Exam (elaborations)
NCLEX NGN PRE-TEST QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
NCLEX NGN PRE-TEST QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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NCLEX-RN
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NCLEX-RN
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NCLEX NGN PRE-TEST QUESTIONS
AND ANSWERS WITH SOLUTIONS 2024
AJnurseJisJassignedJtoJcareJforJaJclientJwithJchronicJrenalJfailureJwhoJisJundergoingJhemodialysisJthroughJanJi
nternalJAVJfistulaJinJtheJRA.JWhichJinterventionJshouldJtheJnurseJimplementJinJcaringJforJtheJclient?JSATA
a.JAssessingJtheJradialJpulseJinJtheJrightJextremity
b.JUsingJtheJLAJtiJtakeJBPJreadings
c.JDrawingJpre-dialysisJbloodJspecimensJfromJtheJLA
d.JAssessingJtheJareaJoverJtheJAVJfistulaJforJaJbruitJandJthreeJeachJshift
e.JPlacingJaJpressureJdressingJoverJtheJsiteJafterJeachJdialysisJtreatment
f.JAdministeringJIVJfluidsJthroughJtheJvenousJsiteJofJtheJAVJfistulaJasJneededJ-JANSWERJA,JB,JC,JD
AJnurseJisJevaluatingJoutcomesJforJaJclientJwithJGuillain-
BarreJsyndrome.JWhichJoutcomeJdoesJtheJnurseJrecognizeJasJoptimalJrespiratoryJoutcomesJforJtheJclient?
a.JNormalJdeepJtendonJreflexes
b.JImprovedJskeletalJmuscleJtone
c.JAbsencesJofJparesthesiasJinJtheJlowerJextremities
d.JClearJsoundJinJtheJlowerJlungJfieldsJbilaterally
e.JpO2JofJ85JmmHgJandJpCO2JofJ40JmmHgJ-JANSWERJD,JE
AJnurseJofJtheJtelemetryJunitJisJcaringJforJaJclientJwhoJhasJhadJaJMIJandJisJnowJattachedJtoJaJcardiacJmonitor.J
TheJnurseJisJmonitoringJtheJclient'sJcardiacJrhythmJandJnotsJventricularJfibrillation.JWhichJnursingJintervent
ionJshouldJtheJnurseJtakeJfirst?
a.JCallingJtheJrapidJresponseJteam
b.JPreparingJtheJclientJforJcardioversion
c.JAskingJtheJclientJtoJbearJdownJandJcough
d.JPreparingJtoJadministerJdiltiazemJ-JANSWERJA
TheJpatternJofJventricularJfibrillationJisJidentifiedJandJcanJbeJaJresultJafterJaJpatientJwithJanJMI.JVFJmakesJthe
JpatientJfeelJfaint,JthenJlosesJconsciousnessJandJbecomesJpulselessJandJapneicJ(BPJandJheartJsoundsJabsent
).JTreatmentJisJtoJterminateJVFJandJcovertJitJintoJaJrhythmJviaJdefibrillation-
>JcallJaJrapidJandJinitiateJCPR.JCardioversionJisJusedJforJventricularJorJsupraventricularJtachydysrhythmias.
,AJnurseJdevelopingJaJplanJofJcareJforJaJclientJwithJaJspinalJcordJinjuryJincludesJmeasuresJtoJpreventJautonom
icJdysreflexiaJ(hyperreflexia).JWhichJinterventionJdoesJtheJnurseJincorporateJintoJtheJplanJtoJpreventJthisJco
mplication?
a.JKeepingJtheJfanJrunningJinJtheJclient'sJroom
b.JKeepingJtheJlinensJwrinkleJfreeJunderJtheJclient
c.JLimitingJbladderJcatheterizationJtoJonceJeveryJ12Jhours
d.JAvoidingJtheJadministrationJofJenemasJandJrectalJsuppositoriesJ-JANSWERJB
TheJmostJfrequentJcauseJofJautonomicJdysreflexiasJareJaJdistendedJbladderJandJimpactedJfeces.JOtherJcaus
esJincludeJstimulationJofJtheJskinJbyJtactile,Jthermal,JorJpainfulJstimuli.JTheJnurseJrendersJcareJinJsuchJaJwayJ
asJtoJminimizeJtheseJrisks.
AJnurseJprovidesJhomeJcareJinstructionsJtoJaJclientJwhoJhasJbeenJfittedJwithJaJhaloJdeviceJtoJtreatJaJcervicalJf
racture.JWhichJstatementJbyJtheJclientJindicatesJtheJneedJforJfurtherJteaching?
a.JIJneedJtoJgetJmoreJfluidsJandJfiberJintoJmyJdiet
b.JIJshouldJcutJmyJfoodJintoJsmallJpiecesJbeforeJIJeat
c.JIJneedJtoJputJpowderJunderJtheJvestJtwiceJaJdayJtoJpreventJsweating
d.JIJhaveJtoJcheckJtheJpinJsitesJeverydayJandJwatchJforJsignsJofJinfectionJ-JANSWERJC
CleanseJtheJskinJunderJtheJwoolJlinerJeachJdayJtoJpreventJrashesJandJsoars.
AJnurseJisJcaringJforJaJclientJwithJincreasedJintracranialJpressure.JInJwhichJpositionJshouldJtheJnurseJmaintai
nJtheJclient?
a.JSupineJwithJtheJheadJextended
b.JSideJlyingJwithJtheJneckJflexed
c.JSupineJwithJtheJheadJturnedJtoJtheJside
d.JHeadJmidlineJandJelevatedJ30-45JdegreesJ-JANSWERJD
ProperJpositioningJpromotesJvenousJdrainageJfromJtheJcraniumJtoJminimizeJICP.
AJclientJwithJaJbasilarJskullJfractureJhasJclearJfluidJleakingJfromJtheJears.JTheJnurseJshouldJtakeJwhichJactionJf
irst?
a.JAssesJtheJclearJfluidJforJprotein
b.JCheckJtheJclearJfluidJforJglucose
, c.JPlaceJcottonJcallsJorJdryJgauzeJlooselyJinJtheJears
d.JUseJanJotoscopeJtoJassessJtheJtympanicJmembraneJforJruptureJ-JANSWERJB
CSFJcontainsJglucoseJnotJprotein.
AJnurseJisJcaringJforJaJclientJwhoJhasJjustJundergoneJcardioversion.JWhichJinterventionJisJtheJnurse'sJpriority
JafterJthisJprocedure.J
a.JAdministerJoxygen
b.JMonitoringJtheJBP
c.JAdministeringJantidysrhythmicJmedications
d.JMonitoringJtheJclient'sJLOCJ-JANSWERJA
ABC'sJofJnursing.JAllJotherJchoicesJareJcorrect,JbutJnotJpriority.
AJclientJwithJdiabetesJmellitusJwhoJisJscheduledJtoJhaveJbloodJdrawnJforJdeterminationJofJtheJglycosylatedJ
hemoglobinJ(HbA1c)JlevelJasksJtheJnurseJwhyJtheJtestJisJnecessaryJifJheJisJperformingJbloodJglucoseJmonitor
ingJatJhome.JWhichJisJtheJbestJresponseJforJtheJnurseJtoJprovide?
a.JDetectJdiabeticJcomplications
b.JAssessJlong-termJglycemicJcontrol
c.JDetermineJwhetherJtheJclientJisJatJriskJforJhypoglycemia
dJDetermineJwhetherJtheJprescribedJinsulinJdosageJisJcorrectJ-JANSWERJB
AJnurseJcaringJforJaJclientJwithJacquiredJimmunodeficiencyJsyndromeJisJmonitoringJtheJclientJforJsignsJofJco
mplications.JWhichJofJtheJfollowingJwouldJcauseJtheJnurseJtoJsuspectJinfectionJwithJPneumocystisJjirovec?J
SATA
a.JDiarrhea
b.JTachypnea
c.JPedalJedema
d.JIntermittentJfever
e.JDyspneaJwithJambulating
f.JExpectorationJofJfrothyJmucusJ-JANSWERJB,JD,JE
AJopportunisticJrespiratoryJinfectionJassociatedJwithJAIDsJthatJcausesJdyspnea,JnonproductiveJcough,Jinter
mittentJfever,Jfatigue,Janorexia,Jtachypnea,Jwt.Jloss.