Are you ready to take your RN NCLEX exam? See how prepared you are with this 10 question free nurse test bank. Questions may range from Med Surg to Maternity. See answers at the end with detailed rationales.
Question 1
A nurse is tending to a patient who is getting intramuscular medicine. The nurse needs to understand that this path
A. increases infection rates
B. is the safest option
C. has the slowest absorption rate
D. decreases the client's risk for infections
Question 2
A preschooler with heart illness is under the care of a nurse. The provider prescribes Digoxin at the highest adult dose. What course of action ought the nurse to follow?
A. Give the medication as prescribed using 6 rights of med administration
B. call the provider to discuss concerns regarding the dosage for the child
C. Assess the client's HR and rhythm before deciding to give the medication or not
D. Administer the pediatric dose recommended in a medication reference book
Question 3
A client who will be using a walker is receiving instructions for discharge from a nurse. Which of the following remarks by the client shows a need for more guidance by the nurse?
A. "I will tape electrical cords to the baseboards in each room"
B. "I will hire someone to trim the tree that overhangs the front porch stairs"
C. "I will remove the table from the hall"
D. "I will replace the old throw rug in the kitchen with a new one"
Question 4
A nurse is getting ready to treat a patient who has pulmonary methicillin-resistant Staphylococcus aureus (MRSA). Which of the following
will the nurse require in addition to a gown and gloves?
A. Face Sheild
B. High-filtration mask
C. Shoe Covers
D. Surgical Cap
Question 5
A nurse is going over lab results for a patient who was involved in a car accident and has chest wall contusions. Out of all the values, which one should the nurse report?
A. Hct 40%
B. SaO2 86%
C. WBC 9,000 mm3
D. Serum Potassium 4.1 mEq/L
Question 6
A client who is postoperatively experiencing hemorrhagic shock is being attended to by a nurse. The surgeon is notified by the nurse, and he instructs her to keep taking the patient's vital signs every fifteen minutes and to contact him again in an hour. Which of the following steps should the nurse do next, legally speaking?
A. Document the provider's statement in the medical record
B. complete an incident report
C. consult the facility's risk manager
D. notify the nurse manager
Question 7
When a client rings for the nurse and does not hear back from her in five minutes, the client becomes irate. Which of the following describes the nurse's proper course of action?
A. "I’m sorry, but another client needed my attention."
B. "I arrived as soon as I could; what can I do for you?"
C. "It must be frusterating; I have a few minutes now."
D. "We had an emergency on the unit, but now I’m here."
Question 8
A client who is susceptible to hypokalemia is being cared for by a nurse. Which item from the list below ought to be a part of the client's diet?
A. Avocados
B. Corn
C. Asparagus
D. Cucumbers
Question 9
To prevent food drop in a client who has restricted mobility, the nurse should
A. Place a pillow under the clients knees
B. Position a trochanter roll under the clients feet
C. Advise the client to wear rubber-soled slippers
D. Place the clients feet on a foot board perpendicular to the mattress
Question 10
A nurse is monitoring a patient's blood sugar while providing care. Which of these nursing interventions is appropriate?
A. Wipe away the first drop of blood from the client's finger
B. Gently massage the client's finger in a distal to proximal direction
C. Puncture the tip of the client's finger
D. Hold the clients finger in an elevated position prior to testing
Answer Key
Question 1
Answer - A
Rationale: Because the IM route breaks the skin integrity, the risk for infection increases.
Question 2
Answer - B
Rationale: contacting the provider to discuss dosage concerns is the
appropriate action to prevent injury to the child
Question 3
Answer - D
Rationale: The use of throw rugs increases the clients risk for falls, as it creates a tripping and slipping hazard
Question 4
Answer - A
Rationale: The nurse should choose personal protective equipment to prevent contamination from spraying blood or bodily fluids; therefore, when caring for a client who has MRSA in the lungs the nurse should wear face shield.
Question 5
Answer - B
Rationale: this value may indicate hypoxia and therefore the nurse should
report this finding
Question 6
Answer - D
Rationale: the greatest risk to the client is not receiving timely intervention for this deterioration in physiological status; therefore, the next action the nurse should take is to activate the chain of command to ensure the necessary care.
Question 7
Answer - C
Rationale: this response is therapeutic because the nurse is acknowledging
the clients feelings and offering self
Question 8
Answer - A
Rationale: The nurse should suggest the client eat avocados, which are an excellent dietary source of potassium
Question 9
Answer - D
Rationale: The nurse should place a footboard perpendicular to the mattress and parrallel to and touching the soles of the clients feet. This will maintain the feet in dorsiflexion and prevent foot drop
Question 10
Answer - A
Rationale: the first drop of blood is typically more serious and contains fewer red blood cells
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