Test Bank
NCLEX NGN CASE STUDY VERSION REAL HOSPITAL SCENARIO
🟦 CASE STUDY 1: CHEST PAIN /
PRACTICE EXAM ( Questions And Answers with Solutions )
POSSIBLE MI
1. What is the nurse’s FIRST action?
A. Obtain full medical history
B. Assess airway, breathing, circulation
C. Call cardiology consult
D. Give oral fluids
Answer: B
2. Which finding most strongly suggests myocardial infarction?
A. Sharp abdominal pain
B. Chest pressure + diaphoresis
C. Mild headache
D. Rash
Answer: B
3. Priority diagnostic test:
A. MRI brain
B. ECG
C. Urinalysis
,D. Stool test
Answer: B
4. Which lab is most specific for cardiac damage?
A. Creatinine
B. Troponin
C. WBC
D. Sodium
Answer: B
5. Priority medication likely ordered:
A. Insulin
B. Nitroglycerin
C. Antibiotic
D. Antacid
Answer: B
🟦 CASE STUDY 2: STROKE PATIENT
A 72-year-old patient suddenly develops facial droop, slurred speech, and right-sided
weakness.
6. First nursing action:
A. Give food
B. Perform swallow test
C. Activate stroke alert
D. Encourage walking
Answer: C
7. Best imaging:
A. Chest X-ray
B. CT scan brain
C. Ultrasound abdomen
D. MRI spine
Answer: B
8. Key time-sensitive intervention:
, A. Antibiotics
B. Thrombolytics (if eligible)
C. Antacids
D. Diuretics
Answer: B
9. Priority assessment:
A. Reflexes
B. Airway protection
C. Skin color
D. Hearing test
Answer: B
10. Most important complication risk:
A. Hypertension
B. Aspiration
C. Hair loss
D. Constipation
Answer: B
🟦 CASE STUDY 3: DIABETIC
EMERGENCY (DKA)
A 25-year-old Type 1 diabetic presents with fruity breath, deep breathing, and confusion.
11. First concern:
A. Hypothermia
B. Airway and breathing
C. Skin rash
D. Constipation
Answer: B
12. Condition likely:
A. Hypoglycemia
B. Diabetic ketoacidosis
C. Stroke
D. Kidney stone
Answer: B
NCLEX NGN CASE STUDY VERSION REAL HOSPITAL SCENARIO
🟦 CASE STUDY 1: CHEST PAIN /
PRACTICE EXAM ( Questions And Answers with Solutions )
POSSIBLE MI
1. What is the nurse’s FIRST action?
A. Obtain full medical history
B. Assess airway, breathing, circulation
C. Call cardiology consult
D. Give oral fluids
Answer: B
2. Which finding most strongly suggests myocardial infarction?
A. Sharp abdominal pain
B. Chest pressure + diaphoresis
C. Mild headache
D. Rash
Answer: B
3. Priority diagnostic test:
A. MRI brain
B. ECG
C. Urinalysis
,D. Stool test
Answer: B
4. Which lab is most specific for cardiac damage?
A. Creatinine
B. Troponin
C. WBC
D. Sodium
Answer: B
5. Priority medication likely ordered:
A. Insulin
B. Nitroglycerin
C. Antibiotic
D. Antacid
Answer: B
🟦 CASE STUDY 2: STROKE PATIENT
A 72-year-old patient suddenly develops facial droop, slurred speech, and right-sided
weakness.
6. First nursing action:
A. Give food
B. Perform swallow test
C. Activate stroke alert
D. Encourage walking
Answer: C
7. Best imaging:
A. Chest X-ray
B. CT scan brain
C. Ultrasound abdomen
D. MRI spine
Answer: B
8. Key time-sensitive intervention:
, A. Antibiotics
B. Thrombolytics (if eligible)
C. Antacids
D. Diuretics
Answer: B
9. Priority assessment:
A. Reflexes
B. Airway protection
C. Skin color
D. Hearing test
Answer: B
10. Most important complication risk:
A. Hypertension
B. Aspiration
C. Hair loss
D. Constipation
Answer: B
🟦 CASE STUDY 3: DIABETIC
EMERGENCY (DKA)
A 25-year-old Type 1 diabetic presents with fruity breath, deep breathing, and confusion.
11. First concern:
A. Hypothermia
B. Airway and breathing
C. Skin rash
D. Constipation
Answer: B
12. Condition likely:
A. Hypoglycemia
B. Diabetic ketoacidosis
C. Stroke
D. Kidney stone
Answer: B
