NEXT GENERATION NCLE X NGN

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NEXT GENERATION NCLE X (NGN)

LATEST QUESTIONS

Question 1: A client with diabetes receiving peritoneal

dialysis experiences chills and abdominal discomfort. The nurse assesses the client's abdomen by pressing one hand firmly into the abdominal wall. The client experiences pain when the nurse quickly withdraws the hand. The client's most recent blood glucose level is 210 mg/dL (11.65 mmol/L). What is the priority action by the nurse?

• Collect peritoneal fluid for culture and sensitivity

(47%)

• Heat the remaining dialysate fluid and increase the

dwell time (8%)

• Place the client in high Fowler's position (24%)
• Prepare to administer regular insulin intravenously

(19%)

CORRECT ANSWER : 1. Collect peritoneal fluid for

culture and sensitivity (47%)

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Question 2: The nurse assesses a client during the dwell

time of a peritoneal dialysis cycle. Which assessment would require immediate intervention?

• Blood pressure of 168/88 mm Hg and pulse of 72/min

(15%)

• Client experiencing intermittent nausea (10%)
• Crackles present in the left and right lung bases (69%)
• Presence of 1+ pitting edema in ankles and feet

bilaterally (4%)

CORRECT ANSWER : 3. Crackles present in the left

and right lung bases (69%)

Question 3: The nurse enters the room of a client who had

major abdominal surgery 1 week ago and notes dehiscence and evisceration of the surgical incision. The nurse should immediately place the client in the

• low Fowler position with the knees bent (53%)
• prone position (2%)
• supine position with the head of the bed flat (25%)
• side-lying position (18%)

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CORRECT ANSWER : 1. low Fowler position with the

knees bent (53%)

Question 4: Which of the following are correct nursing

actions related to client positioning? Select all that apply.

• Position client in Fowler position after cardiac

catheterization via femoral entry

• Position client in Trendelenburg position on the left

side if air embolism is suspected

• Position client on the left side following a liver biopsy
• Position client on the side with head, back, and knees

flexed during lumbar puncture

• Position client with the arm raised above the head for

chest tube placement

CORRECT ANSWER : 2. Position client in

Trendelenburg position on the left side if air embolism is suspected

• Position client on the left side following a liver biopsy
• Position client on the side with head, back, and knees

flexed during lumbar puncture

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• Position client with the arm raised above the head for

chest tube placement

Question 5: The nurse on the mental health unit is leading

a group session. Shortly after the session begins, a newly admitted client with schizophrenia stands and starts to leave the room. Which of the following actions should the nurse take?

• In a loud, firm voice, direct the client to come back to

the room (4%)

• Gently grasp the client's arm and redirect the client

back to the seat (4%)

• Reinforce the unit rules and importance of attending

group sessions (33%)

• Remain silent and allow the client to leave the room

with another staff member (56%)

CORRECT ANSWER : 4. Remain silent and allow the

client to leave the room with another staff member (56%)