NCLEX NGN PRE-TEST QUESTIONS AND ANSWERS WITH SOLUTIONS 2024

NCLEX NGN PRE-TEST QUESTIONS
AND ANSWERS WITH SOLUTIONS 2024
AJnurseJisJassignedJtoJcareJforJaJclientJwithJchronicJrenalJfailureJwhoJisJundergoingJhemodialysisJthroughJanJi
nternalJAVJfistulaJinJtheJRA.JWhichJinterventionJshouldJtheJnurseJimplementJinJcaringJforJtheJclient?JSATA

a.JAssessingJtheJradialJpulseJinJtheJrightJextremity

b.JUsingJtheJLAJtiJtakeJBPJreadings

c.JDrawingJpre-dialysisJbloodJspecimensJfromJtheJLA

d.JAssessingJtheJareaJoverJtheJAVJfistulaJforJaJbruitJandJthreeJeachJshift

e.JPlacingJaJpressureJdressingJoverJtheJsiteJafterJeachJdialysisJtreatment

f.JAdministeringJIVJfluidsJthroughJtheJvenousJsiteJofJtheJAVJfistulaJasJneededJ-JANSWERJA,JB,JC,JD



AJnurseJisJevaluatingJoutcomesJforJaJclientJwithJGuillain-
BarreJsyndrome.JWhichJoutcomeJdoesJtheJnurseJrecognizeJasJoptimalJrespiratoryJoutcomesJforJtheJclient?

a.JNormalJdeepJtendonJreflexes

b.JImprovedJskeletalJmuscleJtone

c.JAbsencesJofJparesthesiasJinJtheJlowerJextremities

d.JClearJsoundJinJtheJlowerJlungJfieldsJbilaterally

e.JpO2JofJ85JmmHgJandJpCO2JofJ40JmmHgJ-JANSWERJD,JE



AJnurseJofJtheJtelemetryJunitJisJcaringJforJaJclientJwhoJhasJhadJaJMIJandJisJnowJattachedJtoJaJcardiacJmonitor.J
TheJnurseJisJmonitoringJtheJclient'sJcardiacJrhythmJandJnotsJventricularJfibrillation.JWhichJnursingJintervent
ionJshouldJtheJnurseJtakeJfirst?

a.JCallingJtheJrapidJresponseJteam

b.JPreparingJtheJclientJforJcardioversion

c.JAskingJtheJclientJtoJbearJdownJandJcough

d.JPreparingJtoJadministerJdiltiazemJ-JANSWERJA

TheJpatternJofJventricularJfibrillationJisJidentifiedJandJcanJbeJaJresultJafterJaJpatientJwithJanJMI.JVFJmakesJthe
JpatientJfeelJfaint,JthenJlosesJconsciousnessJandJbecomesJpulselessJandJapneicJ(BPJandJheartJsoundsJabsent

).JTreatmentJisJtoJterminateJVFJandJcovertJitJintoJaJrhythmJviaJdefibrillation-
>JcallJaJrapidJandJinitiateJCPR.JCardioversionJisJusedJforJventricularJorJsupraventricularJtachydysrhythmias.

,AJnurseJdevelopingJaJplanJofJcareJforJaJclientJwithJaJspinalJcordJinjuryJincludesJmeasuresJtoJpreventJautonom
icJdysreflexiaJ(hyperreflexia).JWhichJinterventionJdoesJtheJnurseJincorporateJintoJtheJplanJtoJpreventJthisJco
mplication?

a.JKeepingJtheJfanJrunningJinJtheJclient'sJroom

b.JKeepingJtheJlinensJwrinkleJfreeJunderJtheJclient

c.JLimitingJbladderJcatheterizationJtoJonceJeveryJ12Jhours

d.JAvoidingJtheJadministrationJofJenemasJandJrectalJsuppositoriesJ-JANSWERJB

TheJmostJfrequentJcauseJofJautonomicJdysreflexiasJareJaJdistendedJbladderJandJimpactedJfeces.JOtherJcaus
esJincludeJstimulationJofJtheJskinJbyJtactile,Jthermal,JorJpainfulJstimuli.JTheJnurseJrendersJcareJinJsuchJaJwayJ
asJtoJminimizeJtheseJrisks.



AJnurseJprovidesJhomeJcareJinstructionsJtoJaJclientJwhoJhasJbeenJfittedJwithJaJhaloJdeviceJtoJtreatJaJcervicalJf
racture.JWhichJstatementJbyJtheJclientJindicatesJtheJneedJforJfurtherJteaching?

a.JIJneedJtoJgetJmoreJfluidsJandJfiberJintoJmyJdiet

b.JIJshouldJcutJmyJfoodJintoJsmallJpiecesJbeforeJIJeat

c.JIJneedJtoJputJpowderJunderJtheJvestJtwiceJaJdayJtoJpreventJsweating

d.JIJhaveJtoJcheckJtheJpinJsitesJeverydayJandJwatchJforJsignsJofJinfectionJ-JANSWERJC

CleanseJtheJskinJunderJtheJwoolJlinerJeachJdayJtoJpreventJrashesJandJsoars.



AJnurseJisJcaringJforJaJclientJwithJincreasedJintracranialJpressure.JInJwhichJpositionJshouldJtheJnurseJmaintai
nJtheJclient?

a.JSupineJwithJtheJheadJextended

b.JSideJlyingJwithJtheJneckJflexed

c.JSupineJwithJtheJheadJturnedJtoJtheJside

d.JHeadJmidlineJandJelevatedJ30-45JdegreesJ-JANSWERJD

ProperJpositioningJpromotesJvenousJdrainageJfromJtheJcraniumJtoJminimizeJICP.



AJclientJwithJaJbasilarJskullJfractureJhasJclearJfluidJleakingJfromJtheJears.JTheJnurseJshouldJtakeJwhichJactionJf
irst?

a.JAssesJtheJclearJfluidJforJprotein

b.JCheckJtheJclearJfluidJforJglucose

, c.JPlaceJcottonJcallsJorJdryJgauzeJlooselyJinJtheJears

d.JUseJanJotoscopeJtoJassessJtheJtympanicJmembraneJforJruptureJ-JANSWERJB

CSFJcontainsJglucoseJnotJprotein.



AJnurseJisJcaringJforJaJclientJwhoJhasJjustJundergoneJcardioversion.JWhichJinterventionJisJtheJnurse'sJpriority
JafterJthisJprocedure.J



a.JAdministerJoxygen

b.JMonitoringJtheJBP

c.JAdministeringJantidysrhythmicJmedications

d.JMonitoringJtheJclient'sJLOCJ-JANSWERJA

ABC'sJofJnursing.JAllJotherJchoicesJareJcorrect,JbutJnotJpriority.



AJclientJwithJdiabetesJmellitusJwhoJisJscheduledJtoJhaveJbloodJdrawnJforJdeterminationJofJtheJglycosylatedJ
hemoglobinJ(HbA1c)JlevelJasksJtheJnurseJwhyJtheJtestJisJnecessaryJifJheJisJperformingJbloodJglucoseJmonitor
ingJatJhome.JWhichJisJtheJbestJresponseJforJtheJnurseJtoJprovide?

a.JDetectJdiabeticJcomplications

b.JAssessJlong-termJglycemicJcontrol

c.JDetermineJwhetherJtheJclientJisJatJriskJforJhypoglycemia

dJDetermineJwhetherJtheJprescribedJinsulinJdosageJisJcorrectJ-JANSWERJB



AJnurseJcaringJforJaJclientJwithJacquiredJimmunodeficiencyJsyndromeJisJmonitoringJtheJclientJforJsignsJofJco
mplications.JWhichJofJtheJfollowingJwouldJcauseJtheJnurseJtoJsuspectJinfectionJwithJPneumocystisJjirovec?J
SATA

a.JDiarrhea

b.JTachypnea

c.JPedalJedema

d.JIntermittentJfever

e.JDyspneaJwithJambulating

f.JExpectorationJofJfrothyJmucusJ-JANSWERJB,JD,JE

AJopportunisticJrespiratoryJinfectionJassociatedJwithJAIDsJthatJcausesJdyspnea,JnonproductiveJcough,Jinter
mittentJfever,Jfatigue,Janorexia,Jtachypnea,Jwt.Jloss.