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NCLEX NGN Pre-Test TEST BANK QUESTIONS, ANSWERS & RATIONALES 2024/2025
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NCLEX NGN Pre-Test TEST BANK QUESTIONS, ANSWERS & RATIONALES 2024/2025
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NCLEX NGN Pre-Test QuestionsA nurse is assigned to care for a purchaser with chronic renal failure who's undergoing
hemodialysis through an internal AV fistula within the RA. Which intervention must the nurse
implement in being concerned for the consumer? SATA
a. Assessing the radial pulse inside the proper extremity
b. Using the LA ti take BP readings
c. Drawing pre-dialysis blood specimens from the LA
d. Assessing the vicinity over the AV fistula for a bruit and three each shift
e. Placing a stress dressing over the website online after every dialysis remedy
f. Administering IV fluids thru the venous website online of the AV fistula as wished - ANSA,
B, C, D
A nurse is comparing results for a patron with Guillain-Barre syndrome. Which outcome does
the nurse recognize as premiere breathing consequences for the customer?
A. Normal deep tendon reflexes
b. Improved skeletal muscle tone
c. Absences of paresthesias inside the decrease extremities
d. Clear sound within the decrease lung fields bilaterally
e. PO2 of eighty five mmHg and pCO2 of forty mmHg - ANSD, E
A nurse of the telemetry unit is being concerned for a consumer who has had a MI and is
now connected to a cardiac screen. The nurse is tracking the client's cardiac rhythm and
nots ventricular fibrillation. Which nursing intervention need to the nurse take first?
A. Calling the rapid reaction crew
b. Preparing the patron for cardioversion
c. Asking the patron to endure down and cough
d. Preparing to administer diltiazem - ANSA
The sample of ventricular fibrillation is diagnosed and can be a end result after a affected
person with an MI. VF makes the affected person experience faint, then loses awareness
and turns into pulseless and apneic (BP and heart sounds absent). Treatment is to terminate
VF and covert it right into a rhythm thru defibrillation-> name a rapid and provoke CPR.
Cardioversion is used for ventricular or supraventricular tachydysrhythmias.
A nurse growing a plan of care for a consumer with a spinal cord harm consists of measures
to save you autonomic dysreflexia (hyperreflexia). Which intervention does the nurse contain
into the plan to prevent this difficulty?
A. Keeping the fan running within the purchaser's room
b. Keeping the linens wrinkle unfastened beneath the client
c. Limiting bladder catheterization to once each 12 hours
d. Avoiding the management of enemas and rectal suppositories - ANSB
The most common cause of autonomic dysreflexias are a distended bladder and impacted
feces. Other causes encompass stimulation of the skin by tactile, thermal, or painful stimuli.
The nurse renders care in this type of way as to reduce these dangers.
,A nurse presents domestic care commands to a consumer who has been fitted with a halo
tool to deal with a cervical fracture. Which assertion by way of the purchaser suggests the
need for in addition coaching?
A. I need to get greater fluids and fiber into my diet
b. I must cut my meals into small pieces before I consume
c. I want to place powder underneath the vest twice a day to save you sweating
d. I have to test the pin websites everyday and watch for symptoms of contamination - ANSC
Cleanse the skin below the wool liner every day to save you rashes and soars.
A nurse is worrying for a purchaser with increased intracranial stress. In which function
should the nurse hold the purchaser?
A. Supine with the top prolonged
b. Side lying with the neck flexed
c. Supine with the pinnacle became to the facet
d. Head midline and improved 30-forty five stages - ANSD
Proper positioning promotes venous drainage from the skull to decrease ICP.
A purchaser with a basilar cranium fracture has clear fluid leaking from the ears. The nurse
must take which action first?
A. Asses the clear fluid for protein
b. Check the clear fluid for glucose
c. Place cotton calls or dry gauze loosely in the ears
d. Use an otoscope to evaluate the tympanic membrane for rupture - ANSB
CSF carries glucose no longer protein.
A nurse is worrying for a consumer who has just undergone cardioversion. Which
intervention is the nurse's priority after this technique.
A. Administer oxygen
b. Monitoring the BP
c. Administering antidysrhythmic medicinal drugs
d. Monitoring the consumer's LOC - ANSA
ABC's of nursing. All other picks are correct, but now not precedence.
A client with diabetes mellitus who's scheduled to have blood drawn for dedication of the
glycosylated hemoglobin (HbA1c) stage asks the nurse why the take a look at is vital if he's
performing blood glucose tracking at domestic. Which is the excellent reaction for the nurse
to provide?
A. Detect diabetic headaches
b. Assess lengthy-time period glycemic manage
c. Determine whether or not the client is at threat for hypoglycemia
d Determine whether the prescribed insulin dosage is correct - ANSB
A nurse caring for a purchaser with acquired immunodeficiency syndrome is tracking the
customer for signs and symptoms of headaches. Which of the subsequent could reason 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 - ANSB, D, E
A opportunistic respiratory contamination related to AIDs that causes dyspnea,
nonproductive cough, intermittent fever, fatigue, anorexia, tachypnea, wt. Loss.
Zidovudine is prescribed for a customer with AIDS. The nurse tells the consumer that it's
miles important to document returned to the health center as scheduled for which follow-up
diagnostic?
A. Blood glucose tests
b. Blood strain assessments
c. Complete blood counts (CBC)
d. Electrocradiographic research - ANSC
Zidovudine is an antiviral remedy that motive cause agranulocytosis and anemia.
After a non-immunocompromised patron undergoes a Mantoux test for TB infection, a place
of induration 6 mm huge developed. The consumer asks the nurse what this end result
means. Which is the excellent reaction?
A. We'll need to repeat the test due to the fact the end result was inconclusive
b. The swollen location is small, so that means your test result is bad
c. You've been uncovered to TB so that you will need to have a chest x-ray
d. You want to get started on medicinal drug right away due to the fact you've got TB - ANSB
Indurations less than 10 mm (non-immunocompromised) and five mm
(immunocompromised) is taken into consideration a negative result after forty eight-72 hrs.
Results extra imply exposure and viable TB contamination. Morse testing (x-ray) will be
needed.
A clients arterial blood gases are analyzed; pH 1.49, paO2 ninety seven mmHg, HCO3- 22
mEq/L. Which acid base stability disturbance does the nurse discover from those results?
A. Metabolic acidosis
b. Metabolic alkalosis
c. Respiratory acidosis
d. Respiratory alkalosis - ANSD
RAcidosis: paCo2 >45 mmHg and RAlkalosis is paCo2 <35 mmHg. MAcidosis is HCO3- is
less than 22 mEq/L and MAlkalosis is HCO3- extra than 26 mEq/L.
A purchaser has recently been identified with deep vein thrombosis of the right leg. Which of
the subsequent interventions of the nurse at once enforce?
A. Elevating the foot of the bed 6 inches
b. Placing ice packs on and underneath the right leg
c. Documenting the need for hourly calf measurements
d. Performing the need for hourly calf measurements - ANSA
DVT treatment includes bed rest, leg elevation, and alertness of warm, moist heat. Elevation
decreases the venous strain with relieves edema and ache. ROM reason cause the
thrombus to mobilize to the lungs causing PEs.
A nurse presents practise to a purchaser with COPD about home oxygen remedy. Which
assertion made by means of the consumer indicates need for further education?
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