NCLEX NGN Pre-Test Questions Latest 2026 Actual
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Terms in this set (73)
,A nurse is assigned to care for a client A, B, C, D
with chronic renal failure who is
undergoing hemodialysis through an
internal AV fistula in the RA. Which
intervention should the nurse
implement in caring for the client?
SATA
a. Assessing the radial pulse in the
right extremity
b. Using the LA ti take BP readings
c. Drawing pre-dialysis blood
specimens from the LA
d. Assessing the area over the AV
fistula for a bruit and three each shift
e. Placing a pressure dressing over
the site after each dialysis treatment
f. Administering IV fluids through the
venous site of the AV fistula as
needed
A nurse is evaluating outcomes for a D, E
client with Guillain-Barre syndrome.
Which outcome does the nurse
recognize as optimal respiratory
outcomes for the client?
a. Normal deep tendon reflexes
b. Improved skeletal muscle tone
c. Absences of paresthesias in the
lower extremities
d. Clear sound in the lower lung fields
bilaterally
e. pO2 of 85 mmHg and pCO2 of 40
mmHg
,A nurse of the telemetry unit is caring A
for a client who has had a MI and is The pattern of ventricular fibrillation is identified
now attached to a cardiac monitor. and can be a result after a patient with an MI. VF
The nurse is monitoring the client's makes the patient feel faint, then loses
cardiac rhythm and nots ventricular consciousness and becomes pulseless and apneic
fibrillation. Which nursing intervention (BP and heart sounds absent). Treatment is to
should the nurse take first? terminate VF and covert it into a rhythm via
a. Calling the rapid response team defibrillation-> call a rapid and initiate CPR.
b. Preparing the client for Cardioversion is used for ventricular or
cardioversion supraventricular tachydysrhythmias.
c. Asking the client to bear down and
cough
d. Preparing to administer diltiazem
A nurse developing a plan of care for B
a client with a spinal cord injury The most frequent cause of autonomic dysreflexias
includes measures to prevent are a distended bladder and impacted feces. Other
autonomic dysreflexia (hyperreflexia). causes include stimulation of the skin by tactile,
Which intervention does the nurse thermal, or painful stimuli. The nurse renders care in
incorporate into the plan to prevent such a way as to minimize these risks.
this complication?
a. Keeping the fan running in the
client's room
b. Keeping the linens wrinkle free
under the client
c. Limiting bladder catheterization to
once every 12 hours
d. Avoiding the administration of
enemas and rectal suppositories
, A nurse provides home care C
instructions to a client who has been Cleanse the skin under the wool liner each day to
fitted with a halo device to treat a prevent rashes and soars.
cervical fracture. Which statement by
the client indicates the need for
further teaching?
a. I need to get more fluids and fiber
into my diet
b. I should cut my food into small
pieces before I eat
c. I need to put powder under the
vest twice a day to prevent sweating
d. I have to check the pin sites
everyday and watch for signs of
infection
A nurse is caring for a client with D
increased intracranial pressure. In Proper positioning promotes venous drainage from
which position should the nurse the cranium to minimize ICP.
maintain the client?
a. Supine with the head extended
b. Side lying with the neck flexed
c. Supine with the head turned to the
side
d. Head midline and elevated 30-45
degrees
A client with a basilar skull fracture B
has clear fluid leaking from the ears. CSF contains glucose not protein.
The nurse should take which action
first?
a. Asses the clear fluid for protein
b. Check the clear fluid for glucose
c. Place cotton calls or dry gauze
loosely in the ears
d. Use an otoscope to assess the
tympanic membrane for rupture
Questions and Verified Answers () A+
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Terms in this set (73)
,A nurse is assigned to care for a client A, B, C, D
with chronic renal failure who is
undergoing hemodialysis through an
internal AV fistula in the RA. Which
intervention should the nurse
implement in caring for the client?
SATA
a. Assessing the radial pulse in the
right extremity
b. Using the LA ti take BP readings
c. Drawing pre-dialysis blood
specimens from the LA
d. Assessing the area over the AV
fistula for a bruit and three each shift
e. Placing a pressure dressing over
the site after each dialysis treatment
f. Administering IV fluids through the
venous site of the AV fistula as
needed
A nurse is evaluating outcomes for a D, E
client with Guillain-Barre syndrome.
Which outcome does the nurse
recognize as optimal respiratory
outcomes for the client?
a. Normal deep tendon reflexes
b. Improved skeletal muscle tone
c. Absences of paresthesias in the
lower extremities
d. Clear sound in the lower lung fields
bilaterally
e. pO2 of 85 mmHg and pCO2 of 40
mmHg
,A nurse of the telemetry unit is caring A
for a client who has had a MI and is The pattern of ventricular fibrillation is identified
now attached to a cardiac monitor. and can be a result after a patient with an MI. VF
The nurse is monitoring the client's makes the patient feel faint, then loses
cardiac rhythm and nots ventricular consciousness and becomes pulseless and apneic
fibrillation. Which nursing intervention (BP and heart sounds absent). Treatment is to
should the nurse take first? terminate VF and covert it into a rhythm via
a. Calling the rapid response team defibrillation-> call a rapid and initiate CPR.
b. Preparing the client for Cardioversion is used for ventricular or
cardioversion supraventricular tachydysrhythmias.
c. Asking the client to bear down and
cough
d. Preparing to administer diltiazem
A nurse developing a plan of care for B
a client with a spinal cord injury The most frequent cause of autonomic dysreflexias
includes measures to prevent are a distended bladder and impacted feces. Other
autonomic dysreflexia (hyperreflexia). causes include stimulation of the skin by tactile,
Which intervention does the nurse thermal, or painful stimuli. The nurse renders care in
incorporate into the plan to prevent such a way as to minimize these risks.
this complication?
a. Keeping the fan running in the
client's room
b. Keeping the linens wrinkle free
under the client
c. Limiting bladder catheterization to
once every 12 hours
d. Avoiding the administration of
enemas and rectal suppositories
, A nurse provides home care C
instructions to a client who has been Cleanse the skin under the wool liner each day to
fitted with a halo device to treat a prevent rashes and soars.
cervical fracture. Which statement by
the client indicates the need for
further teaching?
a. I need to get more fluids and fiber
into my diet
b. I should cut my food into small
pieces before I eat
c. I need to put powder under the
vest twice a day to prevent sweating
d. I have to check the pin sites
everyday and watch for signs of
infection
A nurse is caring for a client with D
increased intracranial pressure. In Proper positioning promotes venous drainage from
which position should the nurse the cranium to minimize ICP.
maintain the client?
a. Supine with the head extended
b. Side lying with the neck flexed
c. Supine with the head turned to the
side
d. Head midline and elevated 30-45
degrees
A client with a basilar skull fracture B
has clear fluid leaking from the ears. CSF contains glucose not protein.
The nurse should take which action
first?
a. Asses the clear fluid for protein
b. Check the clear fluid for glucose
c. Place cotton calls or dry gauze
loosely in the ears
d. Use an otoscope to assess the
tympanic membrane for rupture
