Generation NCLEX (NGN) Format Includes Accurate
And Verified Questions Designed To Assess Practical
Nursing Competencies. Content Covers Clinical
Judgment, Pharmacology, Medical-Surgical Nursing,
Mental Health.
The LPN/LVN is assessing a client with dark skin who is in Respiratory
Distress. Which client response should the nurse evaluate to
determine cyanosis in this particular client?
A. Abnormal skin color changes in a client with dark skin cannot be
determined
B. Blanching the soles of the feet in a client with dark skin reveals
cyanosis
C. The lips and mucus membranes of a client with dark skin are dusky
in color D. Cyanosis in a client with dark skin is seen in the sclera
C. The lips and mucus membranes of a client with dark skin are dusky in
color
When inserting an indwelling urinary catheter (Foley) in a female
client, the nurse observes urine flow into the tubing. What action is
taken next?
A. Document the color and clarity of the urine
B. Insert the catheter an additional inch
,C. Ask the client to breathe deeply and slowly exhale
D. Inflate the balloon with 5mL of sterile water
B. Insert the catheter an additional inch
A client has a prescription for a Transcutaneous Electrical Nerve
Stimulator (TENS) unit for pain management during the postoperative
period following a lumber Laminectomy. What information should the
nurse reinforce about the action of this adjuvant pain modality?
A. Mild electrical stimulus on the skin surface closes the gates of nerve
conduction for severe pain
B. Pain perception in the cerebral cortex is dulled by the unit's
discharge of an electrical stimulus
C. An infusion of medication in the spinal canal will block pain
perception
D. The discharge of electricity will distract the client's focus on the
pain
B. Pain perception in the cerebral cortex is dulled by the unit's discharge
of an electrical stimulus
Based on the Nursing diagnosis of "Potential for infection related to
second and third degree burns," which intervention has the highest
priority?
A. Application of topical antibacterial cream
B. Use of careful hand washing technique
C. Administration of plasma expanders
D. Limiting visitors to the burned client.
B. Use of careful hand washing technique
,The mother of an 8-year-old boy tells the nurse that he fell out of a
tree and hurt his arm and shoulder, which assessment finding is the
most significant indicator of possible child abuse?
A. The child looks at the floor when answering the nurse's questions
B. The mother's version of the injury is different from the child's
version
C. The child has several abrasions on the chest and legs
D. The mother refuses to answer questions about family history
D. The mother refuses to answer questions about family history
A client has a prescription for enteric-coated (EC) aspirin 325mg PO
daily. The medication drawer contains one 325mg aspirin. What action
should the nurse take?
A. Contact the pharmacy and request the prescribed form of aspirin
B. Instruct the client about the effects when given the medication
C. Administer the aspirin with a full glass of water or a small snack
D. Withhold the aspirin until consulting with the healthcare provider
C. Administer the aspirin with a full glass of water or a small snack
The LPN/LVN explains the 2-week dosage prescription of prednisone
(Deltasone) to a client who has poison ivy over multiple skin surfaces.
What should the nurse emphasize about the dosing schedule?
A. Decrease dosage daily as prescribed
B. Monitor oral temperature daily
C. Take the prednisone with meals
D. Return for blood glucose monitoring in one week
C. Take the prednisone with meals
, The LPN/LVN is preparing to administer a 1.2mL injection to a 4-year-
old. Which are the best sites to administer an IM injection? Select all
that apply.
A. Vastus lateralis
B. Ventrogluteal
C. Dorsogluteal
D. Rectus femoris
E. Deltoid
A. Vastus lateralis
B. Ventrogluteal
C. Dorsogluteal
Which nonfood item is the most common cause of respiratory arrest
in young children?
A. Broken rattles
B. Buttons
C. Pacifiers
D. Latex balloons
D. Latex balloons
A new mother is at the clinic with her 4-week old for a well baby
check up. The LPN/LVN should tell the mother to anticipate that the
infant will demonstrate which millstone by 2-months of age.
A. Turns from side to back and returns
B. Consistently returns smiles to mother
C. Finds hands and plays with fingers
D. Holds head up and supports weight with arms
B. Consistently returns smiles to mother