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New NGN Question Formats:
Matrix multiple-choice Matrix multiple-response
Multiple-response: Select all that apply Multiple-response: Select N
Multiple-response: Grouping Drag-and-drop: Cloze
Drag-and-drop: Rationale Drop-down: Cloze
Drop-down: Rationale Drop-down: Table Highlight: Text Highlight: Table
Bow-tie Trend
The New Gen Nclex has 130 questions are scored.
Matrix multiple-choice:
Question: A nurse is caring for a patient with diabetes. Which of the following actions
should the nurse take when administering insulin? Select all that apply.
A.Verify the correct dose with another nurse.
B.Administer insulin via intramuscular injection.
C.Monitor the patient's blood glucose level.
D.Check the expiration date of the insulin.
1.Answer: A, C, D. Matrix multiple-response:
Question: A nurse is caring for a patient with hypertension. Which of the following lifestyle modifications should the nurse recommend to the patient? Select all that apply.
A.Limit sodium intake.
B.Increase physical activity.
C.Reduce caffeine intake.
D.Avoid alcohol consumption.
2.Answer: A, B, C, D.
Multiple-response: Select all that apply:
Question: A nurse is assessing a patient who is receiving chemotherapy. Which of the following symptoms should the nurse report to the healthcare provider? Select all
that apply.
A.Nausea and vomiting.
B.Fatigue and weakness.
C.Hair loss.
D.Dry mouth and difficulty swallowing.
3.Answer: A, B, C. Multiple-response: Select N:
Question: A nurse is caring for a patient with a history of heart failure. The patient's weight has increased by 5 pounds over the past week. Which of the following actions should the nurse take? Select 2.
A.Increase the patient's diuretic dose.
B.Restrict the patient's sodium intake.
C.Increase the patient's fluid intake.
D.Administer oxygen therapy.
4.Answer: A, B.
Multiple-response: Grouping:
Question: A nurse is caring for a patient who has just undergone surgery. Which of the following interventions should the nurse take to prevent complications? Group 1: Respiratory interventions. Group 2: Circulatory interventions.
Group 1:
A.Administer oxygen therapy. B.Encourage deep breathing and coughing exercises.
C.Use an incentive spirometer.
Group 2:
D.Apply compression stockings.
E.Monitor vital signs.
F.Administer anticoagulant therapy.
5.Answer: B, C, D, E, F. Drag-and-drop: Cloze:
6.Question: A nurse is caring for a patient with a new diagnosis of diabetes. Drag and drop the steps for checking blood glucose levels in the correct order.
7.Wash hands.
8.Insert test strip into the meter.
9.Prick finger with lancet.
10.Apply blood to the test strip. Read and record the blood glucose level.
11. Answer: 1, 3, 4, 2, 5.
Drag-and-drop: Rationale:
12.Question: A nurse is caring for a patient who has just undergone a total hip replacement. Drag and drop the interventions in the order of priority.
13.Administer pain medication.
14.Encourage the use of a continuous passive motion (CPM) machine.
15.Apply ice to the surgical
site. Assist the patient with ambulation. Rationale:
16.Answer: 1, 3, 2, 4. Administering pain medication is the first priority, followed by applying ice to the surgical site to reduce swelling. Encouraging the use of a CPM machine can help prevent blood clots. Finally, assisting the patient with ambulation helps promote healing and prevent complications.
Drop-down: Cloze: