NCLEX NCLEX Certifications NCLEX-PN Questions & Answers

• Question 551:

  A nurse is working in a patient's room who is positive for C. Diff (clostridium difficile).

  What is the best action for the nurse to take?

  A. Don a mask, gown, and gloves when working with this patient.

  B. Wear gloves and gown during patient care.

  C. Wear gloves when having any physical contact with the patient.

  D. Wear gloves and a mask when cleaning the patient.

  Correct Answer: B

• Question 552:

  The most effective way to perform hand hygiene is __________.

  A. washing hands after gloves are removed post patient care

  B. using hand sanitizer and rubbing hands together for 30 seconds

  C. either washing your hands for 30 seconds in warm, soapy water or using hand sanitizer if hands are not visibly soiled

  D. holding hands down after washing to prevent water from rolling down your arm while drying

  Correct Answer: C

• Question 553:

  A nurse is caring for an elderly patient and realizes she made an error by administering an antibiotic at the drip rate ordered for normal saline.

  What is the most appropriate action?

  A. Tell the patient that a medication error occurred and about the potential side effects.

  B. File an incident report giving objective data about what happened.

  C. Do nothing. There are no serious risks or side effects to this type of medication error.

  D. Tell the charge nurse the medication error occurred and that it was due to the previous nurse mislabeling the IV tubing from the antibiotic and normal saline bags.

  Correct Answer: B

• Question 554:

  A physician orders the administration of ibuprofen, but the nurse notices the patient is allergic to NSAIDs. What should the nurse do?

  A. Find out how serious the patient's reaction is to NSAID exposure.

  B. Administer the medication per the physician's order.

  C. Contact the physician to verify the order and discuss concerns.

  D. Ask the patient if he or she feels comfortable taking the medication.

  Correct Answer: C

• Question 555:

  The nurse enters her first patient's room to administer morning medications. What is the first thing she should do?

  A. Ask the patient to verify his or her medication allergies.

  B. Verify the patient's full name and date of birth.

  C. See if the patient has had breakfast.

  D. Review medications and potential side effects.

  Correct Answer: B

• Question 556:

  The LPN discovers an unconscious 8-year-old in the bathroom. She does a quick assessment and discovers he is not breathing and does not have a pulse. The LPN is alone and does not have quick access to a call button.

  What should she do first?

  A. Look for help and an AED, then give 2 minutes of CPR at a compression-ventilation ratio of 30:2.

  B. Give 2 minutes of CPR at a compression-ventilation ratio of 30:2. Then, look for help and an AED, and return and resume CPR.

  C. Give 2 minutes of CPR at a compression-ventilation ratio of 15:2. Then, look for help and an AED, and return and resume CPR.

  D. Look for help and an AED, then give 1 minute of CPR at a compression-ventilation ratio of 15:2.

  Correct Answer: B

• Question 557:

  An LPN is discussing medication safety with a toddler patient's parent. Which statement made by the parent would be a cause for concern?

  A. "I always check to make sure the safety cap `clicks' when I close it."

  B. "We store all of our medicine on a really high shelf that even I need a step stool to reach."

  C. "To get her to take her medicine, we just tell her it's like candy."

  D. "We store our medicines and vitamins together."

  Correct Answer: C

• Question 558:

  A patient placed under neutropenic precautions asks you how she can prevent infection.

  Which advice would be most appropriate?

  A. Only brush teeth once a day or every other day.

  B. Wash hands when finished cleaning up after pets.

  C. Only use pads for menstrual periods.

  D. Do not let visitors within 10 feet.

  Correct Answer: C

• Question 559:

  A client has been placed in isolation because he is diagnosed with a contagious illness.

  The nurse should be aware that ___________.

  A. Linens from the client's bed should be double-bagged

  B. Meals should be served on washable dishes

  C. Extensive isolation rarely causes psychological problems

  D. Paper trays and plastic utensils prevent disease transmission

  Correct Answer: A

  Linens should be double-bagged. Isolation refers to techniques used to prevent or to limit the spread of infection. Some form of isolation has been used for centuries, whether to protect a high-risk person from exposure to pathogens or to prevent the transmission of pathogens from an infected person to others. Special handling of articles and linen soiled by anybody fluid is indicated. These articles should be placed in impervious bags before they are removed from the client's bedside. Bagging in watertight containers is indicated to prevent exposure of personnel and contamination of the environment. The outside of the bag should not be contaminated when placing articles inside it. Each hospital and community agency has procedures for labeling and decontaminating exposed articles. Items that are visibly soiled with body substances should be rinsed and placed in plastic bags or clearly marked containers, often labeled "Contaminated." If the outside of the bag becomes contaminated, placing that bag in another bag (double-bagging) is required.

• Question 560:

  The nurse should perform which intervention when a client is restrained?

  A. Remove the restraints and provide skin care hourly.

  B. Document the condition of the client's skin every 3 hours.

  C. Assess the restraint every 30 minutes.

  D. Tie the restraint to the side rails.

  Correct Answer: C

  The minimum standard is to visually assess the restraint every 30 minutes. Documentation is typically

  performed per a checklist or flow sheet.

  The ends of the restraint are tied to a part of the bed that allows for position changes without unfastening

  them.