Fundamentals Practice Test A with NGN (Includes NGN (Next Generation NCLEX) Style Questions
With Complete Solutions
A nurse is caring for a client who has an aggressive form of prostate cancer. The provider briefly
discusses treatment options and leaves the client's room. When the nurse asks if the client would like to
discuss any concerns, the client declines. Which of the following statements should the nurse make? -
(ANSWER)"I am available to talk if you should change your mind."
A nurse is planning strategies to manage time effectively for client care. Which of the following
strategies should the nurse implement? - (ANSWER)Use the planning step of the nursing process to
prioritize client care delivery.
A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the following actions
should the nurse take? - (ANSWER)Administer the medication with the needle at a 45° angle.
A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following
actions should the nurse take first? - (ANSWER)Check the client for injuries.
A nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter. Which of
the following actions should the nurse take? - (ANSWER)Subtract the amount of irrigant used from the
client's urine output.
A nurse is providing discharge instructions to a client who will be using a walker. Which of the following
client statements indicates an understanding of the teaching? - (ANSWER)"I will hire someone to trim
the tree that hangs low over the stairs of my front porch."
A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following
major abdominal surgery. Which of the following actions is the nurse's priority? - (ANSWER)Determine
the reasons why the client is refusing to use the incentive spirometer.
A nurse is preparing a change-of-shift report. Which of the following tools or documents should the
nurse use to communicate continuity of care? - (ANSWER)Situation, background, assessment, and
recommendation (SBAR)
, Fundamentals Practice Test A with NGN (Includes NGN (Next Generation NCLEX) Style Questions
With Complete Solutions
A nurse is talking with an older adult client who is contemplating retirement. The client states, "I keep
thinking about how much I enjoy my job. I'm not sure I want to retire." Which of the following responses
should the nurse make? - (ANSWER)"Let's talk about how the change in your job status will affect you."
A nurse is caring for a client who is postoperative following a knee arthroplasty and requires the use of
thigh-length sequential compression sleeves. Which of the following actions should the nurse take? -
(ANSWER)Make sure two fingers can fit under the sleeves.
Select the 3 tasks the nurse should delegate to an assistive personnel (AP).
A nurse is caring for a client who has pancreatitis.
Exhibit 1:
Nurses' Notes: 1000: Client states, "I am unable to eat anything without vomiting." Client reports pain in
left upper quadrant of abdomen that radiates to their back. States that pain is a "7" on a 0 to 10 pain
scale. Bruising noted on client's abdomen. Client is pale and diaphoretic. Provider prescribed blood
work, abdominal CT, and NG tube insertion with low-intermittent decompression. IV fluids started and
infusing in left peripheral IV site.
Exhibit 2:
Vital Signs: 1000: BP 96/52 mm Hg, Heart rate 110/min, Respirations 22/min, Temperature 38.4° C
(101.1° F), Oxygen saturation 92% on room air
Exhibit 3:
Prescriptions: 1100: CT of abdomen, NG tube to low wall suction, Serum amylase level - (ANSWER)-
Document the client's vital signs
- Measure the client's intake and output
- Transfer the client from wheelchair to bed
A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 7 hr. The nurse should
set the infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number.
Use a leading zero if it applies. Do not use a trailing zero.) - (ANSWER)107 mL/hr
With Complete Solutions
A nurse is caring for a client who has an aggressive form of prostate cancer. The provider briefly
discusses treatment options and leaves the client's room. When the nurse asks if the client would like to
discuss any concerns, the client declines. Which of the following statements should the nurse make? -
(ANSWER)"I am available to talk if you should change your mind."
A nurse is planning strategies to manage time effectively for client care. Which of the following
strategies should the nurse implement? - (ANSWER)Use the planning step of the nursing process to
prioritize client care delivery.
A nurse is preparing to administer enoxaparin subcutaneously to a client. Which of the following actions
should the nurse take? - (ANSWER)Administer the medication with the needle at a 45° angle.
A nurse is responding to a call light and finds a client lying on the bathroom floor. Which of the following
actions should the nurse take first? - (ANSWER)Check the client for injuries.
A nurse is using an open irrigation technique to irrigate a client's indwelling urinary catheter. Which of
the following actions should the nurse take? - (ANSWER)Subtract the amount of irrigant used from the
client's urine output.
A nurse is providing discharge instructions to a client who will be using a walker. Which of the following
client statements indicates an understanding of the teaching? - (ANSWER)"I will hire someone to trim
the tree that hangs low over the stairs of my front porch."
A nurse is caring for a client who is postoperative and refuses to use an incentive spirometer following
major abdominal surgery. Which of the following actions is the nurse's priority? - (ANSWER)Determine
the reasons why the client is refusing to use the incentive spirometer.
A nurse is preparing a change-of-shift report. Which of the following tools or documents should the
nurse use to communicate continuity of care? - (ANSWER)Situation, background, assessment, and
recommendation (SBAR)
, Fundamentals Practice Test A with NGN (Includes NGN (Next Generation NCLEX) Style Questions
With Complete Solutions
A nurse is talking with an older adult client who is contemplating retirement. The client states, "I keep
thinking about how much I enjoy my job. I'm not sure I want to retire." Which of the following responses
should the nurse make? - (ANSWER)"Let's talk about how the change in your job status will affect you."
A nurse is caring for a client who is postoperative following a knee arthroplasty and requires the use of
thigh-length sequential compression sleeves. Which of the following actions should the nurse take? -
(ANSWER)Make sure two fingers can fit under the sleeves.
Select the 3 tasks the nurse should delegate to an assistive personnel (AP).
A nurse is caring for a client who has pancreatitis.
Exhibit 1:
Nurses' Notes: 1000: Client states, "I am unable to eat anything without vomiting." Client reports pain in
left upper quadrant of abdomen that radiates to their back. States that pain is a "7" on a 0 to 10 pain
scale. Bruising noted on client's abdomen. Client is pale and diaphoretic. Provider prescribed blood
work, abdominal CT, and NG tube insertion with low-intermittent decompression. IV fluids started and
infusing in left peripheral IV site.
Exhibit 2:
Vital Signs: 1000: BP 96/52 mm Hg, Heart rate 110/min, Respirations 22/min, Temperature 38.4° C
(101.1° F), Oxygen saturation 92% on room air
Exhibit 3:
Prescriptions: 1100: CT of abdomen, NG tube to low wall suction, Serum amylase level - (ANSWER)-
Document the client's vital signs
- Measure the client's intake and output
- Transfer the client from wheelchair to bed
A nurse is preparing to administer 0.9% sodium chloride 750 mL IV to infuse over 7 hr. The nurse should
set the infusion pump to deliver how many mL/hr? (Round the answer to the nearest whole number.
Use a leading zero if it applies. Do not use a trailing zero.) - (ANSWER)107 mL/hr
