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NGN NCLEX EXAM QUESTIONS & ANSWERS LATEST
2023/2024 NEXT GEN FORMATED SELF ASSESSMENT GUIDE
New NGN Question Formats:
Matrix multiple-choice Matrix multiple-response
Multiple-response: Select all that apply
Multiple-response: Select N
Multiple-response: Grouping
Drag-and-drop: Cloze
Drag-and-drop: Rationale
Drop-down: Cloze
Drop-down: Rationale
Drop-down: Table
Highlight: Text
Highlight: Table
Bow-tie Trend
Matrix multiple-choice:
Question: A nurse is caring for a patient with diabetes. Which of the following actions should the nurse take when administering insulin? Select all that apply.
- Verify the correct dose with another nurse.
- Administer insulin via intramuscular injection.
- Monitor the patient's blood glucose level.
- Check the expiration date of the insulin.
1. Answer: A, C, D. 1 / 4
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Matrix multiple-response:
Question: A nurse is caring for a patient with hypertension. Which of the following lifestyle modifications should the nurse recommend to the patient? Select all that apply.
- Limit sodium intake.
- Increase physical activity.
- Reduce caffeine intake.
- Avoid alcohol consumption.
Answer: A, B, C,
D.Multiple-response: Select all that apply: Question: A nurse is assessing a patient who is receiving chemotherapy. Which of the following symptoms should the nurse report to the healthcare provider? Select all that apply.
- Nausea and vomiting.
- Fatigue and weakness.
- Hair loss.
- Dry mouth and difficulty swallowing.
2. Answer: A, B, C.
Multiple-response: Select N: Question: A nurse is caring for a patient with a history of heart failure. The patient's weight has increased by 5 pounds over the past week. Which of the following actions should the nurse take?Select 2.
- Increase the patient's diuretic dose.
- Restrict the patient's sodium intake.
- Increase the patient's fluid intake.
- Administer oxygen therapy.
3. Answer: A, B.
Multiple-response: Grouping: Question: A nurse is caring for a patient who has just undergone surgery. Which of the following interventions should the nurse take to prevent complications? Group 1: Respiratory interventions. Group 2: Circulatory interventions. 2 / 4
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Group 1:
- Administer oxygen therapy.
- Encourage deep breathing and coughing exercises.
- Use an incentive spirometer.
Group 2:
- Apply compression stockings.
- Monitor vital signs.
- Administer anticoagulant therapy.
4. Answer: B, C, D, E,
- Drag-and-drop: Cloze:
Question: A nurse is caring for a patient with a new diagnosis of diabetes. Drag and drop the steps for checking blood glucose levels in the correct order.Wash hands.Insert test strip into the meter.Prick finger with lancet.Apply blood to the test strip. Read and record the blood glucose level.
Answer: 1, 3, 4, 2, 5.
Drag-and-drop: Rationale:
Question: A nurse is caring for a patient who has just undergone a total hip replacement.Drag and drop the interventions in the order of priority.Administer pain medication.Encourage the use of a continuous passive motion (CPM) machine.Apply ice to the surgical site.Assist the patient with
ambulation. Rationale:
Answer: 1, 3, 2, 4. Administering pain medication is the first priority, followed by applying ice to the surgical site to reduce swelling. Encouraging the use of 3 / 4
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a CPM machine can help prevent blood clots. Finally, assisting the patient with ambulation helps promote healing and prevent complications.Drop-down: Cloze: Question: A nurse is caring for a patient who is receiving chemotherapy. The patient is at risk for due to the side effects of the medication.
12. Answer: neut
Cloze:
Question: A nurse is caring for a patient who is receiving chemotherapy. The patient is at risk for neutropenia due to the side effects of the medication. The nurse should monitor the patient for signs of infection, such as fever, chills, and increased white blood cell count.
Drop-down: Rationale: Question: A nurse is caring for a patient with heart failure. The patient is prescribed furosemide (Lasix) for diuresis. The nurse should monitor the patient for which of the following adverse effects?
Answer Choices:
- Hypotension
- Hyperkalemia
- Tinnitus
- Bradycardia
Rationale:
Answer: A. Furosemide is a loop diuretic that can cause hypotension by decreasing fluid volume and blood pressure. The nurse should monitor the patient's blood pressure and electrolyte levels, especially potassium, which can be depleted by the medication. Tinnitus and bradycardia are not common adverse effects of furosemide.
Drop-down: Table:
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