NCLEX NGN Pre-Test Questions

NCLEX NGN Pre-Test Questions

1. A nurse is assigned to care for a client with chronic renal failure who is undergoing hemodialysis
through an internal AV fistula in the RA. Which
intervention should the nurse implement in caring
for the client? SATA
a. Assessing the radial pulse in the right extremity
b. Using the LA ti take BP readings
c. Drawing pre-dialysis blood specimens from the
LA
d. Assessing the area over the AV fistula for a bruit
and three each shift
e. Placing a pressure dressing over the site after
each dialysis treatment
f. Administering IV fluids through the venous site
of the AV fistula as needed
A, B, C, D
2. A nurse is evaluating outcomes for a client with
Guillain-Barre syndrome. Which outcome does the
nurse recognize as optimal respiratory outcomes
for the client?
a. Normal deep tendon reflexes
b. Improved skeletal muscle tone
c. Absences of paresthesias in the lower extremities
d. Clear sound in the lower lung fields bilaterally
e. pO2 of 85 mmHg and pCO2 of 40 mmHg
D, E
3. A nurse of the telemetry unit is caring for a client
who has had a MI and is now attached to a cardiac
monitor. The nurse is monitoring the client's cardiac rhythm and nots ventricular fibrillation. Which
nursing intervention should the nurse take first?
a. Calling the rapid response team
b. Preparing the client for cardioversion
c. Asking the client to bear down and cough
d. Preparing to administer diltiazem
A
The pattern of ventricular fibrillation is identified and can be a
result after a patient
with an MI. VF makes
the patient feel faint,
then loses consciousness and becomes
pulseless and apneic
(BP and heart sounds
absent).