NCLEX NGN Pre-Test Questions
Study online at https://quizlet.com/_cm8qtd
A nurse is assigned to care for a client
with chronic renal failure who is under-
going 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 A, B, C, D
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 ve-
nous site of the AV fistula as needed
A nurse is evaluating outcomes for
a client with Guillain-Barre syndrome.
Which outcome does the nurse recog-
nize as optimal respiratory outcomes for
the client?
a. Normal deep tendon reflexes
b. Improved skeletal muscle tone D, E
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
A nurse of the telemetry unit is caring A
for a client who has had a MI and is The pattern of ventricular fibrillation is
now attached to a cardiac monitor. The identified and can be a result after a pa-
nurse is monitoring the client's cardiac tient with an MI. VF makes the patient
rhythm and nots ventricular fibrillation. feel faint, then loses consciousness and
Which nursing intervention should the becomes pulseless and apneic (BP and
nurse take first? heart sounds absent). Treatment is to ter-
a. Calling the rapid response team minate VF and covert it into a rhythm
, NCLEX NGN Pre-Test Questions
Study online at https://quizlet.com/_cm8qtd
b. Preparing the client for cardioversion via defibrillation-> call a rapid and initiate
c. Asking the client to bear down and CPR. Cardioversion is used for ventric-
cough ular or supraventricular tachydysrhyth-
d. Preparing to administer diltiazem mias.
A nurse developing a plan of care for a
client with a spinal cord injury includes
measures to prevent autonomic dysre-
flexia (hyperreflexia). Which intervention
B
does the nurse incorporate into the plan
The most frequent cause of autonomic
to prevent this complication?
dysreflexias are a distended bladder and
a. Keeping the fan running in the client's
impacted feces. Other causes include
room
stimulation of the skin by tactile, thermal,
b. Keeping the linens wrinkle free under
or painful stimuli. The nurse renders care
the client
in such a way as to minimize these risks.
c. Limiting bladder catheterization to
once every 12 hours
d. Avoiding the administration of enemas
and rectal suppositories
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 C
my diet Cleanse the skin under the wool liner
b. I should cut my food into small pieces each day to prevent rashes and soars.
before I eat
c. I need to put powder under the vest
twice a day to prevent sweating
d. I have to check the pin sites everyday
and watch for signs of infection
A nurse is caring for a client with in-
creased intracranial pressure. In which
D
position should the nurse maintain the
Proper positioning promotes venous
client?
drainage from the cranium to minimize
a. Supine with the head extended
ICP.
b. Side lying with the neck flexed
c. Supine with the head turned to the side
, NCLEX NGN Pre-Test Questions
Study online at https://quizlet.com/_cm8qtd
d. Head midline and elevated 30-45 de-
grees
A client with a basilar skull fracture has
clear fluid leaking from the ears. The
nurse should take which action first?
a. Asses the clear fluid for protein
B
b. Check the clear fluid for glucose
CSF contains glucose not protein.
c. Place cotton calls or dry gauze loosely
in the ears
d. Use an otoscope to assess the tym-
panic membrane for rupture
A nurse is caring for a client who has
just undergone cardioversion. Which in-
tervention is the nurse's priority after this
procedure. A
a. Administer oxygen ABC's of nursing. All other choices are
b. Monitoring the BP correct, but not priority.
c. Administering antidysrhythmic med-
ications
d. Monitoring the client's LOC
A client with diabetes mellitus who is
scheduled to have blood drawn for deter-
mination of the glycosylated hemoglobin
(HbA1c) level asks the nurse why the test
is necessary if he is performing blood
glucose monitoring at home. Which is the
best response for the nurse to provide? B
a. Detect diabetic complications
b. Assess long-term glycemic control
c. Determine whether the client is at risk
for hypoglycemia
d Determine whether the prescribed in-
sulin dosage is correct
A nurse caring for a client with acquired
immunodeficiency syndrome is monitor-
ing the client for signs of complications.
Which of the following would cause the
nurse to suspect infection with Pneumo-
Study online at https://quizlet.com/_cm8qtd
A nurse is assigned to care for a client
with chronic renal failure who is under-
going 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 A, B, C, D
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 ve-
nous site of the AV fistula as needed
A nurse is evaluating outcomes for
a client with Guillain-Barre syndrome.
Which outcome does the nurse recog-
nize as optimal respiratory outcomes for
the client?
a. Normal deep tendon reflexes
b. Improved skeletal muscle tone D, E
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
A nurse of the telemetry unit is caring A
for a client who has had a MI and is The pattern of ventricular fibrillation is
now attached to a cardiac monitor. The identified and can be a result after a pa-
nurse is monitoring the client's cardiac tient with an MI. VF makes the patient
rhythm and nots ventricular fibrillation. feel faint, then loses consciousness and
Which nursing intervention should the becomes pulseless and apneic (BP and
nurse take first? heart sounds absent). Treatment is to ter-
a. Calling the rapid response team minate VF and covert it into a rhythm
, NCLEX NGN Pre-Test Questions
Study online at https://quizlet.com/_cm8qtd
b. Preparing the client for cardioversion via defibrillation-> call a rapid and initiate
c. Asking the client to bear down and CPR. Cardioversion is used for ventric-
cough ular or supraventricular tachydysrhyth-
d. Preparing to administer diltiazem mias.
A nurse developing a plan of care for a
client with a spinal cord injury includes
measures to prevent autonomic dysre-
flexia (hyperreflexia). Which intervention
B
does the nurse incorporate into the plan
The most frequent cause of autonomic
to prevent this complication?
dysreflexias are a distended bladder and
a. Keeping the fan running in the client's
impacted feces. Other causes include
room
stimulation of the skin by tactile, thermal,
b. Keeping the linens wrinkle free under
or painful stimuli. The nurse renders care
the client
in such a way as to minimize these risks.
c. Limiting bladder catheterization to
once every 12 hours
d. Avoiding the administration of enemas
and rectal suppositories
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 C
my diet Cleanse the skin under the wool liner
b. I should cut my food into small pieces each day to prevent rashes and soars.
before I eat
c. I need to put powder under the vest
twice a day to prevent sweating
d. I have to check the pin sites everyday
and watch for signs of infection
A nurse is caring for a client with in-
creased intracranial pressure. In which
D
position should the nurse maintain the
Proper positioning promotes venous
client?
drainage from the cranium to minimize
a. Supine with the head extended
ICP.
b. Side lying with the neck flexed
c. Supine with the head turned to the side
, NCLEX NGN Pre-Test Questions
Study online at https://quizlet.com/_cm8qtd
d. Head midline and elevated 30-45 de-
grees
A client with a basilar skull fracture has
clear fluid leaking from the ears. The
nurse should take which action first?
a. Asses the clear fluid for protein
B
b. Check the clear fluid for glucose
CSF contains glucose not protein.
c. Place cotton calls or dry gauze loosely
in the ears
d. Use an otoscope to assess the tym-
panic membrane for rupture
A nurse is caring for a client who has
just undergone cardioversion. Which in-
tervention is the nurse's priority after this
procedure. A
a. Administer oxygen ABC's of nursing. All other choices are
b. Monitoring the BP correct, but not priority.
c. Administering antidysrhythmic med-
ications
d. Monitoring the client's LOC
A client with diabetes mellitus who is
scheduled to have blood drawn for deter-
mination of the glycosylated hemoglobin
(HbA1c) level asks the nurse why the test
is necessary if he is performing blood
glucose monitoring at home. Which is the
best response for the nurse to provide? B
a. Detect diabetic complications
b. Assess long-term glycemic control
c. Determine whether the client is at risk
for hypoglycemia
d Determine whether the prescribed in-
sulin dosage is correct
A nurse caring for a client with acquired
immunodeficiency syndrome is monitor-
ing the client for signs of complications.
Which of the following would cause the
nurse to suspect infection with Pneumo-
