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1. Which of the following best describes the Next Generation NCLEX (NGN)?
a) focuses only on multiple-choice questions
b) uses complex case studies, including bowtie diagrams and select-all-that-
apply questions
c) eliminates all math-based questions
d) is only used for graduate nursing programs - Correct Answer: b
2. Which finding is most consistent with an asthma exacerbation?
a) decreased mucus production
b) improved exercise tolerance
c) increased mucus and dyspnea during exercise
d) bradycardia at rest - Correct Answer: c
3. Which intervention is appropriate during an acute asthma emergency?
a) administer a long-acting beta-agonist only
b) administer short-acting beta-agonists (e.g., albuterol) and oxygen therapy
c) withhold oxygen until arterial blood gases are drawn
d) administer an antihistamine - Correct Answer: b
4. Arterial blood gas (ABG) values are most useful in asthma exacerbations for:
a) diagnosing the underlying cause of asthma
b) evaluating therapeutic responses to treatment
, c) determining the need for antibiotics
d) confirming a pneumothorax - Correct Answer: b
5. In a patient with COPD, the target SpO2 for oxygen therapy is:
a) 95–100%
b) 88–92%
c) below 85%
d) 100% - Correct Answer: b
6. Which dietary approach is recommended for a patient with COPD?
a) large, high-carbohydrate meals three times a day
b) high-protein, high-calorie small meals
c) low-protein, low-calorie meals
d) fluid restriction with every meal - Correct Answer: b
7. Which combination of findings is most consistent with myocardial
infarction?
a) intermittent pain, flushing, decreased troponin
b) persistent pain, diaphoresis, elevated troponin
c) no pain, elevated potassium
d) pain relieved with rest, decreased troponin - Correct Answer: b
8. The MONA protocol used in acute MI management stands for:
a) morphine, oxygen, nitroglycerin, aspirin
b) magnesium, oxygen, naloxone, atropine
c) morphine, oxygen, nifedipine, atenolol
d) metoprolol, oxygen, nitroglycerin, atropine - Correct Answer: a
9. Which symptoms are characteristic of left-sided heart failure?
a) peripheral edema and ascites
b) jugular venous distension only
, c) pulmonary symptoms such as dyspnea, orthopnea, and crackles
d) hepatomegaly and weight gain - Correct Answer: c
10.Which symptoms are characteristic of right-sided heart failure?
a) pulmonary crackles and orthopnea
b) peripheral symptoms such as edema, ascites, and JVD
c) pulmonary edema
d) dyspnea on exertion only - Correct Answer: b
11.Beta-blockers are primarily used to:
a) increase heart rate
b) reduce heart rate
c) cause vasodilation only
d) increase myocardial oxygen demand - Correct Answer: b
12.Calcium channel blockers primarily work by:
a) increasing heart rate
b) causing vasodilation
c) increasing myocardial contractility
d) blocking beta receptors - Correct Answer: b
13.Which finding suggests an ischemic stroke?
a) gradual improvement in speech over days
b) sudden numbness, weakness, and speech difficulty
c) fever and rash
d) chronic headache without other symptoms - Correct Answer: b
14.A key treatment for ischemic stroke is:
a) surgical decompression
b) thrombolytic therapy (e.g., tPA)
, c) strict fluid restriction
d) anticoagulant reversal agents - Correct Answer: b
15.Which symptom cluster is most associated with hemorrhagic stroke?
a) severe headache, nausea, and loss of consciousness
b) mild tingling in one hand
c) slow onset of confusion over weeks
d) painless vision loss only - Correct Answer: a
16.Management of a hemorrhagic stroke typically includes:
a) thrombolytic therapy
b) surgical intervention and blood pressure control
c) anticoagulant administration
d) exercise therapy - Correct Answer: b
17.Which findings are associated with Cushing's disease?
a) weight loss, hypotension, hypoglycemia
b) moon face, buffalo hump, hyperglycemia, and hypertension
c) exophthalmos and heat intolerance
d) bradycardia and cold intolerance - Correct Answer: b
18.Which findings are associated with Graves' disease?
a) moon face and buffalo hump
b) tachycardia, heat intolerance, and exophthalmos
c) bradycardia and weight gain
d) hypoglycemia and cold intolerance - Correct Answer: b
19.The primary focus of diabetes management is:
a) managing high glucose through diet and medication adherence
b) eliminating all carbohydrates