NCLEX NEW GENERATION. QUESTIONS AND ANSWERS LATEST UPDATED 2024 TOP RANKED FOR GRADE A+,, Exams of Nursing

Download NCLEX NEW GENERATION. QUESTIONS AND ANSWERS LATEST UPDATED 2024 TOP RANKED FOR GRADE A+, and more Exams Nursing in PDF only on Docsity! NCLEX NEW GENERATION. QUESTIONS AND ANSWERS LATEST UPDATED 2024 TOP RANKED FOR GRADE A+,, P a g e 1 | 30 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. NCLEX NEW GENERATION. QUESTIONS AND ANSWERS LATEST UPDATED 2024 TOP RANKED FOR GRADE A+,, P a g e 2 | 30 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. NCLEX NEW GENERATION. QUESTIONS AND ANSWERS LATEST UPDATED 2024 TOP RANKED FOR GRADE A+,, P a g e 5 | 30 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. NCLEX NEW GENERATION. QUESTIONS AND ANSWERS LATEST UPDATED 2024 TOP RANKED FOR GRADE A+,, P a g e 6 | 30 Highlight: Table: 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: NCLEX NEW GENERATION. QUESTIONS AND ANSWERS LATEST UPDATED 2024 TOP RANKED FOR GRADE A+,, P a g e 7 | 30 Interventions to reduce the risk of exacerbations Cause: Air pollution 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: NCLEX NEW GENERATION. QUESTIONS AND ANSWERS LATEST UPDATED 2024 TOP RANKED FOR GRADE A+,, P a g e 10 | 30 ● Neuropathy ● Retinopathy ● Nephropathy Group 2: ● Hypoglycemia ● Hyperglycemia ● Ketoacidosis Answer: Long-term complications of uncontrolled diabetes include neuropathy, retinopathy, and nephropathy. Hypoglycemia, hyperglycemia, and ketoacidosis are acute complications of diabetes and do not typically have long-term effects if treated promptly. Drag-and-drop: Cloze Question: A nurse is teaching a patient about self-care strategies to manage their chronic pain. Drag and drop the strategies from the right column to the appropriate blank spaces in the paragraph. 18.Strategies: ● Practice relaxation techniques ● Use heat or cold therapy ● Engage in low-impact exercise ● Follow a healthy diet ● Get adequate sleep Paragraph: 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: NCLEX NEW GENERATION. QUESTIONS AND ANSWERS LATEST UPDATED 2024 TOP RANKED FOR GRADE A+,, P a g e 11 | 30 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. NCLEX NEW GENERATION. QUESTIONS AND ANSWERS LATEST UPDATED 2024 TOP RANKED FOR GRADE A+,, P a g e 12 | 30 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 | ___________ | 21.| Antibiotics | ___________ | NCLEX NEW GENERATION. QUESTIONS AND ANSWERS LATEST UPDATED 2024 TOP RANKED FOR GRADE A+,, P a g e 15 | 30 23.| Day 3 | 101.2 F | 112 bpm | 28 bpm | 150/92 mmHg | Patient A: ● Temperature: Increases from admission to Day 3 ● Heart rate: Increases from admission to Day 3 ● Respiratory rate: Increases from admission to Day 3 ● Blood pressure: Increases from admission to Day 3 Patient B: ● Temperature: Decreases slightly from admission to Day 3 ● Heart rate: Increases slightly from admission to Day 3 ● Respiratory rate: Increases slightly from admission to Day 3 ● Blood pressure: Increases slightly from admission to Day 3 NCLEX NEW GENERATION. QUESTIONS AND ANSWERS LATEST UPDATED 2024 TOP RANKED FOR GRADE A+,, P a g e 16 | 30 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 NCLEX NEW GENERATION. QUESTIONS AND ANSWERS LATEST UPDATED 2024 TOP RANKED FOR GRADE A+,, P a g e 17 | 30 B. A-1, B-C, C-2, D-III 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: NCLEX NEW GENERATION. QUESTIONS AND ANSWERS LATEST UPDATED 2024 TOP RANKED FOR GRADE A+,, P a g e 20 | 30 ● Increasing protein intake is not a recommended lifestyle modification for diabetes management. Multiple-Response: Grouping Question: A nurse is teaching a patient about medications used to treat hypertension. Place the following medications into their appropriate drug classes. Medications: A. Lisinopril B. Atenolol C. Hydrochlorothiazide D. Losartan E. Amlodipine 28.F. Spironolactone Drug Classes: I. Angiotensin-converting enzyme (ACE) inhibitors II. Calcium channel blockers III. Thiazide diuretics IV. Beta blockers V. Angiotensin II receptor blockers (ARBs) VI. Potassium-sparing diuretics Answer Choices: A. A-II, B-IV, C-III, D-V, E-II, F-VI B. A-I, B-IV, C-III, D-V, E-II, F-VI C. A-I, B-IV, C-III, D-V, E-II, F-III D. A-I, B-IV, C-III, D-V, E-II, F-I Answer: B. A-I, B-IV, C-III, D-V, E-II, F-VI ● Lisinopril is an ACE inhibitor. ● Aten olol is a beta blocker. NCLEX NEW GENERATION. QUESTIONS AND ANSWERS LATEST UPDATED 2024 TOP RANKED FOR GRADE A+,, P a g e 21 | 30 ● Hydrochlorothiazide is a thiazide diuretic. ● Losartan is an ARB. ● Amlodipine is a calcium channel blocker. ● Spironolactone is a potassium-sparing diuretic. Drag-and-Drop: Cloze 29.Question: A nurse is caring for a patient with chronic obstructive pulmonary disease (COPD). Place the following steps of proper inhaler technique in the correct order. 30.Shake the inhaler well before use. 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 NCLEX NEW GENERATION. QUESTIONS AND ANSWERS LATEST UPDATED 2024 TOP RANKED FOR GRADE A+,, P a g e 22 | 30 reduce its effectiveness? Choose the medication or supplement from the drop-down menu that corresponds to each interaction listed in the table. Answer Choices: (Arrange the interactions by choosing the corresponding medication or supplement from the drop-down menu) NCLEX NEW GENERATION. QUESTIONS AND ANSWERS LATEST UPDATED 2024 TOP RANKED FOR GRADE A+,, P a g e 25 | 30 understanding of the importance of maintaining a healthy lifestyle to manage their condition? Answer Choices: (Highlight the correct statement made by the patient) A. "I can eat whatever I want now that I'm on medication to control my blood sugar." B. "I don't need to exercise because my medication will keep my blood sugar under control." C. "I should try to eat a balanced diet and stay physically active to manage my diabetes." D. "I don't need to worry about my weight now that I'm taking medication for my diabetes." Answer: C. "I should try to eat a balanced diet and stay physically active to manage my diabetes." ● Maintaining a healthy lifestyle is an important part of managing type 2 diabetes. ● A balanced diet and regular physical activity can help control blood sugar levels and prevent complications. ● Patients with diabetes should avoid unhealthy foods and aim for a diet that is high in fiber, low in fat and sugar, and includes plenty of fruits and vegetables. Highlight: Table 32.Question: A nurse is reviewing the laboratory results of a patient with heart failure who is taking furosemide. Which of the following electrolyte imbalances is the patient at risk for developing as a result of this medication? Highlight the corresponding electrolyte imbalance in the table below. NCLEX NEW GENERATION. QUESTIONS AND ANSWERS LATEST UPDATED 2024 TOP RANKED FOR GRADE A+,, P a g e 26 | 30 Answer Choices: (Highlight the corresponding electrolyte imbalance in the table) NCLEX NEW GENERATION. QUESTIONS AND ANSWERS LATEST UPDATED 2024 TOP RANKED FOR GRADE A+,, P a g e 27 | 30