NCLEX NGN PRE-TEST QUESTIONS AND CORRECT VERIFIED ANSWERS

NCLEX NGN PRE-TEST QUESTIONS AND
CORRECT VERIFIED ANSWERS

AA2nurseA2isA2assignedA2toA2careA2forA2aA2clientA2withA2chronicA2renalA2failureA2whoA2isA2u
ndergoingA2hemodialysisA2throughA2anA2internalA2AVA2fistulaA2inA2theA2RA.A2WhichA2interv
entionA2shouldA2theA2nurseA2implementA2inA2caringA2forA2theA2client?A2SATA
a.A2AssessingA2theA2radialA2pulseA2inA2theA2rightA2extremity
b.A2UsingA2theA2LAA2tiA2takeA2BPA2readings
c.A2DrawingA2pre-dialysisA2bloodA2specimensA2fromA2theA2LA
d.A2AssessingA2theA2areaA2overA2theA2AVA2fistulaA2forA2aA2bruitA2andA2threeA2eachA2shift
e.A2PlacingA2aA2pressureA2dressingA2overA2theA2siteA2afterA2eachA2dialysisA2treatment
f.A2AdministeringA2IVA2fluidsA2throughA2theA2venousA2siteA2ofA2theA2AVA2fistulaA2asA2neede
dA2-A2Ans--A,A2B,A2C,A2D

AA2nurseA2isA2evaluatingA2outcomesA2forA2aA2clientA2withA2Guillain-
BarreA2syndrome.A2WhichA2outcomeA2doesA2theA2nurseA2recognizeA2asA2optimalA2respirat
oryA2outcomesA2forA2theA2client?
a.A2NormalA2deepA2tendonA2reflexes
b.A2ImprovedA2skeletalA2muscleA2tone
c.A2AbsencesA2ofA2paresthesiasA2inA2theA2lowerA2extremities
d.A2ClearA2soundA2inA2theA2lowerA2lungA2fieldsA2bilaterally
e.A2pO2A2ofA285A2mmHgA2andA2pCO2A2ofA240A2mmHgA2-A2Ans--D,A2E

AA2nurseA2ofA2theA2telemetryA2unitA2isA2caringA2forA2aA2clientA2whoA2hasA2hadA2aA2MIA2andA
2isA2nowA2attachedA2toA2aA2cardiacA2monitor.A2TheA2nurseA2isA2monitoringA2theA2client'sA2c
ardiacA2rhythmA2andA2notsA2ventricularA2fibrillation.A2WhichA2nursingA2interventionA2shoul
dA2theA2nurseA2takeA2first?
a.A2CallingA2theA2rapidA2responseA2team
b.A2PreparingA2theA2clientA2forA2cardioversion
c.A2AskingA2theA2clientA2toA2bearA2downA2andA2cough
d.A2PreparingA2toA2administerA2diltiazemA2-A2Ans--A
TheA2patternA2ofA2ventricularA2fibrillationA2isA2identifiedA2andA2canA2beA2aA2resultA2afterA2aA
2patientA2withA2anA2MI.A2VFA2makesA2theA2patientA2feelA2faint,A2thenA2losesA2consciousnes
sA2andA2becomesA2pulselessA2andA2apneicA2(BPA2andA2heartA2soundsA2absent).A2Treatm
entA2isA2toA2terminateA2VFA2andA2covertA2itA2intoA2aA2rhythmA2viaA2defibrillation-
>A2callA2aA2rapidA2andA2initiateA2CPR.A2CardioversionA2isA2usedA2forA2ventricularA2orA2supr
aventricularA2tachydysrhythmias.

AA2nurseA2developingA2aA2planA2ofA2careA2forA2aA2clientA2withA2aA2spinalA2cordA2injuryA2incl
udesA2measuresA2toA2preventA2autonomicA2dysreflexiaA2(hyperreflexia).A2WhichA2interven
tionA2doesA2theA2nurseA2incorporateA2intoA2theA2planA2toA2preventA2thisA2complication?
a.A2KeepingA2theA2fanA2runningA2inA2theA2client'sA2room
b.A2KeepingA2theA2linensA2wrinkleA2freeA2underA2theA2client

,c.A2LimitingA2bladderA2catheterizationA2toA2onceA2everyA212A2hours
d.A2AvoidingA2theA2administrationA2ofA2enemasA2andA2rectalA2suppositoriesA2-A2Ans--B
TheA2mostA2frequentA2causeA2ofA2autonomicA2dysreflexiasA2areA2aA2distendedA2bladderA2
andA2impactedA2feces.A2OtherA2causesA2includeA2stimulationA2ofA2theA2skinA2byA2tactile,A2t
hermal,A2orA2painfulA2stimuli.A2TheA2nurseA2rendersA2careA2inA2suchA2aA2wayA2asA2toA2mini
mizeA2theseA2risks.

AA2nurseA2providesA2homeA2careA2instructionsA2toA2aA2clientA2whoA2hasA2beenA2fittedA2wit
hA2aA2haloA2deviceA2toA2treatA2aA2cervicalA2fracture.A2WhichA2statementA2byA2theA2clientA2i
ndicatesA2theA2needA2forA2furtherA2teaching?
a.A2IA2needA2toA2getA2moreA2fluidsA2andA2fiberA2intoA2myA2diet
b.A2IA2shouldA2cutA2myA2foodA2intoA2smallA2piecesA2beforeA2IA2eat
c.A2IA2needA2toA2putA2powderA2underA2theA2vestA2twiceA2aA2dayA2toA2preventA2sweating
d.A2IA2haveA2toA2checkA2theA2pinA2sitesA2everydayA2andA2watchA2forA2signsA2ofA2infectionA2-
A2Ans--C
CleanseA2theA2skinA2underA2theA2woolA2linerA2eachA2dayA2toA2preventA2rashesA2andA2soar
s.

AA2nurseA2isA2caringA2forA2aA2clientA2withA2increasedA2intracranialA2pressure.A2InA2whichA2
positionA2shouldA2theA2nurseA2maintainA2theA2client?
a.A2SupineA2withA2theA2headA2extended
b.A2SideA2lyingA2withA2theA2neckA2flexed
c.A2SupineA2withA2theA2headA2turnedA2toA2theA2side
d.A2HeadA2midlineA2andA2elevatedA230-45A2degreesA2-A2Ans--D
ProperA2positioningA2promotesA2venousA2drainageA2fromA2theA2craniumA2toA2minimizeA2IC
P.

AA2clientA2withA2aA2basilarA2skullA2fractureA2hasA2clearA2fluidA2leakingA2fromA2theA2ears.A2T
heA2nurseA2shouldA2takeA2whichA2actionA2first?
a.A2AssesA2theA2clearA2fluidA2forA2protein
b.A2CheckA2theA2clearA2fluidA2forA2glucose
c.A2PlaceA2cottonA2callsA2orA2dryA2gauzeA2looselyA2inA2theA2ears
d.A2UseA2anA2otoscopeA2toA2assessA2theA2tympanicA2membraneA2forA2ruptureA2-A2Ans--B
CSFA2containsA2glucoseA2notA2protein.

AA2nurseA2isA2caringA2forA2aA2clientA2whoA2hasA2justA2undergoneA2cardioversion.A2WhichA2i
nterventionA2isA2theA2nurse'sA2priorityA2afterA2thisA2procedure.A2
a.A2AdministerA2oxygen
b.A2MonitoringA2theA2BP
c.A2AdministeringA2antidysrhythmicA2medications
d.A2MonitoringA2theA2client'sA2LOCA2-A2Ans--A
ABC'sA2ofA2nursing.A2AllA2otherA2choicesA2areA2correct,A2butA2notA2priority.

AA2clientA2withA2diabetesA2mellitusA2whoA2isA2scheduledA2toA2haveA2bloodA2drawnA2forA2de
terminationA2ofA2theA2glycosylatedA2hemoglobinA2(HbA1c)A2levelA2asksA2theA2nurseA2whyA

, 2theA2testA2isA2necessaryA2ifA2heA2isA2performingA2bloodA2glucoseA2monitoringA2atA2home.A
2WhichA2isA2theA2bestA2responseA2forA2theA2nurseA2toA2provide?
a.A2DetectA2diabeticA2complications
b.A2AssessA2long-termA2glycemicA2control
c.A2DetermineA2whetherA2theA2clientA2isA2atA2riskA2forA2hypoglycemia
dA2DetermineA2whetherA2theA2prescribedA2insulinA2dosageA2isA2correctA2-A2Ans--B

AA2nurseA2caringA2forA2aA2clientA2withA2acquiredA2immunodeficiencyA2syndromeA2isA2monit
oringA2theA2clientA2forA2signsA2ofA2complications.A2WhichA2ofA2theA2followingA2wouldA2caus
eA2theA2nurseA2toA2suspectA2infectionA2withA2PneumocystisA2jirovec?A2SATA
a.A2Diarrhea
b.A2Tachypnea
c.A2PedalA2edema
d.A2IntermittentA2fever
e.A2DyspneaA2withA2ambulating
f.A2ExpectorationA2ofA2frothyA2mucusA2-A2Ans--B,A2D,A2E
AA2opportunisticA2respiratoryA2infectionA2associatedA2withA2AIDsA2thatA2causesA2dyspnea,
A2nonproductiveA2cough,A2intermittentA2fever,A2fatigue,A2anorexia,A2tachypnea,A2wt.A2loss.


ZidovudineA2isA2prescribedA2forA2aA2clientA2withA2AIDS.A2TheA2nurseA2tellsA2theA2clientA2th
atA2itA2isA2importantA2toA2reportA2backA2toA2theA2clinicA2asA2scheduledA2forA2whichA2follow-
upA2diagnostic?
a.A2BloodA2glucoseA2checks
b.A2BloodA2pressureA2checks
c.A2CompleteA2bloodA2countsA2(CBC)
d.A2ElectrocradiographicA2studiesA2-A2Ans--C
ZidovudineA2isA2anA2antiviralA2medicationA2thatA2causeA2causeA2agranulocytosisA2andA2an
emia.

AfterA2aA2non-
immunocompromisedA2clientA2undergoesA2aA2MantouxA2testA2forA2TBA2infection,A2anA2are
aA2ofA2indurationA26A2mmA2wideA2developed.A2TheA2clientA2asksA2theA2nurseA2whatA2thisA2r
esultA2means.A2WhichA2isA2theA2bestA2response?
a.A2We'llA2haveA2toA2repeatA2theA2testA2becauseA2theA2resultA2wasA2inconclusive
b.A2TheA2swollenA2areaA2isA2small,A2soA2thatA2meansA2yourA2testA2resultA2isA2negative
c.A2You'veA2beenA2exposedA2toA2TBA2soA2youA2willA2needA2toA2haveA2aA2chestA2x-ray
d.A2YouA2needA2toA2getA2startedA2onA2medicationA2rightA2awayA2becauseA2youA2haveA2TBA
2-A2Ans--B
IndurationsA2lessA2thanA210A2mmA2(non-
immunocompromised)A2andA25A2mmA2(immunocompromised)A2isA2consideredA2aA2negati
veA2resultA2afterA248-
72A2hrs.A2ResultsA2greaterA2indicateA2exposureA2andA2possibleA2TBA2infection.A2MorseA2te
stingA2(x-ray)A2willA2beA2needed.

AA2clientsA2arterialA2bloodA2gasesA2areA2analyzed;A2pHA21.49,A2paO2A297A2mmHg,A2HCO
3-A222A2mEq/