NCSBN Test Bank for the NCLEX-RN (NGN) – Questions and
Answers with Rationales – A+ Graded
Question 1
The client with coronary artery disease has a prescription for nitroglycerin transdermal patches. What is the best reason the
client should not wear a patch for more than 12 to 14 hours each day?
1It can cause severe headaches
2It may no longer work as well
3It will cause profound hypotensive effects
4it will irritate the skin
Correct Answer
2
Question 2
The client is receiving a thrombolytic agent to open a clot-occluded coronary artery following a myocardial infarction.
Which finding would be the greatest concern and should be immediately reported to the registered nurse?
1Hematemesis -
2Pink-tinged saliva
3Serosanguinous drainage from the IV site
4Slight rust-colored urine
Correct Answer
1Hematemesis -
Page 1 of 205
,Question 3
The nurse is reinforcing teaching about levothyroxine for a client newly-diagnosed with hypothyroidism. Which information
should the nurse make sure to reinforce about this medication?
1The medication may decrease the client's energy level.
2The medication will decrease the client's heart rate.
3The medication should be taken in the morning.
4The medication must be stored in a dark container.
Correct Answer
3
A thyroid supplement, such as levothyroxine, should be taken on an empty stomach in the morning. Morning dosing
minimizes the side effect of insomnia and an empty stomach facilitates absorption. Levothyroxine will cause an increase
in the client's energy level and heart rate.
Question 4
The nurse is assisting a withdrawn client to begin to develop relationship skills. Which nursing intervention should be most
effective?
1Assist the client to analyze the meaning of behaviors
2Remind the client frequently to interact with other clients
3Offer the client frequent opportunities to interact with the nurse
4Initiate client interactions with one or two other clients
Correct Answer
3
Page 2 of 205
,Question 5
A child is admitted to the unit with the suspected diagnosis of pertussis (whooping cough). What is the priority nursing
intervention for this child?
1. Maintain hydration and encourage fluids
2. Implement droplet precautions
3. Monitor respiratory rate and oxygen saturation
4. Anti- infective therapy
Correct Answer
2
Question 6
The nurse has given discharge instructions to a client who suffers from sensory neuropathy due to diabetes. The client was
prescribed gabapentin. Which of the following statements indicates that the client understands the nurse's instructions
regarding the medication?
1"I can stop taking the medication at any time."
2"It is safe to take extra doses if my pain becomes worse."
3"The medication might cause me to have insomnia."
4"My doctor prescribed it for the pain in my legs."
Correct Answer
4
Page 3 of 205
, Question 7
The nurse is reviewing information about the health care organization's efforts to improve quality of care. Which of these
statements best describes the goal of continuous quality improvement (CQI) in a health care setting?
1Perform actions based on reactive problem solving.
2Create a flow chart of department or staff interactions.
3Conduct chart audits for common error discovery.
4Improve the quality of care in a proactive manner.
Correct Answer
4
Question 8
The nurse is providing care for a client who has been diagnosed with terminal cancer. The nurse notes that the client's wife
is not visiting very often. When she does visit the client, she only stays for a brief time, stands in the corner and does not
approach the client during interactions. Which of the grieving processes is the client's wife most likely experiencing?
1Disenfranchised grief
2Anticipatory grief
3Perceived loss
4Death anxiety
Correct Answer
2
anticipatory grief is the family member becomes distant and detached from the client and the client feels isolated and
alone. Death anxiety is worry or fear related to dying that may be seen with a grieving child. Disenfranchised grief is
when the individual cannot acknowledge the loss, perhaps because of an unrecognized loss, such as an abortion or a
suicide. Perceived loss is a loss that cannot be verified by others such as a loss of self-esteem or a loss of control.
Page 4 of 205
Answers with Rationales – A+ Graded
Question 1
The client with coronary artery disease has a prescription for nitroglycerin transdermal patches. What is the best reason the
client should not wear a patch for more than 12 to 14 hours each day?
1It can cause severe headaches
2It may no longer work as well
3It will cause profound hypotensive effects
4it will irritate the skin
Correct Answer
2
Question 2
The client is receiving a thrombolytic agent to open a clot-occluded coronary artery following a myocardial infarction.
Which finding would be the greatest concern and should be immediately reported to the registered nurse?
1Hematemesis -
2Pink-tinged saliva
3Serosanguinous drainage from the IV site
4Slight rust-colored urine
Correct Answer
1Hematemesis -
Page 1 of 205
,Question 3
The nurse is reinforcing teaching about levothyroxine for a client newly-diagnosed with hypothyroidism. Which information
should the nurse make sure to reinforce about this medication?
1The medication may decrease the client's energy level.
2The medication will decrease the client's heart rate.
3The medication should be taken in the morning.
4The medication must be stored in a dark container.
Correct Answer
3
A thyroid supplement, such as levothyroxine, should be taken on an empty stomach in the morning. Morning dosing
minimizes the side effect of insomnia and an empty stomach facilitates absorption. Levothyroxine will cause an increase
in the client's energy level and heart rate.
Question 4
The nurse is assisting a withdrawn client to begin to develop relationship skills. Which nursing intervention should be most
effective?
1Assist the client to analyze the meaning of behaviors
2Remind the client frequently to interact with other clients
3Offer the client frequent opportunities to interact with the nurse
4Initiate client interactions with one or two other clients
Correct Answer
3
Page 2 of 205
,Question 5
A child is admitted to the unit with the suspected diagnosis of pertussis (whooping cough). What is the priority nursing
intervention for this child?
1. Maintain hydration and encourage fluids
2. Implement droplet precautions
3. Monitor respiratory rate and oxygen saturation
4. Anti- infective therapy
Correct Answer
2
Question 6
The nurse has given discharge instructions to a client who suffers from sensory neuropathy due to diabetes. The client was
prescribed gabapentin. Which of the following statements indicates that the client understands the nurse's instructions
regarding the medication?
1"I can stop taking the medication at any time."
2"It is safe to take extra doses if my pain becomes worse."
3"The medication might cause me to have insomnia."
4"My doctor prescribed it for the pain in my legs."
Correct Answer
4
Page 3 of 205
, Question 7
The nurse is reviewing information about the health care organization's efforts to improve quality of care. Which of these
statements best describes the goal of continuous quality improvement (CQI) in a health care setting?
1Perform actions based on reactive problem solving.
2Create a flow chart of department or staff interactions.
3Conduct chart audits for common error discovery.
4Improve the quality of care in a proactive manner.
Correct Answer
4
Question 8
The nurse is providing care for a client who has been diagnosed with terminal cancer. The nurse notes that the client's wife
is not visiting very often. When she does visit the client, she only stays for a brief time, stands in the corner and does not
approach the client during interactions. Which of the grieving processes is the client's wife most likely experiencing?
1Disenfranchised grief
2Anticipatory grief
3Perceived loss
4Death anxiety
Correct Answer
2
anticipatory grief is the family member becomes distant and detached from the client and the client feels isolated and
alone. Death anxiety is worry or fear related to dying that may be seen with a grieving child. Disenfranchised grief is
when the individual cannot acknowledge the loss, perhaps because of an unrecognized loss, such as an abortion or a
suicide. Perceived loss is a loss that cannot be verified by others such as a loss of self-esteem or a loss of control.
Page 4 of 205
