NCLEX-RN MEGA EXAM
QUESTION AND CORRECT
ANSWERS WITH RATIONALE
11. Which action best prevents infection?
A. Wearing gloves
B. Hand hygiene
C. Using sterile supplies
D. Cleaning equipment
✅ Answer: B
12. (Ventilator question — like your screenshot)
A ventilator alarm suddenly stops sounding while in use. What is the nurse’s FIRST action?
A. Restart the ventilator immediately
B. Notify the maintenance department
C. Turn off the ventilator
D. Check the client’s respiratory status and airway
✅ Answer: D
Rationale: Always assess the patient FIRST. Equipment issues are secondary to airway and
breathing.
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,13. Which client should the nurse see FIRST?
A. Post-op client requesting pain medication
B. Client with oxygen saturation of 86%
C. Client awaiting discharge
D. Client with nausea
✅ Answer: B
14. A client’s IV infiltrates. What is the nurse’s FIRST action?
A. Apply heat
B. Stop the infusion
C. Notify the provider
D. Document
,✅
Answer: B
15. Which finding indicates hypoglycemia?
A. Fruity breath
B. Diaphoresis and shakiness
C. Polyuria
D. Dry skin
✅ Answer: B
16. A nurse receives an unsafe medication order. What should the nurse do
FIRST?
A. Carry out the order
B. Clarify the order
C. Document refusal
D. Ask another nurse
✅ Answer: B
17. Which patient is most appropriate for a new-graduate nurse?
A. Client on vasopressors
B. Unstable GI bleed
C. Stable client awaiting discharge
, ✅
D. Ventilated ICU client
✅ Answer: C
18. Which action demonstrates proper delegation?
A. Assigning assessments to UAP
B. Delegating tasks and evaluating outcomes
C. Delegating without follow-up
D. Letting UAP decide priorities
Answer: B
19. Which assessment finding requires immediate intervention?
A. Pain 5/10
B. BP 88/50
C. Glucose 170
D. Nausea
✅ Answer: B
20. A client refuses a prescribed treatment. What is the nurse’s best action?
A. Force treatment
B. Educate and document refusal
C. Ignore the refusal
QUESTION AND CORRECT
ANSWERS WITH RATIONALE
11. Which action best prevents infection?
A. Wearing gloves
B. Hand hygiene
C. Using sterile supplies
D. Cleaning equipment
✅ Answer: B
12. (Ventilator question — like your screenshot)
A ventilator alarm suddenly stops sounding while in use. What is the nurse’s FIRST action?
A. Restart the ventilator immediately
B. Notify the maintenance department
C. Turn off the ventilator
D. Check the client’s respiratory status and airway
✅ Answer: D
Rationale: Always assess the patient FIRST. Equipment issues are secondary to airway and
breathing.
Page 1 of 46
,13. Which client should the nurse see FIRST?
A. Post-op client requesting pain medication
B. Client with oxygen saturation of 86%
C. Client awaiting discharge
D. Client with nausea
✅ Answer: B
14. A client’s IV infiltrates. What is the nurse’s FIRST action?
A. Apply heat
B. Stop the infusion
C. Notify the provider
D. Document
,✅
Answer: B
15. Which finding indicates hypoglycemia?
A. Fruity breath
B. Diaphoresis and shakiness
C. Polyuria
D. Dry skin
✅ Answer: B
16. A nurse receives an unsafe medication order. What should the nurse do
FIRST?
A. Carry out the order
B. Clarify the order
C. Document refusal
D. Ask another nurse
✅ Answer: B
17. Which patient is most appropriate for a new-graduate nurse?
A. Client on vasopressors
B. Unstable GI bleed
C. Stable client awaiting discharge
, ✅
D. Ventilated ICU client
✅ Answer: C
18. Which action demonstrates proper delegation?
A. Assigning assessments to UAP
B. Delegating tasks and evaluating outcomes
C. Delegating without follow-up
D. Letting UAP decide priorities
Answer: B
19. Which assessment finding requires immediate intervention?
A. Pain 5/10
B. BP 88/50
C. Glucose 170
D. Nausea
✅ Answer: B
20. A client refuses a prescribed treatment. What is the nurse’s best action?
A. Force treatment
B. Educate and document refusal
C. Ignore the refusal
