NCLEX QUESTIONS WITH 100%
VERIFIED ANSWERS
Low-residue jmdiet jm- jmANSWERS-Dairy jmproducts jm& jmeggs, jmsuch jmas jmcustard jmand
jmyogurt
(Rat) jmA jmlow-residue jmdiet jmconsists jmof jmfoods jmthat jmare jmlow jmin jmfiber jmand jmare
jmeasy jmto jmdigest jmsuch jmas jmeggs, jmcustard, jmyogurt jmand jmripe jmbananas jm- jmNOTE
jmLegumes jmsuch jmas jmlentils jmand jmblack jmbeans jmare jmhigh jmin jmfiber jmand jmare jmnot
jmconsidered jmlow jmin jmresidue.
A jmRN jmis jmcaring jmfor jma jmpatient jmwho jmweighs jm80 jmkg jmand jmis jm5 jmft jm3 jmin jmtall.
jmCalculate jmthe jmBMI jmand jmdetermine jmif jmthe jmpatients jmBMI jmindicates jma jmhealthy
jmweight, jmunderweight, jmoverweight, jmor jmobese. jm- jmANSWERS-Use jmthe jmformula
jm(wt. jmin jmlbs)/(ht jmin jmin^2) jmmultiply jmby jm703 jmto jmget jmthe jmBMI.
BMI jmis jm31 jm(obese)
(Rat) jmA jmBMI jmgreater jmthan jm30 jmindicates jmobesity. jmA jmBMI jmof jm25-29.9 jmindicates
jmoverweight. jmA jmBMI jmof jm18.5-24.9 jmis jma jmnormal/healthy jmBMI. jmA jmBMI jm<18.5
jmindicates jmunderweight.
A jmRN jmadmits jma jmfemale jmpatient jmwho jmweighs jm246 jmlbs jmwith jma jmheight jmof jm5 jmft
jm4 jmin. jmCalculate jmthe jmBMI jmof jmthe jmfemale jmpatient. jm- jmANSWERS-Use jmthe
jmformula jm(lbs)/(in^2) jmmultiply jmby jm703
BMI jm42 jmindicates jmthe jmpatient jmis jmobese
A jmRN jmis jmreviewing jmdischarge jminstructions jmregarding jmcar jmseat jmsafety jmto jmthe
jmparent jmof jma jmnewborn. jmWhich jmof jmthe jmfollowing jminstructions jmwill jmthe jmnurse
jminclude jmin jmthe jmdischarge jmteaching jm(SATA)
A. jmPosition jmthe jminfant jmrear-facing jmin jmthe jmbackseat.
B. jmBe jmsure jmthe jmcar jmseat jmis jmat jma jm90 jmdegree jmangle
C. jmBe jmsure jmthe jmcare jmseat jmis jmat jma jm45 jmdegree jmangle
D. jmPosition jmthe jmcar jmseat jmbehind jmthe jmpassenger jmor jmdrivers jmseat
E. jmPosition jmthe jmcare jmseat jmin jmthe jmmiddle jmof jmthe jmback jmseat jm
F. jmKeep jminfants jmin jmrear-facing jmcar jmseats jmuntil jmage jm6 jmmonths
G. jmKeep jminfants jmin jmrear-facing jmcar jmseat jmuntil jm2 jmyr jmold jmor jmuntil jmthe jmchild
jmreaches jmthe jmmaximum jmht jmand jmwt jmfor jmthe jmseat. jm- jmANSWERS-(A, jmC, jmE, jmG)
A. jmPosition jmthe jminfant jmrear-facing jmin jmthe jmbackseat jm- jm(RAT) jmthe jmcar jmseat
jmshould jmnever jmbe jmin jmthe jmfront jmseat jmof jma jmcar jmdue jmto jmthe jmincreased jmrisk jmfor
jminjury jmfrom jmthe jmair jmbags jmduring jma jmMVA.
,C. jmBe jmsure jmthe jmcare jmseat jmis jmat jma jm45 jmdegree jmangle jm- jm(RAT) jmthe jmcar jmseat
jmshould jmbe jmat jma jm45 jmdegree jmangle.
E. jmPosition jmthe jmcare jmseat jmin jmthe jmmiddle jmof jmthe jmback jmseat jm- jm(RAT) jmthe jmcar
jmseat jmshould jmbe jmin jmthe jmmiddle jmaway jmfrom jmair jmbags jmand jmside jmimpact.
G. jmKeep jminfants jmin jmrear-facing jmcar jmseat jmuntil jm2 jmyr jm- jm(RAT) jmkeep jmthe jmchild
jmin jmthe jmrear-facing jmcar jmseat jmuntil jmthe jmchild jmreaches jm2yo jmor jmuntil jmthe jmchild
jmreaches jmthe jmmaximum jmht jmand jmwt jmfor jmthe jmseat.
A jmRN jmis jmcaring jmfor jma jmpatient jmwho jmfell jmat jma jmnursing jmhome. jmThe jmpatient jmis
jmoriented jmx jm3 jm(person, jmplace jm& jmtime) jmand jmcan jmfollow jmdirections. jmWhich jmof
jmthe jmfollowing jmactions jmshould jmthe jmRN jmtake jmto jmdecrease jmthe jmrisk jmof jmanother
jmfall? jm(SATA)
A. jmPlace jma jmbelt jmrestraint jmon jmthe jmpatient jmwhen jmthey jmare jmsitting jmon jmthe
jmbedside jmcommode
B. jmKeep jmthe jmbed jmin jmits jmlowest jmposition jmwith jmall jmside jmrails jmup
C. jmMake jmsure jmthat jmthe jmpatient's jmcall jmlight jmis jmwithin jmreach
D. jmProvide jmthe jmpatient jmwith jmnonskid jmfootwear
E. jmComplete jma jmfall-risk jmassessment jm- jmANSWERS-(C,D,E)
C. jmMake jmsure jmthat jmthe jmpatient's jmcall jmlight jmis jmwithin jmreach
D. jmProvide jmthe jmpatient jmwith jmnonskid jmfootwear
E. jmComplete jma jmfall-risk jmassessment jm
Note- jmYou jmdo jmnot jmput jmall jmthe jmside jmrails jmup jmin jmthe jmbed jmbecause jmthis jmis
jmconsidered jma jmrestraint.
A jmRN jmis jmcaring jmfor jma jmpatient jmwho jmhas jma jmHx jmof jmfalls. jmWhich jmof jmthe
jmfollowing jmactions jmis jmthe jmRNs jmpriority?
A. jmComplete jma jmfall-risk jmassessment
B. jmEducate jmthe jmpatient jmand jmfamily jmabout jmfall jmrisks
C. jmEliminate jmsafety jmhazards jmfrom jmthe jmpatients jmenvironment
D. jmMake jmsure jmthe jmpatient jmuses jmassistive jmaids jmin jmtheir jmpossession jm-
jmANSWERS-A. jmComplete jma jmfall-risk jmassessment
(Rat) jmthis jmis jma jmpriority jmnursing jmquestion jmtherefore jmthe jmquestion jmshould jmdirect
jmyou jmto jmthe jmnursing jmprocess. jmThe jmfirst jmaction jmthe jmnurse jmshould jmtake jmusing
jmthe jmnursing jmprocess jmis jmto jmassess jmor jmcollect jmdata jmfrom jmthe jmpatient.
,A jmRN jmdiscovers jma jmsmall jmpaper jmfire jmin jma jmtrash jmin jma jmpatients jmbathroom. jmThe
jmpatient jmhas jmbeen jmtaken jmto jmsafety jmand jmthe jmalarm jmhas jmbeen jmactivated.
jmWhich jmof jmthe jmfollowing jmactions jmshould jmthe jmRN jmtake? jm
A. jmOpen jmthe jmwindows jmin jmthe jmpatients jmroom jmto jmallow jmsmoke jmto jmescape
B. jmObtain jma jmclass jmC jmfire jmextinguisher jmto jmextinguish jmthe jmfire
C. jmRemove jmall jmelectrical jmequipment jmfrom jmthe jmpatient jmroom
D. jmPlace jmwet jmtowels jmalong jmthe jmbase jmof jmthe jmdoor jmto jmthe jmpatients jmroom jm-
jmANSWERS-D. jmPlace jmwet jmtowels jmalong jmthe jmbase jmof jmthe jmdoor jmto jmthe
jmpatients jmroom jm- jm(RAT) jmto jmcontain jmthe jmfire jmand jmsmoke jmin jmthe jmroom.
Note jm- jmdo jmnot jmobtain jma jmclass jmC jmfire jmextinguisher jmbut jminstead jmobtain jma jmclass
jmA jmfire jmextinguisher jmwhich jmis jmused jmfor jmordinary jmcombustibles jmsuch jmas jmcloth
jmand jmpaper.
A jmnurse jmmanager jmis jmcompleting jman jmin-service jmon jma jmgroup jmof jmnew jmnurses jmin
jmthe jmtransition jmto jmpractice jmprogram. jmThe jmnurse jmmanager jmasks jmone jmnurse
jmstudent jmto jmdefine jmthe jmacronym jm"RACE". jmPlease jmindicate jmwhat jmeach jmletter jmin
jmthe jmacronym jmmeans. jm- jmANSWERS-R jm- jmRescue jmand jmprotect jmthe jmpatients
jmwho jmare jmat jmor jmnear jmthe jmfire. jmPatients jmwho jmcan jmwalk jmare jmable jmto jmdo jmso
jmon jmcommand jmto jma jmsafe jmlocation. jm
A jm- jmActivate jmthe jmalarm jm
C jm- jmContain/confine jmthe jmfire jmby jmclosing jmdoors jmand jmwindows, jmby jmplacing jma
jmwet jmtowel jmunder jmthe jmdoor jmin jmthe jmpatients jmroom, jmand jmby jmturning jmoff jmall
jmoxygen jmsources jmand jmany jmelectrical jmdevices. jmVentilate jmpatient's jmwho jmare jmon
jmlife jmsupport jmby jmusing jma jmbag-valve jmmask
E jm- jmExtinguish jmthe jmfire jmwith jma jmgeneral/appropriate jmfire jmextinguisher jm(Class jmA)
jmfor jmyour jmnormal jmcombustables
A jmRN jmdiscovers jmthat jmshe jmadministered jman jmantihypertensive jmmedication jmto jma
jmpatient jmin jmerror. jmIdentify jmthe jmappropriate jmsequence jmof jmsteps jmthat jmthe jmRN
jmshould jmtake jmusing jmthe jmfollowing jmactions.
A. jmCall jmthe jmMD
B. jmCheck jmthe jmVS
C. jmNotify jmthe jmrisk jmmanager
D. jmComplete jman jmincident jmreport
E. jmInstruct jmthe jmpatient jmto jmremain jmin jmbed jmuntil jmfurther jmnotice jm- jmANSWERS-(A,
jmB, jmC, jmD, jmE)
A. jmCall jmthe jmMD
B. jmCheck jmthe jmVS
C. jmNotify jmthe jmrisk jmmanager
D. jmComplete jman jmincident jmreport
E. jmInstruct jmthe jmpatient jmto jmremain jmin jmbed jmuntil jmfurther jmnotice
, Note jm- jmIf jmthe jmquestion jmwas jma jmpriority jmquestion, jmwhat jmwould jmthe jmRN jmdo
jmfirst? jmFirst, jmI jmwould jmcheck jmthe jmVS.
A jmRN jmis jmdiscussing jmdisaster jmplanning jmwith jmthe jmboard jmmembers jmof jma
jmhospital. jmWhich jmof jmthe jmfollowing jmactions jmshould jmthe jmRN jmtake?
A. jmIncident jmcommander
B. jmMedical jmcommand jmphysician
C. jmTriage jmofficer
D. jmMedia jmliaison jm- jmANSWERS-Medical jmcommand jmphysician jm- jm(RAT) jmoversee's
jmthe jmuse jmof jmresources jm(equipment jmand jmpersonnel)
NOTE jm- jmthe jmincident jmcommander jmmanages jmthe jmincident jmand jmkey jmleaders
jmwithin jmthe jmfacility jm
NOTE jm- jmExpect jmthe jmtriage jmofficer jmto jmprioritize jmthe jmtreatment jmof jmpatients
jmcoming jmin jmfor jmtreatment
NOTE jm- jmExpect jmthe jmmedia jmliaison jmto jmcommunicate jmwith jmmembers jmof jmthe
jmmedia jmand jmpress jmon jmbehalf jmof jmthe jmfacility
A jmRN jmprepares jmthe jmER jmto jmadmit jmpatients jmwho jmwere jmexposed jmto jminhalation
jmanthrax jmduring jma jmbioterrorism jmattack. jmWhich jmantibiotic jmis jmused jmto jmtreat
jmpatients jmwho jmhave jmbeen jmexposed jmto jminhalation jmanthrax? jm- jmANSWERS-
Ciprofloxacin jm(Cipro) jmwill jmtreat jmand jmprevent jmthe jmspread jmof jmanthrax
(RAT) jmCiprofloxacin jmand jmdoxycycline jmIV/PO jmis jmused jmfollowing jmexposure.
jmTreatment jmincludes jmone jmor jmtwo jmadditional jmantibiotic jm(vancomycin, jmpenicillin
jmand jmanthrax jmantitoxin)
A jmRN jmat jma jmmental jmhealth jmclinic jmis jmcaring jmfor jmfour jmpatients. jmThe jmRN jmshould
jmrecognize jmthe jmfollowing jmpatients jmis jmusing jmdissociation jmas jma jmdefense
jmmechanism? jm- jmANSWERS-A jmpatient jmwho jmwas jmabused jmas jma jmchild jmdescribes
jmthe jmabuse jmas jmif jmit jmhappened jmto jmsomeone jmelse
What jmare jmthe jmsigns jmand jmsymptoms jmof jmhypoglycemia? jmUse jmthe jmmnemonic
jmHe jmIS jmTIRED! jm- jmANSWERS-He jm- jmHeadache
I jm- jmIrritability
S jm- jmSweating
T jm- jmTachycardia
I jm- jmIrritability
R jm- jmRestlessness
E jm- jmExcessive jmHunger
D jm- jmDizziness
The jmRN jmis jmworking jmwith jma jmnew jmMD jm. jmThe jmRN jmis jmpreparing jmthe jmpatient jmfor
jmthe jmadministration jmof jman jmepidural. jmThe jmRN jmconsult jmthe jmMD jmfor jmthe