VERSION A,B,C NEWEST 2026
ACTUAL EXAM WITH NGN FORMAT
COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) ALREADY
GRADED A+
The nurse shows a teenager how to use a metered dose inhaler of ipratropium
(Atrovent). Which statement if made by the client to the nurse, indicates teaching is
effective? - Correct Answer ✔✔ "I should use this medicine to prevent asthma attacks."
An older client is scheduled for a magnetic resonance imaging MRI procedure. Which of
the following statements, if made by the client to the nurse, should be reported to the
technician before the test? - Correct Answer ✔✔ I had a knee replacement 5 years ago
The nurse makes the following observations of a 6 hour old newborn: axillary
temperature 96.4 F (35.8 C), apical pulse 148, respirations irregular at 48/minute, black
sticky stool, blood glucose 60mg/dL. It is most important for the nurse to take which
action? - Correct Answer ✔✔ Wrap the newborn in a warmed blanket
A client is returned to the unit at 10AM after laparoscopic gallbladder surgery. The nurse
plans to get the patient out of bed for the first time at 4PM. It is MOST important for the
nurse to take which of the following actions? - Correct Answer ✔✔ Offer pain
medication to the patient at 3:30 pm.
OLD ANSWER: Turn the pt from side to side at 2 PM
The activity therapy staff takes a group of psychiatric patients on a trip to the zoo. The
nurse should intervene with which of the following patients before their departure? -
Correct Answer ✔✔ A 38 year old female who is receiving chlorpromazine (Thorazine)
and is wearing a sundress without a hat or glasses
A patient experiences skin eruptions due to an allergic reaction to a medication. The
nurse demonstrates the BEST documentation with which of the following? - Correct
Answer ✔✔ "Multiple red welts noted over trunk and both arms. Patient states that welts
itch"
,An older client diagnosed with emphysema is admitted to the psychiatric unit for
treatment of bipolar disorder. The client receives oxygen per nasal cannula. The client
expresses concern to the nurse that someone will come in and change the amount of
oxygen the client is receiving. INITIALLY, the nurse should take which of the following
actions? - Correct Answer ✔✔ Place a sign above the patients bed stating that the
oxygen level is not to be changed.
A teenager has a positive home pregnancy test and comes to the prenatal clinic. The
girl is uncertain of the date of her last menstrual period. The nurse palpates the uterine
fundus midway between the symphysis pubis and the umbilicus. Which statement by
the nurse is BEST? - Correct Answer ✔✔ "You are 16 weeks pregnant. Lets talk about
what that means."
A client is admitted to the psychiatric unit with complaints of fatigue, inability to
concentrate, lack of appetite, and repetitive thoughts. The client is reluctant to take the
prescribed medications, fearing that they are harmful. After the nurse gives the client
the medication, the nurse should take which of the following actions? - Correct Answer
✔✔ Instruct the client to open her mouth and move her tongue up and down and to
each side while the nurse looks inside
The nurse assesses a patient 72 hours after a total joint replacement of the right hip.
Which finding requires an intervention by the nurse? - Correct Answer ✔✔ The patients
legs are internally rotated
A client newly diagnosed with Meniere's disease plans a trip to an amusement park with
the family. The client asks the clinic nurse which of the following rides is best. The nurse
should suggest which of the following rides? - Correct Answer ✔✔ Train
. A client is discharged from the hospital after coronary bypass (CABG) surgery 3 days
ago. During discharge teaching, the client asks the nurse "When can I resume sexual
intercourse with my wife?" it is best for the nurse to make which of the following
statements? - Correct Answer ✔✔ You can resume sexual activity when you are able to
walk one block without chest pain or discomfort
A woman complains to the nurse about the care provided to her husband by the nursing
staff the previous night. Initially, the nurse should take which of the following actions -
Correct Answer ✔✔ Ask the wife to voice her expectations about a solution to the
problem
A patient is restrained bodily by the nursing team. The hands of the nurse assigned to
hold down the patients leg should be placed in which of the following positions? -
Correct Answer ✔✔ One hand directly above the patient's knee and the other hand
directly above the patient's ankle
The nurse in the community mental health center works with a client who is diagnosed
with depression. Cognitive therapy is initiated. The nurse should take which of the
,following actions? - Correct Answer ✔✔ Help the client to identify the source of his
depression
The nurse plans to perform a physical assessment of a young adult who has been deaf
since birth. Although the client indicates using sign language, no interpreter is available.
The nurse should take which action? - Correct Answer ✔✔ Write out each question, and
ask the client to write out each answer
A patient received morphine 4 mg IV 2 hours ago for the complaints of postoperative
pain. The patient turns on the call light and tells the nurse he has to go to the bathroom.
The patient has bathroom privileges. The nurse should take which of the following
actions? - Correct Answer ✔✔ Ask the patient to sit on the side of the bed before
proceeding to the bathroom
The nurse cares for a patient on the psychiatric unit with a history of drug use and poor
impulse control. After the patient's mother visits, the patient begins pacing rapidly, with
arms swinging, and kicking at chair legs. The nurse should approach the patient and
take which of the following actions? - Correct Answer ✔✔ Stand facing the patient with
legs apart, knees locked, and weight on back leg
The nurse observes the nursing assistant giving morning care to an elderly client who
has an area of warm, reddened skin on the sacrum that does not blanch with pressure.
Which action by the nursing assistant requires an intervention by the nurse? - Correct
Answer ✔✔ The aid firmly massages the reddened area in a circular motion
The school nurse identifies several children who have food allergies. Which sequence
should the nurse teach the staff to follow if an allergic reaction is observed in a child? -
Correct Answer ✔✔ Administer the EpiPen, call 911, call the physician, call the parents
A client comes to the ER complaining of shortness of breath, fatigue, insomnia, and
weight loss. The client states that the client's company forced the client into early
retirement. The client says that the client has been sick ever since the client stopped
working. The nurse should take which of the following actions first? - Correct Answer
✔✔ Help the client see a connection between his symptoms and emotions, while
investigating each symptom.
The nurse teaches the woman diagnosed with type 1 diabetes who is pregnant for the
first time. The nurse teaches the client that as the pregnancy advances, the client may
require which implementation? - Correct Answer ✔✔ Increased amounts of insulin
The nurse cares for a patient after a colon resection. The patient has a Salem sump
tube connected to intermittent suction. The patient asks the nurse, "When will I be able
to eat?" Which is the BEST response by the nurse? - Correct Answer ✔✔ You will be
started on clear liquids when we hear your stomach make noises
, The nurse supervises care provided for a client immediately after cardioversion. Which
observation, if made by the nurse, indicates the need for an intervention? - Correct
Answer ✔✔ The oxygen the patient was receiving before the procedure remains
disconnected
The nurse cares for a client diagnosed with bursitis of the right shoulder. The nurse
expects the client to experience which of the following? - Correct Answer ✔✔ Pain with
extension, flexion and internal rotation of the right arm
The nurse supervises care provided by the nursing assistive personnel (NAP) to the
older client in the convalescent phase after a stroke. The nurse should intervene if
which action is observed - Correct Answer ✔✔ The client is supine with a pillow under
the head
An older patient falls on the floor of the psychiatric unit. To determine the cause of the
fall, it is MOST important for the nurse to do which of the following? - Correct Answer
✔✔ Evaluate the floor where the patient fell
The nurse instructs a prenatal class for first-time mothers. A group of mothers state they
are afraid because they have heard that babies often die in their sleep before their first
birthday. The mothers ask what they can do to prevent this. It is BEST for the nurse to
make which of the following responses - Correct Answer ✔✔ It's best to position the
baby on its back or side in bed. There seems to be an increase in this condition when
babies are put to sleep on their stomach
A client attends a support group for incest survivors at the community mental health
center. The client tells the nurse, "I don't get it. People keep telling me I talk just like my
father. He's the last person I'd want to act like!" which response by the nurse is BEST? -
Correct Answer ✔✔ Some people unconsciously take on the characteristics of people
who exert power over them
The family of a patient admitted to the psychiatric unit 3 days ago arrives for a visit
carrying two suitcases. The nurse informs the family that before they can proceed into
the unit, the suitcases need to be searched. The family asks why this needs to be done.
Which is the BEST response by the nurse? - Correct Answer ✔✔ "Things that you may
not think of as being harmful may be used for harm by the patient"
The nurse asks the nursing assistant to obtain morning vital signs on several patients. It
is best for the nurse to make which of the following statements? - Correct Answer ✔✔
"Go check the vital signs for the patient in rooms 321 and 322. Record your findings on
this sheet and then return it to me"
The nurse reviews basic communication skills with a new group of nursing assistants. It
is BEST for the nurse to make which of the following statements? - Correct Answer ✔✔
"Nonverbal behavior is best considered in combination with verbal communication"