NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024, Exams of Nursing

Download NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 and more Exams Nursing in PDF only on Docsity! NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 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 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 - correct answers ✅A, B, C, D A nurse is evaluating 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 - correct answers ✅D, E NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 A nurse of the telemetry unit is caring for a client who has had a MI and is now attached to a cardiac monitor. The nurse is monitoring the client's cardiac rhythm and nots ventricular fibrillation. Which nursing intervention 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 - correct answers ✅A The pattern of ventricular fibrillation is identified and can be a result after a patient with an MI. VF makes the patient 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 defibrillation-> call a rapid and initiate 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 intervention does the nurse incorporate into the plan to prevent this complication? NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 A nurse is caring for a client who has just undergone cardioversion. Which intervention is the nurse's priority after this procedure. a. Administer oxygen b. Monitoring the BP c. Administering antidysrhythmic medications d. Monitoring the client's LOC - correct answers ✅A ABC's of nursing. All other choices are correct, but not priority. A client with diabetes mellitus who is scheduled to have blood drawn for determination of the glycosylated hemoglobin (HbA1c) level asks the nurse why the test is necessary if he is performing blood glucose monitoring at home. Which is the best response for the nurse to provide? a. Detect diabetic complications b. Assess long-term glycemic control c. Determine whether the client is at risk for hypoglycemia d Determine whether the prescribed insulin dosage is correct - correct answers ✅B NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 A nurse caring for a client with acquired immunodeficiency syndrome is monitoring the client for signs of complications. Which of the following would cause the nurse to suspect infection with Pneumocystis jirovec? SATA a. Diarrhea b. Tachypnea c. Pedal edema d. Intermittent fever e. Dyspnea with ambulating f. Expectoration of frothy mucus - correct answers ✅B, D, E A opportunistic respiratory infection associated with AIDs that causes dyspnea, nonproductive cough, intermittent fever, fatigue, anorexia, tachypnea, wt. loss. Zidovudine is prescribed for a client with AIDS. The nurse tells the client that it is important to report back to the clinic as scheduled for which follow-up diagnostic? a. Blood glucose checks b. Blood pressure checks c. Complete blood counts (CBC) NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 d. Electrocradiographic studies - correct answers ✅C Zidovudine is an antiviral medication that cause cause agranulocytosis and anemia. After a non-immunocompromised client undergoes a Mantoux test for TB infection, an area of induration 6 mm wide developed. The client asks the nurse what this result means. Which is the best response? a. We'll have to repeat the test because the result was inconclusive b. The swollen area is small, so that means your test result is negative c. You've been exposed to TB so you will need to have a chest x-ray d. You need to get started on medication right away because you have TB - correct answers ✅B Indurations less than 10 mm (non-immunocompromised) and 5 mm (immunocompromised) is considered a negative result after 48-72 hrs. Results greater indicate exposure and possible TB infection. Morse testing (x- ray) will be needed. A clients arterial blood gases are analyzed; pH 1.49, paO2 97 mmHg, HCO3- 22 mEq/L. Which acid base balance disturbance does the nurse identify from these results? NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 A complication of cranial surgery is meningitis. A man calls the clinic and tells the nurse that he sustained a bee sting on his leg while working in his yard. The client states that he is not allergic to bees and wants to know how to treat the sting. The nurse tells the client to first take which action? a. Place a cool compress on the sting site b. Apply an antipruritic lotion to the sting site c. Apply a topical corticosteroid to the sting site d. Take an oral antihistamine such as diphenhydramine (Benadryl) - correct answers ✅A A nurse is assigned to conduct an admission assessment of a client who was treated in the emergency department after attempting suicide by cutting her wrists with a razor blade. When the client arrives at the nursing unit, the nurse should take which action first? a. Ask the client to sign a no-harm contract b. Ask the client to report any suicidal thoughts immediately c. Place the client under suicide precautions with 15-minute checks NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 d. Check the dressings that were placed over the client's wrists in the emergency department - correct answers ✅D First assess the physical state of the patient for safety then implement precautions. A nurse is preparing to administer digoxin to a client with heart failure. When assessing the client, the nurse notes an apical pulse rate of 58 beats/min. Also, the client complains of anorexia and nausea. Which action should the nurse take first on the basis of these assessment findings? a. Contact the primary health care provider b. Administer an as-needed antiemetic c. Check the most recent digoxin level d. Administer the digoxin with an antacid - correct answers ✅C A nurse is assessing a client who has undergone radical neck dissection for the treatment of cancer. The nurse hears stridor when auscultating over the trachea. On the basis of this finding, which is the priority nursing action? a. Assess the client's pulse oximetry Incorrect b. Place the client in a supine position NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 c. Contact the primary health care provider d. Administer a nebulizer treatment with the use of a bronchodilator - correct answers ✅C Stridor indication there is an obstruction and the HCP should be notified immediately. The patient should be placed in high Fowlers and pulse oximetry can be completed by is not the priority. A nurse is caring for a hospitalized child with newly diagnosed type 1 diabetes mellitus who received NPH and regular humulin insulin at 7:30 a.m. At 11 a.m. the child suddenly complains of dizziness, headache, and a shaky feeling. The nurse immediately takes which action? a. Contacts the physician b. Gives the child milk to drink c. Arranges to have the child's lunch tray delivered early d. Prepares to administer intravenous 5% dextrose solution - correct answers ✅B A client with a diagnosis of preeclampsia suddenly begins to exhibit seizure activity. Which is the first action on the part of the nurse? a. Calling the physician NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 Wrapping the cord loosely in a sterile towel saturated with warm sterile normal saline solution - correct answers ✅A, C, D Oxygen should be administered at 8-10 L/min via face mask A nurse provides information to the mother of a child with diarrhea about signs and symptoms that indicate the need to call the primary health care provider. Which statement by the mother indicates the need for further instruction? "I'll call the doctor if she gets dizzy and acts sick." "I'll call the doctor if she has severe stomach cramps." "I'll call the doctor if her temperature is 102°F (38.9°C) or higher." "I'll call the physician if she goes longer than 6 hours without urinating." - correct answers ✅C Call doctor at temperature above 100. A nurse reviewing the medical history of an infant experiencing gastroesophageal reflux (GER) would expect to note documentation of which other issue? NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 Refusal to suck Frequent diarrhea Recurrent otitis media Inability to pass stools - correct answers ✅C Vomiting or spitting up after a meal, hiccupping, and recurrent otitis media resulting from pooling of secretions in the nasopharynx during sleep are characteristics of all types of GER. A nurse reviewing the record of a child with suspected acute poststreptococcal glomerulonephritis notes that the child recently had a streptococcal throat infection that was treated with antibiotics. Which diagnostic test will confirm the presence of acute poststreptococcal glomerulonephritis does the nurse expect to find? Throat culture Blood urea nitrogen (BUN) Antistreptolysin (ASO) titer White blood cell (WBC) count - correct answers ✅C NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 In caring for a child admitted to the hospital with Kawasaki disease, the nurse should monitor the child most closely for signs which complication? Anemia Renal failure Thrombus formation Gastrointestinal disturbances - correct answers ✅C Kawasaki disease, also called mucocutaneous lymph node syndrome, is an acute febrile exanthematous illness of children with a generalized vasculitis of unknown origin. A generalized immune response affects the smooth muscle cells of the vascular walls. These vascular changes, along with the increase in platelets that occurs as part of the disease, can cause thrombus formation, myocardial infarction, and death in some children. A nurse provides dietary instructions to the mother of a child with iron- deficiency anemia. The nurse realizes the mother understands the instructions if the mother states she will increase which food in the child's diet? Milk Cheese NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 Protective isolation - correct answers ✅B, C, D Smallpox is transmitted from person to person in infected aerosols and air droplets spread by way of face-to-face contact with an infected person after fever has begun, especially if the infected person is also coughing. The disease can also be transmitted in contaminated clothes and bedding, although the risk of infection from this source is much lower. Therefore droplet and contact precautions are necessary. Standard precautions are implemented for the care of all clients. Enteric precautions are implemented if the infectious agent is transmitted by way of contact with feces. Protective isolation is implemented when the client is neutropenic and needs to be protected from infection. A nurse is caring for a client in labor who is receiving an oxytocin infusion. The nurse notes that the client is experiencing uterine hypertonicity. The nurse should take which action immediately? Stop the oxytocin infusion Check the client's blood pressure Contact the primary health care provider Place the client in a side-lying position - correct answers ✅A NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 An emergency department nurse is caring for an older client who may have been physically abused by her caregiver. In planning care for the client, the nurse takes which priority action? Notifying the police department Obtaining psychiatric help for the caregiver Contacting adult protective services to investigate the situation Telling the caregiver that he or she is not allowed to care for the client - correct answers ✅C A nurse responds to an external disaster in a large city involving an explosion at a shopping mall. Numerous victims require treatment. Which victim will the nurse attend to first? A victim with multiple bruises who is alert and oriented A victim who has sustained multiple lacerations with minor bleeding A victim who is alert and wandering around yelling that he cannot see A victim with a crush injury to the abdomen who has no pulse or blood pressure - correct answers ✅C NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 The victim who must be treated immediately because of the threat to life, limb, or vision is categorized as emergent and is the priority. A nurse stops at the scene of an automobile accident. One of the victims is sitting in the driver's seat, complaining of severe muscle spasms in the neck area. The nurse must take which action first? Stabilize the neck area Firmly massage the neck area Assist the victim out of the automobile and lay the victim on the ground Tell the victim that the nurse is leaving to call an ambulance but will be right back - correct answers ✅A A nurse assesses the chest tube drainage system of a client who has undergone thoracic surgery and notes intermittent bubbling in the water seal chamber. One hour later, the nurse notes the presence of continuous bubbling in the chamber. On the basis of this finding, which would the nurse check first? The chest tube connection sites For bubbling in the suction-control chamber The amount of drainage in the collection chamber NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 The inability to remove a suction catheter is a critical situation. This finding, along with the client's symptoms presented in the question, indicates bronchospasm and bronchoconstriction. The nurse must immediately disconnect the suction source from the catheter but leave the catheter in the trachea. The nurse then connects the oxygen source to the catheter, because the client is at risk for hypoxia. A client with skeletal traction applied to the right leg complains of severe pain in the leg. The nurse realigns the client's position, but this intervention does not relieve the pain. Which action would the nurse take next? Providing pin care Calling the primary health care provider Removing some of the traction weights Medicating the client with the prescribed analgesic - correct answers ✅B The nurse realigns the client and, if this is ineffective, calls the primary health care provider. The nurse never removes traction weights unless this is specifically prescribed by the primary health care provider. Severe leg pain, once traction has been established, indicates a problem. The client should be medicated after an attempt has been made to identify and treat the cause of the pain. NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 A nurse is preparing client assignments for the day. Which assignments would be appropriate for a registered nurse who is pregnant? Select all that apply. A client with active herpes virus lesions in the perianal area A client who requires frequent abdominal wound irrigations A client with a solid sealed implanted radiation source who is restricted to bed rest A client with methicillin-resistant Staphylococcus aureus (MRSA) under contact precautions A client undergoing mechanical ventilation through a tracheostomy who requires frequent suctioning - correct answers ✅B, D, E A female client is examined in the clinic, and gonorrhea is diagnosed. The nurse provides information to the client about the disease and provides which information? Condoms will not help prevent transmission of the infection Healthcare providers are legally responsible for reporting all cases of gonorrhea to the health authorities It is not necessary for sexual partners to be examined, because the disease is not highly communicable NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 Treatment includes the administration of an antibiotic, but it is not necessary for sexual partners to be treated - correct answers ✅B A nurse on the day shift receives the client assignment for the day. In which order will the nurse assess the assigned clients? A client who was admitted during the night because of congestive heart failure A client who has been fitted with a closed chest tube drainage system A client with a nasogastric tube who underwent bowel resection 2 days ago A client on nothing-by-mouth (NPO) status who is scheduled for a barium enema at 10 a.m. - correct answers ✅A client who was admitted during the night because of congestive heart failure A client who has been fitted with a closed chest tube drainage system A client with a nasogastric tube who underwent bowel resection 2 days ago A client on nothing-by-mouth (NPO) status who is scheduled for a barium enema at 10 a.m. NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 "Antibiotics will be prescribed to prevent the infection." - correct answers ✅C MMR vaccines are contraindicated in pregnancy A nurse performing a fundal assessment after a vaginal birth notes that the fundus is above the umbilicus and displaced from the midline. What should the nurse do first? Massage the fundus Help the client void Document the findings Help the client ambulate - correct answers ✅B A distended bladder can cause the fundus to deviate from midline A contraction stress test is scheduled, and the nurse provides instructions to the client regarding the test. Which pieces of information should the nurse give to the client? Select all that apply. An internal fetal monitor is attached. The client will walk on a treadmill until contractions begin. A positive test result indicates a need for further evaluation. NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 Special body movements will be performed to stimulate contractions. The client may be asked to massage one or both nipples to stimulate uterine contractions. - correct answers ✅C, E he fetus is exposed to the stressor of contractions to assess the adequacy of placental perfusion under simulated labor conditions. An external fetal monitor is applied to the mother, and a 20- to 30-minute baseline strip is recorded. The uterus is stimulated to contract either with the administration of a dilute dose of oxytocin (Pitocin) or by having the mother stimulate the nipples until three palpable contractions with a duration of 40 seconds or more in a 10-minute period have been achieved. Frequent maternal blood pressure readings are taken, and the client is monitored closely if increasing doses of oxytocin are given. A positive contraction stress test result indicates that the fetus may be compromised and requires continued monitoring and further evaluation. A negative result indicates fetal well-being. A nurse provides information to a pregnant client about foods that are high in iron. Which food, suggested by the client after this discussion, indicates that the client requires further instruction? Spinach Tomatoes Lima beans NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 Whole-grain bread - correct answers ✅B A nurse is assessing a client during her first prenatal visit to the clinic. The nurse takes the client's temperature: 100.8°F (38.2°C). Which of the following actions on the part of the nurse is appropriate? Documenting the temperature Retaking the temperature rectally Notifying the primary health care provider Informing the client that a temperature of 100.8°F is normal during pregnancy - correct answers ✅C A client who is 8 weeks pregnant reads her electronic medical record via a patient portal. She contacts the clinic and asks the nurse to explain a "positive Hegar sign." Which is the best answer for the nurse to provide? "You are able to feel fetal movement." "A soft blowing sound can be heard with a stethoscope." "The lower part of your uterus is softer than when you are not pregnant." "You are experiencing irregular painless contractions during the pregnancy." - correct answers ✅C NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 Sleep with an extra pillow under the head and shoulders - correct answers ✅D A nurse provides instructions to a pregnant woman about foods that contain calcium. The nurse realizes the client understands instructions if the client selects which products? Select all that apply. Cheese Yogurt Spinach Sardines Shellfish - correct answers ✅A, B, D A child who is HIV-positive is scheduled to receive a mumps, measles, and rubella (MMR) vaccine. The laboratory results show the CD4+ as 1000 cells/mm3. Which nursing action is appropriate? Administering the vaccine Contacting the primary health care provider Asking the laboratory to repeat the CD4+ test NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 Informing the child's mother that the vaccine must not be administered at this time - correct answers ✅A The normal CD4+ count is 500 to 1600 cells/mm3. Because this child's CD4+ count is 1000 cells/mm3, the nurse would administer the vaccine. A client in a manic state emerges from her room wearing provocative clothing and quickly enters the dayroom. She announces to the group that she is the star of a burlesque show and will begin her performance shortly. Which is the priority nursing action? Ask the client to go to her room and to change her clothes Tell the client firmly that burlesque shows are not allowed in the nursing unit Tell the client that her bathroom privileges are being suspended because of her behavior Quietly and firmly assist the client to her room and help her dress in appropriate clothes - correct answers ✅D A client who has just received a diagnosis of asthma says to the nurse, "This is just another nail in my coffin." Which response by the nurse is therapeutic? "Do you think that having asthma will kill you?" NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 "You seem very distressed at learning that you have asthma." "I'm not going to work with you if you can't view this as a challenge rather than a 'nail in your coffin.'" "Asthma is a very treatable condition, but it's important to learn how to properly administer your medications. Let's practice with your inhalant." - correct answers ✅B During a preoperative assessment, a nurse notices the client is crying. In light of this observation, which statement by the nurse is appropriate? "You seem upset. Would you rather be alone?" "You're crying. Tell me more about how you are feeling." "Your surgeon is the best and has done many of these operations." "Crying before a serious operation is common, but everything will be okay." - correct answers ✅B A client hospitalized on a mental health unit with schizophrenia tells the nurse, "The voices in my head say that I'm worthless and that I don't deserve to be alive." What is the nurse's priority concern for this client? Ineffective coping skills NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 A child with osteosarcoma who required amputation of a lower limb is experiencing phantom limb pain. The nurse attempts to comfort the child by providing which explanation? The pain is a normal, temporary condition The pain occurs because nerves have been cut This pain will go away once a prosthesis is used Pain medication may be needed for life to alleviate the discomfort - correct answers ✅A Phantom limb pain is a temporary condition that some people who undergo amputation experience. This sensation of burning, aching, or cramping in the missing limb is most distressing to the client. The child should be reassured that the condition is normal. A woman whose husband died 2 months ago says to the visiting nurse, "My daughter came over yesterday to help me move my husband's things out of our bedroom, and I was so angry with her for moving his belongings from where he always kept them. She doesn't know how much I'm hurting." Which statement by the nurse would be therapeutic? "I know just how you feel, because I lost my husband last summer." NCLEX NGN Pre-Test Questions and Answers (73 Questions with Solutions) 2024 "It's OK to grieve and be angry with your daughter and anyone else for a time." "You need to focus on the many good years you enjoyed together and move on." "I know it's a troubling time for you, but try to focus on your children and grandchildren." - correct answers ✅B The mother of 6-year-old twins says to the nurse, "My mother-in-law doesn't think that the twins should come to the funeral service for their grandfather. What do you advise?" Which response by the nurse would be therapeutic? "What do you and your husband believe is the right thing for your children?" "By all means have them attend. Keeping them home will only prolong their grief. " "I agree with your mother-in-law. Just tell your children that their grandfather is in heaven." "It's a difficult decision, but given their young age, maybe it would be best to keep them home from the wake and just let them attend the funeral." - correct answers ✅A