, so correcting the blood
glucose would be the priority.
Which instructions should the nurse give to a client after noting a white,
cheese like substance on the neonate's body creases?
a) Remove it with hand lotion.
b) Clean the area with alcohol.
c) Allow it to remain on the skin.
d) Brush it off with a dry washcloth. - Correct Answer – C
pg. 2
,The white, cheese-like substance on the neonate's body creases is called
vernix caseosa. Unless the vernix is stained with meconium or the mother
has a bloodborne pathogen, it should be left on the skin because it serves
as a protective coating that typically disappears within 24 hours of birth.
Attempting to remove vernix caseosa (e.g., with lotion, alcohol, or a
washcloth) will remove the protection and may damage the neonate's
fragile skin.
One day after an appendectomy, a 9-year-old rates pain at 4 out of 5 on the
pain scale but is playing video games and laughing with a friend. What
should the nurse document on the child's chart?
a) The child is in no apparent distress, and no pain medication is
needed at this time.
b) The child rates pain at 4 out of 5. Administered pain medication as
ordered.
c) The child does not understand the pain scale. Performed teaching to
help child match pain rating to how child appears to be feeling.
d) The child rates pain at 4 out of 5; however, appears to be in no
distress.
Reassess when the client is visibly showing signs of pain. - Correct
Answer – B
Pain is what the child says it is, and the nurse must document what the
child reports. If a child's behavior appears to differ from the child's rating of
pain, believe the pain rating. A child who uses passive coping behaviors
(such as distraction and cooperative) may rate pain as more intense than
children who use active coping behaviors (such as crying and kicking).
Nurses frequently make judgments about pain based on behavior, which
can result in children being inadequately medicated for pain.
pg. 3
, A nurse completes the initial assessment of a full-term newborn and finds
that the infant has increased vernix covering the newborn's body. Which of
the following would be a priority action for the nurse?
a. Assess for meconium aspiration.
b. Assess the mother's due date in the medical record.
c. Assess the infant for hypoglycemia.
d. Assess for infant's vital signs. - Correct Answer – B
Vernix caseosa is a whitish substance that serves as a protective
covering over the fetal body throughout the pregnancy. Vernix usually
disappears by term gestation. It is highly unusual for a 12-day
postmature baby to have increased amounts of vernix. The nurse should
assess for a discrepancy between EDC and gestational age by physical
examination. Meconium aspiration is a sign of fetal distress but does not
coincide with gestation and vernix covering. Hypoglycemia can occur at
any gestation and is not associated with vernix covering of the skin. Vital
signs would not be a helpful assessment because here is no indication
that the infant is unstable with this finding.
The nurse is caring for a comatose older adult with stage 3 pressure
injuries over two bony prominences. Which intervention should be added to
the plan of care?
a) Place lamb's wool under the lift sheet.
b) Turn the client every 2 to 4 hours.
c) Use an egg crate mattress.
d) Place the client on a pressure redistribution bed. - Correct Answer – D
A pressure redistribution bed will allow for constant motion of the client and
prevent further breakdown. Lambs' wool may trap heat and exacerbate skin
breakdown. Turning should be at a minimum of every 2 hours. Egg crate
has not been proven to be effective to prevent the development of pressure
injuries and should not be used.
pg. 4
NEWEST 2024 -2025 TESTBANK ACTUAL
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY
GRADED A+
TABLE OF CONTENT;
• NGN NCLEX RN EXIT EXAM V1…………………………………………
• NGN NCLEX RN EXIT EXAM V2…………………………………………
• NGN NCLEX RN EXIT EXAM V3…………………………………………
• NGN NCLEX RN EXIT EXAM V4…………………………………………
• NGN NCLEX RN EXIT EXAM V5…………………………………………
• NGN NCLEX RN EXIT EXAM V6………………………………………..
• NGN NCLEX RN EXIT EXAM V7 …………………………………………
pg. 1
,The nurse is caring for a 12-hour-old neonate born to a mother with
diabetes mellitus. The neonate's respiratory rate is 70 breaths/minute, heart
rate 162 beats/minute, oxygen saturation is 92% on room air, and the blood
glucose 30 mg/dL (1.7 mmol/L). What is the priority intervention for the
nurse to implement?
a) Administer glucose.
b) Administer oxygen.
c) Assess the temperature.
d) Start an IV. - Correct Answer – A
Hypoglycemia is the most common metabolic disorder in infants. It is
especially true for those infants born to type 1 diabetic mothers. In infants,
blood glucose levels fall to a low point during the first few hours of life
because the source of the maternal glucose is removed when the placenta
is expelled. Hypoglycemia is defined as < 30 mg/dL (1.7 mmol/L) in the first
24 hours of life and < 45 mg/dL (2.6 mmol/L) thereafter, but this is qualified
further by whether or not the infant is symptomatic. The symptoms of
hypoglycemia include jitteriness, tachycardia, lethargy, cyanosis, a weak
cry, and apnea. Early feeding helps prevent hypoglycemia. The treatment
for hypoglycemia is a rapid-acting source of glucose. This can be given via
a bottle or, if needed, an IV infusion. It is important to treat the infant early
to prevent permanent neurological damage and seizures. The symptoms
this infant is exhibiting are related to hypoglycemia, so correcting the blood
glucose would be the priority.
Which instructions should the nurse give to a client after noting a white,
cheese like substance on the neonate's body creases?
a) Remove it with hand lotion.
b) Clean the area with alcohol.
c) Allow it to remain on the skin.
d) Brush it off with a dry washcloth. - Correct Answer – C
pg. 2
,The white, cheese-like substance on the neonate's body creases is called
vernix caseosa. Unless the vernix is stained with meconium or the mother
has a bloodborne pathogen, it should be left on the skin because it serves
as a protective coating that typically disappears within 24 hours of birth.
Attempting to remove vernix caseosa (e.g., with lotion, alcohol, or a
washcloth) will remove the protection and may damage the neonate's
fragile skin.
One day after an appendectomy, a 9-year-old rates pain at 4 out of 5 on the
pain scale but is playing video games and laughing with a friend. What
should the nurse document on the child's chart?
a) The child is in no apparent distress, and no pain medication is
needed at this time.
b) The child rates pain at 4 out of 5. Administered pain medication as
ordered.
c) The child does not understand the pain scale. Performed teaching to
help child match pain rating to how child appears to be feeling.
d) The child rates pain at 4 out of 5; however, appears to be in no
distress.
Reassess when the client is visibly showing signs of pain. - Correct
Answer – B
Pain is what the child says it is, and the nurse must document what the
child reports. If a child's behavior appears to differ from the child's rating of
pain, believe the pain rating. A child who uses passive coping behaviors
(such as distraction and cooperative) may rate pain as more intense than
children who use active coping behaviors (such as crying and kicking).
Nurses frequently make judgments about pain based on behavior, which
can result in children being inadequately medicated for pain.
pg. 3
, A nurse completes the initial assessment of a full-term newborn and finds
that the infant has increased vernix covering the newborn's body. Which of
the following would be a priority action for the nurse?
a. Assess for meconium aspiration.
b. Assess the mother's due date in the medical record.
c. Assess the infant for hypoglycemia.
d. Assess for infant's vital signs. - Correct Answer – B
Vernix caseosa is a whitish substance that serves as a protective
covering over the fetal body throughout the pregnancy. Vernix usually
disappears by term gestation. It is highly unusual for a 12-day
postmature baby to have increased amounts of vernix. The nurse should
assess for a discrepancy between EDC and gestational age by physical
examination. Meconium aspiration is a sign of fetal distress but does not
coincide with gestation and vernix covering. Hypoglycemia can occur at
any gestation and is not associated with vernix covering of the skin. Vital
signs would not be a helpful assessment because here is no indication
that the infant is unstable with this finding.
The nurse is caring for a comatose older adult with stage 3 pressure
injuries over two bony prominences. Which intervention should be added to
the plan of care?
a) Place lamb's wool under the lift sheet.
b) Turn the client every 2 to 4 hours.
c) Use an egg crate mattress.
d) Place the client on a pressure redistribution bed. - Correct Answer – D
A pressure redistribution bed will allow for constant motion of the client and
prevent further breakdown. Lambs' wool may trap heat and exacerbate skin
breakdown. Turning should be at a minimum of every 2 hours. Egg crate
has not been proven to be effective to prevent the development of pressure
injuries and should not be used.
pg. 4
