PROCTORED EXAM RETAKE
Clinical Scenario (NGN style) & NGN Qs
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THIS TEST HAS:
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60 Questions and Verified Rationalized Answers,
A brief clinical scenario (NGN style)
Next Gen Questions
Relevant vital signs or key facts,
Four answer options labeled A, B, C, and D
The correct answer
A concise Expert Rationale
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1. NGN-Style Scenario
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A 68-year-old client is on postoperative Day 3 following a right total knee arthroplasty.
The client lives with an adult child in a two-story home. The nurse is reviewing home
safety features before the client is discharged tomorrow on postoperative Day 4.
During the assessment, the nurse notes:
• Steep ramp was added to the front entrance.
• Multiple rugs on polished wood floors.
• No handrails near the toilet or shower.
• Narrow walkways due to excessive furniture.
Question: Which of the following findings may present complications for this
postoperative client? (Select all that apply.)
A. Non-secured rugs on polished floors
B. Absence of bathroom handrails
C. Sufficient overhead lighting in the living room
,D. Narrow walking pathways due to extra furniture
Answer: A, B, D
Expert Rationale:
• Non-secured rugs (A) on slippery floors increase the risk of falls, especially for a
client with recent knee surgery.
• Absence of handrails (B) in key locations (toilet, shower) reduces support for
transfers and ambulation, raising fall risk.
• Narrow walkways (D) caused by excessive furniture impede the use of assistive
devices (walker, cane).
• Good lighting alone (C) is beneficial, not a complication.
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2. NGN-Style Scenario
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A school nurse is reviewing the history of a 10-year-old child who presents with a
second fracture of the ulna in 6 months. The family’s background is as follows:
• One parent appears nervous and avoids eye contact when the other parent is
present.
, • The parents state they are both unemployed.
• The child’s family has an indoor cat.
• One parent admits to chronic alcohol use but denies current use.
Question: Which of the following findings place this child at risk for child abuse?
(Select all that apply.)
A. One parent appears frightened of the other parent
B. The family owns an indoor cat
C. One parent has a history of alcohol use disorder
D. Both parents are currently unemployed
Answer: A, C
Expert Rationale:
• A parent seeming frightened or intimidated by the other (A) can be a red flag for
family violence and child abuse risk.
• History of substance use (C) in the household is a known risk factor for child abuse.
• Pet ownership (B) and unemployment alone (D) do not necessarily indicate child
abuse risk.