NCLEX NGN Pre-Test Questions 2023\/2024 With Complete Solutions + Rationale<\/p>\n\n\n\n
NCLEX NGN Pre-Test
1
NCLEX NGN Pre-Test Questions 2023\/2024
With Complete Solutions + Rationale
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
c. Contact the primary health care provider
d. Administer a nebulizer treatment with the use of a bronchodilator
[Correct Ans: -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 Ans: -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
b. Inserting an oral airway
c. Turning the client on her side
d. Noting the time of the seizure [Correct Ans: -C
A nurse is preparing to administer an injection of vitamin K to a newborn. At which
site would the nurse select to administer the medication?
[Correct Ans: -3<\/p>\n\n\n\n
NCLEX NGN Pre-Test
2
The preferred injection site for the administration of vitamin K in the newborn is
the lateral aspect of the middle third of the vastus lateralis muscle (the newborn’s
thigh). This muscle is the preferred injection site because it is free of major blood
vessels and nerves and is large enough to absorb the medication
A nurse performs a bedside glucose test on a newborn infant whose mother has
diabetes mellitus and obtains a reading of (2.164 mmol\/L)35 mg\/dL. The nurse
would take which action first?
Ask the mother to breastfeed the newborn
Bottle-feed the newborn with diluted glucose
Start an intravenous line for the administration of glucose
Ask the laboratory to perform a blood glucose test immediately
[Correct Ans: -D
Normal newborn levels are 40 mg\/dL or greater. Glucose levels of less than (2.22-
2.298 mmol\/L))40 to 45 mg\/dL measured with bedside glucose screening should be
reported and verified in the laboratory. Although feeding is an intervention, the
result of a bedside glucose must be verified by the laboratory. Some infants need IV
glucose to maintain glucose balance and prevent damage to the brain.
A pregnant woman is being admitted to the maternity unit. The woman tells the
nurse that she felt a large gush of fluid from her vagina on the way to the hospital.
The nurse detects a fetal heart rate of 90 beats\/min. On physical examination, the
nurse finds that the umbilical cord is protruding from the vagina. Which actions
should the nurse perform? Select all that apply.
Placing the woman in knee-chest position
Administering oxygen at 2 to 4 L\/min by nasal cannula
Administering terbutaline to stop contractions
With two gloved fingers, exerting upward pressure, into the vagina, on the
presenting part
Wrapping the cord loosely in a sterile towel saturated with warm sterile normal
saline solution
[Correct Ans: -A, C, D
Oxygen should be administered at 8-10 L\/min via face mask<\/p>\n\n\n\n
NCLEX NGN Pre-Test
3
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\u00b0F (38.9\u00b0C) or higher.”
“I’ll call the physician if she goes longer than 6 hours without urinating.”
[Correct Ans: -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?
Refusal to suck
Frequent diarrhea
Recurrent otitis media
Inability to pass stools
[Correct Ans: -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 Ans: -C
In caring for a child admitted to the hospital with Kawasaki disease, the nurse
should monitor the child most closely for signs which complication?
Powered by https:\/\/learnexams.com\/search\/study?query=<\/a><\/p>\n\n\n\n