NCLEX PN Test Questions with NGN

Question 1 of 5.

Extract:History and Physical Body System,Findings General Client has history of coronary artery disease, hypertension, hyperlipidemia, diverticulosis, and osteoarthritis; Helicobacter pylori infection 2 years ago; client reports taking over-the-counter ibuprofen every 8 hours for left knee pain for the past 2 weeks; daily medications include aspirin, carvedilol, lisinopril, and atorvastatin Neurological Alert and oriented to person, place, time, and situation Pulmonary Vital signs: RR 20, SpO 96% on room air, lung sounds clear bilaterally; no shortness of breath; client smokes 1 pack of cigarettes per day and smokes marijuana 1 or 2 times weekly Cardiovascular Vital signs: P 110, BP 90/62; no chest pain; S1 and S2 heard on auscultation; peripheral pulses 2+; client states feeling lightheaded and reports passing out about 1 hour ago Gastrointestinal Abdominal pain rated as 4 on a scale of 0-10; one episode of hematemesis; two episodes of large, black, liquid stools in the morning Musculoskeletal Examination of the knees shows crepitus that is worse on the left; no swelling, warmth, or erythema; range of motion is normal Psychosocial Client reports drinking 1 or 2 glasses of wine per day

Complete the following sentence/sentences by choosing from the list/lists of options.This client is most likely experiencing gastrointestinal bleeding related to ----------

Question 2 of 5.

Extract:History and Physical Body System Findings General The client comes to the emergency department with fatigue, shortness of breath, dry cough, and exertional dyspnea for 1 week; the client is homeless; medical history includes chronic heart failure, uncontrolled hypertension, coronary artery disease, and type 2 diabetes mellitus Pulmonary Vital signs: RR 22, SpO, 88% on room air, the client is dyspneic but can speak in full sentences; lung auscultation reveals decreased breath sounds at the lung bases and bilateral crackles; the client reports smoking 1 pack of cigarettes per day for 35 years; the client was hospitalized for pneumonia 6 months ago Cardiovascular Vital signs: T 99 F (37.2 C), P 90, BP 170/100; continuous cardiac monitor shows sinus rhythm with occasional premature ventricular contractions; S1, S2, and S3 are heard on auscultation; bilateral lower extremity pitting edema is noted

Select below the 5 findings that are most concerning.

Question 3 of 5.

Extract:Nurses' Notes Outpatient Clinic Initial visit The child recently started attending a new preschool and hit a teacher during lunch. The parent says, "My child has never been aggressive before but has always been particular about food." The client was born at full term without complications and has no significant medical history. The child started babbling at age 6 months, and the parent reports that the first words were spoken around age 12 months. The client then became quiet and "obsessed" with stacking blocks and organizing toys by color. The child can kick a ball, draw a circle, pedal a tricycle, and now says two-word phrases. Vitals signs are normal, and the client is tracking adequately on growth curves. During the evaluation, the child sits in the corner of the room playing with blocks. The client does not follow the parents gaze when the parent points to toys in the office. The child begins screaming and rocking back and forth when the health care provider comes near. Laboratory Results Laboratory Test and Reference Range 1030 Glucose (random) 71-200 mg/dL (3.9-11.1 mmol/L) 110 mg/dL (6.1 mmol/L) Sodium 136-145 mEq/L (136-145 mmol/L)| 133 mEq/L (133 mmol/L)| Potassium 3.5-5.0 mEq/L (3.5-5.0 mmol/L) 4.5 mEq/L (4.5 mmol/L) B-type natriuretic peptide <100 pg/mL (<100 ng/L) 640 pg/mL (640 ng/L) Diagnostic Results Chest X-ray 1030:Mild cardiomegaly Echocardiogram 1100:Mild left ventricular hypertrophy with left ventricular ejection fraction of 30%

The nurse suspects the client is experiencing acute decompensated heart failure. Which of the following findings are consistent with this condition? Select all that apply.

Question 4 of 5.

Extract:Nurses' Notes Outpatient Clinic Initial visit The child recently started attending a new preschool and hit a teacher during lunch. The parent says, "My child has never been aggressive before but has always been particular about food." The client was born at full term without complications and has no significant medical history. The child started babbling at age 6 months, and the parent reports that the first words were spoken around age 12 months. The client then became quiet and "obsessed" with stacking blocks and organizing toys by color. The child can kick a ball, draw a circle, pedal a tricycle, and now says two-word phrases. Vitals signs are normal, and the client is tracking adequately on growth curves. During the evaluation, the child sits in the corner of the room playing with blocks. The client does not follow the parents gaze when the parent points to toys in the office. The child begins screaming and rocking back and forth when the health care provider comes near. Laboratory Results Laboratory Test and Reference Range 1030 Glucose (random) 71-200 mg/dL (3.9-11.1 mmol/L) 110 mg/dL (6.1 mmol/L) Sodium 136-145 mEq/L (136-145 mmol/L)| 133 mEq/L (133 mmol/L)| Potassium 3.5-5.0 mEq/L (3.5-5.0 mmol/L) 4.5 mEq/L (4.5 mmol/L) B-type natriuretic peptide <100 pg/mL (<100 ng/L) 640 pg/mL (640 ng/L) Diagnostic Results Chest X-ray 1030:Mild cardiomegaly Echocardiogram 1100:Mild left ventricular hypertrophy with left ventricular ejection fraction of 30%

Drag words from the choices below to fill in the blanks. The nurse should prioritize interventions for acute decompensated heart failure to reduce the risk of the client developing-----------------------and ------------------

Question 5 of 5.

Extract:Nurses' Notes Outpatient Clinic Initial visit The child recently started attending a new preschool and hit a teacher during lunch. The parent says, "My child has never been aggressive before but has always been particular about food." The client was born at full term without complications and has no significant medical history. The child started babbling at age 6 months, and the parent reports that the first words were spoken around age 12 months. The client then became quiet and "obsessed" with stacking blocks and organizing toys by color. The child can kick a ball, draw a circle, pedal a tricycle, and now says two-word phrases. Vitals signs are normal, and the client is tracking adequately on growth curves. During the evaluation, the child sits in the corner of the room playing with blocks. The client does not follow the parents gaze when the parent points to toys in the office. The child begins screaming and rocking back and forth when the health care provider comes near. Laboratory Results Laboratory Test and Reference Range 1030 Glucose (random) 71-200 mg/dL (3.9-11.1 mmol/L) 110 mg/dL (6.1 mmol/L) Sodium 136-145 mEq/L (136-145 mmol/L)| 133 mEq/L (133 mmol/L)| Potassium 3.5-5.0 mEq/L (3.5-5.0 mmol/L) 4.5 mEq/L (4.5 mmol/L) B-type natriuretic peptide <100 pg/mL (<100 ng/L) 640 pg/mL (640 ng/L) Diagnostic Results Chest X-ray 1030:Mild cardiomegaly Echocardiogram 1100:Mild left ventricular hypertrophy with left ventricular ejection fraction of 30%

For each potential intervention, click to specify if the intervention is expected or not expected for the care of the client.