NCLEX QUESTIONS EXAM WITH
CORRECT QUESTIONS AND ANSWERS
2025
To avoid pressure injury for an immobilized patient at home, a nurse recommends a surface to
use on the bed. A surface type that is low cost and easy to use in the home is a(n):
1. foam overlay
2. water mattress
3. air fluidized bed
4. low-air-loss surface - CORRECT-ANSWERS1. foam overlay
For a patient in the extended care facility who has a risk for pressure injuries, a nurse will
implement:
1. massage of redden skin areas
2. movement of the patient in the chair every 3 hours
3. maintenance of a position while in bed at 30 degrees or lower
4. placement of plastic absorptive pads directly beneath the patient - CORRECT-ANSWERS3.
maintenance of a position while in bed at 30 degrees or lower
,A patient has experienced a traumatic injury that will require applications of heat. The nurse
implements the treatment based on the principle that:
1. patient response is best to minor temperature adjustments
2. the foot and the palm of the hand are the most sensitive to temperature
3. long exposures help the patient develop tolerance to the procedure
4. patients are more tolerant to temperature changes over a large body surface. - CORRECT-
ANSWERS1. patient response is best to minor temperature adjustments
A severely overweight patient has returned to the unit after having major abdominal surgery.
When the nurse enters the room, it is evident that the patient has moved or coughed and the
wound has eviscerated. The nurse should immediately:
1. assess vital signs
2. contact the physician
3. apply light pressure on the exposed organs
4. place sterile towels soaked in saline over the area. - CORRECT-ANSWERS2. contact the
physician
A patient with a knife protruding from his upper leg is taken into the emergency department. A
nurse is waiting for the physician to arrive when a newly hired nurse comes to assist. The nurse
delegates the new staff nurse to do all of the following as soon as possible except:
, 1. assess vital signs
2. remove the knife to cleanse the wound
3. wrap a bandage around the knife and injured site.
4. apply pressure to the surrounding area to stop bleeding - CORRECT-ANSWERS2. remove
the knife to cleanse the wound
A nurse is assessing a patient's superficial wound and notices that is has very minimal tissue
loss and drainage. There are a number of dressings that may be used according to the protocol
on the unit. The nurse selects:
1. gauze
2. alginate
3. transparent film
4. negative pressure wound therapy - CORRECT-ANSWERS3. transparent film
A nurse is completing an assessment of the patient's skin integrity and identifies that an area is
a full-thickness loss of skin with adipose tissue, slough, and eschar visible. The nurse identifies
this stage of pressure injury as:
1. stage 1
2. stage 2
3. stage 3
CORRECT QUESTIONS AND ANSWERS
2025
To avoid pressure injury for an immobilized patient at home, a nurse recommends a surface to
use on the bed. A surface type that is low cost and easy to use in the home is a(n):
1. foam overlay
2. water mattress
3. air fluidized bed
4. low-air-loss surface - CORRECT-ANSWERS1. foam overlay
For a patient in the extended care facility who has a risk for pressure injuries, a nurse will
implement:
1. massage of redden skin areas
2. movement of the patient in the chair every 3 hours
3. maintenance of a position while in bed at 30 degrees or lower
4. placement of plastic absorptive pads directly beneath the patient - CORRECT-ANSWERS3.
maintenance of a position while in bed at 30 degrees or lower
,A patient has experienced a traumatic injury that will require applications of heat. The nurse
implements the treatment based on the principle that:
1. patient response is best to minor temperature adjustments
2. the foot and the palm of the hand are the most sensitive to temperature
3. long exposures help the patient develop tolerance to the procedure
4. patients are more tolerant to temperature changes over a large body surface. - CORRECT-
ANSWERS1. patient response is best to minor temperature adjustments
A severely overweight patient has returned to the unit after having major abdominal surgery.
When the nurse enters the room, it is evident that the patient has moved or coughed and the
wound has eviscerated. The nurse should immediately:
1. assess vital signs
2. contact the physician
3. apply light pressure on the exposed organs
4. place sterile towels soaked in saline over the area. - CORRECT-ANSWERS2. contact the
physician
A patient with a knife protruding from his upper leg is taken into the emergency department. A
nurse is waiting for the physician to arrive when a newly hired nurse comes to assist. The nurse
delegates the new staff nurse to do all of the following as soon as possible except:
, 1. assess vital signs
2. remove the knife to cleanse the wound
3. wrap a bandage around the knife and injured site.
4. apply pressure to the surrounding area to stop bleeding - CORRECT-ANSWERS2. remove
the knife to cleanse the wound
A nurse is assessing a patient's superficial wound and notices that is has very minimal tissue
loss and drainage. There are a number of dressings that may be used according to the protocol
on the unit. The nurse selects:
1. gauze
2. alginate
3. transparent film
4. negative pressure wound therapy - CORRECT-ANSWERS3. transparent film
A nurse is completing an assessment of the patient's skin integrity and identifies that an area is
a full-thickness loss of skin with adipose tissue, slough, and eschar visible. The nurse identifies
this stage of pressure injury as:
1. stage 1
2. stage 2
3. stage 3
