NCLEX NGN PRE-TEST LATEST ACTUAL EXAM

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NCLEX NGN PRE-TEST LATEST ACTUAL EXAM

TEST BANK| 250 REAL EXAM QUESTIONS AND

CORRECT DETAILED ANSWERS (VERIFIED

ANSWERS WITH WELL ELABORATED RATIONAILES)

GRADED A+| NCLEX- PN NGN EXAM (BRAND NEW!!)

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?

• Blood glucose checks
• Blood pressure checks
• Complete blood counts (CBC)
• Electrocardiographic studies - Correct Answer - C

Zidovudine is an antiviral medication that 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?

• We'll have to repeat the test because the result was inconclusive
• The swollen area is small, so that means your test result is negative
• You've been exposed to TB so you will need to have a chest x-ray
• You need to get started on medication right away because you have

TB - Correct Answer - B Indurations less than 10 mm (non-immunocompromised) and 5 mm (immunocompromised) is considered a negative result after 48-72 hrs. 1 / 4

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pg. 2 Results greater indicate exposure and possible TB infection. Morse testing (x-ray) will be needed.

A client’s 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?

• Metabolic acidosis
• Metabolic alkalosis
• Respiratory acidosis
• Respiratory alkalosis - Correct Answer - D

RAcidosis: paCo2 >45 mmHg and RAlkalosis is paCo2 <35 mmHg.

MAcidosis is HCO3- is less than 22 mEq/L and MAlkalosis is HCO3- greater than 26 mEq/L.

A client has recently been diagnosed with deep vein thrombosis of the right leg. Which of the following interventions of the nurse immediately implement?

• Elevating the foot of the bed 6 inches
• Placing ice packs on and under the right leg
• Documenting the need for hourly calf measurements
• Performing the need for hourly calf measurements - Correct Answer -

A DVT treatment includes bed rest, leg elevation, and application of warm, moist heat. Elevation decreases the venous pressure with relieves edema and pain. ROM cause cause the thrombus to mobilize to the lungs causing PEs. 2 / 4

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pg. 3 A nurse is monitoring the neurological status of a client who underwent craniotomy 3 days ago. Which signs or symptoms would prompt the nurse to notify the primary health care provider immediately?

• Disorientation to date
• Pupils equal and reactive at 4 mm
• Mild headache relieved by acetaminophen with codeine
• Pain with forward flexion of the neck onto the chest - Correct Answer
• D

A complication of cranial surgery is meningitis.

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?

• Contact the primary health care provider
• Administer an as-needed antiemetic
• Check the most recent digoxin level
• Administer the digoxin with an antacid - Correct Answer - 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?

• Assess the client's pulse oximetry Incorrect
• Place the client in a supine position 3 / 4

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• Contact the primary health care provider
• Administer a nebulizer treatment with the use of a bronchodilator -

Correct Answer - 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?

• Contacts the physician
• Gives the child milk to drink
• Arranges to have the child's lunch tray delivered early
• Prepares to administer intravenous 5% dextrose solution - Correct

Answer - 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?

• Calling the physician
• Inserting an oral airway
• Turning the client on her side
• Noting the time of the seizure - Correct Answer - C

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

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