Emergency Nursing NCLEX

Home / Nursing & Allied Health Certifications / NCLEX PN

Review

Practice

Exam

Question 1 of 5.

The client is admitted into the emergency department with diaphoresis, pale clammy skin, and BP of 90/70. Which intervention should the nurse implement first?

A. Start an IV with an 18-gauge catheter.

B. Administer dopamine intravenous infusion.

C. Obtain arterial blood gases (ABGs).

D. Insert an indwelling urinary catheter.

Explanation: Hypovolemic shock (suggested by symptoms) requires immediate IV access for fluid resuscitation. Dopamine requires IV access, ABGs are diagnostic, and urinary catheter monitors output but is secondary.

Question 2 of 5.

The client is diagnosed with neurogenic shock. Which signs/symptoms should the nurse assess in this client?

A. Cool, moist skin.

B. Bradycardia.

C. Wheezing.

D. Decreased bowel sounds.

Explanation: Neurogenic shock causes bradycardia due to loss of sympathetic tone. Cool, moist skin is typical of hypovolemic shock, wheezing suggests anaphylaxis, and decreased bowel sounds are non-specific.

Question 3 of 5.

The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical floor. Which action by the UAP warrants intervention by the nurse?

A. The UAP places a urine specimen in a biohazard bag in the hallway.

B. The UAP uses the alcohol foam hand cleanser after removing gloves.

C. The UAP puts soiled linen in a plastic bag in the client's room.

D. The UAP obtains a disposable stethoscope for a client in an isolation room.

Explanation: Urine specimens are not biohazardous unless visibly bloody; placing in a biohazard bag is incorrect and requires intervention. Hand cleansing, linen handling, and stethoscope use are appropriate.

Question 4 of 5.

The client diagnosed with septicemia is receiving a broad-spectrum antibiotic. Which laboratory data require the nurse to notify the health-care provider?

A. The client's potassium level is 3.8 mEq/L.

B. The urine culture indicates high sensitivity to the antibiotic.

C. The client's pulse oximeter reading is 94%.

D. The culture and sensitivity is resistant to the client's antibiotic.

Explanation: Antibiotic resistance requires immediate HCP notification to adjust therapy. Normal potassium, sensitive cultures, and 94% SpO2 are not urgent.

Question 5 of 5.

The health-care facility has been notified an alleged inhalation anthrax exposure has occurred at the local post office. Which category of personal protective equipment (PPE) should the response team wear?

A. Level A.

B. Level B.

C. Level C.

D. Level D.

Explanation: Level C PPE (respirator and protective suit) is appropriate for inhalation anthrax, balancing protection and mobility. Level A is for highest risk, Level B for chemical hazards, and Level D is minimal.

Question 1 of 5.

The client is admitted into the emergency department with diaphoresis, pale clammy skin, and BP of 90/70. Which intervention should the nurse implement first?

A. Start an IV with an 18-gauge catheter.

B. Administer dopamine intravenous infusion.

C. Obtain arterial blood gases (ABGs).

D. Insert an indwelling urinary catheter.

Question 2 of 5.

The client is diagnosed with neurogenic shock. Which signs/symptoms should the nurse assess in this client?

A. Cool, moist skin.

B. Bradycardia.

C. Wheezing.

D. Decreased bowel sounds.

Question 3 of 5.

The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical floor. Which action by the UAP warrants intervention by the nurse?

A. The UAP places a urine specimen in a biohazard bag in the hallway.

B. The UAP uses the alcohol foam hand cleanser after removing gloves.

C. The UAP puts soiled linen in a plastic bag in the client's room.

D. The UAP obtains a disposable stethoscope for a client in an isolation room.

Question 4 of 5.

The client diagnosed with septicemia is receiving a broad-spectrum antibiotic. Which laboratory data require the nurse to notify the health-care provider?

A. The client's potassium level is 3.8 mEq/L.

B. The urine culture indicates high sensitivity to the antibiotic.

C. The client's pulse oximeter reading is 94%.

D. The culture and sensitivity is resistant to the client's antibiotic.

Question 5 of 5.

A. Level A.

B. Level B.

C. Level C.

D. Level D.

Question 1 of 5.

The client is admitted into the emergency department with diaphoresis, pale clammy skin, and BP of 90/70. Which intervention should the nurse implement first?

A. Start an IV with an 18-gauge catheter.

B. Administer dopamine intravenous infusion.

C. Obtain arterial blood gases (ABGs).

D. Insert an indwelling urinary catheter.

Question 2 of 5.

The client is diagnosed with neurogenic shock. Which signs/symptoms should the nurse assess in this client?

A. Cool, moist skin.

B. Bradycardia.

C. Wheezing.

D. Decreased bowel sounds.

Question 3 of 5.

The nurse and an unlicensed assistive personnel (UAP) are caring for a group of clients on a medical floor. Which action by the UAP warrants intervention by the nurse?

A. The UAP places a urine specimen in a biohazard bag in the hallway.

B. The UAP uses the alcohol foam hand cleanser after removing gloves.

C. The UAP puts soiled linen in a plastic bag in the client's room.

D. The UAP obtains a disposable stethoscope for a client in an isolation room.

Question 4 of 5.

The client diagnosed with septicemia is receiving a broad-spectrum antibiotic. Which laboratory data require the nurse to notify the health-care provider?

A. The client's potassium level is 3.8 mEq/L.

B. The urine culture indicates high sensitivity to the antibiotic.

C. The client's pulse oximeter reading is 94%.

D. The culture and sensitivity is resistant to the client's antibiotic.

Question 5 of 5.

A. Level A.

B. Level B.

C. Level C.

D. Level D.

Unlock your Potential. Subcribe to access more