Saunders NCLEX-PN Practice Questions

Saunders NCLEX-PN Practice Questions Leave the first rating Students also studied Terms in this set (27) Science MedicineNursing Save Saunder's Comprehensive NCLEX R...214 terms CaseyWard123 Preview NCLEX PN Questions for 2024-2025...Teacher 186 terms TutorDkPreview NCLEX-PN Test prep questions. For ...Teacher 113 terms TutorDkPreview NCLEX Teacher Tuto A mother calls a neighborhood nurse and tells the nurse that her 3-year old child has just ingested liquid furniture polish. Which action would the nurse instruct the mother to take first?

• Induce vomiting
• Call an ambulance
• Call the poison control center
• Bring the child to the emergency department

Call the poison control center The emergency department nurse receives a telephone call and is informed that a tornado has hit a local residential area and numerous casualties have occurred.The victims will be brought to the emergency department. Which would be the initial nursing action?

• Prepare the triage rooms.
• Activate the agency emergency response plan.
• Obtain additional supples from the central supply

department.

• Obtain additional nursing staff to assist with treating

the casualties.Activate the agency emergency response plan.

The nurse is caring for a health care associated infection caused by methicillin-resistant Staphylococcus aureus.Contact precautions are prescribed for the client. The nurse prepares to irrigate the wound and apply a new dressing. Which protective interventions would the nurse use to perform this procedure? (SATA)

• Put on a mask
• Don a gown and gloves
• Apply shoe protectors.
• Wear a pair of protective goggles
• Have the client wear a mask and goggles.

Put on a mask Don a gown and gloves Wear a pair of protective goggles The nurse would institute which interventions for a client diagnosed with Clostridium difficile (C. diff)? (SATA)

• Wear a mask if within 3 feet of the client.
• Place a mask on the client when client is outside the

room.

• Wear gloves and gown while in the room caring for the

client.

• Use soap and water, not alcohol-based hand rub, for

hand hygiene.

• Keep the door of the room shut except when entering

or exiting the client's room.Wear gloves and gown while in the room caring for the client.Use soap and water, not alcohol-based hand rub, for hand hygiene.The nurse enters a client's room and finds that the wastebasket is on fire. The nurse quickly assists the client out of the room. Which is the next nursing action?

• Call for help
• Extinguish the fire
• Activate the fire alarm
• Confine the fire by closing the room door.

Activate the fire alarm A licensed practical nurse (LPN) attends a session about bioterrorism agents including anthrax. Which statement by an attendee demonstrates the need for further teaching about anthrax?

• Anthrax is treated with antibiotic medication
• The most lethal form of anthrax is contacted by

inhalation of the spores

• Anthrax can be transmitted by consumption of meat

from an infected animal.

• Anthrax bacteria produces a neurotoxin leading to a

serious, possibly fatal paralysis Anthrax bacteria produces a neurotoxin leading to a serious, possibly fatal paralysis

The nurse obtains a prescription to restrain a client using a belt (safety) restraint and instructs the assistive personnel (AP) to apply the restraint. Which observation, if made by the nurse, indicates unsafe application of the restraint?

• A safety know is made in the restraint strap
• The restraint straps are safely secured to the side rails
• The restraint strap does not tighten when force is

applied against it

• The restraint is secure, and the client is able to turn

from back to side The restraint straps are safely secured to the side rails The nurse apples wrist restraints, prescribed to prevent a client from pulling out a nasogastric tube. How would the nurse determine that the restrains are not too constrictive?

• Observe the skin in the wrist are for redness
• Check the temperature of the skin in the hands
• Remove the restraint and exercise the extremity in 2

hours

• Place two fingers under the restraint to determine

snugness.Place two fingers under the restraint to determine snugness.The nurse is assisting with creating a plan of care for a client with an internal radiation implant. Which would be included in the plan of care? (SATA)

• Wearing gloves when emptying the client's bedpan
• Keeping all linens in the room until the implant is

removed

• Wearing a film (dosimeter) badge when in the client's

room

• Wearing a lead apron when providing direct care to

the client

• Placing the client in a semiprivate room at the end of

the hallway Wearing gloves when emptying the client's bedpan Keeping all linens in the room until the implant is removed Wearing a film (dosimeter) badge when in the client's room Wearing a lead apron when providing direct care to the client The nurse enters the nursing lounge and discovers that a chair is on fire. The nurse activates the alarm, closes the lounge door, and obtains the fire extinguisher to extinguish the fire. The nurse pulls the pin on the fire extinguisher. Which is the next action the nurse must perform?

• Aim at the base of the fire.
• Squeeze the handle on the extinguisher.
• Sweep the fire from side to side with the extinguisher.
• Sweep the fire from top to bottom with the

extinguisher.Aim at the base of the fire.

The nurse is assisting with preparing a teaching plan for the client with diabetes mellitus regarding proper foot care. Which instructions would be included in the plan of care?

• Soak the feet in hot water
• Avoid using soap to wash the feet
• Apply a moisturizing lotion to dry feet, but not

between the toes

• Always have a pediatrist cut your toenails; never cut

them yourself Apply a moisturizing lotion to dry feet, but not between the toes The nurse provides dietary instructions to a client with diabetes mellitus regarding the prescribed diabetic diet.Which statement made by the client indicates the need for further teaching?

• "I'll eat a balanced meal plan."
• "I need to drink soft drinks."
• "I need to buy special dietetic foods."
• "I will snack on fruit instead of cake."

"I need to buy special dietetic foods." A client who has been newly diagnosed with diabetes mellitus has been stabilized with daily insulin injections.Which teaching information would the nurse reinforce upon discharge?

• Keep insulin vials refrigerated at all times.
• Rotate the insulin injection sites systematically.
• Increase the amount before unusual exercise.
• Monitor the urine acetone level to determine the

insulin dosage.Rotate the insulin injection sites systematically.The nurse reinforces teaching to a client with diabetes mellitus regarding differences between hypoglycemia and ketoacidosis. The client demonstrates an understanding of the teaching by stating that glucose will be taken if which symptom develops?

• Polyuria
• Shakiness
• Blurred vision
• Fruity breath odor

Shakiness