Wk 1 NCLEX Style Questions Flashcards
1
Q
- A nurse is caring for a client who does not speak English. The provider has explained a surgical procedure, but the client looks confused. What is the nurse’s best action?
A. Ask a bilingual staff member to interpret.
B. Use family members to translate the provider’s explanation.
C. Proceed with witnessing the consent if the provider already explained.
D. Request a certified medical interpreter to ensure understanding.
A
D. Request a certified medical interpreter to ensure understanding.
2
Q
- A nurse is caring for a postoperative client who has a respiratory rate of 10 breaths/min after receiving IV morphine. What should the nurse do first?
A. Administer naloxone per standing order.
B. Notify the provider immediately.
C. Apply oxygen and elevate the head of the bed.
D. Assess the client’s level of consciousness.
A
D. Assess the client’s level of consciousness.
3
Q
- A nurse is preparing to administer medication to a client and notices the dose is much higher than usual. What is the appropriate action?
A. Administer the medication since it’s ordered.
B. Check the client’s lab values before proceeding.
C. Call the provider to verify the dose.
D. Ask the pharmacy to confirm the dose.
A
C. Call the provider to verify the dose.
4
Q
- A nurse walks into a room and sees a client on the floor. What is the nurse’s priority action?
A. Check the client’s level of consciousness.
B. Call for help and notify the provider.
C. Complete an incident report.
D. Assess the environment for safety.
A
A. Check the client’s level of consciousness.
5
Q
- A nurse is caring for a terminally ill client who states, ‘I just want to go home and die peacefully.’ What is the most appropriate response?
A. Let’s talk more about how you’re feeling.
B. You still have options for aggressive treatment.
C. I need to notify the provider about your wishes.
D. Don’t worry, you’re not dying yet.
A
A. Let’s talk more about how you’re feeling.
6
Q
- Which of the following tasks is appropriate for a nurse to delegate to an unlicensed assistive personnel (UAP)?
A. Teaching a client how to self-administer insulin
B. Obtaining routine vital signs
C. Assessing a surgical site
D. Administering a subcutaneous injection
A
B. Obtaining routine vital signs
7
Q
- A nurse is caring for a client with a pressure ulcer that has exposed muscle and slough. What stage is this pressure injury?
A. Stage 2
B. Stage 3
C. Stage 4
D. Unstageable
A
C. Stage 4
8
Q
- Which action demonstrates fidelity in nursing practice?
A. Respecting a client’s privacy
B. Advocating for equal care for all clients
C. Keeping a promise to return with pain medication
D. Reporting a medication error
A
C. Keeping a promise to return with pain medication
9
Q
- A nurse notes a client with diabetes is diaphoretic and confused. What should the nurse do first?
A. Check the client’s blood glucose level.
B. Notify the provider.
C. Give 50% dextrose IV.
D. Reorient the client to time and place.
A
A. Check the client’s blood glucose level.
10
Q
- A nurse observes another nurse giving medication without scanning the patient’s armband. What is the nurse’s best action?
A. Report the incident to the charge nurse.
B. Speak privately with the nurse about the observation.
C. Document the error in the chart.
D. Ignore the incident unless a problem occurs.
A
B. Speak privately with the nurse about the observation.
11
Q
- A nurse is caring for a client who does not speak English. The provider has explained a surgical procedure, but the client looks confused. What is the nurse’s best action? (v2)
A. Ask a bilingual staff member to interpret.
B. Use family members to translate the provider’s explanation.
C. Proceed with witnessing the consent if the provider already explained.
D. Request a certified medical interpreter to ensure understanding.
A
D. Request a certified medical interpreter to ensure understanding.
12
Q
- A nurse is caring for a postoperative client who has a respiratory rate of 10 breaths/min after receiving IV morphine. What should the nurse do first? (v2)
A. Administer naloxone per standing order.
B. Notify the provider immediately.
C. Apply oxygen and elevate the head of the bed.
D. Assess the client’s level of consciousness.
A
D. Assess the client’s level of consciousness.
13
Q
- A nurse is caring for a postoperative client who has a respiratory rate of 10 breaths/min after receiving IV morphine. What should the nurse do first? (v2)
A. Administer naloxone per standing order.
B. Notify the provider immediately.
C. Apply oxygen and elevate the head of the bed.
D. Assess the client’s level of consciousness.
A
D. Assess the client’s level of consciousness.
14
Q
- A nurse is preparing to administer medication to a client and notices the dose is much higher than usual. What is the appropriate action? (v2)
A. Administer the medication since it’s ordered.
B. Check the client’s lab values before proceeding.
C. Call the provider to verify the dose.
D. Ask the pharmacy to confirm the dose.
A
C. Call the provider to verify the dose.
15
Q
- A nurse is caring for a client who does not speak English. The provider has explained a surgical procedure, but the client looks confused. What is the nurse’s best action? (v2)
A. Ask a bilingual staff member to interpret.
B. Use family members to translate the provider’s explanation.
C. Proceed with witnessing the consent if the provider already explained.
D. Request a certified medical interpreter to ensure understanding.
A
D. Request a certified medical interpreter to ensure understanding.
16
Q
- A nurse is caring for a terminally ill client who states, ‘I just want to go home and die peacefully.’ What is the most appropriate response? (v2)
A. Let’s talk more about how you’re feeling.
B. You still have options for aggressive treatment.
C. I need to notify the provider about your wishes.
D. Don’t worry, you’re not dying yet.
A
A. Let’s talk more about how you’re feeling.
17
Q
- A nurse is preparing to administer medication to a client and notices the dose is much higher than usual. What is the appropriate action? (v2)
A. Administer the medication since it’s ordered.
B. Check the client’s lab values before proceeding.
C. Call the provider to verify the dose.
D. Ask the pharmacy to confirm the dose.
A
C. Call the provider to verify the dose.
18
Q
- Which of the following tasks is appropriate for a nurse to delegate to an unlicensed assistive personnel (UAP)? (v2)
A. Teaching a client how to self-administer insulin
B. Obtaining routine vital signs
C. Assessing a surgical site
D. Administering a subcutaneous injection
A
B. Obtaining routine vital signs
19
Q
- A nurse notes a client with diabetes is diaphoretic and confused. What should the nurse do first? (v2)
A. Check the client’s blood glucose level.
B. Notify the provider.
C. Give 50% dextrose IV.
D. Reorient the client to time and place.
A
A. Check the client’s blood glucose level.
20
Q
- A nurse is caring for a postoperative client who has a respiratory rate of 10 breaths/min after receiving IV morphine. What should the nurse do first? (v2)
A. Administer naloxone per standing order.
B. Notify the provider immediately.
C. Apply oxygen and elevate the head of the bed.
D. Assess the client’s level of consciousness.
A
D. Assess the client’s level of consciousness.
21
Q
- A nurse is preparing to administer medication to a client and notices the dose is much higher than usual. What is the appropriate action? (v2)
A. Administer the medication since it’s ordered.
B. Check the client’s lab values before proceeding.
C. Call the provider to verify the dose.
D. Ask the pharmacy to confirm the dose.
A
C. Call the provider to verify the dose.
22
Q
- A nurse is caring for a terminally ill client who states, ‘I just want to go home and die peacefully.’ What is the most appropriate response? (v2)
A. Let’s talk more about how you’re feeling.
B. You still have options for aggressive treatment.
C. I need to notify the provider about your wishes.
D. Don’t worry, you’re not dying yet.
A
A. Let’s talk more about how you’re feeling.
23
Q
- A nurse is caring for a terminally ill client who states, ‘I just want to go home and die peacefully.’ What is the most appropriate response? (v2)
A. Let’s talk more about how you’re feeling.
B. You still have options for aggressive treatment.
C. I need to notify the provider about your wishes.
D. Don’t worry, you’re not dying yet.
A
A. Let’s talk more about how you’re feeling.
24
Q
- A nurse walks into a room and sees a client on the floor. What is the nurse’s priority action? (v2)
A. Check the client’s level of consciousness.
B. Call for help and notify the provider.
C. Complete an incident report.
D. Assess the environment for safety.
A
A. Check the client’s level of consciousness.
25
25. A nurse is caring for a terminally ill client who states, 'I just want to go home and die peacefully.' What is the most appropriate response? (v2)
A. Let's talk more about how you're feeling.
B. You still have options for aggressive treatment.
C. I need to notify the provider about your wishes.
D. Don't worry, you're not dying yet.
A. Let's talk more about how you're feeling.
