NGN NCLEX RN Practice Questions Last Minute Exam

NGN NCLEX RN Practice Questions Last Minute Exam with All Questions and Answers/ NCLEX NGN Questions with 100% Correct Answer Updated 2023-2024

You are caring for a patient who has a fear of leaving his house. He only comes outside when accompanied by his spouse. What do you determine the patient is experiencing?

• Social phobia
• Agoraphobia
• Claustrophobia
• Hypochondriasis -------- Correct Answer ---------- b. Agoraphobia

Your patient has been admitted to the hospital with acute blindness. After many tests are run the physician can find no organic reason for the patient's blindness. You learn that the patient became blind after witnessing a serious car accident where several people were killed. What do you suspect is the cause of the patient's blindness?

• Psychosis
• Conversion disorder
• Dissociative disorder
• Depression -------- Correct Answer ---------- b. Conversion disorder

You are caring for a patient in a crisis state. What would you want to consider when planning care for this patient?

• All individuals experiencing a crisis will have the same symptoms.

• The patient is suffering from a mental illness if they are in a crisis state.

• The patient is suffering from an emotional illness if they are in a crisis state

• Each person reacts differently to a crisis. -------- Correct Answer ---------- d. Each

person reacts differently to a crisis.

You are caring for a patient who has been displaying aggressive behavior. You observe that his behavior seems to be escalating. Which intervention by the nurse would be least helpful to this patient?

• Acknowledge the patient's behavior.
• Maintain a safe distance from the patient.
• Assist the patient to a quiet environment.
• Initiate confinement measures. -------- Correct Answer ---------- d. Initiate confinement

measures.

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Initiating confinement measures would be least helpful to this patient. The patient is moving toward loss of control. During this phase the nurse want to take control, maintain a safe distance, acknowledge the patient's behavior, move the patient to a quiet area and medicate if necessary. Initiating confinement would be appropriate during the crisis period.

Which of the following would indicate that a depressed patient is becoming suicidal?

• The patient is no longer interested in their usual hobbies

• The patient becomes irritable and refuses to see visitors

• The patient stops eating and complaints of nausea

• The patient starts giving away their favorite possessions -------- Correct Answer --------

-- d. The patient starts giving away their favorite possessions

Your patient has been admitted to the hospital following a suicide attempt by hanging.What would be important to include in this patient plan of care to maintain patient safety?

• Assign a staff member to the patient at all times.

• Place the patient in a seclusion room.

• Place the patient in a hospital gown.

• Have another patient stay with the patient. -------- Correct Answer ---------- a. Assign a

staff member to the patient at all times.

Your patient was brought to the emergency department by the police. He has serious lacerations on both wrists. What would the nurse's first priority be?

• Examine and treat both wounds.
• Get a complete history from the patient.
• Work with the patient to discuss feelings.
• Give anti-anxiety medication. -------- Correct Answer ---------- a. Examine and treat

both wounds.

You are caring for a suicidal patient with a plan. You have developed a plan of care.What would the outcome of your plan of care be?

• Coping and problem solving skills
• Less anxiety and agitation 2 / 4

• Develops a relationship with staff and peers
• Denies suicidal ideations and identifies options to deal with stressors -------- Correct

Answer ---------- d. Denies suicidal ideations and identifies options to deal with stressors

You are caring for a patient with major depression. The patient has become unable to complete her activities of daily living (ADLs). What intervention should the nurse take to help this patient?

• Complete all ADLs for the patient until the patient is able to do so for herself.

• Adjust the patient's schedule so that there is enough time for her to complete all her

ADLs.

• Give the patient consequences for not completing ADLs.

• Have peers confront the patient on how noncompliance affects the unit. --------

Correct Answer ---------- a. Complete all ADLs for the patient until the patient is able to do so for herself.

Your patient in the emergency department has been sexually assaulted. The patient is withdrawn, confused and at times physically withdrawn. You realize that these

behaviors are:

• Sign of the patients increased risk for suicide

• An indication of the patient's need for admission

• Signs of depression

• Normal reactions to sexual assault -------- Correct Answer ---------- d. Normal

reactions to sexual assault

Your patient is receiving lithium carbonate (Lithobid). She reports to you that she is having loose, watery stools and difficulty walking. What do you suspect the patient's lithium level will be?

• 0.7 mEq/L
• 1 mEq/L
• 1.3 mEq/L
• 1.8 mEq/L -------- Correct Answer ---------- d. 1.8 mEq/L

The nurse should expect the patient's lithium level to be 1.8 mEq/L. The normal lithium level is 0.6 to 1.2 mEq/L. A lithium level of 1.8 mEq/L indicates a mild toxicity. Levels between 1.5 and 2.5 mEq/L would indicate symptoms of vomiting, diarrhea, ataxia, incoordination, muscle twitching and slurred speech.

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Your patient complains that they have been feeling faint when they attempt to get out of bed in the morning. They have been taking thioridazine hydrochloride (Mellaril). What side effect is this patient experiencing?

• Psychosomatic disorder
• Cardiac dysrhythmia
• Respiratory insufficiency
• Postural hypotension -------- Correct Answer ---------- d. Postural hypotension

What adverse effect would you observe in a patient who is taking an excessive amount of bupropion (Wellbutrin)?

• Dizziness when getting up
• Seizure activity
• Increased weight
• Constipation -------- Correct Answer ---------- b. Seizure activity

If your patient was taking clozapine (Clozaril), what laboratory result would you want to monitor for adverse effects?

• WBC count
• Platelet count
• Blood glucose
• Liver function tests -------- Correct Answer ---------- a. WBC count

Your patient with schizophrenia is taking chlorpromazine (Thorazine). She complains

that her urine has turned dark. You know that this is caused by:

• Increased intake of acid-ash foods and liquids

• A urinary tract infection

c.A normal side effect of the medication

• Medication toxicity -------- Correct Answer ---------- c.A normal side effect of the

medication

You are providing an education session for you unit on abuse of older patients. Which of the following patients is most likely to be an abused patient?

• 90-year-old patient with advanced Parkinson's disease
• A 68-year-old patient with early Lyme disease
• A 70-year old-patient with newly diagnosed cataracts
• A 75-year-old patient with moderate hypertension -------- Correct Answer ---------- a.

90-year-old patient with advanced Parkinson's disease

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