Issues and Trends in Nursing: Essential Knowledge for Today and Tomorrow
Student Elements

NCLEX Review

Please read each question and select your answer from the choices provided. You must complete all of the questions in order to view your results. At the end of each exam, you have the option to e-mail your results to your instructor.

1:  Which hand hygiene practice would be inappropriate for a nurse to use?
A: Use an alcohol-based hand rub when the hands are visibly soiled with body fluids.
B: Decontaminate the hands before inserting invasive devices.
C: Wash the hands with soap and water for a minimum of 15 seconds, using a vigorous rub.
D: Apply an alcohol-based hand rub after removing nonsterile gloves.

2:  A four-tier triage system is used to test an organization's disaster preparedness. A 22-year-old patient with hemorrhagic shock from a punctured femoral artery presents to the triage nurse. What is the most appropriate triage classification?
A: Emergent.
B: Expectant.
C: Delayed.
D: Urgent.

3:  The nurse has administered an intramuscular injection to a patient with hepatitis C. What is the safest action by the nurse to prevent transmission of the disease?
A: Recap the needle and dispose of it in a puncture-resistant container.
B: Place the cap on a table and then slide the needle into the cap.
C: Ask the patient to recap the needle before disposing of it in a sharps container.
D: Place the uncapped needle in a puncture-resistant container.

4:  What is the method of choice for the removal of ingested poisons from the gastrointestinal tract?
A: Irrigation and gastric lavage.
B: Ingestion of syrup of ipecac.
C: Administration of osmotic diarrheal agents.
D: Administration of activated charcoal.

5:  A patient is started on a continuous enteral feeding, using an open system. The feeding bag and formula are hung at 8 A.M. on Monday. To minimize bacterial growth, when should the feeding bag be changed?
A: 4 P.M. on Monday.
B: 8 A.M. on Tuesday.
C: 8 P.M. on Tuesday.
D: 8 A.M. on Wednesday.

6:  Which statement depicts an inappropriate technique for the assessment of a blood pressure in an upper extremity using a sphygmomanometer?
A: Wrap the blood pressure cuff as smoothly and snugly as possible around the arm.
B: Place the patient in a standing position with the arm above the level of the heart.
C: Check the instrument gauge to make sure that the reading starts at zero.
D: Center the cuff bladder over the brachial artery, above the inner aspect of the elbow.

7:  Which situation in a healthcare organization might exacerbate the potential for workplace violence?
A: Comfortable waiting areas that prevent overcrowding.
B: Well-lit facility corridors and access areas.
C: A response time standard of 2 to 5 minutes by hospital security staff.
D: Unrestricted movement of the public in and out of the facility.

8:  A patient is diagnosed with genital herpes caused by infection with herpes simplex virus type 2. Which statement about sexual activity and disease transmission is incorrect?
A: Once his or her symptoms have resolved, the patient is no longer able to transmit the disease.
B: Transmission of the disease can occur both when symptoms are present and when they are absent.
C: The use of condoms will reduce the risk of viral transmission.
D: Valacyclovir (Valtrex) reduces, but does not eliminate, the risk of viral transmission.

9:  One room is available that will accommodate a patient who needs airborne precautions. Which patient should be assigned to the room?
A: A patient with Guillian Barré syndrome who is on a ventilator.
B: A patient with Staphylococcus aureus pneumonia who is having copious respiratory secretions.
C: A patient with a tracheostomy who has bronchitis.
D: A patient with an undetermined cause of pneumonia who has AIDS.

10:  Which intervention would be most appropriate to use for an adult patient who is at risk for the development of ventilator-associated pneumonia?
A: Elevate the head of the bed by 30 to 45 degrees.
B: Change the ventilator circuits daily.
C: Turn the patient from side to side every 4 hours.
D: Administer prophylactic antibiotics.

11:  To prevent medication errors, what is the safest way to write an order for a medication to be administered every day?
A: q.d.
B: daily
C: q. day
D: every d.

12:  When transcribing medical orders, the nurse is unable to read a written order. What is the best action by the nurse?
A: Clarify the type of medication with the family.
B: Interpret the order based on the patient's history.
C: Ask the pharmacist for clarification.
D: Contact the prescriber to clarify the written order.

13:  Which use of antibiotics would help to delay the emergence of antibiotic resistance?
A: Antibiotics are prescribed only when a viral infection is present.
B: Broad-spectrum antibiotics are used whenever possible.
C: Antibiotic dosages below the minimum inhibitory concentration are prescribed.
D: A specific pathogen is targeted with an antibiotic that is active against that organism.

14:  Which individual is at highest risk for exposure to human immunodeficiency virus (HIV)?
A: A counselor who works with the families of HIV-infected patients.
B: A personal trainer who works with HIV-infected patients.
C: A phlebotomist who collects blood in a mobile donor unit.
D: A lab technician who collects saliva for ELISA testing for insurance companies.

15:  The monophasic defibrillators in the cardiac catheterization lab have recently been replaced with biphasic defibrillators. Which statement about the operation of a biphasic defibrillator is true?
A: The nurse should expect to use more joules of energy when defibrillating a patient with a biphasic defibrillator.
B: The success rate for defibrillation with biphasic defibrillators is lower than that with monophasic defibrillators.
C: The recommended range for the termination of ventricular fibrillation with a biphasic defibrillator is 300 to 360 joules of energy.
D: The most effective initial shock for ventricular fibrillation using a biphasic defibrillator has not been determined.

16:  Which equipment should the nurse have immediately available for a patient who is about to receive a neuromuscular blocking agent?
A: Bag valve mask device and oxygen.
B: Defibrillator and pacemaker.
C: Chest tube insertion equipment and drainage unit.
D: Central venous catheterization equipment and IV fluids.

17:  Which action would be contraindicated for a patient on seizure precautions for tonic-clonic seizures?
A: Encourage the patient to perform his or her own personal hygiene.
B: Allow the patient to be ambulatory.
C: Assess the patient's oral temperature with a glass thermometer.
D: Give the patient only plastic eating utensils.

18:  During the administration of an oral medication, an alert elderly patient states, "The pill I always take is green. I don't take an orange pill." What is the best response by the nurse?
A: "Sometimes the same pill comes in a different color."
B: "Let me explain the purpose of the medication."
C: "I will check your medication orders again."
D: "This is the medication that your doctor wants you to take."

Optional: Enter your name and your instructor's E-mail address to have your results E-mailed to him or her.
Your Name:
Instructor's E-mail Address:
Your E-mail Address:

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