NCLEX NGN PRE TEST WITH QUESTIONS AND WELL
VERIFIED ANSWERS [ALREADY GRADED A+]
A client with a basilar skull fracture has clear fluid leaking from the ears. The nurse should
take which action first?
a. Asses the clear fluid for protein
b. Check the clear fluid for glucose
c. Place cotton calls or dry gauze loosely in the ears
d. Use an otoscope to assess the tympanic membrane for rupture ----ANSWER---B
CSF contains glucose not protein.
A nurse is caring for a client who has just undergone cardioversion. Which intervention is
the nurse's priority after this procedure.
a. Administer oxygen
b. Monitoring the BP
c. Administering antidysrhythmic medications
d. Monitoring the client's LOC ----ANSWER---A
ABC's of nursing. All other choices are correct, but not priority.
A client with diabetes mellitus who is scheduled to have blood drawn for determination of
the glycosylated hemoglobin (HbA1c) level asks the nurse why the test is necessary if he is
performing blood glucose monitoring at home. Which is the best response for the nurse to
provide?
a. Detect diabetic complications
,b. Assess long-term glycemic control
c. Determine whether the client is at risk for hypoglycemia
d Determine whether the prescribed insulin dosage is correct ----ANSWER---B
A nurse caring for a client with acquired immunodeficiency syndrome is monitoring the client
for signs of complications. Which of the following would cause the nurse to suspect infection
with Pneumocystis jirovec? SATA
a. Diarrhea
b. Tachypnea
c. Pedal edema
d. Intermittent fever
e. Dyspnea with ambulating
f. Expectoration of frothy mucus ----ANSWER---B, D, E
A opportunistic respiratory infection associated with AIDs that causes dyspnea,
nonproductive cough, intermittent fever, fatigue, anorexia, tachypnea, wt. loss.
Zidovudine is prescribed for a client with AIDS. The nurse tells the client that it is important
to report back to the clinic as scheduled for which follow-up diagnostic?
a. Blood glucose checks
b. Blood pressure checks
c. Complete blood counts (CBC)
d. Electrocradiographic studies ----ANSWER---C
Zidovudine is an antiviral medication that cause cause agranulocytosis and anemia.
After a non-immunocompromised client undergoes a Mantoux test for TB infection, an area
of induration 6 mm wide developed. The client asks the nurse what this result means. Which
is the best response?
, a. We'll have to repeat the test because the result was inconclusive
b. The swollen area is small, so that means your test result is negative
c. You've been exposed to TB so you will need to have a chest x-ray
d. You need to get started on medication right away because you have TB ----ANSWER---B
Indurations less than 10 mm (non-immunocompromised) and 5 mm (immunocompromised)
is considered a negative result after 48-72 hrs. Results greater indicate exposure and
possible TB infection. Morse testing (x-ray) will be needed.
A clients arterial blood gases are analyzed; pH 1.49, paO2 97 mmHg, HCO3- 22 mEq/L.
Which acid base balance disturbance does the nurse identify from these results?
a. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Respiratory alkalosis ----ANSWER---D
RAcidosis: paCo2 >45 mmHg and RAlkalosis is paCo2 <35 mmHg. MAcidosis is HCO3- is
less than 22 mEq/L and MAlkalosis is HCO3- greater than 26 mEq/L.
A client has recently been diagnosed with deep vein thrombosis of the right leg. Which of
the following interventions of the nurse immediately implement?
a. Elevating the foot of the bed 6 inches
b. Placing ice packs on and under the right leg
c. Documenting the need for hourly calf measurements
d. Performing the need for hourly calf measurements ----ANSWER---A
DVT treatment includes bed rest, leg elevation, and application of warm, moist heat.
Elevation decreases the venous pressure with relieves edema and pain. ROM cause cause
the thrombus to mobilize to the lungs causing PEs.
VERIFIED ANSWERS [ALREADY GRADED A+]
A client with a basilar skull fracture has clear fluid leaking from the ears. The nurse should
take which action first?
a. Asses the clear fluid for protein
b. Check the clear fluid for glucose
c. Place cotton calls or dry gauze loosely in the ears
d. Use an otoscope to assess the tympanic membrane for rupture ----ANSWER---B
CSF contains glucose not protein.
A nurse is caring for a client who has just undergone cardioversion. Which intervention is
the nurse's priority after this procedure.
a. Administer oxygen
b. Monitoring the BP
c. Administering antidysrhythmic medications
d. Monitoring the client's LOC ----ANSWER---A
ABC's of nursing. All other choices are correct, but not priority.
A client with diabetes mellitus who is scheduled to have blood drawn for determination of
the glycosylated hemoglobin (HbA1c) level asks the nurse why the test is necessary if he is
performing blood glucose monitoring at home. Which is the best response for the nurse to
provide?
a. Detect diabetic complications
,b. Assess long-term glycemic control
c. Determine whether the client is at risk for hypoglycemia
d Determine whether the prescribed insulin dosage is correct ----ANSWER---B
A nurse caring for a client with acquired immunodeficiency syndrome is monitoring the client
for signs of complications. Which of the following would cause the nurse to suspect infection
with Pneumocystis jirovec? SATA
a. Diarrhea
b. Tachypnea
c. Pedal edema
d. Intermittent fever
e. Dyspnea with ambulating
f. Expectoration of frothy mucus ----ANSWER---B, D, E
A opportunistic respiratory infection associated with AIDs that causes dyspnea,
nonproductive cough, intermittent fever, fatigue, anorexia, tachypnea, wt. loss.
Zidovudine is prescribed for a client with AIDS. The nurse tells the client that it is important
to report back to the clinic as scheduled for which follow-up diagnostic?
a. Blood glucose checks
b. Blood pressure checks
c. Complete blood counts (CBC)
d. Electrocradiographic studies ----ANSWER---C
Zidovudine is an antiviral medication that cause cause agranulocytosis and anemia.
After a non-immunocompromised client undergoes a Mantoux test for TB infection, an area
of induration 6 mm wide developed. The client asks the nurse what this result means. Which
is the best response?
, a. We'll have to repeat the test because the result was inconclusive
b. The swollen area is small, so that means your test result is negative
c. You've been exposed to TB so you will need to have a chest x-ray
d. You need to get started on medication right away because you have TB ----ANSWER---B
Indurations less than 10 mm (non-immunocompromised) and 5 mm (immunocompromised)
is considered a negative result after 48-72 hrs. Results greater indicate exposure and
possible TB infection. Morse testing (x-ray) will be needed.
A clients arterial blood gases are analyzed; pH 1.49, paO2 97 mmHg, HCO3- 22 mEq/L.
Which acid base balance disturbance does the nurse identify from these results?
a. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Respiratory alkalosis ----ANSWER---D
RAcidosis: paCo2 >45 mmHg and RAlkalosis is paCo2 <35 mmHg. MAcidosis is HCO3- is
less than 22 mEq/L and MAlkalosis is HCO3- greater than 26 mEq/L.
A client has recently been diagnosed with deep vein thrombosis of the right leg. Which of
the following interventions of the nurse immediately implement?
a. Elevating the foot of the bed 6 inches
b. Placing ice packs on and under the right leg
c. Documenting the need for hourly calf measurements
d. Performing the need for hourly calf measurements ----ANSWER---A
DVT treatment includes bed rest, leg elevation, and application of warm, moist heat.
Elevation decreases the venous pressure with relieves edema and pain. ROM cause cause
the thrombus to mobilize to the lungs causing PEs.
