NCLEX NGN Pre-Test Practice Exam 2026 | Verified
Answers | Exam Pre
1. Why is contacting the primary health care provider considered the priority
action when stridor is auscultated after a radical neck dissection?
Stridor indicates potential airway obstruction, requiring immediate
medical intervention.
Stridor suggests the need for a change in medication.
Stridor is a normal finding after surgery and does not require action.
Stridor is a sign of infection that can be managed with antibiotics.
2. Why is pain with forward flexion of the neck significant in a patient who has
recently undergone a craniotomy?
It suggests the patient is recovering well from surgery.
It indicates that the patient is experiencing normal headache pain.
It is a common postoperative symptom that does not require
intervention.
It may indicate meningeal irritation or increased intracranial
pressure.
3. What is the recommended site for administering an injection of vitamin K to a
newborn?
Gluteus maximus muscle
Deltoid muscle
Vastus lateralis muscle
Rectus femoris muscle
,4. What is the first action a nurse should take if a client in labor experiences
uterine hypertonicity while receiving oxytocin?
Stop the oxytocin infusion
Check the client's blood pressure
Place the client in a side-lying position
Contact the primary health care provider
5. What is the first action a nurse should take when assessing a client with heart
failure and an apical pulse rate of 58 beats/min?
Administer the digoxin with an antacid
Contact the primary health care provider
Check the most recent digoxin level
Administer an as-needed antiemetic
6. A client has recently been diagnosed with deep vein thrombosis of the right
leg. Which of the following interventions of the nurse immediately
implement?
Performing the need for hourly calf measurements
Placing ice packs on and under the right leg
Elevating the foot of the bed 6 inches
Documenting the need for hourly calf measurements
7. Why is it important to maintain the head of a client with increased intracranial
pressure at an elevation of 30-45 degrees?
Elevating the head prevents airway obstruction.
, Elevating the head promotes venous drainage and reduces
intracranial pressure.
Elevating the head allows for better lung expansion.
Elevating the head increases blood flow to the brain.
8. The nurse is planning care for a client with Guillain-Barre syndrome. The
priority client outcome would be which of the following?
Shows increasing mobility
Demonstrates recovery of speech
Maintains effective respirations and airway clearance
Receives adequate nutrition and hydration
9. What specific symptom indicates a potential complication that requires
immediate notification of the primary health care provider after a
craniotomy?
Pain with forward flexion of the neck onto the chest
Mild headache relieved by acetaminophen with codeine
Disorientation to date
Pupils equal and reactive at 4 mm
10. The nurse is caring for a 5-year-old patient with sickle cell anemia. The child's
parent asks about preventing pain crises. What advice should the nurse
provide?
Limit physical activity
Restrict fluid intake
Administer nonsteroidal anti-inflammatory drugs (NSAIDs) regularly
, Encourage hydration and rest
11. Why is Cream of Wheat considered a beneficial food for a child with iron-
deficiency anemia?
Cream of Wheat is fortified with iron, making it a good dietary
choice to help increase iron levels.
Cream of Wheat is high in calcium, which helps with iron absorption.
Cream of Wheat is a low-calorie food that helps maintain a healthy
weight.
Cream of Wheat contains vitamin C, which enhances iron absorption.
12. Why is the presence of clear lung sounds considered an optimal respiratory
outcome in a patient with Guillain-Barre syndrome?
Clear lung sounds are unrelated to respiratory function.
Clear lung sounds indicate effective ventilation and absence of
respiratory complications.
Clear lung sounds suggest the patient is experiencing muscle
weakness.
Clear lung sounds mean the patient has normal deep tendon
reflexes.
13. What is a significant complication that nurses should monitor for in a child
with Kawasaki disease?
Thrombus formation
Anemia
Renal failure
Gastrointestinal disturbances
Answers | Exam Pre
1. Why is contacting the primary health care provider considered the priority
action when stridor is auscultated after a radical neck dissection?
Stridor indicates potential airway obstruction, requiring immediate
medical intervention.
Stridor suggests the need for a change in medication.
Stridor is a normal finding after surgery and does not require action.
Stridor is a sign of infection that can be managed with antibiotics.
2. Why is pain with forward flexion of the neck significant in a patient who has
recently undergone a craniotomy?
It suggests the patient is recovering well from surgery.
It indicates that the patient is experiencing normal headache pain.
It is a common postoperative symptom that does not require
intervention.
It may indicate meningeal irritation or increased intracranial
pressure.
3. What is the recommended site for administering an injection of vitamin K to a
newborn?
Gluteus maximus muscle
Deltoid muscle
Vastus lateralis muscle
Rectus femoris muscle
,4. What is the first action a nurse should take if a client in labor experiences
uterine hypertonicity while receiving oxytocin?
Stop the oxytocin infusion
Check the client's blood pressure
Place the client in a side-lying position
Contact the primary health care provider
5. What is the first action a nurse should take when assessing a client with heart
failure and an apical pulse rate of 58 beats/min?
Administer the digoxin with an antacid
Contact the primary health care provider
Check the most recent digoxin level
Administer an as-needed antiemetic
6. A client has recently been diagnosed with deep vein thrombosis of the right
leg. Which of the following interventions of the nurse immediately
implement?
Performing the need for hourly calf measurements
Placing ice packs on and under the right leg
Elevating the foot of the bed 6 inches
Documenting the need for hourly calf measurements
7. Why is it important to maintain the head of a client with increased intracranial
pressure at an elevation of 30-45 degrees?
Elevating the head prevents airway obstruction.
, Elevating the head promotes venous drainage and reduces
intracranial pressure.
Elevating the head allows for better lung expansion.
Elevating the head increases blood flow to the brain.
8. The nurse is planning care for a client with Guillain-Barre syndrome. The
priority client outcome would be which of the following?
Shows increasing mobility
Demonstrates recovery of speech
Maintains effective respirations and airway clearance
Receives adequate nutrition and hydration
9. What specific symptom indicates a potential complication that requires
immediate notification of the primary health care provider after a
craniotomy?
Pain with forward flexion of the neck onto the chest
Mild headache relieved by acetaminophen with codeine
Disorientation to date
Pupils equal and reactive at 4 mm
10. The nurse is caring for a 5-year-old patient with sickle cell anemia. The child's
parent asks about preventing pain crises. What advice should the nurse
provide?
Limit physical activity
Restrict fluid intake
Administer nonsteroidal anti-inflammatory drugs (NSAIDs) regularly
, Encourage hydration and rest
11. Why is Cream of Wheat considered a beneficial food for a child with iron-
deficiency anemia?
Cream of Wheat is fortified with iron, making it a good dietary
choice to help increase iron levels.
Cream of Wheat is high in calcium, which helps with iron absorption.
Cream of Wheat is a low-calorie food that helps maintain a healthy
weight.
Cream of Wheat contains vitamin C, which enhances iron absorption.
12. Why is the presence of clear lung sounds considered an optimal respiratory
outcome in a patient with Guillain-Barre syndrome?
Clear lung sounds are unrelated to respiratory function.
Clear lung sounds indicate effective ventilation and absence of
respiratory complications.
Clear lung sounds suggest the patient is experiencing muscle
weakness.
Clear lung sounds mean the patient has normal deep tendon
reflexes.
13. What is a significant complication that nurses should monitor for in a child
with Kawasaki disease?
Thrombus formation
Anemia
Renal failure
Gastrointestinal disturbances
