NCLEX NGN Pre-Test Questions

NCLEX NGN Pre-Test Questions with
correct answers

Anurseisassignedtocareforaclientwithchronicrenalfailurewhoisundergoinghemodialysisthroughaninterna
lAVfistulaintheRA.Whichinterventionshouldthenurseimplementincaringfortheclient?SATA

a.Assessingtheradialpulseintherightextremity

b.UsingtheLAtitakeBPreadings

c.Drawingpre-dialysisbloodspecimensfromtheLA

d.AssessingtheareaovertheAVfistulaforabruitandthreeeachshift

e.Placingapressuredressingoverthesiteaftereachdialysistreatment

f.AdministeringIVfluidsthroughthevenoussiteoftheAVfistulaasneeded-✔✔A,B,C,D

AnurseisevaluatingoutcomesforaclientwithGuillain-
Barresyndrome.Whichoutcomedoesthenurserecognizeasoptimalrespiratoryoutcomesfortheclient?

a.Normaldeeptendonreflexes

b.Improvedskeletalmuscletone

c.Absencesofparesthesiasinthelowerextremities

d.Clearsoundinthelowerlungfieldsbilaterally

e.pO2of85mmHgandpCO2of40mmHg-✔✔D,E

AnurseofthetelemetryunitiscaringforaclientwhohashadaMIandisnowattachedtoacardiacmonitor.Thenurs
eismonitoringtheclient'scardiacrhythmandnotsventricularfibrillation.Whichnursinginterventionshouldth
enursetakefirst?

a.Callingtherapidresponseteam

b.Preparingtheclientforcardioversion

c.Askingtheclienttobeardownandcough

d.Preparingtoadministerdiltiazem-✔✔A

ThepatternofventricularfibrillationisidentifiedandcanbearesultafterapatientwithanMI.VFmakesthepatien
tfeelfaint,thenlosesconsciousnessandbecomespulselessandapneic(BPandheartsoundsabsent).Treatmenti
stoterminateVFandcovertitintoarhythmviadefibrillation-
>callarapidandinitiateCPR.Cardioversionisusedforventricularorsupraventriculartachydysrhythmias.

,Anursedevelopingaplanofcareforaclientwithaspinalcordinjuryincludesmeasurestopreventautonomicdysr
eflexia(hyperreflexia).Whichinterventiondoesthenurseincorporateintotheplantopreventthiscomplication
?

a.Keepingthefanrunningintheclient'sroom

b.Keepingthelinenswrinklefreeundertheclient

c.Limitingbladdercatheterizationtoonceevery12hours

d.Avoidingtheadministrationofenemasandrectalsuppositories-✔✔B

Themostfrequentcauseofautonomicdysreflexiasareadistendedbladderandimpactedfeces.Othercausesinc
ludestimulationoftheskinbytactile,thermal,orpainfulstimuli.Thenurserenderscareinsuchawayastominimiz
etheserisks.

Anurseprovideshomecareinstructionstoaclientwhohasbeenfittedwithahalodevicetotreatacervicalfractur
e.Whichstatementbytheclientindicatestheneedforfurtherteaching?

a.Ineedtogetmorefluidsandfiberintomydiet

b.IshouldcutmyfoodintosmallpiecesbeforeIeat

c.Ineedtoputpowderunderthevesttwiceadaytopreventsweating

d.Ihavetocheckthepinsiteseverydayandwatchforsignsofinfection-✔✔C

Cleansetheskinunderthewoollinereachdaytopreventrashesandsoars.

Anurseiscaringforaclientwithincreasedintracranialpressure.Inwhichpositionshouldthenursemaintainthecl
ient?

a.Supinewiththeheadextended

b.Sidelyingwiththeneckflexed

c.Supinewiththeheadturnedtotheside

d.Headmidlineandelevated30-45degrees-✔✔D

ProperpositioningpromotesvenousdrainagefromthecraniumtominimizeICP.

Aclientwithabasilarskullfracturehasclearfluidleakingfromtheears.Thenurseshouldtakewhichactionfirst?

a.Assestheclearfluidforprotein

b.Checktheclearfluidforglucose

c.Placecottoncallsordrygauzelooselyintheears

d.Useanotoscopetoassessthetympanicmembraneforrupture-✔✔B

CSFcontainsglucosenotprotein.

, Anurseiscaringforaclientwhohasjustundergonecardioversion.Whichinterventionisthenurse'spriorityaftert
hisprocedure.

a.Administeroxygen

b.MonitoringtheBP

c.Administeringantidysrhythmicmedications

d.Monitoringtheclient'sLOC-✔✔A

ABC'sofnursing.Allotherchoicesarecorrect,butnotpriority.

Aclientwithdiabetesmellituswhoisscheduledtohaveblooddrawnfordeterminationoftheglycosylatedhemo
globin(HbA1c)levelasksthenursewhythetestisnecessaryifheisperformingbloodglucosemonitoringathome.
Whichisthebestresponseforthenursetoprovide?

a.Detectdiabeticcomplications

b.Assesslong-termglycemiccontrol

c.Determinewhethertheclientisatriskforhypoglycemia

dDeterminewhethertheprescribedinsulindosageiscorrect-✔✔B

Anursecaringforaclientwithacquiredimmunodeficiencysyndromeismonitoringtheclientforsignsofcomplica
tions.WhichofthefollowingwouldcausethenursetosuspectinfectionwithPneumocystisjirovec?SATA

a.Diarrhea

b.Tachypnea

c.Pedaledema

d.Intermittentfever

e.Dyspneawithambulating

f.Expectorationoffrothymucus-✔✔B,D,E

AopportunisticrespiratoryinfectionassociatedwithAIDsthatcausesdyspnea,nonproductivecough,intermitt
entfever,fatigue,anorexia,tachypnea,wt.loss.

ZidovudineisprescribedforaclientwithAIDS.Thenursetellstheclientthatitisimportanttoreportbacktotheclini
casscheduledforwhichfollow-updiagnostic?

a.Bloodglucosechecks

b.Bloodpressurechecks

c.Completebloodcounts(CBC)

d.Electrocradiographicstudies-✔✔C

Zidovudineisanantiviralmedicationthatcausecauseagranulocytosisandanemia.