NCLEX-PN NGN Pre-Test Questions and Verified Answers 100% A+ Grade 2025/2026

NCLEX-PN NGN Pre-Test Questions and Verified Answers
100% A+ Grade 2025/2026


1. A nurse is assigned to care for a client with chronic renal failure who
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is undergoing hemodialysis through an internal AV fistula in the RA.Which intervention shou
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the nurse implement in caring for the client? SATA
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a. Assessing the radial pulse in the right extremity r r r r r r r



b. Using the LA ti take BP readings r r r r r r



c. Drawing pre-dialysis blood specimens from the LA r r r r r r



d. Assessing the area over the AV fistula for a bruit and three each shift r r r r r r r r r r r r r



e. Placing a pressure dressing over the site after each dialysis treatment
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f. Administering IV fluids through the venous site of the AV fistula as needed- r r r r r r r r r r r r



: A, B, C, D
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2. A nurse is evaluating outcomes for a client with Guillain-
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Barre syndrome. Which outcome does the nurse recognize as optimal respiratory outcomes f
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or the client?
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a. Normal deep tendon reflexes r r r



b. Improved skeletal muscle tone r r r



c. Absences of paresthesias in the lower extremities r r r r r r



d. Clear sound in the lower lung fields bilaterally
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e. pO2 of 85 mmHg and pCO2 of 40 mmHg: D, E
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3. A nurse of the telemetry unit is caring for a client who has had a MI and is now attached to a
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cardiac monitor.The nurse is monitoring the client's cardiac rhythm and nots ventricular fibril
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lation.Which nursing intervention should the nurse take first?
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a. Calling the rapid response team r r r r



b. Preparing the client for cardioversion r r r r



c. Asking the client to bear down and cough r r r r r r r



d. Preparing to administer diltiazem: A r r r r



The pattern of ventricular fibrillation is identified and can be a result after a patient with an MI.VF
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,akes the patient feel faint, then loses consciousness and becomes pulseless and apneic (BP and
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eart sounds absent).Treatment is to terminate
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VF and covert it into a rhythm via defibrillation-
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> call a rapid and initiate CPR. Cardioversion is used for ventricular or supraventricular tachydys
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ythmias.
4. A nurse developing a plan of care for a client with a spinal cord injury includes measures
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to prevent autonomic dysreflexia (hyperreflexia).Which intervention does the nurse incor
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porate into the plan to prevent this compli- cation?
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a. Keeping the fan running in the client's room
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b. Keeping the linens wrinkle free under the client
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c. Limiting bladder catheterization to once every 12 hours
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d. Avoiding the administration of enemas and rectal suppositories: B
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,The most frequent cause of autonomic dysreflexias are a distended bladder and impacted feces
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Other causes include stimulation of the skin by tactile, thermal, or painful stimuli.The nurse rend
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rs care in such a way as to minimize these risks.
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5. A nurse provides home care instructions to a client who has been fitted with a halo devi
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ce to treat a cervical fracture.Which statement by the client indicates the need for further
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teaching?
a. I need to get more fluids and fiber into my diet
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b. I should cut my food into small pieces before I eat
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c. I need to put powder under the vest twice a day to prevent sweating
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d. I have to check the pin sites everyday and watch for signs of infection: C Cleanse the skin un
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er the wool liner each day to prevent rashes and soars.
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6. A nurse is caring for a client with increased intracranial pressure. In which position shoul
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d the nurse maintain the client?
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a. Supine with the head extended r r r r



b. Side lying with the neck flexed
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c. Supine with the head turned to the side r r r r r r r



d. Head midline and elevated 30-45 degrees: D
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Proper positioning promotes venous drainage from the cranium to minimize ICP.
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7. A client with a basilar skull fracture has clear fluid leaking from the ears.The nurse should t
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ake which action first?
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a. Asses the clear fluid for protein r r r r r



b. Check the clear fluid for glucose r r r r r



c. Place cotton calls or dry gauze loosely in the ears
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d. Use an otoscope to assess the tympanic membrane for rupture: B CSF contains
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glucose not protein. r r



8. A nurse is caring for a client who has just undergone cardioversion.Which intervention is t
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he nurse's priority after this procedure.
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a. Administer oxygen r



b. Monitoring the BP r r



c. Administering antidysrhythmic medications r r



d. Monitoring the client's LOC: A r r r r



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, ABC's of nursing. All other choices are correct, but not priority.
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9. A client with diabetes mellitus who is scheduled to have blood drawn for determination
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of the glycosylated hemoglobin (HbA1c) level asks the nurse why the test is necessary if h
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e is performing blood glucose monitoring at home.Which is the best response for the nurs
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e to provide?
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a. Detect diabetic complications r r



b. Assess long-term glycemic control r r r




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