NCLEX-RN EXAM 400+QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES |ALREADY
GRADED A+
Direct pressure to a deep laceration on the client's lower leg has failed to stop the
bleeding. The nurse's next action should be able to:
A. place tourniquet proximal to lac
B. elevate leg above level of heart
C. cover laceration and apply ice
D. apply pressure to femoral artery - ANSWER-B - A and D only done if other
measures ineffective
A pediatric client is admitted after ingesting a bottle vitamins with iron.
Emergency care would include Tx with:
A. acetylcysteine
B. Deferoxamine
C. calcium disodium acetate
D. british anti-lewisite - ANSWER-B
The nurse is preparing to administer Lactated Ringer's to a client with
hypovolemic shock. Which intervention is important in helping to stabilize the
client's condition?
A. warming IV fluid
B. determining whether client can take oral fluids
C. checking for strength of pedal pulses
D. obtaining specific gravity of urine - ANSWER-A - warming helps prevent further
stress on vascular system
, NCLEX-RN EXAM 400+QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES |ALREADY
GRADED A+
The emergency room staff is practicing for its annual disaster drill. According to
disaster triage, which of the following 4 clients would be cared for last?
A. client with pneumothorax
B. client with 70% TBSA full thickness burns
C. client with fractures of tibia and fibula
D. client with smoke inhalation injuries - ANSWER-B
An unresponsive client is admitted to the ER with a hx of DM. The client's skin is
cold and clammy, and her BP reading is 82/56. The first step in emergency Tx of
client's symptoms would be:
A. check blood sugar
B. administer IV dextrose
C. intubation and ventilator support
D. administer regular insulin - ANSWER-A
A client with a history of severe depression has been brought to the ER with an
overdose of barbiturates. The nurse should pay careful attention to the client's:
A. urinary output
B. respirations
C. temp
D. verbal responsiveness - ANSWER-B
A client is to receive antivenin following a snake bite. Before administering the
antivenin, the nurse should give priority to:
, NCLEX-RN EXAM 400+QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES |ALREADY
GRADED A+
A. administering local anesthetic
B. checking for allergic response
C. administering anxiolytic
D. withholding fluids for 6-8 hrs - ANSWER-B - perform skin or eye test before
administering
The nurse is caring for a client following a radiation accident. The client is
determined to have incorporation. The nurse knows that the client will:
A. not need any medical Tx for radiation exposure
B. have damage to bones, kidneys, liver, thyroid
C. experience only erythema and desquamation
D. Not be radioactive because the radiation passes through the body - ANSWER-B
The emergency staff has undergone intensive training in the care of clients with
suspected anthrax. The staff understands that the suggested drug for treating
anthrax is:
A. Ancef (cefazolin sodium)
B. Cipro (ciprofloxacin)
C. Kantrex (kanamycin)
D. Garamycin (gentamicin) - ANSWER-B
The nurse is making assessment for the day. Which client should be assigned to
the pregnant nurse?
A. the client receiving radium linear accelerator radiation therapy for cancer
, NCLEX-RN EXAM 400+QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES |ALREADY
GRADED A+
B. the client with a radium implant for vaginal cancer
C. the client who has just been administered radioactive isotopes for cancer
D. The client who returned from placement of iridium seeds for prostate cancer -
ANSWER-A - client is not radioactive
The nurse is planning room assignments for the day. Which client should be
assigned to the only private room?
A. client with Cushing's disease
B. client with diabetes
C. client with acromegaly
D. client with myxedema - ANSWER-A - client with Cushing's disease has
adrenocortical hyper secretion thus causing them to be immunosuppressed
The charge nurse witnesses the nursing assistant being abusive to a client in the
nursing home facility. The nursing assistant can be charge with which of the
following?
A. negligence
B. tort
C. assault
D. malpractice - ANSWER-C
Which assignment is outside the realm of nursing practice for the LPN?
A. inserting foley
B. d/cing NG tube
DETAILED ANSWERS WITH RATIONALES |ALREADY
GRADED A+
Direct pressure to a deep laceration on the client's lower leg has failed to stop the
bleeding. The nurse's next action should be able to:
A. place tourniquet proximal to lac
B. elevate leg above level of heart
C. cover laceration and apply ice
D. apply pressure to femoral artery - ANSWER-B - A and D only done if other
measures ineffective
A pediatric client is admitted after ingesting a bottle vitamins with iron.
Emergency care would include Tx with:
A. acetylcysteine
B. Deferoxamine
C. calcium disodium acetate
D. british anti-lewisite - ANSWER-B
The nurse is preparing to administer Lactated Ringer's to a client with
hypovolemic shock. Which intervention is important in helping to stabilize the
client's condition?
A. warming IV fluid
B. determining whether client can take oral fluids
C. checking for strength of pedal pulses
D. obtaining specific gravity of urine - ANSWER-A - warming helps prevent further
stress on vascular system
, NCLEX-RN EXAM 400+QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES |ALREADY
GRADED A+
The emergency room staff is practicing for its annual disaster drill. According to
disaster triage, which of the following 4 clients would be cared for last?
A. client with pneumothorax
B. client with 70% TBSA full thickness burns
C. client with fractures of tibia and fibula
D. client with smoke inhalation injuries - ANSWER-B
An unresponsive client is admitted to the ER with a hx of DM. The client's skin is
cold and clammy, and her BP reading is 82/56. The first step in emergency Tx of
client's symptoms would be:
A. check blood sugar
B. administer IV dextrose
C. intubation and ventilator support
D. administer regular insulin - ANSWER-A
A client with a history of severe depression has been brought to the ER with an
overdose of barbiturates. The nurse should pay careful attention to the client's:
A. urinary output
B. respirations
C. temp
D. verbal responsiveness - ANSWER-B
A client is to receive antivenin following a snake bite. Before administering the
antivenin, the nurse should give priority to:
, NCLEX-RN EXAM 400+QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES |ALREADY
GRADED A+
A. administering local anesthetic
B. checking for allergic response
C. administering anxiolytic
D. withholding fluids for 6-8 hrs - ANSWER-B - perform skin or eye test before
administering
The nurse is caring for a client following a radiation accident. The client is
determined to have incorporation. The nurse knows that the client will:
A. not need any medical Tx for radiation exposure
B. have damage to bones, kidneys, liver, thyroid
C. experience only erythema and desquamation
D. Not be radioactive because the radiation passes through the body - ANSWER-B
The emergency staff has undergone intensive training in the care of clients with
suspected anthrax. The staff understands that the suggested drug for treating
anthrax is:
A. Ancef (cefazolin sodium)
B. Cipro (ciprofloxacin)
C. Kantrex (kanamycin)
D. Garamycin (gentamicin) - ANSWER-B
The nurse is making assessment for the day. Which client should be assigned to
the pregnant nurse?
A. the client receiving radium linear accelerator radiation therapy for cancer
, NCLEX-RN EXAM 400+QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES |ALREADY
GRADED A+
B. the client with a radium implant for vaginal cancer
C. the client who has just been administered radioactive isotopes for cancer
D. The client who returned from placement of iridium seeds for prostate cancer -
ANSWER-A - client is not radioactive
The nurse is planning room assignments for the day. Which client should be
assigned to the only private room?
A. client with Cushing's disease
B. client with diabetes
C. client with acromegaly
D. client with myxedema - ANSWER-A - client with Cushing's disease has
adrenocortical hyper secretion thus causing them to be immunosuppressed
The charge nurse witnesses the nursing assistant being abusive to a client in the
nursing home facility. The nursing assistant can be charge with which of the
following?
A. negligence
B. tort
C. assault
D. malpractice - ANSWER-C
Which assignment is outside the realm of nursing practice for the LPN?
A. inserting foley
B. d/cing NG tube
