NCLEX NGN Pre-Test Practice – Sharpen Your Exam
Readiness
d. Clear sound
in the lower
lung fields
bilaterally
e. pO2 of 85
mmHg and
pCO2 of 40
1. A nurse is assigned to care for a client with
mmHg
chron- ic renal failure who is undergoing
hemodialysis through an internal AV fistula 3. A nurse of the
in the RA. Which intervention should the telemetry unit
nurse implement in caring for the client? is caring for a
SATA client
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
2. 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
extremi- ties
1/
57
, NCLEX NGN Pre-Test Practice – Sharpen Your Exam
Readiness
A, B, C, D
D, E
A
who has had a MI and is now attached to a cardiac The pattern of
ventricular fibril-
monitor. The nurse is monitoring the client's car- lation is identified
and can be a
diac rhythm and nots ventricular fibrillation. Which result after a patient
with an MI.
nursing intervention should the nurse take first? VF makes the
patient feel faint,
2/
57
, NCLEX NGN Pre-Test Practice – Sharpen Your Exam
Readiness
a. Calling the rapid response team then loses consciousness
b. Preparing the client for cardioversion and becomes pulseless and
c. Asking the client to bear down and cough apneic (BP and heart
d. Preparing to administer diltiazem sounds absent). Treatment
is to terminate VF and covert
it into a rhythm via defib-
rillation-> call a rapid and
initi- ate CPR. Cardioversion
is used for ventricular or
supraventricu- lar
4. A nurse developing a plan of care for a
tachydysrhythmias.
client with a spinal cord injury includes
measures to prevent B
The most frequent cause of
au-
autonomic dysreflexia (hyperreflexia). Which inter- tonomic dysreflexias
are a dis-
vention does the nurse incorporate into the plan to tended bladder
and impact-
prevent this complication? ed feces. Other causes
a. Keeping the fan running in the client's include stimulation of the
room skin by tactile, thermal, or
b. Keeping the linens wrinkle free under the painful stimuli. The
client
c.Limiting bladder catheterization to once every 12 nurse renders care in
such a way
hours to minimize these risks.
d. Avoiding the administration of enemas and
rec- tal suppositories
5. A nurse provides home care instructions to a client C
who has been fitted with a halo device to a cervical
treat fracture. Which
3/
57
, NCLEX NGN Pre-Test Practice – Sharpen Your Exam
Readiness
statement by the client indicates the needCleanse the skin under the wool
for further teaching? liner each day to prevent
a. I need to get more fluids and fiber into rashes and soars.
my diet
b. I should cut my food into small pieces
before I eat
c. I need to put powder under the vest
twice a day to prevent sweating
4/
57
Readiness
d. Clear sound
in the lower
lung fields
bilaterally
e. pO2 of 85
mmHg and
pCO2 of 40
1. A nurse is assigned to care for a client with
mmHg
chron- ic renal failure who is undergoing
hemodialysis through an internal AV fistula 3. A nurse of the
in the RA. Which intervention should the telemetry unit
nurse implement in caring for the client? is caring for a
SATA client
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
2. 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
extremi- ties
1/
57
, NCLEX NGN Pre-Test Practice – Sharpen Your Exam
Readiness
A, B, C, D
D, E
A
who has had a MI and is now attached to a cardiac The pattern of
ventricular fibril-
monitor. The nurse is monitoring the client's car- lation is identified
and can be a
diac rhythm and nots ventricular fibrillation. Which result after a patient
with an MI.
nursing intervention should the nurse take first? VF makes the
patient feel faint,
2/
57
, NCLEX NGN Pre-Test Practice – Sharpen Your Exam
Readiness
a. Calling the rapid response team then loses consciousness
b. Preparing the client for cardioversion and becomes pulseless and
c. Asking the client to bear down and cough apneic (BP and heart
d. Preparing to administer diltiazem sounds absent). Treatment
is to terminate VF and covert
it into a rhythm via defib-
rillation-> call a rapid and
initi- ate CPR. Cardioversion
is used for ventricular or
supraventricu- lar
4. A nurse developing a plan of care for a
tachydysrhythmias.
client with a spinal cord injury includes
measures to prevent B
The most frequent cause of
au-
autonomic dysreflexia (hyperreflexia). Which inter- tonomic dysreflexias
are a dis-
vention does the nurse incorporate into the plan to tended bladder
and impact-
prevent this complication? ed feces. Other causes
a. Keeping the fan running in the client's include stimulation of the
room skin by tactile, thermal, or
b. Keeping the linens wrinkle free under the painful stimuli. The
client
c.Limiting bladder catheterization to once every 12 nurse renders care in
such a way
hours to minimize these risks.
d. Avoiding the administration of enemas and
rec- tal suppositories
5. A nurse provides home care instructions to a client C
who has been fitted with a halo device to a cervical
treat fracture. Which
3/
57
, NCLEX NGN Pre-Test Practice – Sharpen Your Exam
Readiness
statement by the client indicates the needCleanse the skin under the wool
for further teaching? liner each day to prevent
a. I need to get more fluids and fiber into rashes and soars.
my diet
b. I should cut my food into small pieces
before I eat
c. I need to put powder under the vest
twice a day to prevent sweating
4/
57
