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# APEX MOCK EXAM 2 & APEX MOCK EXAM 3
## COMPLETE SOLUTIONS | GRADED A+
## FIRST-TIME PASS GUARANTEE | UPDATED FOR
LATEST NCLEX-RN/PN TEST PLAN
## Table of Contents
| Exam | Section | Questions |
|------|---------|-----------|
| Mock Exam 2 | Safe & Effective Care Environment | 25 |
| Mock Exam 2 | Health Promotion & Maintenance | 20 |
| Mock Exam 2 | Psychosocial Integrity | 20 |
| Mock Exam 2 | Physiological Integrity (Basic Care, Pharm, Reduction of Risk,
Physiological Adaptation) | 35 |
| **Mock Exam 2 Total** | | **100** |
| Mock Exam 3 | Safe & Effective Care Environment | 25 |
| Mock Exam 3 | Health Promotion & Maintenance | 20 |
| Mock Exam 3 | Psychosocial Integrity | 20 |
| Mock Exam 3 | Physiological Integrity | 35 |
| **Mock Exam 3 Total** | | **100** |
---
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# APEX MOCK EXAM 2
## SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT (Questions 1–
25)
**1.** A nurse is preparing to administer a blood transfusion to a client. Which of
the following actions is most important to prevent a transfusion reaction?
A) Verify the client's blood type and crossmatch with another nurse
B) Administer the blood at a rate of 10 mL/min for the first 15 minutes
C) Use a 22-gauge intravenous catheter for transfusion
D) Infuse dextrose 5% in water with the blood product
**Answer:** A) Verify the client's blood type and crossmatch with another nurse
**Rationale:** The most important action to prevent a hemolytic transfusion
reaction is verifying the client's identity, blood type, and crossmatch with another
qualified nurse (two-nurse verification). This ensures compatibility and prevents
ABO incompatibility, which is the most dangerous transfusion reaction .
---
**2.** A nurse is caring for a client who has a new order for wrist restraints.
Which of the following actions should the nurse take?
A) Apply the restraints tightly to prevent movement
B) Tie the restraints to the side rail of the bed
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C) Remove the restraints every 2 hours to assess skin and provide range of motion
D) Obtain a verbal order from the provider and document within 24 hours
**Answer:** C) Remove the restraints every 2 hours to assess skin and provide
range of motion
**Rationale:** Restraints must be removed at least every 2 hours (more frequently
depending on facility policy) to assess skin integrity, provide range of motion, and
address basic needs (toileting, hydration). Restraints should not be tied to side rails
(risk of injury). A provider order must be obtained (preferably written) and
renewed per facility policy (often every 24 hours). Restraints should be applied
snugly but not tightly (2 fingers should fit between restraint and client) .
---
**3.** A nurse is reviewing a client's informed consent for a surgical procedure.
Which of the following is the responsibility of the nurse?
A) Explain the risks and benefits of the procedure to the client
B) Witness the client's signature on the consent form
C) Determine if the client is mentally competent to sign
D) Obtain the client's signature after the provider has explained the procedure
**Answer:** D) Obtain the client's signature after the provider has explained the
procedure
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**Rationale:** The nurse's role in informed consent is to witness the client's
signature, ensure the client appears to have received information, and confirm the
client is signing voluntarily. The provider is responsible for explaining the
procedure, risks, benefits, and alternatives. The nurse does not explain the
procedure (may answer clarifying questions) .
---
**4.** A nurse is preparing to transfer a client from a bed to a stretcher. Which of
the following actions should the nurse take to prevent back injury?
A) Keep feet close together when lifting
B) Use a draw sheet to slide the client, keeping back straight and using leg muscles
C) Lift the client using a twisting motion
D) Have only one staff member perform the transfer
**Answer:** B) Use a draw sheet to slide the client, keeping back straight and
using leg muscles
**Rationale:** To prevent back injury, the nurse should keep feet shoulder-width
apart, use leg muscles (not back), keep the back straight, and avoid twisting. Using
a draw sheet or friction-reducing device reduces lifting strain. At least two staff
members should assist for a dependent client transfer .
---
# APEX MOCK EXAM 2 & APEX MOCK EXAM 3
## COMPLETE SOLUTIONS | GRADED A+
## FIRST-TIME PASS GUARANTEE | UPDATED FOR
LATEST NCLEX-RN/PN TEST PLAN
## Table of Contents
| Exam | Section | Questions |
|------|---------|-----------|
| Mock Exam 2 | Safe & Effective Care Environment | 25 |
| Mock Exam 2 | Health Promotion & Maintenance | 20 |
| Mock Exam 2 | Psychosocial Integrity | 20 |
| Mock Exam 2 | Physiological Integrity (Basic Care, Pharm, Reduction of Risk,
Physiological Adaptation) | 35 |
| **Mock Exam 2 Total** | | **100** |
| Mock Exam 3 | Safe & Effective Care Environment | 25 |
| Mock Exam 3 | Health Promotion & Maintenance | 20 |
| Mock Exam 3 | Psychosocial Integrity | 20 |
| Mock Exam 3 | Physiological Integrity | 35 |
| **Mock Exam 3 Total** | | **100** |
---
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# APEX MOCK EXAM 2
## SECTION 1: SAFE AND EFFECTIVE CARE ENVIRONMENT (Questions 1–
25)
**1.** A nurse is preparing to administer a blood transfusion to a client. Which of
the following actions is most important to prevent a transfusion reaction?
A) Verify the client's blood type and crossmatch with another nurse
B) Administer the blood at a rate of 10 mL/min for the first 15 minutes
C) Use a 22-gauge intravenous catheter for transfusion
D) Infuse dextrose 5% in water with the blood product
**Answer:** A) Verify the client's blood type and crossmatch with another nurse
**Rationale:** The most important action to prevent a hemolytic transfusion
reaction is verifying the client's identity, blood type, and crossmatch with another
qualified nurse (two-nurse verification). This ensures compatibility and prevents
ABO incompatibility, which is the most dangerous transfusion reaction .
---
**2.** A nurse is caring for a client who has a new order for wrist restraints.
Which of the following actions should the nurse take?
A) Apply the restraints tightly to prevent movement
B) Tie the restraints to the side rail of the bed
,3|Page
C) Remove the restraints every 2 hours to assess skin and provide range of motion
D) Obtain a verbal order from the provider and document within 24 hours
**Answer:** C) Remove the restraints every 2 hours to assess skin and provide
range of motion
**Rationale:** Restraints must be removed at least every 2 hours (more frequently
depending on facility policy) to assess skin integrity, provide range of motion, and
address basic needs (toileting, hydration). Restraints should not be tied to side rails
(risk of injury). A provider order must be obtained (preferably written) and
renewed per facility policy (often every 24 hours). Restraints should be applied
snugly but not tightly (2 fingers should fit between restraint and client) .
---
**3.** A nurse is reviewing a client's informed consent for a surgical procedure.
Which of the following is the responsibility of the nurse?
A) Explain the risks and benefits of the procedure to the client
B) Witness the client's signature on the consent form
C) Determine if the client is mentally competent to sign
D) Obtain the client's signature after the provider has explained the procedure
**Answer:** D) Obtain the client's signature after the provider has explained the
procedure
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**Rationale:** The nurse's role in informed consent is to witness the client's
signature, ensure the client appears to have received information, and confirm the
client is signing voluntarily. The provider is responsible for explaining the
procedure, risks, benefits, and alternatives. The nurse does not explain the
procedure (may answer clarifying questions) .
---
**4.** A nurse is preparing to transfer a client from a bed to a stretcher. Which of
the following actions should the nurse take to prevent back injury?
A) Keep feet close together when lifting
B) Use a draw sheet to slide the client, keeping back straight and using leg muscles
C) Lift the client using a twisting motion
D) Have only one staff member perform the transfer
**Answer:** B) Use a draw sheet to slide the client, keeping back straight and
using leg muscles
**Rationale:** To prevent back injury, the nurse should keep feet shoulder-width
apart, use leg muscles (not back), keep the back straight, and avoid twisting. Using
a draw sheet or friction-reducing device reduces lifting strain. At least two staff
members should assist for a dependent client transfer .
---
