NClEX-HEALTH PROMOTION & MAINTENANCE

1. You are developing a care plan for a patient who has peripheral neuropathy. They deny any history of falls or wounds. They check their feet daily. They are rating their pain at 7/10. They do not take any medications for the peripheral neuropathy. Which of the following would be your priority nursing diagnosis for this patient?
 
 
 
 

Question 1 of 23

NCLEX• SAFE & EFFECTIVE CARE ENVIRONMENT

2. You are a night nurse passing meds. You have a 94 year old patient who is very confused. They are refusing all night meds and any further care. They are screaming that they want you to leave their room now. What intervention should be taken next?
 
 
 
 

Question 2 of 23

3. You are working with an LPN on your shift. Which of the following would be appropriate to assign to the LPN?
 
 
 
 

Question 3 of 23

4. What are the 5 rights of delegation? Select all that apply:
 
 
 
 
 
 
 
 

Question 4 of 23

5.
You are getting ready to hang 1 unit of PRBC. Which is the correct precautions to use when handling blood products for blood administration?

 

 
 
 
 

Question 5 of 23

6. A patient is preparing for an below the knee amputation. The patient is very nervous and asks the RN "So how long will I have phantom pain after the surgery? The surgeon said I will likely have phantom pain".
 
 
 
 

Question 6 of 23

7. You have a co-worker who has called in to work 2 times within the last 2 weeks. That same co-worker has told you that they have a drinking problem and it has gotten worse over the last month. They show up to work and are slurring their words and have the smell of alcohol on their breath. What do you do next?
 
 
 
 

Question 7 of 23

8. Your co-workers has a family member on your floor. You are assigned to this patient. Your co-worker comes up to the nurses station and says " I am really worried about my sister. Where is her chart? What does Dr. Brown think is going on with her?" What is the best response?
 
 
 
 

Question 8 of 23

9. An elderly woman is refusing to take her a bath. She is alert and oriented and able to make sound decisions. The nurse says you really need to wash up; you have not had a bed bath in 6 days. The patient continues to refuse. The nurse then gently takes the patient's arm and begins to wash with bath towel and soap. Which of the following is this considered?

 
 
 
 
 

Question 9 of 23

10. A LPN is taking care of a stable patient who suddenly develops severe abdominal pain rated at 8/10. This is new for this patient. They did not come in with these symptoms. What should the LPN do first?
 
 
 
 

Question 10 of 23

11. In every state, mandatory reporters must report known or suspected elderly abuse within what time frame?

 

 
 
 
 
 
 

Question 11 of 23

Blood Products

12. Your patient has a hemoglobin of 6.5. They refuse a blood transfusions because of their religious beliefs. What religion do they most likely belong to, considering this info?
 
 
 
 

Question 12 of 23

Safety & Infection Control

13. You are looking getting ready to acknowledge an order that was just written. The order reads: Increased Lisinopril PO from 40mg daily to 100mg daily. What should you do next?

 
 
 
 
 

Question 13 of 23

14. You are taking care of a patient with nausea, headache, psychosis, hallucinations, and agitation. You are doing a 12-hour chart check. You read the following orders. Which of the following needs to be clarified, as it is likely an error?
 
 
 
 

Question 14 of 23

15. Which fire extinguisher should be used for an electrical fire?

 
 
 
 
 
 

Question 15 of 23

Coordinated Care

16. A patient has anorexia nervosa. What would be one of the top priorities?

 
 
 
 
 

Question 16 of 23

17. In nursing, which of the following is an example of assault?

 

 
 
 
 
 

Question 17 of 23

18. Client abandonment

Please select all of the following which are examples of client abandonment
 
 
 
 
 
 
 

Question 18 of 23

19. A nurse is getting ready to do an assessment on a 79-year-old male. He is completely alert & oriented. The nurse says, “Ok Mr. Brown, I am going to do an assessment on you”. Mr. Brown says “ No, don’t touch me”. The nurse responds in a very kind tone saying “Oh come on Mr. Brown, let me help you get better”. Mr. Brown replies, ”I said no”. The nurse then proceeds to auscultate Mr. Brown’s lung and abdomen. What is this considered?

 

 
 
 
 
 

Question 19 of 23

Orders

20. A patient has soft restraints. The nurse knows that the order must be renewed how often?

 

 
 
 
 
 

Question 20 of 23

Assessment

21. A patient is in soft restraints. The nurse should check for circulation how often?

 
 
 
 
 

Question 21 of 23

Uncategorized

22. Your patient is on neutropenic precautions. Which of the following would not be following neutropenic precautions?
 
 
 
 

Question 22 of 23

23. Who is not a mandatory reporter

 
 
 
 
 
 

Question 23 of 23