NCLEX NGN Pre-Test Questions | Actual Exam Questions And Correct Answers
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Terms in this set (73)
A nurse is assigned to care for A, B, C, D
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
A nurse is evaluating D, E
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
,A nurse of the telemetry unit A
is caring for a client who has The pattern of ventricular fibrillation is identified and can be
had a MI and is now a result after a patient with an MI. VF makes the patient feel
attached to a cardiac monitor. faint, then loses consciousness and becomes pulseless and
The nurse is monitoring the apneic (BP and heart sounds absent). Treatment is to
client's cardiac rhythm and terminate VF and covert it into a rhythm via defibrillation->
nots ventricular fibrillation. call a rapid and initiate CPR. Cardioversion is used for
Which nursing intervention ventricular or supraventricular tachydysrhythmias.
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
A nurse developing a plan B
of care for a client with a The most frequent cause of autonomic dysreflexias are a
spinal cord injury includes distended bladder and impacted feces. Other causes
measures to prevent include stimulation of the skin by tactile, thermal, or painful
autonomic dysreflexia stimuli. The nurse renders care in such a way as to minimize
(hyperreflexia). Which these risks.
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
A nurse provides home care C
instructions to a client who Cleanse the skin under the wool liner each day to prevent rashes and
has been fitted with a halo soars.
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
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
d. I have to check the pin
sites everyday and watch
for signs of infection
A nurse is caring for a client D
with increased intracranial Proper positioning promotes venous drainage from the cranium to
pressure. In which position minimize ICP.
should the nurse maintain
the client?
a. Supine with the head extended
b. Side lying with the neck flexed
c. Supine with the head turned to
the side
d. Head midline and
elevated 30-45 degrees
(Already Graded A+) | Latest Version 2025 | Professor Verified
Terms in this set (73)
A nurse is assigned to care for A, B, C, D
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
A nurse is evaluating D, E
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
,A nurse of the telemetry unit A
is caring for a client who has The pattern of ventricular fibrillation is identified and can be
had a MI and is now a result after a patient with an MI. VF makes the patient feel
attached to a cardiac monitor. faint, then loses consciousness and becomes pulseless and
The nurse is monitoring the apneic (BP and heart sounds absent). Treatment is to
client's cardiac rhythm and terminate VF and covert it into a rhythm via defibrillation->
nots ventricular fibrillation. call a rapid and initiate CPR. Cardioversion is used for
Which nursing intervention ventricular or supraventricular tachydysrhythmias.
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
A nurse developing a plan B
of care for a client with a The most frequent cause of autonomic dysreflexias are a
spinal cord injury includes distended bladder and impacted feces. Other causes
measures to prevent include stimulation of the skin by tactile, thermal, or painful
autonomic dysreflexia stimuli. The nurse renders care in such a way as to minimize
(hyperreflexia). Which these risks.
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
A nurse provides home care C
instructions to a client who Cleanse the skin under the wool liner each day to prevent rashes and
has been fitted with a halo soars.
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
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
d. I have to check the pin
sites everyday and watch
for signs of infection
A nurse is caring for a client D
with increased intracranial Proper positioning promotes venous drainage from the cranium to
pressure. In which position minimize ICP.
should the nurse maintain
the client?
a. Supine with the head extended
b. Side lying with the neck flexed
c. Supine with the head turned to
the side
d. Head midline and
elevated 30-45 degrees
