KAPLAN NCLEX QUESTIONS AND ANSWERS (NGN)|WELL STRUCTURED|100%
PASS
QUESTIONS ANSWERS
The nurse in the outpatient clinic re- "Do you have access to a gun?"
ceives a phone call from an adolescent
who states, "There is no reason to live. The nurse should first ensure the client's
I am going to shoot myself." Which re- safety by determining if the client has a
sponse by the nurse is best? plan and the means to carry out the plan.
Case Study
The client is most likely experiencing hy-
Drag words from the choices below to fill
perkalemia as evidenced by peaked T
in each blank in the following sentence.
waves.
Each word will only be used once.
Sore throat, fever, increased fatigue,
vomiting, diarrhea.
The nurse instructs a client on the new-
ly prescribed medication imipramine. Sore throat, fever, increased fatigue,
Which symptoms will the nurse teach the vomiting, and diarrhea are possible ad-
client to report immediately to the health verse effects of imipramine, a tricyclic an-
care provider? tidepressant medication. These adverse
effects can be resolved by altering the
dosage or changing the medication.
The nurse is teaching a group of clients
Colonoscopy every 10 years.
who are all over the age of 45 years
about the screening tests for colorectal
Clients who are 45 years of age or old-
cancer. Which screening recommenda-
er should have a colonoscopy every 10
tion does the nurse include in the teach-
years.
ing?
A client receives methotrexate 15 mg
by mouth once a day. The medication
is available in 2.5 mg/tablet. How many
6 tablets
tablets will the nurse provide for each
dose? (Do not round. Record your an-
swer using a whole number.)
Keep the cord dry and clean with the
The nurse teaches a parent how to care diaper folded below the cord.
for a newborn's umbilical cord. Which in-
formation is important for the nurse to Umbilical cord care is intended to prevent
give the parent? infection. Keeping the cord clean and dry
shortens the time to cord separation. The
, diaper should be fastened low to allow air
circulation to the cord.
Using systematic desensitization.
The nurse provides care for a client with
a fear of flying. The client is taking a job Systematic desensitization enables the
that will require frequent long-distance client to encounter a phobic object grad-
travel. Which intervention is best for the ually while using relaxation techniques.
nurse to recommend to the client? This will enable the client to be success-
ful in the new role.
"Do you have a picture of your spouse
that I can share with security?"
The nurse provides care for an abused
In the instance of intimate partner vio-
client who was admitted for multiple frac-
lence (IPV), when the client is in imme-
tures of the face, arm, and ankle. The
diate danger, the priority is to keep the
client exclaims, "Don't let my spouse in
client separate from the spouse. Obtain-
here. My spouse is trying to kill me!"
ing the spouse's picture allows the nurse
Which response by the nurse is best?
to provide concrete information to the se-
curity department so that agency policy
may be followed.
A primigravida client with baseline fetal
heart tones 136 bpm with decelerations
to 116 bpm independent of contractions.
The nurse admits four clients to the labor
and delivery unit. Which client does the
This describes recurrent variable decel-
nurse see first?
erations, which indicates umbilical cord
compression. There is an immediate risk
to the safety of the fetus.
"My church is sending me to Africa as a
missionary."
The nurse in the outpatient clinic recom-
mends that a client receive the hepatitis Persons traveling to countries with high
A vaccine. Which client statement sup- to medium rates of hepatitis should be
ports the nurse's recommendation for vaccinated. Countries in Africa, South
this vaccine? America, and Asia have high to medium
rates of hepatitis A due to inadequate
water sanitation.
The nurse evaluates a client's response
to a 2-week trial of electroconvulsive
therapy (ECT). Which data indicates to
, The client is no longer mute and with-
drawn.
ECT is indicated for severe depression
and catatonic conditions after medica-
tions have failed to improve conditions.
"That toy is good for an 18-month-old
A pregnant client tells the nurse about
child."
receiving a toy that requires walking as
a present for the unborn child. The client
The child would be able to enjoy the toy
asks the nurse when this toy would be
at 18 months, as the child will be able
appropriate for the child.Which response
to walk and begin to coordinate move-
by the nurse is appropriate?
ments.
Renal failure.
The nurse provides care to a client di-
agnosed with hypermagnesemia. Which
Renal failure is a risk factor for hyper-
will the nurse identify as a risk factor for
magnesemia. Normal magnesium level
this electrolyte imbalance?
is 1.3 to 2.1 mEq/L (0.65 to 1.05 mmol/L).
While caring for a client, the nurse over-
hears the health care provider (HCP) ex-
Ask the HCP to return to speak with the
plaining the risks and benefits of a po-
client again using a hospital-approved in-
tential procedure. The nurse knows the
terpreter.
client's primary language is not English.
Which action by the nurse is best?
An older adult client admitted for emer-
gency surgery.
The nurse provides care for four clients. A sudden, unexpected admission for
Which client does the nurse recognize surgery may involve many experiences,
is at risk for experiencing sensory over- such as lab work, x-rays, and signing
load? surgical consent forms while the client
is in discomfort. After surgery, the client
may be in pain and possibly in a critical
care setting.
The nurse cares for a young adult
"I woke up with a buzzing noise in my
client with cystic fibrosis receiving gen-
ear."
tamicin for a Pseudomonas aeruginosa
PASS
QUESTIONS ANSWERS
The nurse in the outpatient clinic re- "Do you have access to a gun?"
ceives a phone call from an adolescent
who states, "There is no reason to live. The nurse should first ensure the client's
I am going to shoot myself." Which re- safety by determining if the client has a
sponse by the nurse is best? plan and the means to carry out the plan.
Case Study
The client is most likely experiencing hy-
Drag words from the choices below to fill
perkalemia as evidenced by peaked T
in each blank in the following sentence.
waves.
Each word will only be used once.
Sore throat, fever, increased fatigue,
vomiting, diarrhea.
The nurse instructs a client on the new-
ly prescribed medication imipramine. Sore throat, fever, increased fatigue,
Which symptoms will the nurse teach the vomiting, and diarrhea are possible ad-
client to report immediately to the health verse effects of imipramine, a tricyclic an-
care provider? tidepressant medication. These adverse
effects can be resolved by altering the
dosage or changing the medication.
The nurse is teaching a group of clients
Colonoscopy every 10 years.
who are all over the age of 45 years
about the screening tests for colorectal
Clients who are 45 years of age or old-
cancer. Which screening recommenda-
er should have a colonoscopy every 10
tion does the nurse include in the teach-
years.
ing?
A client receives methotrexate 15 mg
by mouth once a day. The medication
is available in 2.5 mg/tablet. How many
6 tablets
tablets will the nurse provide for each
dose? (Do not round. Record your an-
swer using a whole number.)
Keep the cord dry and clean with the
The nurse teaches a parent how to care diaper folded below the cord.
for a newborn's umbilical cord. Which in-
formation is important for the nurse to Umbilical cord care is intended to prevent
give the parent? infection. Keeping the cord clean and dry
shortens the time to cord separation. The
, diaper should be fastened low to allow air
circulation to the cord.
Using systematic desensitization.
The nurse provides care for a client with
a fear of flying. The client is taking a job Systematic desensitization enables the
that will require frequent long-distance client to encounter a phobic object grad-
travel. Which intervention is best for the ually while using relaxation techniques.
nurse to recommend to the client? This will enable the client to be success-
ful in the new role.
"Do you have a picture of your spouse
that I can share with security?"
The nurse provides care for an abused
In the instance of intimate partner vio-
client who was admitted for multiple frac-
lence (IPV), when the client is in imme-
tures of the face, arm, and ankle. The
diate danger, the priority is to keep the
client exclaims, "Don't let my spouse in
client separate from the spouse. Obtain-
here. My spouse is trying to kill me!"
ing the spouse's picture allows the nurse
Which response by the nurse is best?
to provide concrete information to the se-
curity department so that agency policy
may be followed.
A primigravida client with baseline fetal
heart tones 136 bpm with decelerations
to 116 bpm independent of contractions.
The nurse admits four clients to the labor
and delivery unit. Which client does the
This describes recurrent variable decel-
nurse see first?
erations, which indicates umbilical cord
compression. There is an immediate risk
to the safety of the fetus.
"My church is sending me to Africa as a
missionary."
The nurse in the outpatient clinic recom-
mends that a client receive the hepatitis Persons traveling to countries with high
A vaccine. Which client statement sup- to medium rates of hepatitis should be
ports the nurse's recommendation for vaccinated. Countries in Africa, South
this vaccine? America, and Asia have high to medium
rates of hepatitis A due to inadequate
water sanitation.
The nurse evaluates a client's response
to a 2-week trial of electroconvulsive
therapy (ECT). Which data indicates to
, The client is no longer mute and with-
drawn.
ECT is indicated for severe depression
and catatonic conditions after medica-
tions have failed to improve conditions.
"That toy is good for an 18-month-old
A pregnant client tells the nurse about
child."
receiving a toy that requires walking as
a present for the unborn child. The client
The child would be able to enjoy the toy
asks the nurse when this toy would be
at 18 months, as the child will be able
appropriate for the child.Which response
to walk and begin to coordinate move-
by the nurse is appropriate?
ments.
Renal failure.
The nurse provides care to a client di-
agnosed with hypermagnesemia. Which
Renal failure is a risk factor for hyper-
will the nurse identify as a risk factor for
magnesemia. Normal magnesium level
this electrolyte imbalance?
is 1.3 to 2.1 mEq/L (0.65 to 1.05 mmol/L).
While caring for a client, the nurse over-
hears the health care provider (HCP) ex-
Ask the HCP to return to speak with the
plaining the risks and benefits of a po-
client again using a hospital-approved in-
tential procedure. The nurse knows the
terpreter.
client's primary language is not English.
Which action by the nurse is best?
An older adult client admitted for emer-
gency surgery.
The nurse provides care for four clients. A sudden, unexpected admission for
Which client does the nurse recognize surgery may involve many experiences,
is at risk for experiencing sensory over- such as lab work, x-rays, and signing
load? surgical consent forms while the client
is in discomfort. After surgery, the client
may be in pain and possibly in a critical
care setting.
The nurse cares for a young adult
"I woke up with a buzzing noise in my
client with cystic fibrosis receiving gen-
ear."
tamicin for a Pseudomonas aeruginosa
