Test BankNCLEX NGN CASE STUDY VERSION REAL HOSPITAL SCENARIO PRACTICE EXAM ( Questions And Answers with Solutions ).pdf

Test Bank
NCLEX NGN CASE STUDY VERSION REAL HOSPITAL SCENARIO



🟦 CASE STUDY 1: CHEST PAIN /
PRACTICE EXAM ( Questions And Answers with Solutions )




POSSIBLE MI

1. What is the nurse’s FIRST action?

A. Obtain full medical history​
B. Assess airway, breathing, circulation​
C. Call cardiology consult​
D. Give oral fluids​
Answer: B

2. Which finding most strongly suggests myocardial infarction?

A. Sharp abdominal pain​
B. Chest pressure + diaphoresis​
C. Mild headache​
D. Rash​
Answer: B

3. Priority diagnostic test:

A. MRI brain​
B. ECG​
C. Urinalysis​

,D. Stool test​
Answer: B

4. Which lab is most specific for cardiac damage?

A. Creatinine​
B. Troponin​
C. WBC​
D. Sodium​
Answer: B

5. Priority medication likely ordered:

A. Insulin​
B. Nitroglycerin​
C. Antibiotic​
D. Antacid​
Answer: B



🟦 CASE STUDY 2: STROKE PATIENT
A 72-year-old patient suddenly develops facial droop, slurred speech, and right-sided
weakness.

6. First nursing action:

A. Give food​
B. Perform swallow test​
C. Activate stroke alert​
D. Encourage walking​
Answer: C

7. Best imaging:

A. Chest X-ray​
B. CT scan brain​
C. Ultrasound abdomen​
D. MRI spine​
Answer: B

8. Key time-sensitive intervention:

, A. Antibiotics​
B. Thrombolytics (if eligible)​
C. Antacids​
D. Diuretics​
Answer: B

9. Priority assessment:

A. Reflexes​
B. Airway protection​
C. Skin color​
D. Hearing test​
Answer: B

10. Most important complication risk:

A. Hypertension​
B. Aspiration​
C. Hair loss​
D. Constipation​
Answer: B



🟦 CASE STUDY 3: DIABETIC
EMERGENCY (DKA)
A 25-year-old Type 1 diabetic presents with fruity breath, deep breathing, and confusion.

11. First concern:

A. Hypothermia​
B. Airway and breathing​
C. Skin rash​
D. Constipation​
Answer: B

12. Condition likely:

A. Hypoglycemia​
B. Diabetic ketoacidosis​
C. Stroke​
D. Kidney stone​
Answer: B