NCLEX style EXAM ACTUAL EXAM 200+ QUESTIONS AND CORRECT DETAI
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
Study online at https://quizlet.com/_gxk40g
A child with meningococcal meningitis is
being admitted to the pediatric unit. What
should the nurse do first:
A.
A.Institute droplet precautions very contagious and don't want to
B.Obtain the child's vital signs spread.
C.Ask the parent about medication aller-
gies
D.Inquire about the health of siblings at
home
use ABCs except when... CPR then do CAB
for: pertussis, nesseria meningititis, flu,
diphtheria, RSV
droplet precautions
infection-control measures: mask,
gloves, gown, private room
The nurse is caring for a client with
Clostridium difficile colitis. Which of the
following infection measures by the
nurse are the most appropriate? Select
all that apply.
A.Applies sterile gloves before perform-
C & E.
ing patient care
don't need mask unless risk for splash in
B.Ensures surgical masks are worn by
care
staff in the clients room
C.Requests that the client be assigned to
a single client room
D.Uses alcohol-based sanitizers for
hand hygiene
E.Wear a gown during client care
organisms: MRSA/VRE, enteric organ-
isms (C diff., norovirus, rotavirus), sca-
bies
Contact precuations
infections control measures: hand hy-
giene with soap and water, gloves, gown,
private room preferred
Airborne precautions
, NCLEX style EXAM ACTUAL EXAM 200+ QUESTIONS AND CORRECT DETAI
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
Study online at https://quizlet.com/_gxk40g
organisms: TB, measles, varicella zoster
Infection control measures: N95 mask on
care providers, private room and nega-
tive air pressure room
The nurse is evaluating infection con-
trol practices performed by a spouse on
a loved one who has methicillin-resis-
tant Staphylococcus aureus (MRSA) in a
right leg wound. Which actions indicate
that the spouse requires further teach-
ing? Select all that apply.
A and C b/c don't want that stuff in
A.The spouse places soiled dressing
kitchen and other people to touch them.
supplies in the kitchen garbage bag
want hot water and closed dryer b/c
B.Clean gloves are used for wound
spores.
dressing removal
C.Sheets with wound drainage are
washed in lukewarm water
D.Dressing supplies are placed in a
clean, dry location
E.Routine hang hygiene is preformed
before and after care
The registered nurse is planning the
client assignments for the day. Which is
the most appropriate assignment for the
unlicensed assistive personnel?
•
A.A client requiring frequent colostomy
irrigation C
B.A client receiving continuous tube
feedings
C.A client who requires urine specimen
collections
D.A client with difficulty swallowing food
and fluids
The nurse is creating assignments for
the day and has a Licensed Practical
Nurse (LPN) and an Unlicensed As-
, NCLEX style EXAM ACTUAL EXAM 200+ QUESTIONS AND CORRECT DETAI
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
Study online at https://quizlet.com/_gxk40g
sistive Personnel (UAP) on the nursing
team. The nurse most appropriately as-
signs which client to the LPN?
A.A client with a tracheotomy that re-
quires frequent suctioning
B.A client who requires collection of A.
urine for a 24 hour period What can't be assigned to the CNA.
C.A client recovering from pneumonia
who requires ambulation every three
hours
D.A client who requires turning and po-
sitioning every two hours and range of
motion exercises every two hours.
RN
•Clinical assessment (especially initially)
•Initial client education
•Discharge education
•Clinical judgement
•Initialization of blood transfusion
LPN
•Monitoring RN findings
•Reinforcing education
•Routine procedures (ex: cath)
•Ostomy care
scope of practices for RN, LPN, UAP
•Tube patency & enteral feeding
•Very specific and assigned assess-
ments, like just lung sounds or just bowel
sounds, after RN's initial assessment
•Oral and parental administration. IV ad-
ministration varies by state so don't in-
clude
UAP
•Activities of daily living
•Hygiene
•Linen change
, NCLEX style EXAM ACTUAL EXAM 200+ QUESTIONS AND CORRECT DETAI
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
Study online at https://quizlet.com/_gxk40g
•Routine, stable vital signs
•Documenting Is and Os
•Positioning
The nurse is employed in a long-term
care facility is planning assignments for
the clients on a nursing unit. The nurse
needs to assign four clients and has a li-
censed practical nurse and 3 unlicensed
assistive personnel (UAPs) on a nurs-
ing team. Which client would the nurse
most appropriately assign to the licensed D
practical nurse? abc all least invasive and in scope of
A.A client who requires a bed bath practice
B.An older client requiring frequent am-
bulation
C.A client who requires hourly vital sign
measurements
D.A client requiring abdominal wound ir-
rigations and dressing changes every 3
hours
A nurse has reinforced discharge in-
structions to a patient who has under-
gone a right mastectomy with axillary
lymph node dissection. Which statement
by the patient indicates a need for fur-
ther teaching regarding home care mea-
sures?
A."I should use a straight razor to shave A
under my arms" potential for injury
B." I need to be sure that I don't have
blood pressure or blood drawn from my
right arm."
C."I should inform all my other health
care providers that I have had this pro-
cedure."
D."I need to be sure I wear thick hand
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
Study online at https://quizlet.com/_gxk40g
A child with meningococcal meningitis is
being admitted to the pediatric unit. What
should the nurse do first:
A.
A.Institute droplet precautions very contagious and don't want to
B.Obtain the child's vital signs spread.
C.Ask the parent about medication aller-
gies
D.Inquire about the health of siblings at
home
use ABCs except when... CPR then do CAB
for: pertussis, nesseria meningititis, flu,
diphtheria, RSV
droplet precautions
infection-control measures: mask,
gloves, gown, private room
The nurse is caring for a client with
Clostridium difficile colitis. Which of the
following infection measures by the
nurse are the most appropriate? Select
all that apply.
A.Applies sterile gloves before perform-
C & E.
ing patient care
don't need mask unless risk for splash in
B.Ensures surgical masks are worn by
care
staff in the clients room
C.Requests that the client be assigned to
a single client room
D.Uses alcohol-based sanitizers for
hand hygiene
E.Wear a gown during client care
organisms: MRSA/VRE, enteric organ-
isms (C diff., norovirus, rotavirus), sca-
bies
Contact precuations
infections control measures: hand hy-
giene with soap and water, gloves, gown,
private room preferred
Airborne precautions
, NCLEX style EXAM ACTUAL EXAM 200+ QUESTIONS AND CORRECT DETAI
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
Study online at https://quizlet.com/_gxk40g
organisms: TB, measles, varicella zoster
Infection control measures: N95 mask on
care providers, private room and nega-
tive air pressure room
The nurse is evaluating infection con-
trol practices performed by a spouse on
a loved one who has methicillin-resis-
tant Staphylococcus aureus (MRSA) in a
right leg wound. Which actions indicate
that the spouse requires further teach-
ing? Select all that apply.
A and C b/c don't want that stuff in
A.The spouse places soiled dressing
kitchen and other people to touch them.
supplies in the kitchen garbage bag
want hot water and closed dryer b/c
B.Clean gloves are used for wound
spores.
dressing removal
C.Sheets with wound drainage are
washed in lukewarm water
D.Dressing supplies are placed in a
clean, dry location
E.Routine hang hygiene is preformed
before and after care
The registered nurse is planning the
client assignments for the day. Which is
the most appropriate assignment for the
unlicensed assistive personnel?
•
A.A client requiring frequent colostomy
irrigation C
B.A client receiving continuous tube
feedings
C.A client who requires urine specimen
collections
D.A client with difficulty swallowing food
and fluids
The nurse is creating assignments for
the day and has a Licensed Practical
Nurse (LPN) and an Unlicensed As-
, NCLEX style EXAM ACTUAL EXAM 200+ QUESTIONS AND CORRECT DETAI
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
Study online at https://quizlet.com/_gxk40g
sistive Personnel (UAP) on the nursing
team. The nurse most appropriately as-
signs which client to the LPN?
A.A client with a tracheotomy that re-
quires frequent suctioning
B.A client who requires collection of A.
urine for a 24 hour period What can't be assigned to the CNA.
C.A client recovering from pneumonia
who requires ambulation every three
hours
D.A client who requires turning and po-
sitioning every two hours and range of
motion exercises every two hours.
RN
•Clinical assessment (especially initially)
•Initial client education
•Discharge education
•Clinical judgement
•Initialization of blood transfusion
LPN
•Monitoring RN findings
•Reinforcing education
•Routine procedures (ex: cath)
•Ostomy care
scope of practices for RN, LPN, UAP
•Tube patency & enteral feeding
•Very specific and assigned assess-
ments, like just lung sounds or just bowel
sounds, after RN's initial assessment
•Oral and parental administration. IV ad-
ministration varies by state so don't in-
clude
UAP
•Activities of daily living
•Hygiene
•Linen change
, NCLEX style EXAM ACTUAL EXAM 200+ QUESTIONS AND CORRECT DETAI
ANSWERS (VERIFIED ANSWERS) |ALREADY GRADED A+||BRAND NEW!!
Study online at https://quizlet.com/_gxk40g
•Routine, stable vital signs
•Documenting Is and Os
•Positioning
The nurse is employed in a long-term
care facility is planning assignments for
the clients on a nursing unit. The nurse
needs to assign four clients and has a li-
censed practical nurse and 3 unlicensed
assistive personnel (UAPs) on a nurs-
ing team. Which client would the nurse
most appropriately assign to the licensed D
practical nurse? abc all least invasive and in scope of
A.A client who requires a bed bath practice
B.An older client requiring frequent am-
bulation
C.A client who requires hourly vital sign
measurements
D.A client requiring abdominal wound ir-
rigations and dressing changes every 3
hours
A nurse has reinforced discharge in-
structions to a patient who has under-
gone a right mastectomy with axillary
lymph node dissection. Which statement
by the patient indicates a need for fur-
ther teaching regarding home care mea-
sures?
A."I should use a straight razor to shave A
under my arms" potential for injury
B." I need to be sure that I don't have
blood pressure or blood drawn from my
right arm."
C."I should inform all my other health
care providers that I have had this pro-
cedure."
D."I need to be sure I wear thick hand
