NCLEX RN- NGN NEWEST TEST BANK RN -

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NCLEX RN- NGN NEWEST 2025/2026 TEST BANK| RN -

NCLEX NGN EXAM QUESTION BANK| COMPLETE 850

ACTUAL EXAM QUESTIONS AND CORRECT

DETAILED ANSWERS (VERIFIED ANSWERS WITH

RATIONALES) ALREADY GRADED A+ ||BRAND NEW!!

The nurse is supervising a graduate nurse (GN) on a telemetry unit. An assigned client develops asystole with no pulse, and emergency care interventions are initiated. Which action by the GN would cause the supervising nurse to intervene? – ANSWER - Provides defibrillator shock

The nurse is caring for a client with cardiomyopathy and coronary artery disease. The client is reporting increasing chest pain and has bilateral lung crackles on auscultation. The health care provider has written several new prescriptions. Which new prescription should the nurse clarify?Select all that apply. – ANSWER - Administer 2,000 mL normal saline bolus.Administer IV nitroglycerin.

The nurse is providing diversional activities for a 4-year-old client who is on long-term, strict bed rest. Which of the following toys would be most appropriate to provide for the client? – ANSWER - plastic medical kit.

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pg. 2 The nurse is caring for a client with an acute ischemic stroke who has a blood pressure of 178/95 mm Hg. The health care provider prescribes as-needed antihypertensives to be given if the systolic pressure is >200 mm Hg. Which action by the nurse is most appropriate? – ANSWER - Monitor the blood pressure.

The nurse is caring for a client with cirhosis who has ascites, peripheral edema, shortness of breath, fatigue, and generalized discomfort. Which of the following actions should the nurse take? Select all that apply.– ANSWER - Maintain the client in semi-Fowler position Provide an alternating air pressure mattress for the client Use music to provide a distraction for the client.

The nurse admits a client who fell off a 20-ft (6-m) ladder. On arrival in the emergency department, the client is arousable but lethargic. What is the nurse's priority action? – ANSWER - Obtain a Glasgow Coma Scale score.

A nurse in the intensive care unit is caring for a postoperative cardiac transplant client. What intervention is most important to include in the plan of care? – ANSWER - Use careful hand washing and aseptic technique to prevent infection.

A client who is 2 hours post aortic valve replacement is in the intensive care unit (ICU). The low pressure alarm for the client's radial arterial line sounds. Which action should the nurse take first? – ANSWER - Check for bleeding at tube connection sites. 2 / 4

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pg. 3 The nurse at the prenatal clinic is providing education to several clients in the first trimester of pregnancy, Which client requires priority anticipatory teaching? – ANSWER - Client who gardens and eats homegrown vegetables

The nurse is caring for a client on the organ donation waiting list for cardiac transplantation. Which teaching topic is most important for the nurse to emphasize at this time? – ANSWER - Immunosuppressive therapy as a lifelong commitment

The charge nurse is evaluating the skills Of of graduate nurses (GNs) who are caring for clients with shock. Which action taken by a GN indicates a need for further education? – ANSWER - Raises the head of the bed to high Fowler position for a client with hypovolemic shock.

The nurse is providing nutritional teaching for a client with a new ileostomy. Which foods should the nurse instruct the client to avoid?Select all that apply. – ANSWER - Broccoli with cheese Multigrain bagel Popcorn

In the intensive care unit, the nurse cares for a client admitted with a head injury who develops syndrome of inappropriate antidiuretic hormone. Which data should the nurse expect with the onset of this condition? Select all that apply. – ANSWER - Decreased serum osmolality, High urine specific gravity, Low serum sodium.

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pg. 4 The nurse is preparing a symptom management teaching plan for a client diagnosed with carpal tunnel syndrome. Which instruction is appropriate to include in the teaching plan? – ANSWER - Wear a wrist immobilization splint

The nurse is caring for a client who has an implantable cardioverter defibrillator (CD). The ICD has delivered 2 shocks, but the client does not have a pulse. Which of the following actions should the nurse take next? – ANSWER - Initiate chest compressions.

The nurse in the emergency department is caring for a client who is experiencing torsades de pointes Which of the following medications should the nurse recognize is used to treat this cardiac dysrhythmia? – ANSWER - magnesium

A client admitted with acute myocardial infarction suddenly displays air hunger, dyspnea, and coughing with frothy, pink-tinged sputum. What would the nurse anticipate when auscultating the breath sounds of this client? – ANSWER - Diffuse bilateral crackles at lung bases

The nurse is preparing to administer IV furosemide to a client with chronic kidney disease. The nurse should administer the medication slowly to prevent – ANSWER - ototoxicity

The nurse is caring for a client who had an anterior wall myocardial infarction 24 hours ago. Which finding is most concerning at this time?– ANSWER - New S3 heart tone.

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