1|Page
Next Generation Nclex RN Exam (NGN) ACTUAL
VERIFIED EXAM QUESTIONS AND
ANSWERS.pdf||NEWEST EXAM!!!
In ventricular trigeminy, premature ventricular contractions
(PVCs) occur every third heartbeat. Myocardial injury (eg,
myocardial infarction) predisposes the client to ectopy (eg,
PVCs), which increases the client's risk for lethal
dysrhythmias (eg, ventricular tachycardia). PVCs are
caused and/or exacerbated by hypoxia, electrolyte
imbalances, emotional stress, stimulants, fever, and
exercise.
This client's morning laboratory results show hypokalemia
(potassium <3.5 mEq/L [3.5 mmol/L]); therefore, the
priority is treatment of the underlying cause of the ectopy
by administering the prescribed potassium replacement
(Option 1). Health care providers (HCPs) often prescribe
electrolyte replacement algorithms to clients at risk for
electrolyte imbalances (eg, myocardial injury, receiving
diuretics) unless a contraindication exists (eg, serum
creatinine >1.5 mg/dL [133 µmol/L], anuric, weight <99.2 lb
[45 kg]).
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The nurse cares for a client with a terminal disease who
created a do not attempt resuscitation (DNAR) directive.
The client stops breathing and loses their pulse. The
client's adult child states, "Please, do whatever you can to
save them!" Which intervention is appropriate? - Answer-3.
Explain the client's resuscitation directive to the client's
child
Clients can create a do not attempt resuscitation (DNAR)
directive instructing that CPR and other life-saving
measures be withheld. With an advance directive in place,
the client's wishes should be followed, even if they conflict
with the wishes of loved ones
The nurse in the cardiac intensive care unit receives report
on 4 clients. Which client should the nurse assess first? -
Answer-2. Client who underwent coronary artery stent
placement via femoral approach 3 hours ago and is
reporting severe back pain
A client who undergoes percutaneous coronary
intervention (PCI) and intracoronary stent placement using
the femoral approach is at increased risk for
retroperitoneal hemorrhage. Administration of
antithrombotic drugs before, during, and after PCI can
,3|Page
exacerbate potentially life-threatening bleeding from the
femoral artery.
Hypotension, back pain, flank ecchymosis (eg, Grey
Turner sign), hematoma formation, and diminished distal
pulses can be early signs of bleeding into the
retroperitoneal space and require immediate intervention
(eg, notify health care provider, serial complete blood
count, CT scan of the abdomen)
The nurse is reviewing the medical history of a client who
has sustained a right tibia/fibula fracture from a fall. The
nurse identifies which finding as most likely to hinder
healing? - Answer-4. Peripheral arterial disease
Bone healing depends on multiple factors, including
nutrition, adequate circulation, and age. A client with
peripheral arterial disease has decreased perfusion to the
extremities due to atherosclerotic changes in the arteries.
Without adequate perfusion, the bone is not supplied with
the oxygen and nutrients required for healing
Based on the nursing assessment progress notes, what is
the correct staging of the client's pressure injury? Click on
, 4|Page
the exhibit button for additional information. - Answer-
WRONG
2. Stage 2: Stage 2 pressure injuries have partial-
thickness skin loss (abrasion, blister, or shallow crater).
The skin blisters or forms an open sore, and the area
around the sore may be red and irritated. (shallow, open
ulcer, red-pink wound with no sloughing and possible
intact or ruptured blister)
Stage 1: Intact skin with nonblanchable redness
Stage 2: Partial-thickness skin loss (abrasion, blister, or
shallow crater) involving the dermis or epidermis; the
wound bed is red or pink and may be shiny or dry
Stage 3: Full-thickness skin loss; subcutaneous fat is
visible but not tendon, muscle, or bone; tunneling may be
present
Stage 4: Full-thickness skin loss with visible tendon,
muscle, or bone; slough or eschar (scabbing, dead tissue)
may be present; undermining and tunneling may be
present
Pressure injuries are described as "unstageable" if the
base is covered by necrotic tissue or eschar
Next Generation Nclex RN Exam (NGN) ACTUAL
VERIFIED EXAM QUESTIONS AND
ANSWERS.pdf||NEWEST EXAM!!!
In ventricular trigeminy, premature ventricular contractions
(PVCs) occur every third heartbeat. Myocardial injury (eg,
myocardial infarction) predisposes the client to ectopy (eg,
PVCs), which increases the client's risk for lethal
dysrhythmias (eg, ventricular tachycardia). PVCs are
caused and/or exacerbated by hypoxia, electrolyte
imbalances, emotional stress, stimulants, fever, and
exercise.
This client's morning laboratory results show hypokalemia
(potassium <3.5 mEq/L [3.5 mmol/L]); therefore, the
priority is treatment of the underlying cause of the ectopy
by administering the prescribed potassium replacement
(Option 1). Health care providers (HCPs) often prescribe
electrolyte replacement algorithms to clients at risk for
electrolyte imbalances (eg, myocardial injury, receiving
diuretics) unless a contraindication exists (eg, serum
creatinine >1.5 mg/dL [133 µmol/L], anuric, weight <99.2 lb
[45 kg]).
,2|Page
The nurse cares for a client with a terminal disease who
created a do not attempt resuscitation (DNAR) directive.
The client stops breathing and loses their pulse. The
client's adult child states, "Please, do whatever you can to
save them!" Which intervention is appropriate? - Answer-3.
Explain the client's resuscitation directive to the client's
child
Clients can create a do not attempt resuscitation (DNAR)
directive instructing that CPR and other life-saving
measures be withheld. With an advance directive in place,
the client's wishes should be followed, even if they conflict
with the wishes of loved ones
The nurse in the cardiac intensive care unit receives report
on 4 clients. Which client should the nurse assess first? -
Answer-2. Client who underwent coronary artery stent
placement via femoral approach 3 hours ago and is
reporting severe back pain
A client who undergoes percutaneous coronary
intervention (PCI) and intracoronary stent placement using
the femoral approach is at increased risk for
retroperitoneal hemorrhage. Administration of
antithrombotic drugs before, during, and after PCI can
,3|Page
exacerbate potentially life-threatening bleeding from the
femoral artery.
Hypotension, back pain, flank ecchymosis (eg, Grey
Turner sign), hematoma formation, and diminished distal
pulses can be early signs of bleeding into the
retroperitoneal space and require immediate intervention
(eg, notify health care provider, serial complete blood
count, CT scan of the abdomen)
The nurse is reviewing the medical history of a client who
has sustained a right tibia/fibula fracture from a fall. The
nurse identifies which finding as most likely to hinder
healing? - Answer-4. Peripheral arterial disease
Bone healing depends on multiple factors, including
nutrition, adequate circulation, and age. A client with
peripheral arterial disease has decreased perfusion to the
extremities due to atherosclerotic changes in the arteries.
Without adequate perfusion, the bone is not supplied with
the oxygen and nutrients required for healing
Based on the nursing assessment progress notes, what is
the correct staging of the client's pressure injury? Click on
, 4|Page
the exhibit button for additional information. - Answer-
WRONG
2. Stage 2: Stage 2 pressure injuries have partial-
thickness skin loss (abrasion, blister, or shallow crater).
The skin blisters or forms an open sore, and the area
around the sore may be red and irritated. (shallow, open
ulcer, red-pink wound with no sloughing and possible
intact or ruptured blister)
Stage 1: Intact skin with nonblanchable redness
Stage 2: Partial-thickness skin loss (abrasion, blister, or
shallow crater) involving the dermis or epidermis; the
wound bed is red or pink and may be shiny or dry
Stage 3: Full-thickness skin loss; subcutaneous fat is
visible but not tendon, muscle, or bone; tunneling may be
present
Stage 4: Full-thickness skin loss with visible tendon,
muscle, or bone; slough or eschar (scabbing, dead tissue)
may be present; undermining and tunneling may be
present
Pressure injuries are described as "unstageable" if the
base is covered by necrotic tissue or eschar
