NCLEX

Question 1

A nurse enters a client’s room and finds that the wastebasket is on fire. The nurse immediately assists the client out of the room. The next nursing action would be to

Answer 1

1. confine the fire by closing the room door
2. activate the fire alarm
3. call for help
4. extinguish the fire

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Question 2

A nurse enters the nursing lounge and discovers that a chair is on fire, she activates the alarm, closes the lounge door, and obtains the fire extinguisher. The nurse pulls the pin on the fire extinguisher. The next appropriate action in the use of the fire extinguisher is to

Answer 2

1. squeeze the handle on the extinguisher
2. aim at the base of the fire
3. sweep the fire from side to side with the extinguisher
4. sweep the fire from top to bottom with the extinguisher

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Question 3

a home care nurse performs a home safety assessment and discovers that a client is using a space heater to heat her apartment. which of the following instructions would the nurse provide to the client regarding the use of the space heater

Answer 3

1. a space heater should not be used in an apartment
2. the space heater needs to be placed at least 3 feet from anything that can burn
3. the space heater should be placed in the hallway at night
4. the space heater should be kept at a low setting at all times

2

Question 4

A nurse is preparing to initiate an intravenous line containing a high dose of potassium chloride and plans to use an intravenous infusion pump. the nurse brings the pump to the bedside, prepares to plug the pump cord into the wall and notes that no receptacle is available in the wall socket. which of the following is the most appropriate nursing action

Answer 4

1. use an extension cord from the nurses lounge for the pump plug
2. initiate the intravenous line without the use of a pump
3. plug in the pimp cord in the available plug above the room sink
4. contact the electrical maintenance department for assistance

4

Question 5

a nurse obtains an order from a physician to restrain a client by using a jacket restraint. the nurse instructs a nursing assistant to apply the restraint to the client. which of the following observations if made by the nurse would indicate inappropriate application of the restraint by the nursing assistant

Answer 5

1. a safety knot in the restraint straps
2. restraint straps that are safely secured to the side rails
3. the jacket restraint secured such that two fingers can slide easily between the restraint and the client’s skin
4. jacket restraint straps that do not tighten when force is applied against them

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