NCLEX NEW GENERATION. QUESTIONS AND ANSWERS LATEST UPDATE TOP RANKED., Exams of Nursing

Download NCLEX NEW GENERATION. QUESTIONS AND ANSWERS LATEST UPDATE TOP RANKED. and more Exams Nursing in PDF only on Docsity! NCLEX NEW GENERATION. QUESTIONS AND ANSWERS LATEST UPDATE TOP RANKED All Answers are correct. All the Best! New NGN Question Formats: Matrix multiple-choice Matrix multiple-response Multiple-response: Select all that apply Multiple-response: Select N Multiple-response: Grouping Drag-and-drop: Cloze Drag-and-drop: Rationale Drop-down: Cloze Drop-down: Rationale Drop-down: Table Highlight: Text Highlight: Table Bow-tie Trend The New Gen Nclex has 150 questions but only 135 questions are scored. Matrix multiple-choice: Question: A nurse is caring for a patient with diabetes. Which of the following actions should the nurse take when administering insulin? Select all that apply. A. Verify the correct dose with another nurse. B. Administer insulin via intramuscular injection. C. Monitor the patient's blood glucose level. D. Check the expiration date of the insulin. 1. Answer: A, C, D. Matrix multiple-response: Question: A nurse is caring for a patient with hypertension. Which of the following lifestyle modifications should the nurse recommend to the patient? Select all that apply. A. Limit sodium intake. B. Increase physical activity. C. Reduce caffeine intake. D. Avoid alcohol consumption. 2. Answer: A, B, C, D. Multiple-response: Select all that apply: Question: A nurse is assessing a patient who is receiving chemotherapy. Which of the following symptoms should the nurse report to the healthcare provider? Select all that apply. A. Nausea and vomiting. B. Fatigue and weakness. C. Hair loss. D. Dry mouth and difficulty swallowing. 3. Answer: A, B, C. Multiple-response: Select N: Question: A nurse is caring for a patient with a history of heart failure. The patient's weight has increased by 5 pounds over the past week. Which of the following actions should the nurse take? Select 2. A. Increase the patient's diuretic dose. B. Restrict the patient's sodium intake. C. Increase the patient's fluid intake. D. Administer oxygen therapy. 4. Answer: A, B. Multiple-response: Grouping: Question: A nurse is caring for a patient who has just undergone surgery. Which of the following interventions should the nurse take to prevent complications? Group 1: Respiratory interventions. Group 2: Circulatory interventions. Group 1: A. Administer oxygen therapy. Answer: Ampicillin and anticonvulsants can interact with oral contraceptives and decrease their effectiveness by increasing metabolism. Rifampin can also increase metabolism, while cimetidine can increase blood levels of oral contraceptives. Highlight: Text: Question: A nurse is caring for a patient with a history of asthma. Which of the following medications should the nurse administer first in the event of an acute asthma attack? Answer Choices: A. Albuterol (Proventil) B. Fluticasone (Flovent) C. Montelukast (Singulair) 11.D. Prednisone (Deltasone) Answer: A. Albuterol is a short-acting beta agonist that is used as a rescue medication to relieve acute bronchospasm in asthma. It works quickly to open up the airways and improve breathing. Fluticasone and montelukast are long-acting medications that are used for maintenance therapy to prevent asthma symptoms. Prednisone is a systemic corticosteroid that can be used for acute exacerbations but is not typically the first-line treatment. Highlight: Table: Medication Interaction Rifampin Increases metabolism of oral contraceptives Ampicillin Decreases effectiveness of oral contraceptives Anticonvulsants Increases metabolism of oral contraceptives Cimetidine Increases blood levels of oral contraceptives Question: A nurse is caring for a patient with heart failure. The patient is prescribed multiple medications to manage their symptoms. Which of the following medications can cause hyperkalemia as a potential adverse effect? Highlight all that apply. Answer: Spironolactone can cause hyperkalemia by blocking the aldosterone receptor and increasing potassium retention. Furosemide can cause hypokalemia by increasing the excretion of potassium in the urine. Lisinopril can cause hypotension by blocking the renin- angiotensin-aldosterone Bow-tie: Question: A nurse is caring for a patient with a history of chronic obstructive pulmonary disease (COPD). Which of the following interventions should the nurse prioritize to prevent exacerbations of COPD? 13.Answer: Cause: Risk factors for COPD exacerbations Prevention: Interventions to reduce the risk of exacerbations Cause: Air pollution 12. Answer Choices: Medication Adverse Effect Spironolactone (Aldactone) Hyperkalemia Furosemide (Lasix) Hypokalemia Lisinopril (Prinivil) Hypotension Carvedilol (Coreg) Bradycardia Respiratory infections Allergies Weather changes Inadequate treatment or medication adherence Prevention: Encourage patient to avoid triggers Promote hand hygiene and infection prevention Ensure patient is adherent to medication regimen Teach patient about signs and symptoms of exacerbations and when to seek medical attention Monitor patient's lung function and oxygen saturation levels Encourage smoking cessation if applicable Answer: The nurse should prioritize interventions to reduce the risk of COPD exacerbations, including encouraging the patient to avoid triggers such as air pollution, promoting hand hygiene and infection prevention, ensuring medication adherence, teaching the patient about signs and symptoms of exacerbations, monitoring lung function and oxygen saturation levels, and encouraging smoking cessation if applicable. Matrix multiple-choice: Question: A nurse is caring for a patient who has been prescribed warfarin (Coumadin) for anticoagulation. Which of the following medications or supplements can interact with warfarin and increase the risk of bleeding? 14.Answer Choices: Vitamin K Aspirin Ibuprofen Garlic Increases risk of bleeding No Yes Yes Yes Decreases effectiveness of warfarin Yes No No No Chronic pain can significantly impact a person's quality of life, but there are many self-care strategies that can help manage symptoms. One strategy is to _________________________________. Another is to _________________________________. Engaging in _________________________________ can also be helpful for managing pain. In addition, following a _______________________________ and getting ______________________________ can support overall health and well-being. Answer: Chronic pain can significantly impact a person's quality of life, but there are many self-care strategies that can help manage symptoms. One strategy is to practice relaxation techniques. Another is to use heat or cold therapy. Engaging in low-impact exercise can also be helpful for managing pain. In addition, following a healthy diet and getting adequate sleep can support overall health and well-being. Drop-down: Table Question: A nurse is caring for a patient with a prescription for digoxin. Which of the following laboratory values should the nurse monitor closely for potential toxicity? Select the appropriate value from the drop-down menus. | Lab value | Normal range | Critical value | | --- | --- | --- | | Serum potassium | 3.5 - 5.0 mEq/L | ____________ | | Serum sodium | 135 - 145 mEq/L | ____________ | | Serum magnesium | 1.5 - 2.5 mEq/L | ____________ | 19.| Serum digoxin | 0.5 - 2.0 ng/mL | ____________ | Answer: Highlight: Text Question: A nurse is assessing a patient with suspected meningitis. Which of the following signs and symptoms are commonly associated with this condition? Highlight all that apply. 20.Answer Choices: ● Fever ● Headache ● Neck stiffness ● Abdominal pain ● Rash Answer: The signs and symptoms commonly associated with meningitis include fever, headache, neck stiffness, and, in some cases, a rash. Abdominal pain is not typically associated with meningitis. Highlight: Table Question: A nurse is caring for a patient with a prescription for warfarin. Which of the following medications or supplements can increase the risk of bleeding when taken with warfarin? Highlight all that apply. | Medication or supplement | Effect on warfarin | | --- | --- | | Aspirin | ___________ | | Nonsteroidal anti-inflammatory drugs (NSAIDs) | ___________ | | Vitamin K supplements | ___________ | Lab value Normal range Critical value Serum potassium 3.5 - 5.0 mEq/L <3.0 or >5.0 mEq/L Serum sodium 135 - 145 mEq/L <130 or >150 mEq/L Serum magnesium 1.5 - 2.5 mEq/L <1.0 or >4.0 mEq/L Serum digoxin 0.5 - 2.0 ng 21.| Antibiotics | ___________ | Bow-tie Question: A nurse is caring for a patient with heart failure. Using the bow-tie format, identify the potential complications of heart failure on the left side and the potential interventions on the right side. 22.Complications: ● Pulmonary edema ● Cardiogenic shock ● Arrhythmias ● Renal failure Interventions: Answer: Medication or supplement Effect on warfarin Aspirin Increases risk of bleeding Nonsteroidal anti-inflammatory drugs (NSAIDs) Increases risk of bleeding Vitamin K supplements Decreases effectiveness of warfarin Antibiotics May increase or decrease effectiveness of warfarin, depending on the antibiotic ● Blood pressure: Increases slightly from admission to Day 3 Matrix Multiple-Choice Question: A nurse is providing care for a patient with diabetes who is receiving insulin therapy. Match the insulin type with its onset, peak, and duration. Insulin Types: A. Regular insulin B. NPH insulin C. Lispro insulin 24.D. Glargine insulin Onset: 1. 15 minutes 2. 1-2 hours 3. 1-2.5 hours 4. 4-6 hours Peak: A. 2-4 hours B. 4-12 hours C. 6-8 hours D. No peak Duration: I. 3-6 hours II. 8-12 hours III. 12-24 hours IV. 24 hours or longerAnswer Choices: A. A-3, B-A, C-1, D-4 B. A-1, B-C, C-2, D-III continue C. A-2, B-IV, C-B, D-D D. A-1, B-IV, C-C, D-III Answer: C. A-2, B-IV, C-B, D-D ● Regular insulin has an onset of 15 minutes, a peak of 2-4 hours, and a duration of 3-6 hours. ● NPH insulin has an onset of 1-2 hours, no distinct peak, and a duration of 1224 hours. ● Lispro insulin has an onset of 15-30 minutes, a peak of 30-90 minutes, and a duration of 3-6 hours. ● Glargine insulin has an onset of 1-2 hours, no distinct peak, and a duration of 24 hours or longer. Matrix Multiple-Response Question: A nurse is caring for a patient with pneumonia. Match the medications with their indications and nursing considerations. Medications: A. Acetaminophen B. Azithromycin C. Albuterol 25.D. Ceftriaxone Indications: 1. Fever reduction 2. Bronchodilation 3. Antibiotic therapy Nursing Considerations: I. Monitor for signs of anaphylaxis II. Administer on an empty stomachIII. Monitor liver function tests IV. Encourage fluid intake Answer Choices: A. A-1, B-3, C-2, D-3 B. A-1, B-3, C-1, D-3 C. A-2, B-2, C-1, D-3 D. A-1, B-3, C-2, D-3, D-I, D-III, D-IV Answer: D. A-1, B-3, C-2, D-3, D-I, D-III, D-IV ● Acetaminophen is indicated for fever reduction and nursing considerations include encouraging fluid intake. ● Azithromycin is indicated for antibiotic therapy and nursing considerations include monitoring liver function tests and encouraging fluid intake. ● Albuterol is indicated for bronchodilation and nursing considerations include administering on an empty stomach. ● Ceftriaxone is indicated for antibiotic therapy and nursing considerations include monitoring for signs of anaphylaxis, monitoring liver function tests, and encouraging fluid intake. Multiple-Response: Select all that apply Question: A nurse is caring for a patient with heart failure. Which of the following are symptoms of acute decompensated heart failure? Select all that apply. A. Bradycardia B. Tachycardia C. Dyspnea D. Hypertension E. Hypotension 26.F. Fatigue Answer Choices: A. B, C, E B. A, C, D C. B, C, F D. B, E, F Answer: A. B, C, E ● Acute decompensated heart failure is a sudden worsening of heart failure symptoms and can lead to serious complications. ● Bradycardia is not typically associated with acute decompensated heart failure, while tachycardia is a common symptom. ● Dyspnea, or shortness of breath, is a hallmark symptom of acute decompensated heart failure. 31.Breathe out completely. 32.Put the mouthpiece in your mouth and close your lips tightly around it. 33.Press down on the inhaler once to release the medication while breathing in slowly and deeply. 34.Hold your breath for at least 10 seconds. 35.Remove the inhaler from your mouth and breathe out slowly through your mouth. Answer Choices: (Arrange the steps in the correct order by dragging and dropping them) Answer: 1. Shake the inhaler well before use. 2. Breathe out completely. 3. Put the mouthpiece in your mouth and close your lips tightly around it. 4. Press down on the inhaler once to release the medication while breathing in slowly and deeply. 5. Hold your breath for at least 10 seconds. 6. Remove the inhaler from your mouth and breathe out slowly through your mouth. ● Proper inhaler technique is important for effective medication delivery in patients with COPD. ● Steps 1-6 should be performed in the order listed for optimal results. Drop-down: Table 30.Question: A nurse is caring for a patient with hypothyroidism who is taking levothyroxine. Which of the following medications or supplements may interact with levothyroxine and reduce its effectiveness? Choose the medication or supplement from the drop-down menu that corresponds to each interaction listed in the table. Medication or Supplement Interaction Antacids Decreased absorption Iron supplements Decreased absorption Answer Choices: (Arrange the interactions by choosing the corresponding medication or supplement from the drop-down menu) Calcium supplements Decreased absorption Estrogen Increased metabolism Phenytoin Increased metabolism Rifampin Increased metabolism Interaction Medication or Supplement Decreased absorption Decreased absorption Decreased absorption Increased metabolism Increased metabolism ● Levothyroxine is a medication used to treat hypothyroidism and requires careful monitoring for drug interactions. ● Antacids, iron supplements, and calcium supplements can decrease the absorption of levothyroxine, reducing its effectiveness. ● Estrogen, phenytoin, and rifampin can increase the metabolism of levothyroxine, also reducing its effectiveness. Highlight: Text Increased metabolism Answer: Interaction Medication or Supplement Decreased absorption Antacids Decreased absorption Iron supplements Decreased absorption Calcium supplements Increased metabolism Estrogen Increased metabolism Phenytoin Increased metabolism Rifampin ● Furosemide is a loop diuretic used to treat heart failure by reducing fluid retention. ● Loop diuretics such as furosemide can cause electrolyte imbalances, particularly hypokalemia, which can have serious consequences if left untreated. ● Hypokalemia is a condition in which the potassium level in the blood is lower than normal and can cause muscle weakness, cramping, and arrhythmias in patients with heart failure. Bow-tie 33.Question: A nurse is caring for a patient who is at risk for falls. Identify the risk factors and prevention measures for falls in the bow-tie diagram below. (Hint: The center of the bow-tie should be "Risk factors for falls" and the two "wings" should be "Prevention measures for falls" and "Consequences of falls.") [Insert bow-tie diagram with risk factors, prevention measures, and consequences labeled] Answer: (Insert bow-tie diagram with the following labeled) Center of bow-tie: Risk factors for falls Left wing of bow-tie: Prevention measures for falls Answer: Electrolyte Normal Range Sodium Potassium Hypokalemia Magnesium Calcium ● Exercise ● Adequate lighting ● Safe footwear ● Remove tripping hazards ● Use assistive devices as needed ● Medication management Right wing of bow-tie: Consequences of falls ● Fractures ● Head injuries ● Fear of falling ● Decreased quality of life ● Falls are a common problem in older adults and can result in serious injuries and complications. ● Risk factors for falls include a history of falls, impaired balance and mobility, chronic health conditions, and medication use. ● Prevention measures for falls include exercise to improve strength and balance, removing tripping hazards in the home, ensuring adequate lighting, wearing safe footwear, and using assistive devices as needed. ● Consequences of falls can include fractures, head injuries, fear of falling, and decreased quality of life. Trend 34.Question: A nurse is caring for a patient who has been diagnosed with sepsis. Use the trend graph below to identify the appropriate interventions for managing sepsis at each stage of the condition. (Hint: The x-axis should be time and the y-axis should be the patient's condition or vital signs. The graph should show the following stages: early sepsis, severe sepsis, and septic shock.) [Insert trend graph with appropriate interventions labeled at each stage] Answer: (Insert trend graph with the following interventions labeled) Early Sepsis: ● Administer antibiotics and fluids ● Monitor vital signs and urine output ● Obtain blood cultures ● Identify and treat source of infection Severe Sepsis: ● Administer vasopressors to maintain blood pressure ● Consider corticosteroids ● Monitor arterial and central venous pressure ● Provide mechanical ventilation as needed Septic Shock: ● Administer higher doses of vasopressors ● Consider mechanical circulatory support ● Monitor for signs of organ dysfunction ● Consider renal replacement therapy ● Sepsis is a potentially life-threatening condition caused by an infection. This document has a total of 150 Questions for Next Gen Nclex 2023 Exam.