(Chamberlain Nursing) | 250+ NGN-Style Q&A
with Verified Answers & Detailed Rationales |
High-Yield Updated A+ Study Guide
EXAM DETAILS
Questions: 250+ NGN-Style
Format: Multiple Choice & SATA
Level: RN (Chamberlain)
📌 STUDY INSTRUCTIONS
• Read each question carefully before answering
• Review all rationales after each block
• Focus on priority & safety concepts
Q1
A nurse is assessing a client who has received an antibiotic. The
nurse should identify which of the following findings as an
indication of a possible allergic reaction to the medication?
• A. Bradycardia
• B. Headache
, • C. Joint pain
• D. Hypotension ✓ CORRECT
▸ Rationale: Hypotension is a systemic sign of anaphylactic
reaction. Bradycardia, headache, and joint pain are not typical
allergic indicators. | Concept: Pharmacology / Immune
Response
Q2
A nurse on a mental health unit is caring for a client who has
schizophrenia and is experiencing auditory hallucinations telling
them to hurt others. The client is refusing to take anti-psychotic
medication. Which of the following responses should the nurse
make?
• A. "You should plan to take this medication for a few
weeks."
• B. "You will regret it if you do not take this medication."
• C. "This medication will help you respond to the voices."
• D. "This medication will help you stop the voices you are
hearing." ✓ CORRECT
,▸ Rationale: Explaining that the medication will help stop the
voices addresses the client's direct experience and promotes
therapeutic alliance without coercion. | Concept: Mental
Health / Therapeutic Communication
Q3
A nurse is providing care for a patient who has depression and
is to have electroconvulsive therapy. Which of the following
conditions should the nurse identify as increasing the client's
risk for complications?
• A. Hyperthyroidism
• B. Renal calculi
• C. Diabetes mellitus
• D. Cardiac dysrhythmias ✓ CORRECT
▸ Rationale: Cardiac dysrhythmias are a contraindication to
ECT because the procedure causes transient cardiovascular
stress, increasing the risk of serious arrhythmias. |
Concept: Mental Health / ECT
, Q4
A nurse is reviewing the laboratory results of a client who has
rheumatoid arthritis. Which of the following findings should the
nurse report to the provider?
• A. WBC count 8,000/mm³
• B. Platelets 150,000/mm³
• C. Aspartate aminotransferase 10 units/L
• D. Erythrocyte sedimentation rate 75 mm/hr ✓ CORRECT
▸ Rationale: An elevated ESR of 75 mm/hr indicates significant
systemic inflammation and requires reporting; it may guide
medication adjustments in RA management. |
Concept: Musculoskeletal / Lab Values
Q5
A nurse is suctioning the airway of a client who is receiving
mechanical ventilation via an endotracheal tube. Which of the
following findings should the nurse identify as an indication
that suctioning has been effective?
• A. Presence of a productive cough
• B. Decreased peak inspiratory pressure ✓ CORRECT