NCLEX-RN
NCLEX RN Practice Tests Questions
Extract:
Question 1 of 5
When using restraints for an agitated/aggressive patient, which of the following statements should NOT influence the nurse’s actions during this intervention?
Correct Answer: C
Rationale: the need for restraints is based on patient’s behavioral status and condition, not the patient’s voluntary/involuntary status
Question 2 of 5
A med-surg nurse is floating to the post-op floor for a few days. The float nurse sees one of the regular post-op nurses taking medication from the med cart and ingesting several pills. The float nurse should immediately
Correct Answer: B
Rationale: Reporting to the nursing supervisor ensures prompt investigation and intervention for suspected medication diversion, maintaining patient safety.
Question 3 of 5
The nurse is preparing to administer the first dose of IV antibiotic to the client. Halfway through the infusion, the nurse realizes that the antibiotic dosage is not the same as ordered by the health care provider. Which action should the nurse take first?
Correct Answer: A
Rationale: Stopping the infusion is the priority to prevent harm from an incorrect dose, followed by notifying the provider and completing an incident report.
Question 4 of 5
The first exercise that should be performed by the client who had a mastectomy 1 day earlier is:
Correct Answer: D
Rationale: Squeezing a ball is a gentle initial exercise to restore arm mobility.
Question 5 of 5
A client with a history of chronic obstructive pulmonary disease (COPD) is admitted with an acute exacerbation. The nurse notes that the client has a respiratory rate of 28 breaths per minute, is using accessory muscles, and has oxygen saturation of 88% on 2 L/min of oxygen via nasal cannula. Which of the following actions should the nurse take FIRST?
Correct Answer: C
Rationale: positioning in high Fowler’s facilitates breathing and improves oxygenation immediately; other actions may follow based on further assessment