,NCLEX-RN and Next Generation
NCLEX (NGN) Questions and
Answers Section
1. A client gets mastitis postpartum. What is the physician
likely to instruct the nursing team in the patient’s care?
Select all that apply.
A. Give patient opioid analgesics
,B. Discontinue breastfeeding
C. Use antibiotics for a week
D. Continue breastfeeding despite the mastitis
E. Use hot and cold compresses for pain relief
F. All of the above
Answer: C, D, and E
Mastitis is a bacterial infection caused by
staphylococcus aureus directly from the infant. That
means the mother can continue breastfeeding
without any harm to the baby. Treatment is through
antibiotics, and analgesics can provide pain relief.
Also, using hot and cold compresses helps with pain.
2. You are required to insert a nasogastric tube into a
patient. Which is the correct position to place the patient for
placement?
A. Semi-Fowler’s position with the head in a neutral position
B. High Fowler’s position with the head in a neutral position
C. Semi-Fowler’s position with the head tilted back
D. High Fowler’s position with the head tilted forward
E. High Fowler’s position with the head tilted back
Answer: D
For proper placement of the nasogastric tube, tilt the
patient’s head forward while they are in high
Fowler’s position to open the esophagus and close
the trachea. That way, the tube will go in correctly.
Observe the nasal passages for the one with the best
airflow and use it to insert the length of the tube.
Lubricate the end of the tube for ease of insertion.
3. An Alzheimer’s patient is admitted to the hospital, looking
disheveled, underweight, and dirty. The patient lives with
her daughter but appears afraid of the daughter. What
would you suspect as a nurse in this case? Select all that
apply
A. Caregiver neglect
B. Physical abuse
C. Psychological abuse
, D. Self-neglect
E. All of the above
Answer: A, B, and C
The patient is not receiving sufficient attention from
the caregiver (daughter), hence the weight loss.
Either she is not being fed enough, or there is no
supervision to ensure she eats. The patient’s fear
indicates threats may have been used by the
daughter to coerce the patient, or she has been
physically abused.
4. A patient has been inserted with a three-chamber
drainage system chest tube, but there is noticeable
continuous water bubbling in the water seal chamber. What
could be the likely problem?
A. The chamber has inadequate suction
B. There is an air leak in the drainage system
C. Pneumothorax
D. The chest tube has been positioned incorrectly
Answer: B
The constant bubbling signifies air is entering the
system, indicating an air leak. With pneumothorax,
the bubbling would have been intermittent. The
water in the water seal chamber should fluctuate; if
it doesn’t, it indicates inadequate suction. You should
see only gentle bubbling in the suction control
chamber.
5. A patient exhibits difficulty breathing, very thick
secretions, and increasingly noisy respiration. This is a
patient with a tracheostomy. What should you do first?
A. Inform the physician and wait for their arrival for a
physical check-up
B. Position the patient upright and ask them to breathe
deeply, then cough
C. Irrigate and suction the tracheostomy tube
D. Increase humidification and suction of the tracheostomy
tube
NCLEX (NGN) Questions and
Answers Section
1. A client gets mastitis postpartum. What is the physician
likely to instruct the nursing team in the patient’s care?
Select all that apply.
A. Give patient opioid analgesics
,B. Discontinue breastfeeding
C. Use antibiotics for a week
D. Continue breastfeeding despite the mastitis
E. Use hot and cold compresses for pain relief
F. All of the above
Answer: C, D, and E
Mastitis is a bacterial infection caused by
staphylococcus aureus directly from the infant. That
means the mother can continue breastfeeding
without any harm to the baby. Treatment is through
antibiotics, and analgesics can provide pain relief.
Also, using hot and cold compresses helps with pain.
2. You are required to insert a nasogastric tube into a
patient. Which is the correct position to place the patient for
placement?
A. Semi-Fowler’s position with the head in a neutral position
B. High Fowler’s position with the head in a neutral position
C. Semi-Fowler’s position with the head tilted back
D. High Fowler’s position with the head tilted forward
E. High Fowler’s position with the head tilted back
Answer: D
For proper placement of the nasogastric tube, tilt the
patient’s head forward while they are in high
Fowler’s position to open the esophagus and close
the trachea. That way, the tube will go in correctly.
Observe the nasal passages for the one with the best
airflow and use it to insert the length of the tube.
Lubricate the end of the tube for ease of insertion.
3. An Alzheimer’s patient is admitted to the hospital, looking
disheveled, underweight, and dirty. The patient lives with
her daughter but appears afraid of the daughter. What
would you suspect as a nurse in this case? Select all that
apply
A. Caregiver neglect
B. Physical abuse
C. Psychological abuse
, D. Self-neglect
E. All of the above
Answer: A, B, and C
The patient is not receiving sufficient attention from
the caregiver (daughter), hence the weight loss.
Either she is not being fed enough, or there is no
supervision to ensure she eats. The patient’s fear
indicates threats may have been used by the
daughter to coerce the patient, or she has been
physically abused.
4. A patient has been inserted with a three-chamber
drainage system chest tube, but there is noticeable
continuous water bubbling in the water seal chamber. What
could be the likely problem?
A. The chamber has inadequate suction
B. There is an air leak in the drainage system
C. Pneumothorax
D. The chest tube has been positioned incorrectly
Answer: B
The constant bubbling signifies air is entering the
system, indicating an air leak. With pneumothorax,
the bubbling would have been intermittent. The
water in the water seal chamber should fluctuate; if
it doesn’t, it indicates inadequate suction. You should
see only gentle bubbling in the suction control
chamber.
5. A patient exhibits difficulty breathing, very thick
secretions, and increasingly noisy respiration. This is a
patient with a tracheostomy. What should you do first?
A. Inform the physician and wait for their arrival for a
physical check-up
B. Position the patient upright and ask them to breathe
deeply, then cough
C. Irrigate and suction the tracheostomy tube
D. Increase humidification and suction of the tracheostomy
tube
