NCLEX NGN RN ACTUAL EXAM LATEST MAY 2023
TEST BANK 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES AGRADE
You are caring for a patient who complains of sexual dysfunction. The patient was
admitted for alcohol dependence. What education should you provide this patient on
sexual dysfunction and alcohol abuse?
a. Alcohol abuse increases desire and performance ability.
b. Alcohol abuse leads to headaches and too-tired syndrome.
c. Alcohol abuse leads to hyperarousal and premature ejaculation.
d. Alcohol abuse decreases desire and ability to perform. - ANSWER>>a. Alcohol
abuse increases desire and performance ability.
Your patient stopped drinking abruptly and now complains of feeling wired and being on
pins and needles. What should your next intervention be?
a. Monitor the patient for other symptoms.
b. Determine the time of last drink, and assess the patient for other signs and symptoms
of withdrawal.
c. Assess the patient for all current substance use patterns, including time of last usage
and withdrawal.
d. Notify the physician to get an order for stimulate medication. - ANSWER>>c. Assess
the patient for all current substance use patterns, including time of last usage and
withdrawal.
You have delegated care of a patient in restraints to a nursing assistant. How often
should the nursing assistant inspect skin integrity for this patient?
a. Every 30 minutes
b. Every 2 hours
c. Every 3 hours
d. Every 4 hours - ANSWER>>a. Every 30 minutes
You are working in the emergency department and find out that a tornado has hit the
local area. Numerous casualties are being sent to the emergency department. What
action should you take at this time?
a. Prepare the triage room.
b. Obtain additional supplies.
c. Activate the agency disaster plan.
d. Call in additional staff. - ANSWER>>c. Activate the agency disaster plan.
,You receive an order for 1000 mL of normal saline over 12 hours. The drop factor is 15
drops per 1 mL. You prepare to set the flow rate at how many drops per minute?
a. 15 drops a minute
b. 17 drops a minute
c. 21 drops a minute
d. 23 drops a minute - ANSWER>>c. 21 drops a minute
You are preparing to administer an intravenous dose of 400,000 units of penicillin G
benzathine (Bicillin). The 10 mL ampule label reads penicillin G benzathine 300,000
units per mL. You prepare to administer how much of the medication?
a. 1.3 ml
b. 1.5 ml
c. 10 ml
d. 13 ml - ANSWER>>a. 1.3 ml
You are preparing to give potassium chloride 30 mEq in 1000 ml of normal saline over
10 hours. The medication label reads 40 mEq per 20 mL. How many milliliters of
potassium chloride do you need to administer the correct dose?
a. 10 ml
b. 15 ml
c. 20 ml
d. 50 ml - ANSWER>>b. 15 ml
You enter a patients room and find the patient not breathing, no pulse, and
unresponsive. You have called for help. What is the next step?
a. Bag mask ventilations
b. Chest compressions
c. Oxygen
d. Open airway - ANSWER>>b. Chest compressions
The correct hand placement for chest compressions is the:
a. Lower third of sternum
b. Upper half of the sternum
c. Upper third of the sternum
d. Lower half of the sternum - ANSWER>>d. Lower half of the sternum
What is the proper technique for opening the airway on a trauma patient?
a. Head tilt-chin lift
b. Flexed position
c. Modified head tilt-chin lift
,d. Jaw thrust maneuver - ANSWER>>d. Jaw thrust maneuver
The most appropriate place to check the pulse on a 1-month-old infant is:
a. Brachial
b. Carotid
c. Popliteal
d. Radial - ANSWER>>a. Brachial
You are encouraging your postoperative patient to cough and take deep breaths. The
patient questions why it is so important to do this. Your response would include the
understanding that retaining pulmonary secretions can lead to:
a. Fluid imbalance
b. Carbon dioxide retention
c. Pulmonary edema
d.Pneumonia - ANSWER>>d.Pneumonia
Which of the following would you want to include in an education session to the staff on
HIV and AIDS?
a. Newborn infants of HIV positive mothers usually test positive
b. The hematological system is usually attacked by HIV.
c. With AIDS, T4 cells cannot form protective antibodies due to depleted B cells.
d. T lymphocytes are destroyed because the virus attacks the immune system. -
ANSWER>>d. T lymphocytes are destroyed because the virus attacks the immune
system.
You are conducting a teaching session for mothers at a local school on rubeola
(measles). Which of the following would you not want to include in this education?
a. Profuse runny nose, coughing and fever occur before the rash develops.
b. The child may develop small, blue-white spots with a red base in the mouth
c. Ears usually develop a rash first, which then spreads toward the feet.
d. The communicable period usually ranges from 10 to 15 days after the rash appears. -
ANSWER>>d. The communicable period usually ranges from 10 to 15 days after the
rash appears.
, The communicable period for Rubeola (measles) is 4 to 5 days after the rash appears.
The incubation period is 10-15 days. The blue-white spots found in the mouth during
Rubeola are called Koplik's spots.
You are providing a teaching session to a group of patients regarding skin cancer.
Which of the following statements would you not want to include in this education?
a. Wear sunscreen when engaged in outdoor activities.
b. The body should be examined monthly for any lesions that appear suspicious.
c. A hat, opaque clothing, and sunglasses should be worn when in the sun.
d. Avoid sun exposure after 3pm. - ANSWER>>d. Avoid sun exposure after 3pm.
you should avoid the sun from 11am-3pm
You are teaching a group of mothers how to apply permethrin (Elimite, Nix) for
pediculosis capitus. Which of the following would be the correct application technique?
a.Apply at bedtime and wash out in the morning
b. Apply before washing hair
c. Apply to hair avoiding scalp
d. Apply to hair for 10 mins and then rinse - ANSWER>>d. Apply to hair for 10 mins and
then rinse
You are preparing a teaching session on tuberculosis. What is one of the first symptoms
that the group might notice in someone who has tuberculosis?
a.Bloody, productive cough
b. Cough with mucoid sputum
c. Chest pain
d. Dyspnea - ANSWER>>b. Cough with mucoid sputum
The older patient that you have been assigned to is having difficulty distinguishing
between hot and cold temperatures. Alteration of what gland activity would lead to this
problem?
a. Parotid
b. Thymus
c. Pineal
d. Sweat - ANSWER>>d. Sweat
TEST BANK 200 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES AGRADE
You are caring for a patient who complains of sexual dysfunction. The patient was
admitted for alcohol dependence. What education should you provide this patient on
sexual dysfunction and alcohol abuse?
a. Alcohol abuse increases desire and performance ability.
b. Alcohol abuse leads to headaches and too-tired syndrome.
c. Alcohol abuse leads to hyperarousal and premature ejaculation.
d. Alcohol abuse decreases desire and ability to perform. - ANSWER>>a. Alcohol
abuse increases desire and performance ability.
Your patient stopped drinking abruptly and now complains of feeling wired and being on
pins and needles. What should your next intervention be?
a. Monitor the patient for other symptoms.
b. Determine the time of last drink, and assess the patient for other signs and symptoms
of withdrawal.
c. Assess the patient for all current substance use patterns, including time of last usage
and withdrawal.
d. Notify the physician to get an order for stimulate medication. - ANSWER>>c. Assess
the patient for all current substance use patterns, including time of last usage and
withdrawal.
You have delegated care of a patient in restraints to a nursing assistant. How often
should the nursing assistant inspect skin integrity for this patient?
a. Every 30 minutes
b. Every 2 hours
c. Every 3 hours
d. Every 4 hours - ANSWER>>a. Every 30 minutes
You are working in the emergency department and find out that a tornado has hit the
local area. Numerous casualties are being sent to the emergency department. What
action should you take at this time?
a. Prepare the triage room.
b. Obtain additional supplies.
c. Activate the agency disaster plan.
d. Call in additional staff. - ANSWER>>c. Activate the agency disaster plan.
,You receive an order for 1000 mL of normal saline over 12 hours. The drop factor is 15
drops per 1 mL. You prepare to set the flow rate at how many drops per minute?
a. 15 drops a minute
b. 17 drops a minute
c. 21 drops a minute
d. 23 drops a minute - ANSWER>>c. 21 drops a minute
You are preparing to administer an intravenous dose of 400,000 units of penicillin G
benzathine (Bicillin). The 10 mL ampule label reads penicillin G benzathine 300,000
units per mL. You prepare to administer how much of the medication?
a. 1.3 ml
b. 1.5 ml
c. 10 ml
d. 13 ml - ANSWER>>a. 1.3 ml
You are preparing to give potassium chloride 30 mEq in 1000 ml of normal saline over
10 hours. The medication label reads 40 mEq per 20 mL. How many milliliters of
potassium chloride do you need to administer the correct dose?
a. 10 ml
b. 15 ml
c. 20 ml
d. 50 ml - ANSWER>>b. 15 ml
You enter a patients room and find the patient not breathing, no pulse, and
unresponsive. You have called for help. What is the next step?
a. Bag mask ventilations
b. Chest compressions
c. Oxygen
d. Open airway - ANSWER>>b. Chest compressions
The correct hand placement for chest compressions is the:
a. Lower third of sternum
b. Upper half of the sternum
c. Upper third of the sternum
d. Lower half of the sternum - ANSWER>>d. Lower half of the sternum
What is the proper technique for opening the airway on a trauma patient?
a. Head tilt-chin lift
b. Flexed position
c. Modified head tilt-chin lift
,d. Jaw thrust maneuver - ANSWER>>d. Jaw thrust maneuver
The most appropriate place to check the pulse on a 1-month-old infant is:
a. Brachial
b. Carotid
c. Popliteal
d. Radial - ANSWER>>a. Brachial
You are encouraging your postoperative patient to cough and take deep breaths. The
patient questions why it is so important to do this. Your response would include the
understanding that retaining pulmonary secretions can lead to:
a. Fluid imbalance
b. Carbon dioxide retention
c. Pulmonary edema
d.Pneumonia - ANSWER>>d.Pneumonia
Which of the following would you want to include in an education session to the staff on
HIV and AIDS?
a. Newborn infants of HIV positive mothers usually test positive
b. The hematological system is usually attacked by HIV.
c. With AIDS, T4 cells cannot form protective antibodies due to depleted B cells.
d. T lymphocytes are destroyed because the virus attacks the immune system. -
ANSWER>>d. T lymphocytes are destroyed because the virus attacks the immune
system.
You are conducting a teaching session for mothers at a local school on rubeola
(measles). Which of the following would you not want to include in this education?
a. Profuse runny nose, coughing and fever occur before the rash develops.
b. The child may develop small, blue-white spots with a red base in the mouth
c. Ears usually develop a rash first, which then spreads toward the feet.
d. The communicable period usually ranges from 10 to 15 days after the rash appears. -
ANSWER>>d. The communicable period usually ranges from 10 to 15 days after the
rash appears.
, The communicable period for Rubeola (measles) is 4 to 5 days after the rash appears.
The incubation period is 10-15 days. The blue-white spots found in the mouth during
Rubeola are called Koplik's spots.
You are providing a teaching session to a group of patients regarding skin cancer.
Which of the following statements would you not want to include in this education?
a. Wear sunscreen when engaged in outdoor activities.
b. The body should be examined monthly for any lesions that appear suspicious.
c. A hat, opaque clothing, and sunglasses should be worn when in the sun.
d. Avoid sun exposure after 3pm. - ANSWER>>d. Avoid sun exposure after 3pm.
you should avoid the sun from 11am-3pm
You are teaching a group of mothers how to apply permethrin (Elimite, Nix) for
pediculosis capitus. Which of the following would be the correct application technique?
a.Apply at bedtime and wash out in the morning
b. Apply before washing hair
c. Apply to hair avoiding scalp
d. Apply to hair for 10 mins and then rinse - ANSWER>>d. Apply to hair for 10 mins and
then rinse
You are preparing a teaching session on tuberculosis. What is one of the first symptoms
that the group might notice in someone who has tuberculosis?
a.Bloody, productive cough
b. Cough with mucoid sputum
c. Chest pain
d. Dyspnea - ANSWER>>b. Cough with mucoid sputum
The older patient that you have been assigned to is having difficulty distinguishing
between hot and cold temperatures. Alteration of what gland activity would lead to this
problem?
a. Parotid
b. Thymus
c. Pineal
d. Sweat - ANSWER>>d. Sweat
