2022- 2023
NCLEX-RN EXAM
PRACTICE Q AND
ANS GRADED A+
You have delegated care of a patient in restraints to a nursing
assistant. How often should the nursing assistant inspect skin
integrity for this patient?
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NCLEX-RN Exam Practice Questions and Answers 2022-2023, Exams of Nursing
A set of practice questions and answers designed to help nursing students prepare for the nclex-rn exam. The questions cover a range of topics relevant to nursing practice, including patient care, emergency response, medication administration, and legal considerations. Each question is followed by the correct answer, making it a useful resource for self-assessment and review. The questions are structured to test critical thinking and application of nursing knowledge, providing valuable preparation for the exam. This resource is ideal for nursing students seeking to reinforce their understanding of key concepts and improve their test-taking skills. The questions are designed to simulate the format and content of the actual nclex-rn exam, helping students build confidence and familiarity with the test. A valuable tool for nursing students preparing for the nclex-rn exam, offering a comprehensive set of practice questions and answers to reinforce their knowledge and skills.
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NCLEX-RN EXAM
PRACTICE Q AND
ANS GRADED A+
You have delegated care of a patient in restraints to a nursing assistant. How often should the nursing assistant inspect skin integrity for this patient?
a. Every 30 minutes b. Every 2 hours c. Every 3 hours d. Every 4 hours - ANSWER-a. Every 30 minutes You are working in the emergency department and find out that a tornado has hit the local area. Numerous casualties are being sent to the emergency department. What action should you take at this time? a. Prepare the triage room. b. Obtain additional supplies. c. Activate the agency disaster plan. d. Call in additional staff. - ANSWER-c. Activate the agency disaster plan. What signs and symptoms would a patient with stage I Lyme disease have? a. Signs of neurological disorders b. Enlarged and inflamed joints
You are preparing to administer an intravenous dose of 400, units of penicillin G benzathine (Bicillin). The 10 mL ampule label reads penicillin G benzathine 300,000 units per mL. You prepare to administer how much of the medication? a. 1.3 ml b. 1.5 ml c. 10 ml d. 13 ml - ANSWER-a. 1.3 ml You are preparing to give potassium chloride 30 mEq in 1000 ml of normal saline over 10 hours. The medication label reads 40 mEq per 20 mL. How many milliliters of potassium chloride do you need to administer the correct dose? a. 10 ml b. 15 ml c. 20 ml d. 50 ml - ANSWER-b. 15 ml
You enter a patients room and find the patient not breathing, no pulse, and unresponsive. You have called for help. What is the next step? a. Bag mask ventilations b. Chest compressions c. Oxygen d. Open airway - ANSWER-b. Chest compressions The correct hand placement for chest compressions is the: a. Lower third of sternum b. Upper half of the sternum c. Upper third of the sternum d. Lower half of the sternum - ANSWER-d. Lower half of the sternum What is the proper technique for opening the airway on a trauma patient? a. Head tilt-chin lift
Which of the following would you want to include in an education session to the staff on HIV and AIDS? a. Newborn infants of HIV positive mothers usually test positive b. The hematological system is usually attacked by HIV. c. With AIDS, T4 cells cannot form protective antibodies due to depleted B cells. d. T lymphocytes are destroyed because the virus attacks the immune system. - ANSWER-d. T lymphocytes are destroyed because the virus attacks the immune system. You are conducting a teaching session for mothers at a local school on rubeola (measles). Which of the following would you not want to include in this education? a. Profuse runny nose, coughing and fever occur before the rash develops.
b. The child may develop small, blue-white spots with a red base in the mouth c. Ears usually develop a rash first, which then spreads toward the feet. d. The communicable period usually ranges from 10 to 15 days after the rash appears. - ANSWER-d. The communicable period usually ranges from 10 to 15 days after the rash appears. The communicable period for Rubeola (measles) is 4 to 5 days after the rash appears. The incubation period is 10-15 days. The blue-white spots found in the mouth during Rubeola are called Koplik's spots. You are providing a teaching session to a group of patients regarding skin cancer. Which of the following statements would you not want to include in this education? a. Wear sunscreen when engaged in outdoor activities.
d. Apply to hair for 10 mins and then rinse - ANSWER-d. Apply to hair for 10 mins and then rinse You are preparing a teaching session on tuberculosis. What is one of the first symptoms that the group might notice in someone who has tuberculosis? a.Bloody, productive cough b. Cough with mucoid sputum c. Chest pain d. Dyspnea - ANSWER-b. Cough with mucoid sputum The older patient that you have been assigned to is having difficulty distinguishing between hot and cold temperatures. Alteration of what gland activity would lead to this problem? a. Parotid b. Thymus c. Pineal d. Sweat - ANSWER-d. Sweat
Which of the following would not encourage effective communication between a dying patient and his family? a. Discussing feelings openly b. Making decision for the family and patient c. Assisting family and patient in performing spiritual practices d. Acceptance when family and patient express anger - ANSWER-b. Making decision for the family and patient You are working in a community that has just experienced a hurricane. You are trying to find housing and counseling for those who need it. Which type of level of preventions are you representing? a. Primary level b. Secondary level c. Tertiary level d. Forth level - ANSWER-c. Tertiary level
a. 6-11 servings of bread, cereal, pasta or rice a day b. 2-3 servings of vegetables a day c. 4-5 servings of milk, yogurt, or cheese a day d. 4-6 servings of meat, poultry, fish, dry beans or nuts a day - ANSWER-a. 6-11 servings of bread, cereal, pasta or rice a day You are caring for a patient in the emergency department. The patient has been drinking alcohol and is asking for medication. When you instruct the patient that they have to wait to be seen by the doctor, the patient becomes verbally abusive. You then obtain a set of restraints and instruct the patient if they do not calm down you will restrain them. What can you be charged with? a. Assault b. Battery c. Negligence
d. Invasion of privacy - ANSWER-a. Assault You as the nurse are working on the unit. You enter the medication room and find another nurse taking intravenous medication and administering it to him- or herself. What should your next action be? a. Call the police b. Call security c. Lock the nurse in the medication room d. Call the nursing supervisor - ANSWER-d. Call the nursing supervisor You are on break in the nursing lounge when a nursing assistant enters to tell you that what she just heard about the secretary. She then proceeds to tell you that the secretary's husband is a drug addict and she needs to be watched very carefully on the unit. You ask her what makes her think the secretary might take drugs, and she states that she heard it from someone else. What legal tort has the nursing assistant violated? a. Slander
a. A patient receiving a continuous tube feeding b. A patient who needs a urine culture sent to laboratory c. A patient who needs a colostomy changed d. A patient who is having problems swallowing - ANSWER-b. A patient who needs a urine culture sent to laboratory You have received reports on the patients that you are assigned to. After assessing each of your patients, which would you want to provide care for first? a. An ambulatory patient who will be discharged today b. A patient who has begun to run a fever and is anxious and diaphoretic c. A patient who will receive physical therapy today
d. A patient who has been given pain medication - ANSWER-b. A patient who has begun to run a fever and is anxious and diaphoretic You are caring for a patient who needs to go to surgery. The patient is unable to sign consent due to narcotic analgesic administration. Who should sign the consent for surgery? a. The family members should provide consent, and two witnesses will be necessary b. A court order will be needed c. The patient should go to surgery without consent d. The hospital chaplain should sign consent - ANSWER-a. The family members should provide consent, and two witnesses will be necessary
You are preparing an in-service for the staff on delegation. What would you want to include on how delegation impacts safety and quality of patient care? a. It prevents staff from becoming ineffective and nonproductive. b.It utilizes appropriate resources, getting the job done in the most effective way. c.It gives nursing tasks to the staff members who can best understand the goals of treatment, d. It creates teamwork on the unit - ANSWER-b.It utilizes appropriate resources, getting the job done in the most effective way. Which of the following patients would the nurse want to delegate to unlicensed assistive personnel? a. A patient whose husband died and needs to talk
b. A patient with a nasogastric feedings and foley catheter c. A patient with leakage from an ostomy d. An ambulatory patient who has been on the unit for 3 days - ANSWER-d. An ambulatory patient who has been on the unit for 3 days You are preparing assignments for the day. You have one licensed practical nurse (LPN) and one unlicensed assistive staff member. Which of the following assignments would you not want to make? a. LPN to reinforce discharge instruction with a patient b. Unlicensed personnel to take vital signs and to document and report any changes c. Unlicensed personnel to assess effectiveness of pain medication