NGN NCLEX RN ACTUAL Exam

NGN NCLEX RN ACTUAL Exam

• A nurse is reinforcing teaching with the parents of a toddler who has a

new diagnosis of asthma and a prescription for montelukast. Which of the

following instructions should the nurse include in the teaching?:

Answer:

Administer the medication to the toddler each evening

• A nurse in an acute mental health facility is caring for a newly admitted

client. Which of the following should occur during the orientation phase of

the nurse-client relationship?:

Answer:

Defining responsibilities

• A nurse is caring for a client who reports having a decrease in fetal movement

following an external cephalic version 6 hr ago. The nurse identifies the fetus is in the right occiput anterior position. The nurse should place the fetal heart monitor on which of the following sites to auscultate the fetal heart

rate?:

Answer:

Lower left

• A charge nurse is observing a newly licensed nurse perform suctioning

for a client who has a tracheostomy. For which of the following actions by

the newly licensed nurse should the charge nurse intervene?:

Answer:

Suction for 30 seconds

• A nurse is reviewing the medication administration record of a client

who takes atenolol PO and supplies a nitroglycerin transdermal patch daily.Which of the following interactions should the nurse monitor with this

client?:

Answer:

Hypotension

• A nurse in an acute care setting is preparing to administer medications

to a client. Which of the following actions should the nurse verify the client's 1 / 4

identity?:

Answer:

Verify the client's identity using a photograph

• A nurse in a provider's office is collecting data from a client who has

psoriasis. Which of the following statements made by the client should she

report to the provider?:

Answer:

"I try not to look at the scales on my body"

• A nurse is completing chart reviews in a long-term care facility in response

to an increase in falls. Which of the following responses in the chart

should the nurse use to determine the potential causes of falls?:

Answer:

Medication record

• A nurse is making client care assignments for an assistive personnel

(AP). Which of the following tasks should the nurse assign to the AP?:

Answer:

Complete post mortem care for a client who has died

• A nurse is reinforcing teaching with a client who is taking allopurinol

about the risk for developing Stevens-Johnsons syndrome. For which of the following manifestations should the nurse instruct the client to monitor and

report?:

Answer:

Skin rash with fever

• A charge nurse in a long-term care facility is reinforcing teaching with

a group of nurses about fall precautions. Which of the following statements

made by the nurse indicates an understanding of the teaching?:

Answer:

"I will instruct the client to sit when putting on a pair of pants"

• A nurse is recommending clients for discharge to allow for admission of

clients following a tornado disaster. Which of the following clients should the

nurse recommend for discharge?: 2 / 4

Answer:

A client who has a sodium level of 140 mEq/L after one episode of diarrhea

• A nurse is assisting with the plan of care for a newly

admitted client who has anorexia nervosa. Which of the following interventions should the nurse

include in the plan?:

Answer:

Administer liquid supplements

• An assistive personnel tells the charge nurse that her assignment is

too demanding. She angrily tells the nurse to reassign one of her tasks to another AP. Which of the following actions should the nurse take to resolve

the conflict?:

Answer:

Ask the AP to discuss the issue in a private area

• A nurse is supervising an assistive personnel (AP) obtain supplies for a

client who is on seizure precautions. Which of the following materials should

the AP place in the client's room?:

Answer:

Oral Suction Equipment

• A charge nurse on a mental health unit is supervising a newly licensed

nurse. For which of the following actions by the newly licensed nurse should

the supervising nurse intervene?:

Answer:

Tells a client he will lose his phone privileges if he does not take his medication

• A nurse is caring for a client who follows a kosher diet. Which of

the following menu items should the nurse include in the meal tray?:

Answer:

Roasted Salmon

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• A nurse is reviewing information about advance directives with a

newly admitted client. Which of the following statements by the client

indicates an understanding of the information?:

Answer:

"Advance directives include a living will"

• A nurse is collecting data from the caregiver of a client who has

Alzheimer's disease. The caregiver reports the client has difficulty sleeping at night and wanders throughout the house. Which of the following interventions

should the nurse recommend?:

Answer:

Encourage the client to take frequentwalks during the day

• A nurse is assisting in the care of a client who is 8hr postpartum and

has uterine atony with increased bleeding. Which of the following actions

should the nurse take? (Select all that apply):

Answer:

Assist the client to empty her bladder

• A nurse is reinforcing teaching with the support person of a client who is

in the first stage of labor. Which of the following instructions should the

nurse include regarding effleurage?:

Answer:

"Gently stroke her abdomen during contractions"

• A nurse is caring for an older adult client who is postoperative

following a total hip arthroplasty. The client is incontinent of stool and urine.Which of the following actions should the nurse take to prevent skin

breakdown?:

Answer:

Use a moisture barrier on the client's skin

• A nurse is caring for a client who has terminal cancer. Which of the following

actions should the nurse take to promote the client's autonomy?:

Answer:

• / 4