NCLEX NGN PRE-TEST QUESTIONS
AND ANSWERS 2024 VERSION,
Explanations Provided
(Sourced from Chamberlain University
Experts)
A nurse provides instruction to a client with COPD about home oxygen therapy. Which
statement made by the client indicates need for further instruction?
a. I should limit activity as much as possible
b. If I have trouble breathing, I need to call the doctor
c. I need to drink lots of fluids to keep my mucus thin
d. I can apply petroleum jelly to my nose if the oxygen dries it out
e. I should wear a scarf over my nose and mouth in cold weather
f. If I get a flu shot, I do not have to worry about being around people with colds - A, D, F
A nurse is monitoring the neurological status of a client who underwent craniotomy 3 days
ago. Which signs or symptoms would prompt the nurse to notify the primary health care
provider immediately?
a. Disorientation to date
b. Pupils equal and reactive at 4 mm
c. Mild headache relieved by acetaminophen with codeine
d. Pain with forward flexion of the neck onto the chest -
D A complication of cranial surgery is meningitis.
A man calls the clinic and tells the nurse that he sustained a bee sting on his leg while working
in his yard. The client states that he is not allergic to bees and wants to know how to treat the
sting. The nurse tells the client to first take which action?
a. Place a cool compress on the sting site
b. Apply an antipruritic lotion to the sting site
c. Apply a topical corticosteroid to the sting site
d. Take an oral antihistamine such as diphenhydramine (Benadryl) - A
A nurse is assigned to conduct an admission assessment of a client who was treated in the
emergency department after attempting suicide by cutting her wrists with a razor blade.
When the client arrives at the nursing unit, the nurse should take which action first?
a. Ask the client to sign a no-harm contract
1
,b. Ask the client to report any suicidal thoughts immediately
c. Place the client under suicide precautions with 15-minute checks
d. Check the dressings that were placed over the client's wrists in the emergency
department - D
First assess the physical state of the patient for safety then implement precautions.
2
, A nurse is preparing to administer digoxin to a client with heart failure. When assessing the
client, the nurse notes an apical pulse rate of 58 beats/min. Also, the client complains of
anorexia and nausea. Which action should the nurse take first on the basis of these
assessment findings?
a. Contact the primary health care provider
b. Administer an as-needed antiemetic
c. Check the most recent digoxin level
d. Administer the digoxin with an antacid - C
A nurse is assessing a client who has undergone radical neck dissection for the treatment
of cancer. The nurse hears stridor when auscultating over the trachea. On the basis of this
finding, which is the priority nursing action?
a. Assess the client's pulse oximetry Incorrect
b. Place the client in a supine position
c. Contact the primary health care provider
d. Administer a nebulizer treatment with the use of a bronchodilator - C
Stridor indication there is an obstruction and the HCP should be notified immediately. The
patient should be placed in high Fowlers and pulse oximetry can be completed by is not the
priority.
A nurse is caring for a hospitalized child with newly diagnosed type 1 diabetes mellitus
who received NPH and regular humulin insulin at 7:30 a.m. At 11 a.m. the child suddenly
complains of dizziness, headache, and a shaky feeling. The nurse immediately takes which
action?
a. Contacts the physician
b. Gives the child milk to drink
c. Arranges to have the child's lunch tray delivered early
d. Prepares to administer intravenous 5% dextrose solution - B
A client with a diagnosis of preeclampsia suddenly begins to exhibit seizure activity. Which
is the first action on the part of the nurse?
a. Calling the physician
b. Inserting an oral airway
c. Turning the client on her side
d. Noting the time of the seizure - C
A nurse is preparing to administer an injection of vitamin K to a newborn. At which site
would the nurse select to administer the medication? - 3
The preferred injection site for the administration of vitamin K in the newborn is the
lateral aspect of the middle third of the vastus lateralis muscle (the newborn's thigh). This
muscle is the preferred injection site because it is free of major blood vessels and nerves
and is large enough to absorb the medication
3
AND ANSWERS 2024 VERSION,
Explanations Provided
(Sourced from Chamberlain University
Experts)
A nurse provides instruction to a client with COPD about home oxygen therapy. Which
statement made by the client indicates need for further instruction?
a. I should limit activity as much as possible
b. If I have trouble breathing, I need to call the doctor
c. I need to drink lots of fluids to keep my mucus thin
d. I can apply petroleum jelly to my nose if the oxygen dries it out
e. I should wear a scarf over my nose and mouth in cold weather
f. If I get a flu shot, I do not have to worry about being around people with colds - A, D, F
A nurse is monitoring the neurological status of a client who underwent craniotomy 3 days
ago. Which signs or symptoms would prompt the nurse to notify the primary health care
provider immediately?
a. Disorientation to date
b. Pupils equal and reactive at 4 mm
c. Mild headache relieved by acetaminophen with codeine
d. Pain with forward flexion of the neck onto the chest -
D A complication of cranial surgery is meningitis.
A man calls the clinic and tells the nurse that he sustained a bee sting on his leg while working
in his yard. The client states that he is not allergic to bees and wants to know how to treat the
sting. The nurse tells the client to first take which action?
a. Place a cool compress on the sting site
b. Apply an antipruritic lotion to the sting site
c. Apply a topical corticosteroid to the sting site
d. Take an oral antihistamine such as diphenhydramine (Benadryl) - A
A nurse is assigned to conduct an admission assessment of a client who was treated in the
emergency department after attempting suicide by cutting her wrists with a razor blade.
When the client arrives at the nursing unit, the nurse should take which action first?
a. Ask the client to sign a no-harm contract
1
,b. Ask the client to report any suicidal thoughts immediately
c. Place the client under suicide precautions with 15-minute checks
d. Check the dressings that were placed over the client's wrists in the emergency
department - D
First assess the physical state of the patient for safety then implement precautions.
2
, A nurse is preparing to administer digoxin to a client with heart failure. When assessing the
client, the nurse notes an apical pulse rate of 58 beats/min. Also, the client complains of
anorexia and nausea. Which action should the nurse take first on the basis of these
assessment findings?
a. Contact the primary health care provider
b. Administer an as-needed antiemetic
c. Check the most recent digoxin level
d. Administer the digoxin with an antacid - C
A nurse is assessing a client who has undergone radical neck dissection for the treatment
of cancer. The nurse hears stridor when auscultating over the trachea. On the basis of this
finding, which is the priority nursing action?
a. Assess the client's pulse oximetry Incorrect
b. Place the client in a supine position
c. Contact the primary health care provider
d. Administer a nebulizer treatment with the use of a bronchodilator - C
Stridor indication there is an obstruction and the HCP should be notified immediately. The
patient should be placed in high Fowlers and pulse oximetry can be completed by is not the
priority.
A nurse is caring for a hospitalized child with newly diagnosed type 1 diabetes mellitus
who received NPH and regular humulin insulin at 7:30 a.m. At 11 a.m. the child suddenly
complains of dizziness, headache, and a shaky feeling. The nurse immediately takes which
action?
a. Contacts the physician
b. Gives the child milk to drink
c. Arranges to have the child's lunch tray delivered early
d. Prepares to administer intravenous 5% dextrose solution - B
A client with a diagnosis of preeclampsia suddenly begins to exhibit seizure activity. Which
is the first action on the part of the nurse?
a. Calling the physician
b. Inserting an oral airway
c. Turning the client on her side
d. Noting the time of the seizure - C
A nurse is preparing to administer an injection of vitamin K to a newborn. At which site
would the nurse select to administer the medication? - 3
The preferred injection site for the administration of vitamin K in the newborn is the
lateral aspect of the middle third of the vastus lateralis muscle (the newborn's thigh). This
muscle is the preferred injection site because it is free of major blood vessels and nerves
and is large enough to absorb the medication
3
