NGN EXAM ACTUAL EXAM 180 QUESTIONS AND
CORRECT DETAILED ANSWERS WITH
RATIONALES (VERIFIED ANSWERS) |ALREADY
GRADED A+
A nurse is planning to delegate to an AP the fasting blood
glucose testing for a client who has diabetes
mellitus. Which of the following action should the nurse take?
a) Determine if the AP is qualified to perform the test.
b) Help the AP performed the blood glucose test
c) Assign the AP to ask the client is taking his diabetic
medication today
d) Have AP check the medical record for prior blood glucose
test results - ....ANSWER...a) Determine if the AP is qualified
to perform the test.
A nurse is assessing client brought to the hospital psychiatric
emergency services by a law enforcement
officer. The client has disorganized, incoherent speech with
loose associations and religious content.
You should recognize the signs and symptoms as being
consistent with which of the following?
a) Alzheimer's disease
b) Schizophrenia
c) Substance intoxication
d) Depression - ....ANSWER...b) Schizophrenia
,A nurse is caring for a child who has infectious
mononucleosis.. Which of the following findings are
associated with this diagnosis? Select all that apply
a) splenomegaly
b) Koplik spots
c) Malaise
d) Vertigo
e) Sore throat - ....ANSWER...a) splenomegaly
c) Malaise
e) Sore throat
Nurse is performing dressing change for client was a sacral
wound using negative pressure wound
therapy. Which The following actions should the nurse take
first?
a) Apply skin preparation to wound edges.
b) Normal saline
c) Don sterile gloves
d) Determine pain level - ....ANSWER...d) Determine pain
level
A nurses caring for client recovery from the bowel surgery
who has nasogastric tube connected to
low intermittent suction. Which the following assessment
findings should indicate to the nurse that the NG
tube may not be functioning properly?
a) Drainage fluid is greenish-yellow
b) aspirate pH of 3
c) Abdominal rigidity
d) air bubbles noted in the NG tube - ....ANSWER...c)
Abdominal rigidity
,A nurse is preparing to administer TPN with added fat
supplements to a client who has malnutrition.
Which of the following action should the nurse take?
a) Piggyback 0.9 sodium chloride with TPN solution
b) Check for an allergy to eggs
c) Discuss the TPS solution for 12 hours
d) Monitor for hypoglycemia - ....ANSWER...b) Check for an
allergy to eggs
A charge nurse is discussing the use of applying ice to a
client's injured knee with a newly licensed nurse.
Which of the following should the nurse identify as a benefit?
(A/C?)
a) Systemic analgesic effect
b) increase in your metabolism
c) Decreased capillary permeability
d) Vasodilation - ....ANSWER...c) Decreased capillary
permeability
Nurse is developing discharge care plans for client has
osteoporosis. To prevent injury the nurse should
instruct the client to
a) Perform weight bearing exercises
b) Avoid crossing the legs beyond the midline
c) Avoid sitting in one position for prolonged periods
d) Split affected area - ....ANSWER...a) Perform weight
bearing exercises
A nurse on acute med-surgical unit is performing assessments
on a group of clients. Which is highest
priority?
a) The client has surgical hypoparathyroidism and positive
Trousseau's sign
, b) A client who was Clostridium difficile with acute diarrhea
c) A client who is acute kidney injury and urine with a low
specific gravity
d) The client who has oral cancer and reports a sore on his
gums - ....ANSWER...a) The client has surgical
hypoparathyroidism and positive Trousseau's sign
Nurses caring for a client was congestive heart failure. Which
of the following prescriptions for the
provider should the nurse anticipate?
a) Call the provider to clients respiratory rate is less 18/min
b) Give the client 500 mL IV bolus of 0.9 sodium chloride
over 1 hr
c) Give the client enalapril 2.5 mg PO twice daily
d) Call the provider if the clients pulse rate is less than 80/min
- ....ANSWER...c) Give the client enalapril 2.5 mg PO twice
daily
A nurse is caring for a client who has a prescription for
sertraline to treat depression. Which of the
following statements by the client indicates an understanding
of the medication treatment plan?
a) I will be able starting this medication with feel better
b) I can expect to urinate frequently while on this medication
c) I understand I may experience difficulty sleeping on this
medication
d) I should decrease my sodium intake while on this
medication - ....ANSWER...c) I understand I may experience
difficulty sleeping on this medication
A nurse has been caring for a female client who has bruises on
her arms that she explains are a result of