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NCLEX NGN EXAM- PRE-TEST QUESTIONS & VERIFIED ANSWERS 2024/2025 |RATED A+
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NCLEX NGN EXAM: PRE-TESTQUESTIONS & VERIFIED
ANSWERS 2024/2025 |RATED A+
A nurse is assigned to care for a client with chronic renal failure who
is undergoing hemodialysis through an internal AV fistula in the RA.
Which interven;on should the nurse implement in caring for the
client? SATA
a. Assessing the radial pulse in the right extremity
b. Using the LA ; 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
shiI
e. Placing a pressure dressing over the site aIer each dialysis
treatment
f. Administering IV fluids through the venous site of the AV fistula as
needed
A, B, C, D
A nurse is evalua;ng outcomes for a client with Guillain-Barre
syndrome. Which outcome does the nurse recognize as op;mal
respiratory outcomes for the client?
A. Normal deep tendon reflexes
b. Improved skeletal muscle tone
,c. Absences of paresthesias in the lower extremi;es
d. Clear sound in the lower lung fields bilaterally
e. Po2 of 85 mmhg and pco2 of 40 mmhg
D, E
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A nurse of the telemetry unit is caring for a client who has had a MI
and is now aXached to a cardiac monitor. The nurse is monitoring the
client's cardiac rhythm and nots ventricular fibrilla;on. Which
nursing interven;on 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 dil;azem
A
The paXern of ventricular fibrilla;on is iden;fied and can be a result
aIer a pa;ent with an MI. VF makes the pa;ent feel faint, then loses
consciousness and becomes pulseless and apneic (BP and heart
sounds absent). Treatment is to terminate VF and covert it into a
rhythm via defibrilla;on-> call a rapid and ini;ate CPR. Cardioversion
is used for ventricular or supraventricular tachydysrhythmias.
A nurse developing a plan of care for a client with a spinal cord injury
includes measures to prevent autonomic dysreflexia (hyperreflexia).
,Which interven;on does the nurse incorporate into the plan to
prevent this complica;on?
A. Keeping the fan running in the client's room
b. Keeping the linens wrinkle free under the client
c. Limi;ng bladder catheteriza;on to once every 12 hours
d. Avoiding the administra;on of enemas and rectal suppositories
B
The most frequent cause of autonomic dysreflexias are a distended
bladder and impacted feces. Other causes include s;mula;on of the
skin by tac;le, thermal, or painful s;muli. The nurse renders care in
such a way as to minimize these risks.
A nurse provides home care instruc;ons to a client who has been
fiXed 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 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
swea;ng
d. I have to check the pin sites everyday and watch for signs of
infec;on
C
Cleanse the skin under the wool liner each day to prevent rashes and
soars.
, A nurse is caring for a client with increased intracranial pressure. In
which posi;on 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
D
Proper posi;oning promotes venous drainage from the cranium to
minimize ICP.
A client with a basilar skull fracture has clear fluid leaking from the
ears. The nurse should take which ac;on first?
A. Asses the clear fluid for protein
b. Check the clear fluid for glucose
c. Place coXon calls or dry gauze loosely in the ears
d. Use an otoscope to assess the tympanic membrane for rupture
B
CSF contains glucose not protein.
A nurse is caring for a client who has just undergone cardioversion.
Which interven;on is the nurse's priority aIer this procedure.
A. Administer oxygen
b. Monitoring the BP
c. Administering an;dysrhythmic medica;ons
d. Monitoring the client's LOC
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