NCSBN NCLEX RN Review new 2022
A client is being prepped for a surgical procedure and the nurse is reviewing the
informed consent with the client. The client asks, "Is there any other way to take care of
this without have surgery?" The nurse has a duty to first:
A. Reassure the client that the surgery is the best treatment option
B. Tell the client if they don't want they surgery, they don't have to have it
C. Notify the surgeon that the client has additional question about alternatives to
surgery
D. Call the surgeon and cancel the surgery until the consent form is signed - C
A nurse has unintentionally given an incorrect dose of medication to their client. No
harm was done to the client. What is the next action, if any, required by the nurse?
A. The nurse is not required to report the mistake because the client was not harmed
B. The nurse is not responsible for the mistake because they have not been provided
current education by their employer
C. The nurse will immediately be suspended and their license will be revoked
D. The nurse will report the incident to their nurse manager and follow their
organizational procedures for reporting - D
The 83 year old client, who lives in a retirement community, is admitted to the hospital.
The daughter reports the client no longer calls her every day, has not been participating
in previously enjoyed activities, such as weekly card games, and has allowed the
garden to become overgrown with weeds.
The nurse should assign this client to a room with which of the following clients?
A. An elderly person who was admitted 3 hours ago with a diagnosis of cyclothymia
B. A young adult who was admitted 24 hours ago for treatment following detoxification
C. An adolescent who was admitted the day before with a diagnosis of disruptive mood
dysregulation
D. A middle aged person who has been on the unit for 72 hours with a diagnosis of
persistent depressive disorder - D
A Bosnian Muslim woman who doesn't speak English seeks care at a community care
clinic. Through physical gestures, the woman indicates that she has pain originating in
either the pelvic or genital region. Assuming several people are available to interpret,
who would be the most appropriate choice?
A. A female interpreter who doesn't know the client
B. A female neighbor of the client who is also from Bosnia
C. The client's adult daughter
D. A Bosnian male, who is a certified medical interpreter - A
, The charge nurse in the ED receives a call from the ambulance crew stating that there
has been a two car accident with multiple casualties. What action would the nurse take
first, before the victims arrive in the ED?
A. Set up multiple 1000 mL NaCl IV solutions with tubing and notify the blood bank
B. Notify the nursing supervisor and request additional staff
C. Activate the disaster plan
D. Prepare the trauma room and select supplies - B
The nurse manager is discussing the goals of total quality management (TQM) with the
health care team. Which statement correctly identifies a key element of TQM?
A. Top administrators are responsible for establishing plans for problem management
B. All employees participate in systematically working toward common goals
C. It's a reactionary approach used to investigate the root cause of a problem
D. It is an incident management technique that focuses on employee retention - B
The charge nurse is making assignment for the health care team. Which of these tasks
can be safely delegated to the LPN?
A. Assess the function of a newly created ileostomy
B. Provide stoma care for a client with a well-functioning ostomy
C. Care for a recent complicated double barrel colostomy
D. Teach the initial ostomy care to a client and family members - B
The nurse observes a student nurse inserting an indwelling urinary catheter for a female
client. After the student inserts the catheter, no urine appears and the student begins to
remove the catheter.
What should the nurse do at this time?
A. State strongly, "Stop, Tell me why there's no urine in the tubing."
B. Ask the student in a calm voice: "Did you do something wrong?"
C. Walk up and whisper in the student's ear: "Stop. Leave the catheter in place. I'll get a
new sterile catheter."
D. In a speaking tone of voice, explain: "The tubing is probably in the vagina." - C
This catheter can be left in place and used as a landmark indicating where not to insert
the new, sterile catheter.
The nurse is caring for a client whose pain is not well controlled. Which statement about
pain management is a priority ethical consideration that can help guide the nurse?
A. Clients have the right to have their pain relieved
B. The client's self report of pain is the most important consideration
C. Cultural sensitivity is fundamental to pain management
D. Nurses should not prejudge a client's pain using their own values - B
A client is being prepped for a surgical procedure and the nurse is reviewing the
informed consent with the client. The client asks, "Is there any other way to take care of
this without have surgery?" The nurse has a duty to first:
A. Reassure the client that the surgery is the best treatment option
B. Tell the client if they don't want they surgery, they don't have to have it
C. Notify the surgeon that the client has additional question about alternatives to
surgery
D. Call the surgeon and cancel the surgery until the consent form is signed - C
A nurse has unintentionally given an incorrect dose of medication to their client. No
harm was done to the client. What is the next action, if any, required by the nurse?
A. The nurse is not required to report the mistake because the client was not harmed
B. The nurse is not responsible for the mistake because they have not been provided
current education by their employer
C. The nurse will immediately be suspended and their license will be revoked
D. The nurse will report the incident to their nurse manager and follow their
organizational procedures for reporting - D
The 83 year old client, who lives in a retirement community, is admitted to the hospital.
The daughter reports the client no longer calls her every day, has not been participating
in previously enjoyed activities, such as weekly card games, and has allowed the
garden to become overgrown with weeds.
The nurse should assign this client to a room with which of the following clients?
A. An elderly person who was admitted 3 hours ago with a diagnosis of cyclothymia
B. A young adult who was admitted 24 hours ago for treatment following detoxification
C. An adolescent who was admitted the day before with a diagnosis of disruptive mood
dysregulation
D. A middle aged person who has been on the unit for 72 hours with a diagnosis of
persistent depressive disorder - D
A Bosnian Muslim woman who doesn't speak English seeks care at a community care
clinic. Through physical gestures, the woman indicates that she has pain originating in
either the pelvic or genital region. Assuming several people are available to interpret,
who would be the most appropriate choice?
A. A female interpreter who doesn't know the client
B. A female neighbor of the client who is also from Bosnia
C. The client's adult daughter
D. A Bosnian male, who is a certified medical interpreter - A
, The charge nurse in the ED receives a call from the ambulance crew stating that there
has been a two car accident with multiple casualties. What action would the nurse take
first, before the victims arrive in the ED?
A. Set up multiple 1000 mL NaCl IV solutions with tubing and notify the blood bank
B. Notify the nursing supervisor and request additional staff
C. Activate the disaster plan
D. Prepare the trauma room and select supplies - B
The nurse manager is discussing the goals of total quality management (TQM) with the
health care team. Which statement correctly identifies a key element of TQM?
A. Top administrators are responsible for establishing plans for problem management
B. All employees participate in systematically working toward common goals
C. It's a reactionary approach used to investigate the root cause of a problem
D. It is an incident management technique that focuses on employee retention - B
The charge nurse is making assignment for the health care team. Which of these tasks
can be safely delegated to the LPN?
A. Assess the function of a newly created ileostomy
B. Provide stoma care for a client with a well-functioning ostomy
C. Care for a recent complicated double barrel colostomy
D. Teach the initial ostomy care to a client and family members - B
The nurse observes a student nurse inserting an indwelling urinary catheter for a female
client. After the student inserts the catheter, no urine appears and the student begins to
remove the catheter.
What should the nurse do at this time?
A. State strongly, "Stop, Tell me why there's no urine in the tubing."
B. Ask the student in a calm voice: "Did you do something wrong?"
C. Walk up and whisper in the student's ear: "Stop. Leave the catheter in place. I'll get a
new sterile catheter."
D. In a speaking tone of voice, explain: "The tubing is probably in the vagina." - C
This catheter can be left in place and used as a landmark indicating where not to insert
the new, sterile catheter.
The nurse is caring for a client whose pain is not well controlled. Which statement about
pain management is a priority ethical consideration that can help guide the nurse?
A. Clients have the right to have their pain relieved
B. The client's self report of pain is the most important consideration
C. Cultural sensitivity is fundamental to pain management
D. Nurses should not prejudge a client's pain using their own values - B
