NCSBN NCLEX Questions & Answers: Latest
2026 Edition - Guaranteed Comprehension for
Exam Success.
How can you identify your patient? - ANSWER-Name
Date of birth
MR number
NOT Room number
R.A.C.E - ANSWER-R: Remove and rescue patients
A: Activate fire alarm
C: Contain fire
E: Extinguish
Restraints - ANSWER-If a client can easily remove the device, it does
not qualify as a physical restraint.
A provider order for restraints can never be written in advance for "what
if" situations or "as needed" (i.e., PRN).
Always attempt to use the least restrictive form of restraint and/or safety
device. Never apply or use a restraint (chemical, physical or seclusion)
to punish a client
Chemical: These include medications such as anxiolytics, sedatives,
opioids and paralytics.
Physical: These include mechanical devices or equipment that limit the
client from moving or from moving an extremity. A chair with an
attached tray that prevents the client from getting up is considered a
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restraint. Raising all bed rails can be considered a form of restraint;
however, one raised side rail that the client uses to move in and out of
bed would not be considered a restraint.
Seclusion: A locked room or area away from other clients that the client
cannot leave. This is primarily used with clients in behavioral health
settings who are at risk for violent behavior and only after all other
interventions have failed
A soft wrist restraint can be applied before a doctor's order is given, but
the nurse must contact the HCP immediately after the restraint is applied
to obtain the order. (True or False) - ANSWER-True
Contact precautions - ANSWER-Gastrointestinal infections, e.g.,
foodborne illness such as norovirus or Clostridium difficile (C. diff.)
Diarrhea of unknown origin
Skin infections or infestations, e.g., impetigo, scabies
Presence of, or colonization with, multidrug-resistant bacteria, e.g.
methicillin-resistant Staphylococcus aureus (MRSA)
Gown, gloves, mask, eye protection
Herpes Zoster (shingles) disseminated needs what precautions -
ANSWER-implement both contact and airborne precautions until lesions
are dry and crusted.
Droplet precautions - ANSWER-Influenza
Meningococcal meningitis
Mumps
Rubella (German measles)
Diphtheria
Pertussis (Whooping cough)
Infections caused by drug-resistant Streptococcus pneumonia
Surgical mask
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6 ft distance
gown and gloves when providing care
Airborne precautions - ANSWER-Varicella (chicken pox)
Tuberculosis
Measles (rubella)
N95
Filing incidence report - ANSWER-Medication administration errors
(even if the error did not reach the client)
Any time a client makes a complaint
Medical device malfunction
Any time a client, staff member or visitor is injured or involved in a
situation with the potential for injury
When a client leaves the health care facility against medical advice
(AMA)
Loss or theft of a client's or visitor's property
Triage Categories - ANSWER-Immediate, Delayed, Minimal, Expectant
Immediate (red) - ANSWER-Chest wounds
Shock
Open fractures
2/3 degree burns
Delayed (yellow) - ANSWER-second priority
need treatment and transport but can be delayed
multiple injuries to bones or joints, back injuries
stable abd wounds
eye and CNS injury
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Minimal (green) - ANSWER-Minor burns or fractures or bleeds
Expectant (black) - ANSWER-last priority
dead or minimal chance of survival
cardiac arrest or open head injury
brain stem injury
chelating agents - ANSWER-molecules that attract or bind with other
molecules and are therefore useful in either preventing or promoting
movement of substances from place to place
Potassium iodine: helps radioactive iodine in thyroid
Prussian blue : for cesium and thallium
Biological agents with a high probability of mass dissemination or
person-to-person transmission and high mortality rates include: -
ANSWER-Anthrax (Bacillus anthracis)
Botulism (Clostridium botulinumtoxin)
Plague (Yersinia pestis)
Smallpox (Variola major)
The nurse is preparing to enter a disaster scene to assist with triaging
victims. What assessment priorities should the nurse adhere to? Select
all that apply.
The nurse requires disaster certification before performing triage during
a disaster.
The nurse should allocate resources to those victims with the strongest
probability of survival.