NCLEX NGN RN ACTUAL EXAM LATEST MAY 2025/2026 TEST BANK 150 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES AGRADE

A nurse in the intensive care unit is caring for a client in the immediate postoperative
period following abdominal surgery. The nurse receives several prescriptions. Which
prescription should the nurse initiate first? Click on the exhibit button for additional
information. - ANSWER>>Normal saline 2 L via rapid IV bolus.
A housekeeping employee tells the staff nurse of having a headache and asks for
acetaminophen. How should the nurse respond? - ANSWER>>Refer employee to the
employee health provider.
The school nurse assesses an 8-year-old with a history of asthma. The nurse notes mild
wheezing and coughing. Which action should the nurse perform first? -
ANSWER>>Assess the client's peak expiratory flow.
A client comes to the community mental health clinic seeking treatment for severe
anxiety associated with a recent job promotion that requires a 30-minute commute via
train. The nurse recognizes that this client most likely suffers from which psychological
disorder? - ANSWER>>Agoraphobia
A client who is diagnosed with breast cancer asks the nurse, "Am I going to die?" Which
statement by the nurse promotes a therapeutic relationship? - ANSWER>>"People with
cancer experience fear of dying; tell me about your concerns."
The nurse is reinforcing education to the caregivers of a 9-year-old client diagnosed
with scarlet fever. The client has a history of type 1 diabetes mellitus. Which statement
by the caregivers indicates that further teaching is needed? - ANSWER>>"We will not
administer insulin if our child is unable to eat."
A client is diagnosed with right-sided Bell's palsy. What instructions should the nurse
give this client for care at home? Select all that apply. - ANSWER>>1. Apply a patch to
the right eye at night.
3. Chew on the left side.
4. Maintain meticulous oral hygiene.
- Bell's palsy is an inflammation of the cranial nerve VII (facial) that causes motor and
sensory alterations. Clients are usually managed as outpatients, with corticosteroids to
reduce inflammation, and taught eye/oral care. In Bell's palsy, the eyelids do not close
properly. This may result in eye dryness and risk of corneal abrasions. However,
weakness of teh lower eyelid may cause excessive tearing due to overflow in some
clients. Facial muscle weakness results in poor chewing and food retention.
The spouse brings a client to the emergency department due to erratic behavior and
expressions of despair. The emergency department is extremely busy with many