NCLEX NGN PRE-TEST QUESTIONS WITH 73 ACTUAL
QUESTIONS AND VERIFIED ANSWERS LATEST DOCUMENT
100% PASS WITH MULTIPLE SOLUTIONS
A man calls the clinic and tells the nurse that he sustained a bee sting on
his leg while working in his yard. The client states that he is not allergic
to bees and wants to know how to treat the sting. The nurse tells the
client to first take which action?
a. Place a cool compress on the sting site
b. Apply an antipruritic lotion to the sting site
c. Apply a topical corticosteroid to the sting site
d. Take an oral antihistamine such as diphenhydramine (Benadryl) -
ANS... -A
A nurse is assigned to conduct an admission assessment of a client who
was treated in the emergency department after attempting suicide by
cutting her wrists with a razor blade. When the client arrives at the
nursing unit, the nurse should take which action first?
a. Ask the client to sign a no-harm contract
b. Ask the client to report any suicidal thoughts immediately
c. Place the client under suicide precautions with 15-minute checks
d. Check the dressings that were placed over the client's wrists in the
emergency department - ANS... -D
First assess the physical state of the patient for safety then implement
precautions.
A nurse is preparing to administer digoxin to a client with heart failure.
When assessing the client, the nurse notes an apical pulse rate of 58
beats/min. Also, the client complains of anorexia and nausea. Which
action should the nurse take first on the basis of these assessment
findings?
a. Contact the primary health care provider
b. Administer an as-needed antiemetic
,c. Check the most recent digoxin level
d. Administer the digoxin with an antacid - ANS... -C
A nurse is assessing a client who has undergone radical neck dissection
for the treatment of cancer. The nurse hears stridor when auscultating
over the trachea. On the basis of this finding, which is the priority
nursing action?
a. Assess the client's pulse oximetry Incorrect
b. Place the client in a supine position
c. Contact the primary health care provider
d. Administer a nebulizer treatment with the use of a bronchodilator -
ANS... -C
Stridor indication there is an obstruction and the HCP should be notified
immediately. The patient should be placed in high Fowlers and pulse
oximetry can be completed by is not the priority.
A nurse is assigned to care for a client with chronic renal failure who is
undergoing hemodialysis through an internal AV fistula in the RA.
Which intervention should the nurse implement in caring for the client?
SATA
a. Assessing the radial pulse in the right extremity
b. Using the LA ti take BP readings
c. Drawing pre-dialysis blood specimens from the LA
d. Assessing the area over the AV fistula for a bruit and three each shift
e. Placing a pressure dressing over the site after each dialysis treatment
f. Administering IV fluids through the venous site of the AV fistula as
needed - ANS... -A, B, C, D
A nurse is evaluating outcomes for a client with Guillain-Barre
syndrome. Which outcome does the nurse recognize as optimal
respiratory outcomes for the client?
a. Normal deep tendon reflexes
b. Improved skeletal muscle tone
c. Absences of paresthesias in the lower extremities
d. Clear sound in the lower lung fields bilaterally
, e. pO2 of 85 mmHg and pCO2 of 40 mmHg - ANS... -D, E
A nurse of the telemetry unit is caring for a client who has had a MI and
is now attached to a cardiac monitor. The nurse is monitoring the client's
cardiac rhythm and nots ventricular fibrillation. Which nursing
intervention should the nurse take first?
a. Calling the rapid response team
b. Preparing the client for cardioversion
c. Asking the client to bear down and cough
d. Preparing to administer diltiazem - ANS... -A
The pattern of ventricular fibrillation is identified and can be a result
after a patient with an MI. VF makes the patient feel faint, then loses
consciousness and becomes pulseless and apneic (BP and heart sounds
absent). Treatment is to terminate VF and covert it into a rhythm via
defibrillation-> call a rapid and initiate CPR. Cardioversion is used for
ventricular or supraventricular tachydysrhythmias.
A nurse developing a plan of care for a client with a spinal cord injury
includes measures to prevent autonomic dysreflexia (hyperreflexia).
Which intervention does the nurse incorporate into the plan to prevent
this complication?
a. Keeping the fan running in the client's room
b. Keeping the linens wrinkle free under the client
c. Limiting bladder catheterization to once every 12 hours
d. Avoiding the administration of enemas and rectal suppositories -
ANS... -B
The most frequent cause of autonomic dysreflexias are a distended
bladder and impacted feces. Other causes include stimulation of the skin
by tactile, thermal, or painful stimuli. The nurse renders care in such a
way as to minimize these risks.
A nurse provides home care instructions to a client who has been fitted
with a halo device to treat a cervical fracture. Which statement by the
client indicates the need for further teaching?
a. I need to get more fluids and fiber into my diet
QUESTIONS AND VERIFIED ANSWERS LATEST DOCUMENT
100% PASS WITH MULTIPLE SOLUTIONS
A man calls the clinic and tells the nurse that he sustained a bee sting on
his leg while working in his yard. The client states that he is not allergic
to bees and wants to know how to treat the sting. The nurse tells the
client to first take which action?
a. Place a cool compress on the sting site
b. Apply an antipruritic lotion to the sting site
c. Apply a topical corticosteroid to the sting site
d. Take an oral antihistamine such as diphenhydramine (Benadryl) -
ANS... -A
A nurse is assigned to conduct an admission assessment of a client who
was treated in the emergency department after attempting suicide by
cutting her wrists with a razor blade. When the client arrives at the
nursing unit, the nurse should take which action first?
a. Ask the client to sign a no-harm contract
b. Ask the client to report any suicidal thoughts immediately
c. Place the client under suicide precautions with 15-minute checks
d. Check the dressings that were placed over the client's wrists in the
emergency department - ANS... -D
First assess the physical state of the patient for safety then implement
precautions.
A nurse is preparing to administer digoxin to a client with heart failure.
When assessing the client, the nurse notes an apical pulse rate of 58
beats/min. Also, the client complains of anorexia and nausea. Which
action should the nurse take first on the basis of these assessment
findings?
a. Contact the primary health care provider
b. Administer an as-needed antiemetic
,c. Check the most recent digoxin level
d. Administer the digoxin with an antacid - ANS... -C
A nurse is assessing a client who has undergone radical neck dissection
for the treatment of cancer. The nurse hears stridor when auscultating
over the trachea. On the basis of this finding, which is the priority
nursing action?
a. Assess the client's pulse oximetry Incorrect
b. Place the client in a supine position
c. Contact the primary health care provider
d. Administer a nebulizer treatment with the use of a bronchodilator -
ANS... -C
Stridor indication there is an obstruction and the HCP should be notified
immediately. The patient should be placed in high Fowlers and pulse
oximetry can be completed by is not the priority.
A nurse is assigned to care for a client with chronic renal failure who is
undergoing hemodialysis through an internal AV fistula in the RA.
Which intervention should the nurse implement in caring for the client?
SATA
a. Assessing the radial pulse in the right extremity
b. Using the LA ti take BP readings
c. Drawing pre-dialysis blood specimens from the LA
d. Assessing the area over the AV fistula for a bruit and three each shift
e. Placing a pressure dressing over the site after each dialysis treatment
f. Administering IV fluids through the venous site of the AV fistula as
needed - ANS... -A, B, C, D
A nurse is evaluating outcomes for a client with Guillain-Barre
syndrome. Which outcome does the nurse recognize as optimal
respiratory outcomes for the client?
a. Normal deep tendon reflexes
b. Improved skeletal muscle tone
c. Absences of paresthesias in the lower extremities
d. Clear sound in the lower lung fields bilaterally
, e. pO2 of 85 mmHg and pCO2 of 40 mmHg - ANS... -D, E
A nurse of the telemetry unit is caring for a client who has had a MI and
is now attached to a cardiac monitor. The nurse is monitoring the client's
cardiac rhythm and nots ventricular fibrillation. Which nursing
intervention should the nurse take first?
a. Calling the rapid response team
b. Preparing the client for cardioversion
c. Asking the client to bear down and cough
d. Preparing to administer diltiazem - ANS... -A
The pattern of ventricular fibrillation is identified and can be a result
after a patient with an MI. VF makes the patient feel faint, then loses
consciousness and becomes pulseless and apneic (BP and heart sounds
absent). Treatment is to terminate VF and covert it into a rhythm via
defibrillation-> call a rapid and initiate CPR. Cardioversion is used for
ventricular or supraventricular tachydysrhythmias.
A nurse developing a plan of care for a client with a spinal cord injury
includes measures to prevent autonomic dysreflexia (hyperreflexia).
Which intervention does the nurse incorporate into the plan to prevent
this complication?
a. Keeping the fan running in the client's room
b. Keeping the linens wrinkle free under the client
c. Limiting bladder catheterization to once every 12 hours
d. Avoiding the administration of enemas and rectal suppositories -
ANS... -B
The most frequent cause of autonomic dysreflexias are a distended
bladder and impacted feces. Other causes include stimulation of the skin
by tactile, thermal, or painful stimuli. The nurse renders care in such a
way as to minimize these risks.
A nurse provides home care instructions to a client who has been fitted
with a halo device to treat a cervical fracture. Which statement by the
client indicates the need for further teaching?
a. I need to get more fluids and fiber into my diet
