NCSBN NCLEX RN Review
A 90 year old is readmitted to the hospital, less than 2 weeks after being discharged, for the
same health concern.
What factors contribute to hospital readmissions among older adults? (SATA)
A. Client health status
B. Family preferences
C. Excellent primary care
D. Reconciliation of medications
E. Poor communication among providers - ANS-A, B, E
\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 - ANS-A
\A client is admitted with a diagnosis of schizophrenia. The client refuses to take any
medication and states, "I don't think I need those medications. They make me too sleepy
and drowsy. I want you to explain their use and side effects of these medications."
The nurse should respond with an understanding of which statement?
A. Clients with schizophrenia are at a higher risk of psychosocial complications when they
know about their medication's uses and side effects
B. The client has a right to know about the use and side effects of the prescribed
medications
C. Such education is an independent decision of the individual nurse whether or not to teach
clients about their medications
D. A referral is needed to the psychiatrist who should provide the client with answers to the
request - ANS-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 - ANS-C
\A newly graduated new, who has recently completed orientation, voices concern about her
assignment: "I have never taken care of anyone with a lumbar drain before."
Which action would be most appropriate for the charge nurse?
, A. Provide an immediate one on one, personal in service about the drain
B. Change the assignment; reassign the client with the lumbar drain to a different nurse
C. Assign the graduated staff nurse to be transferred to another floor for the shift
D. Check with the nurse and the client often during the shift - ANS-B
\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 - ANS-D
\A nurse receives an illegible hand-written medication order. Which statement to the HCP
reflects appropriate assertive communication?
A. "Would you please clarify what you have written so I am sure I am reading it correctly?"
B. "I am have difficulty reading your handwriting. It would save me time if you would be more
careful."
C. "Please print in the future so I do not have to spend extra time attempting to read your
writing."
D. "I cannot give this medication as it is written. I have no idea of what you mean." - ANS-A
\A RN from the float pool is assigned to the critical care unit on the evening shift.
Which of these clients should be assigned to this nurse?
A. Tracheostomy of 24 hours with the client showing some respiratory distress
B. Report of unstable angina with continuous telemetry monitoring
C. Dopamine IV drip with vital signs monitored every 5 minutes
D. Pacemaker insertion on the day shift - ANS-D
\A woman dressed in a business suit with no visible identification is at the nurses station
looking at client charts.
What nursing action is most appropriate?
A. Report to the nurse manager about the witnessed suspicious activity
B. Immediately call security for this breach in client confidentiality
C. Ignore the person; many outside vendors check charts to set up a transfer or to
coordinate care
D. Request to see identification and an explanation as to why the woman is viewing client
charts - ANS-D
\All of the following clients are using morphine patient controlled analgesia (PCA) pumps and
are two days post-op.
Which client should the nurse check first?
A. 70 year old following surgical repair of a femur fracture, no bowel movement since before
surgery
B. 79 year old following tumor resection of shoulder head, whose reported pain level is 8 out
of 10
C. 62 year old following knee replacement surgery, BP 120/68, pulse 68, respirations 8
A 90 year old is readmitted to the hospital, less than 2 weeks after being discharged, for the
same health concern.
What factors contribute to hospital readmissions among older adults? (SATA)
A. Client health status
B. Family preferences
C. Excellent primary care
D. Reconciliation of medications
E. Poor communication among providers - ANS-A, B, E
\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 - ANS-A
\A client is admitted with a diagnosis of schizophrenia. The client refuses to take any
medication and states, "I don't think I need those medications. They make me too sleepy
and drowsy. I want you to explain their use and side effects of these medications."
The nurse should respond with an understanding of which statement?
A. Clients with schizophrenia are at a higher risk of psychosocial complications when they
know about their medication's uses and side effects
B. The client has a right to know about the use and side effects of the prescribed
medications
C. Such education is an independent decision of the individual nurse whether or not to teach
clients about their medications
D. A referral is needed to the psychiatrist who should provide the client with answers to the
request - ANS-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 - ANS-C
\A newly graduated new, who has recently completed orientation, voices concern about her
assignment: "I have never taken care of anyone with a lumbar drain before."
Which action would be most appropriate for the charge nurse?
, A. Provide an immediate one on one, personal in service about the drain
B. Change the assignment; reassign the client with the lumbar drain to a different nurse
C. Assign the graduated staff nurse to be transferred to another floor for the shift
D. Check with the nurse and the client often during the shift - ANS-B
\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 - ANS-D
\A nurse receives an illegible hand-written medication order. Which statement to the HCP
reflects appropriate assertive communication?
A. "Would you please clarify what you have written so I am sure I am reading it correctly?"
B. "I am have difficulty reading your handwriting. It would save me time if you would be more
careful."
C. "Please print in the future so I do not have to spend extra time attempting to read your
writing."
D. "I cannot give this medication as it is written. I have no idea of what you mean." - ANS-A
\A RN from the float pool is assigned to the critical care unit on the evening shift.
Which of these clients should be assigned to this nurse?
A. Tracheostomy of 24 hours with the client showing some respiratory distress
B. Report of unstable angina with continuous telemetry monitoring
C. Dopamine IV drip with vital signs monitored every 5 minutes
D. Pacemaker insertion on the day shift - ANS-D
\A woman dressed in a business suit with no visible identification is at the nurses station
looking at client charts.
What nursing action is most appropriate?
A. Report to the nurse manager about the witnessed suspicious activity
B. Immediately call security for this breach in client confidentiality
C. Ignore the person; many outside vendors check charts to set up a transfer or to
coordinate care
D. Request to see identification and an explanation as to why the woman is viewing client
charts - ANS-D
\All of the following clients are using morphine patient controlled analgesia (PCA) pumps and
are two days post-op.
Which client should the nurse check first?
A. 70 year old following surgical repair of a femur fracture, no bowel movement since before
surgery
B. 79 year old following tumor resection of shoulder head, whose reported pain level is 8 out
of 10
C. 62 year old following knee replacement surgery, BP 120/68, pulse 68, respirations 8
