Free NCLEX RN Practice Test
Question 1 of 5.
The nurse is caring for a client with dementia who has pulled out three peripheral IVs. Which intervention by the nurse is the best way to manage this client?
A. place the client in restraints or mitts
B. tell the family that they need to stay with the client
C. replace the IV and wrap it in gauze to hide it from view
D. tell the client that if she pulls another IV out, she will have to have a PICC line placed
Explanation: Wrapping the IV in gauze hides it from view, reducing the likelihood of the client pulling it out, while being less invasive than restraints or threats.
Question 2 of 5.
The school nurse is teaching a group of preschool mothers about poison prevention in the home. Which of the following statements, if made by a mother to the nurse, indicates that further teaching is necessary?
A. I should have a bottle of Ipecac for each of my children.
B. I should induce vomiting if my child swallows lighter fluid.
C. Giving my child water or milk may help dilute the poison.
D. Proper storage is the key to poison prevention in the home.
Explanation: vomiting contraindicated when child ingests hydrocarbons due to danger of aspiration
Question 3 of 5.
A woman is admitted to the labor and delivery unit in a sickle cell crisis. Which of the following nursing actions is the HIGHEST priority?
A. Administer oxygen.
B. Turn her to the right side.
C. Provide adequate hydration.
D. Start antibiotics.
Explanation: adequate hydration is a priority for any client with sickle cell crisis
Question 4 of 5.
The nurse observes a LPN/LVN perform a wet-to-dry dressing change on a 2-inch abdominal incision. Which of the following behaviors, if performed by the LPN/LVN, would indicate an understanding of proper technique?
A. A clean cotton ball is used to cleanse from the top of the incision to the bottom of the incision using long strokes.
B. The incision is packed with sterile gauze, and then sterile saline is poured over the dressing.
C. The nurse packs wet gauze into the incision without overlapping it onto the skin.
D. The old dressing is saturated with sterile saline before it is removed.
Explanation: if wet dressing touches skin it could cause skin breakdown
Question 5 of 5.
The nursing team includes two RNs, one LPN/LVN, and one nursing assistant. The nurse should consider the assignments appropriate if the nursing assistant is assigned to care for
A. a client with Alzheimer’s requiring assistance with feeding.
B. a client with osteoporosis complaining of burning on urination.
C. a client with scleroderma receiving a tube feeding.
D. a client with cancer who has Cheyne-Stokes respirations.
Explanation: standard, unchanging procedure
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