NCLEX RN Test Bank Questions PDF Questions

Question 1 of 5

A client with a new colostomy asks the nurse how to prevent skin irritation around the stoma. What is the best response by the nurse?

A. Apply petroleum jelly around the stoma daily.'B. Clean the area with alcohol wipes before applying the pouch.'C. Ensure the skin barrier fits snugly and clean with mild soap.'D. Change the pouch only once a week.'

Correct Answer: C

Rationale: A snug-fitting skin barrier and cleaning with mild soap prevent skin irritation by protecting the peristomal skin and maintaining hygiene without causing trauma.

Question 2 of 5

Which of the following actions by the nurse will most likely ensure that the correct client receives a medication? Select all that apply.

A. Have the client state his or her name.B. Check the name on the arm band with the name on the medication.C. Learn to recognize the client.D. Check the client's room number.E. Compare the date of birth on the client's chart to the date of birth on the client's armband.

Correct Answer: A,B,E

Rationale: Using two identifiers, such as the client's name, armband, and date of birth, ensures accurate medication administration. Room number and visual recognition are not reliable.

Question 3 of 5

Which statement about Respondeat Superior is accurate?

A. Respondeat Superior does not mean that a nurse cannot be held liable.B. Respondeat Superior does not mean that a nurse cannot be held libel.C. Respondeat Superior is an ethical principle.D. Respondeat Superior is a law.

Correct Answer: A

Rationale: Respondeat Superior is a legal doctrine holding employers liable for employees' actions within the scope of employment, but it does not absolve nurses from personal liability for negligence.

Question 4 of 5

Which of the following indicates that a 5-month-old weighing 15 lb and being treated for dehydration has a normal urine output? The urine output is:

A. 1 to 2 mL/kg/hour.B. 3 to 5 mL/kg/hour.C. 6 to 8 mL/kg/hour.D. 10 to 12 mL/kg/hour.

Correct Answer: A

Rationale: Normal urine output for an infant is 1 to 2 mL/kg/hour, indicating adequate hydration. Higher outputs may suggest overhydration or other issues.

Question 5 of 5

The nurse is visiting a client who has been prescribed topical clotrimazole. The nurse should educate the client to the fact that this medication will alleviate which condition?

A. PainB. RashC. FeverD. Sneezing

Correct Answer: B

Rationale: Clotrimazole is a topical antifungal used in the treatment of cutaneous fungal infections and will alleviate an associated rash. The nurse teaches the client that it is used for this purpose. It is not used for pain, sneezing, or fever.

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