NCLEX Challenge 1
1. A nurse administers an incorrect medication to a client. Following an assessment of the client,
the nurse determines that the client has experienced no untoward effects as a result of the
medication. The nurse does not complete an incident report because no harm came to the
client. Which of the following ethical principles did the nurse violate?
Veracity
2. A nurse is teaching a client about the physical effects of chemotherapy. Following the teaching,
the nurse asks the client to described one physical effect. The nurse is focusing on which of the
following elements of the communication process?
Feedback
3. A nurse is preparing to administer gabapentin 900 mg PO once daily for a client who has
neuropathic pain. The amount available is gabapentin 300 mg/capsule. How many capsules
should the nurse administer per dose? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.)
3 capsules
4. A nurse is discussing culturally competent care at a nursing staff inservice. Which of the
following information should the nurse include when discussing clients’ cultures?
Nurses should focus on clients’ cultures, rather than their ethnicity, when providing care
5. A nurse is caring for several clients. For which of the following situations should the nurse
complete an incident report?
A client discovers that his dentures are missing
6. A nurse is giving change-of-shift report using SBAR to the oncoming nurse on a client who has a
traumatic brain injury. Which of the following information should the nurse include in the
background segment of SBAR?
Code status
7. A nurse manager is preparing to confront a staff nurse who is abusing alcohol. Which of the
following defense mechanisms should the nurse manager expect the staff nurse to use?
Denial
8. A nurse is providing discharge teaching for a client who is postoperative following a simple
mastectomy. The client is to begin outpatient radiation therapy the next day. Which of the
following instructions about maintaining skin integrity should the nurse include?
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, Do not apply heat to the area of irradiation
9. When reviewing the admitting prescriptions for a client, the nurse notes that the dose of one
medication is three times the usual dose of this medication. Which of the following actions
should the nurse take?
Contact the provider to question the dosage
10. A nurse is caring for a client who has cancer and is scheduled for immediate chemotherapy. The
client tells the nurse that she wants to try nontraditional treatments first. Which of the following
responses should the nurse make?
“Tell me more about your concerns about taking chemotherapy.”
11. A nurse is preparing to administer morphine 4 mg IV bolus to a client who reports pain. Available
is morphine 10 mg/mL. Which of the following actions should the nurse take?
Have another nurse witness the disposal of the extra medication
12. A nurse is caring for a client who has fallen while getting out of bed and states, “I’m okay! I guess
I should have called for help to the bathroom.” After assessing the client, the nurse notifies the
provider. Which of the following documentation should the nurse include in the client’s medical
record?
“The provider was notified.”
13. A nurse manager is presenting to a group of unit nurses the categories regulated under the
Controlled Substances Act. Which of the following medication prescriptions should the nurse
include under Schedule II?
Morphine
14. A nurse is caring for a client who is receiving radiation therapy to treat lung cancer. Which of the
following actions should the nurse take?
Observe for signs of infection
15. A nurse manager has recently become aware of a conflict between the pharmacy and the staff
nurses regarding sending and receiving medications. Which of the following actions should the
nurse take first to resolve the conflict?
Identify the problem
16. A nurse is talking with a client who is about to start using transcutaneous electrical nerve
stimulation (TENS) to manage chronic pain. Which of the following statements should the nurse
identify as an indication that the client needs further teaching?
This study source was downloaded by 100000819885058 from CourseHero.com on 02-08-2022 04:59:05 GMT -06:00
https://www.coursehero.com/file/38974470/NCLEX-Challenge-1docx/
1. A nurse administers an incorrect medication to a client. Following an assessment of the client,
the nurse determines that the client has experienced no untoward effects as a result of the
medication. The nurse does not complete an incident report because no harm came to the
client. Which of the following ethical principles did the nurse violate?
Veracity
2. A nurse is teaching a client about the physical effects of chemotherapy. Following the teaching,
the nurse asks the client to described one physical effect. The nurse is focusing on which of the
following elements of the communication process?
Feedback
3. A nurse is preparing to administer gabapentin 900 mg PO once daily for a client who has
neuropathic pain. The amount available is gabapentin 300 mg/capsule. How many capsules
should the nurse administer per dose? (Round the answer to the nearest whole number. Use a
leading zero if it applies. Do not use a trailing zero.)
3 capsules
4. A nurse is discussing culturally competent care at a nursing staff inservice. Which of the
following information should the nurse include when discussing clients’ cultures?
Nurses should focus on clients’ cultures, rather than their ethnicity, when providing care
5. A nurse is caring for several clients. For which of the following situations should the nurse
complete an incident report?
A client discovers that his dentures are missing
6. A nurse is giving change-of-shift report using SBAR to the oncoming nurse on a client who has a
traumatic brain injury. Which of the following information should the nurse include in the
background segment of SBAR?
Code status
7. A nurse manager is preparing to confront a staff nurse who is abusing alcohol. Which of the
following defense mechanisms should the nurse manager expect the staff nurse to use?
Denial
8. A nurse is providing discharge teaching for a client who is postoperative following a simple
mastectomy. The client is to begin outpatient radiation therapy the next day. Which of the
following instructions about maintaining skin integrity should the nurse include?
This study source was downloaded by 100000819885058 from CourseHero.com on 02-08-2022 04:59:05 GMT -06:00
https://www.coursehero.com/file/38974470/NCLEX-Challenge-1docx/
, Do not apply heat to the area of irradiation
9. When reviewing the admitting prescriptions for a client, the nurse notes that the dose of one
medication is three times the usual dose of this medication. Which of the following actions
should the nurse take?
Contact the provider to question the dosage
10. A nurse is caring for a client who has cancer and is scheduled for immediate chemotherapy. The
client tells the nurse that she wants to try nontraditional treatments first. Which of the following
responses should the nurse make?
“Tell me more about your concerns about taking chemotherapy.”
11. A nurse is preparing to administer morphine 4 mg IV bolus to a client who reports pain. Available
is morphine 10 mg/mL. Which of the following actions should the nurse take?
Have another nurse witness the disposal of the extra medication
12. A nurse is caring for a client who has fallen while getting out of bed and states, “I’m okay! I guess
I should have called for help to the bathroom.” After assessing the client, the nurse notifies the
provider. Which of the following documentation should the nurse include in the client’s medical
record?
“The provider was notified.”
13. A nurse manager is presenting to a group of unit nurses the categories regulated under the
Controlled Substances Act. Which of the following medication prescriptions should the nurse
include under Schedule II?
Morphine
14. A nurse is caring for a client who is receiving radiation therapy to treat lung cancer. Which of the
following actions should the nurse take?
Observe for signs of infection
15. A nurse manager has recently become aware of a conflict between the pharmacy and the staff
nurses regarding sending and receiving medications. Which of the following actions should the
nurse take first to resolve the conflict?
Identify the problem
16. A nurse is talking with a client who is about to start using transcutaneous electrical nerve
stimulation (TENS) to manage chronic pain. Which of the following statements should the nurse
identify as an indication that the client needs further teaching?
This study source was downloaded by 100000819885058 from CourseHero.com on 02-08-2022 04:59:05 GMT -06:00
https://www.coursehero.com/file/38974470/NCLEX-Challenge-1docx/
