Fundamentals NCLEX Style Questions Safety

Fundamentals NCLEX Style Questions (Safety)

• A nurse is caring for a client with Parkinson’s disease who is experiencing difficulty

swallowing. For which major potential problem associated with dysphagia should the nurse assess the client?

• Anorexia
• Aspiration
• Self-care deficit
• Inadequate intake
• A nurse is caring for a confused client. Which should the nurse do to prevent this client

from falling?

• Encourage the client to use the corridor handrails
• Place the client in a room near the nurses’ station
• Reinforce how to use the call bell
• Maintain close supervision
• An unconscious client begins vomiting. In which position should the nurse place this

client?

• Supine
• Side-lying
• Orthopneic
• Low-fowler
• A nurse is assessing a client who is being admitted to the hospital. Which is the most

important information that indicates whether the client is at risk for physical injury?

• Weakness experienced during the prior admission
• Medication that increases intestinal motility
• Two recent falls that occurred at home
• The need for corrective eyeglasses
• Which should the nurse do to best prevent a client from falling?
• Provide a cane
• Keep walkaways clear of obstacles
• Assist the client with ambulation
• Encourage the client to use hallway handrails
• Which is the last step in making an occupied bed that a nurse should teach a nursing

assistant?

• Elevating the head of the bed to a semi-Fowler position
• Ensuring that the client is in a comfortable position
• Lowering the height of the bed toward the floor
• Raising both the upper side rails of the bed
• A nurse is caring for a cilent with a nasogastric tube for gastric decompression. Which

nursing action takes priority?

• Discontinuing the wall suction when providing nursing care
• Positioning the client in the semi-Fowlers position
• Instilling the tube with 30ml of air every 2 hours
• Caring for the nares at least every 8 hours

• A nurse educator is teaching a group of newly hired nursing assistants. Which

hospitalized client should they be taught is at the highest risk for injury?

• School-age child
• Comatose teenager
• Postmenopausal woman
• Confused middle-aged man
• Which is the priority nursing intervention to prevent client problems associated with

latex allergies?

• Use nonlatex gloves
• Identify persons at risk
• Keep a latex-safe supple cart available
• Administer an antihistamine prophylactically
• A nurse is preparing a client for physical examination. Which is the most important for

the nurse to do in this situation?

• Identify the positions contraindicated for the client during the examination
• Explore the client’s attitude towards health-care providers
• Inquire about other professionals caring for the client
• Ask then the client last had a physical examination
• A client has dysphagia. Which nursing action takes priority when feeding this client?
• Ensuring that dentures are in place
• Medicating for pain before providing meals
• Providing verbal cueing to swallow each bite
• Checking the mouth for emptying between every bite
• A nurse caring for a client with dementia. Which time of the day is of most concern for

the nurse when trying to protect this client from injury?

• Afternoon
• Morning
• Evening
• Night
• Which human response to illness alerts the nurse that a client is at risk for aspiration

during meals?

• Bulimia
• Lethargy
• Anorexia

• A nurse instructs a client to close the eyes gently after the administration of eye drops.

Which rationale for this instruction should the nurse explain to the client?

• Limits corneal irritation
• Forces excess medication from the eyes
• Disperses the medication over the eyeballs
• Prevents medication from entering the lacrimal duct
• How often should “docusate sodium 100mg PO BID” be given?
• Three times a day
• Stomatitis
• Dysphagia

• Two times a day
• Every other day
• At bedtime
• A primary health-care provider prescribes a medication that must be administrated via

the intramuscular route. Which site should the nurse eliminate from consideration because it has the highest potential for injury when administering an intramuscular injection?

• Vastus lateralis
• Rectus femoris
• Ventrogluteal
• Dorsogluteal
• Which information about a parenteral medication indicates that the nurse should use a

filtered needle when preparing the medication?

• Has to be reconstituted
• Is supplied in an ample
• Appears cloudy in the vial
• Is to be mixed with another mediation
• When the nurse brings a pill to a client, the client is unable to hold the paper cup with

the medication. Which should the nurse do?

• Use the cup to introduce the pill into the client’s mouth
• Crush the pill and mix it with a small amount of applesauce
• Have the primary health-care provider prescribe the liquid from the drug
• Put the pill into the client’s hand and have the client self-administer the pill
• A primary health-care provider prescribes a medicated powder to be applied to a client’s

lower leg. Which is the most essential for the nurse to do when applying the medicated powder?

• Apply a thin layer in the direction of hair growth
• Protect the client’s face with a small towel
• Dress the area with dry sterile gauze
• Ensure that the skin surface is dry
• A nurse must administer a medication into the ear of an adult. Which should the nurse

do to limit the client discomfort when administering the eardrops?

• Warm the solution to body temperature
• Place the client in a comfortable position
• Pull the pinna of the ear upward and backward
• Instill the fluid in the venter of the auditory canal