NCLEX PN WITH NGN QUESTIONS FORMART
NEWEST 2024 QUESTIONS BANK / NGN PN NCLEX
ACTUAL EXAM COMPLETE 500 QUESTIONS AND
CORRECT DETAILED ANSWERS
For which of the following patients would an OPA be most appropriate?
A. A 19 y/o with a mandible fracture who is only responsive to pain
B. Unresponsive 25 y/o with a suspected spinal injury
C. Unresponsive five-year-old with a suspected airway obstruction
D. Semiconscious 76 y.o old who is gasping for air - ans -Unresponsive 25 y/o with
a suspected spinal injury
Your patient is pale, diaphoretic, and complains of chest pressure. Her vitals are R
18 P 58, and BP 88/50. You should suspect
A. Unstable angina
B. A thoracic aneurysm
C. Cardiogenic shock
D. Pulmonary embolism - ans -Cardiogenic shock
A 66 y/o male is confused. He has a history of substance abuse and falls. His
breath smells of alcoholic beverage. He is alert and refusing service. You should
A. Obtain consent from his family and transport
B. Document his refusal and recommend that he see his doctor
C. Speak calmly to him and convince him to accept transport
D. Have the police transport the pt to detox unit - ans -Speak calmly to him and
convince him to accept transport
Your 12 yr old patient has a penetrating wound to the abdomen. You may provide
care based on
A. informed consent
B. expressed consent
C. implied consent - ans -implied consent
A victim of smoke inhalation has developed difficulty breathing. He does not like
the smell of the mask you are using to deliver O2. You should
A. Switch to a NC set to deliver O2 @ 6 LPM
,B. Restrain the pt and continue administering O2 via NRB
C. Explain that the mask is very important and continue its use
D. Administer blow-by O2 via Simple mask - ans -Explain that the mask is very
important and continue its use
A 23 y/o construction worker twisted his foot climbing up a ladder. He has an
obvious deformity on the right leg just below the knee. The lower leg and foot are
cyanotic and pulseless. You should
A. Apply an air splint and transport
B. Apply spinal immobilization and elevate the leg
C. Pull gentle traction and apply a splint
D. Apply a traction splint and transport - ans -Pull gentle traction and apply a
splint
Which of the following is TRUE about the insertion of an OPA?
A. the OPA is always rotated 360 degrees as it is inserted
B. if properly inserted, the OPA will keep the tongue out of the way
C. the OPA should be inserted until the flange rests below the patient's teeth - ans
-the OPA should be inserted until the flange rests below the patient's teeth*
While ventilating a near drowning pt, you suddenly feel increased resistance in
the airway. You should
A. Perform abdominal thrust
B. Place pt in lateral recovery position
C. Attempt to reposition the head
D. Apply firm pressure to the abdomen - ans -Attempt to reposition the head
A 28 y/o female who is 12 weeks pregnant has twisted her left knee while
walking. She states the pain is 10/10 in severity. You should
A. Apply a traction splint and immobilize with a long spine board
B. Transport on her left side and hold manual stabilization until she gets the
hospital
C. Splint with the stretcher and straps and transport her on her left side
D. Splint using board splints and cravats and transport sitting - ans -Splint using
board splints and cravats and transport sitting
,A 20 yr old female complains of severe abdominal pain. She is in the fetal
position. After your primary assessment, you should
A. transport immediately to hospital
B. palpate all 4 quadrants of abdomen
C. obtain baseline vital signs - ans -obtain baseline vital signs*
An intoxicated 33 y/o female was fighting with police. You note some minor
scrapes on the pt's leg and face. The pt is being verbally abusive to you. The police
want your approval to take the pt to jail. You should
A. Ask the officer to transport her to the hospital in a squad car for safety
B. Request that the officers arrest the patient prior to transport
C. If vital signs are within normal limits, release the pt to the police
D. Restrain and transport the pt with police escort - ans -Restrain and transport
the pt with police escort
First responder has delivered a baby. The infant is blue and lethargic; the pulse is
90 you should
A. Transport after placenta is delivered
B. Dry, stimulate and apply oxygen
C. Transport and administer CPR enroute
D. Transport to closest hospital - ans -Dry, stimulate and apply oxygen
A patient has been kicked in the chest. One section of ribs is moving separately
during respirations. You should
A. Transport emergently
B. Listen for lung sounds
C. Initiate PPV
D. Place a sandbag on the injury - ans -Initiate PPV
A 56 y/o male is complaining of severe CP. He took Viagra two hours ago and has
been physically active. You should
A. Assist the pt in taking his nitro and apply O2
B. Administer O2 and request an ALS intercept
C. Monitor vitals, if BP is above 100 systolic, administer nitro and apply oxygen
D. Assure an open airway and continue gathering history - ans -Assure an open
airway and continue gathering history
, You're transporting a 62 yr old patient complaining of chest pain. Vital signs are:
BP 88/40, P 90, R 12. Online medical control orders you to assist the patient in
taking his prescribed nitro. You should
A. check the expiration date then administer the nitro
B. assist the patient w/administering his nitro
C. repeat the vital signs and confirm the order - ans -repeat the vital signs and
confirm the order *
Which of the following is the build-up of fatty deposits on the inner walls of an
artery?
A. Coronary artery disease
B. Thrombus
C. Aneurysm
D. Atherosclerosis - ans -Atherosclerosis
A 60-year-old pt with stoma is apneic. You have been suctioning pink frothy
sputum for 10 seconds and you continue to get more material. You should
A. continue suctioning and have a partner ventilate through the pt's mouth
B. suction until airway is clear
C. stop suctioning and give a breath
D. use a saline solution to moisten secretions and continue suctioning - ans -stop
suctioning and give a breath
A pulseless and apneic 68 year old male has an implanted pacemaker in his right
shoulder Without delaying defibrillation, where should you apply the AED pads?
A. anterior chest and back (between shoulder blades)
B. nipple line under the left and right armpits
C. left shoulder (to avoid pacemaker) and lower right chest
D. right shoulder (directly over the pacemaker) and the left lower chest - ans -
anterior chest and back (between shoulder blades)
You are transporting a patient who has been restrained due to hostile behavior.
He is complaining that he has no feeling in his hands and is threatening to sue you
if you don't remove the restraints. You should:
A. place padding between the restraint and the patient's skin
B. loosen the restraints
C. assess the patient's distal circulation frequently
NEWEST 2024 QUESTIONS BANK / NGN PN NCLEX
ACTUAL EXAM COMPLETE 500 QUESTIONS AND
CORRECT DETAILED ANSWERS
For which of the following patients would an OPA be most appropriate?
A. A 19 y/o with a mandible fracture who is only responsive to pain
B. Unresponsive 25 y/o with a suspected spinal injury
C. Unresponsive five-year-old with a suspected airway obstruction
D. Semiconscious 76 y.o old who is gasping for air - ans -Unresponsive 25 y/o with
a suspected spinal injury
Your patient is pale, diaphoretic, and complains of chest pressure. Her vitals are R
18 P 58, and BP 88/50. You should suspect
A. Unstable angina
B. A thoracic aneurysm
C. Cardiogenic shock
D. Pulmonary embolism - ans -Cardiogenic shock
A 66 y/o male is confused. He has a history of substance abuse and falls. His
breath smells of alcoholic beverage. He is alert and refusing service. You should
A. Obtain consent from his family and transport
B. Document his refusal and recommend that he see his doctor
C. Speak calmly to him and convince him to accept transport
D. Have the police transport the pt to detox unit - ans -Speak calmly to him and
convince him to accept transport
Your 12 yr old patient has a penetrating wound to the abdomen. You may provide
care based on
A. informed consent
B. expressed consent
C. implied consent - ans -implied consent
A victim of smoke inhalation has developed difficulty breathing. He does not like
the smell of the mask you are using to deliver O2. You should
A. Switch to a NC set to deliver O2 @ 6 LPM
,B. Restrain the pt and continue administering O2 via NRB
C. Explain that the mask is very important and continue its use
D. Administer blow-by O2 via Simple mask - ans -Explain that the mask is very
important and continue its use
A 23 y/o construction worker twisted his foot climbing up a ladder. He has an
obvious deformity on the right leg just below the knee. The lower leg and foot are
cyanotic and pulseless. You should
A. Apply an air splint and transport
B. Apply spinal immobilization and elevate the leg
C. Pull gentle traction and apply a splint
D. Apply a traction splint and transport - ans -Pull gentle traction and apply a
splint
Which of the following is TRUE about the insertion of an OPA?
A. the OPA is always rotated 360 degrees as it is inserted
B. if properly inserted, the OPA will keep the tongue out of the way
C. the OPA should be inserted until the flange rests below the patient's teeth - ans
-the OPA should be inserted until the flange rests below the patient's teeth*
While ventilating a near drowning pt, you suddenly feel increased resistance in
the airway. You should
A. Perform abdominal thrust
B. Place pt in lateral recovery position
C. Attempt to reposition the head
D. Apply firm pressure to the abdomen - ans -Attempt to reposition the head
A 28 y/o female who is 12 weeks pregnant has twisted her left knee while
walking. She states the pain is 10/10 in severity. You should
A. Apply a traction splint and immobilize with a long spine board
B. Transport on her left side and hold manual stabilization until she gets the
hospital
C. Splint with the stretcher and straps and transport her on her left side
D. Splint using board splints and cravats and transport sitting - ans -Splint using
board splints and cravats and transport sitting
,A 20 yr old female complains of severe abdominal pain. She is in the fetal
position. After your primary assessment, you should
A. transport immediately to hospital
B. palpate all 4 quadrants of abdomen
C. obtain baseline vital signs - ans -obtain baseline vital signs*
An intoxicated 33 y/o female was fighting with police. You note some minor
scrapes on the pt's leg and face. The pt is being verbally abusive to you. The police
want your approval to take the pt to jail. You should
A. Ask the officer to transport her to the hospital in a squad car for safety
B. Request that the officers arrest the patient prior to transport
C. If vital signs are within normal limits, release the pt to the police
D. Restrain and transport the pt with police escort - ans -Restrain and transport
the pt with police escort
First responder has delivered a baby. The infant is blue and lethargic; the pulse is
90 you should
A. Transport after placenta is delivered
B. Dry, stimulate and apply oxygen
C. Transport and administer CPR enroute
D. Transport to closest hospital - ans -Dry, stimulate and apply oxygen
A patient has been kicked in the chest. One section of ribs is moving separately
during respirations. You should
A. Transport emergently
B. Listen for lung sounds
C. Initiate PPV
D. Place a sandbag on the injury - ans -Initiate PPV
A 56 y/o male is complaining of severe CP. He took Viagra two hours ago and has
been physically active. You should
A. Assist the pt in taking his nitro and apply O2
B. Administer O2 and request an ALS intercept
C. Monitor vitals, if BP is above 100 systolic, administer nitro and apply oxygen
D. Assure an open airway and continue gathering history - ans -Assure an open
airway and continue gathering history
, You're transporting a 62 yr old patient complaining of chest pain. Vital signs are:
BP 88/40, P 90, R 12. Online medical control orders you to assist the patient in
taking his prescribed nitro. You should
A. check the expiration date then administer the nitro
B. assist the patient w/administering his nitro
C. repeat the vital signs and confirm the order - ans -repeat the vital signs and
confirm the order *
Which of the following is the build-up of fatty deposits on the inner walls of an
artery?
A. Coronary artery disease
B. Thrombus
C. Aneurysm
D. Atherosclerosis - ans -Atherosclerosis
A 60-year-old pt with stoma is apneic. You have been suctioning pink frothy
sputum for 10 seconds and you continue to get more material. You should
A. continue suctioning and have a partner ventilate through the pt's mouth
B. suction until airway is clear
C. stop suctioning and give a breath
D. use a saline solution to moisten secretions and continue suctioning - ans -stop
suctioning and give a breath
A pulseless and apneic 68 year old male has an implanted pacemaker in his right
shoulder Without delaying defibrillation, where should you apply the AED pads?
A. anterior chest and back (between shoulder blades)
B. nipple line under the left and right armpits
C. left shoulder (to avoid pacemaker) and lower right chest
D. right shoulder (directly over the pacemaker) and the left lower chest - ans -
anterior chest and back (between shoulder blades)
You are transporting a patient who has been restrained due to hostile behavior.
He is complaining that he has no feeling in his hands and is threatening to sue you
if you don't remove the restraints. You should:
A. place padding between the restraint and the patient's skin
B. loosen the restraints
C. assess the patient's distal circulation frequently
