Fundamentals of Nursing NCLEX Practice Quiz (600 Questions)

The charge nurse asks the nursing assistive personnel (NAP) to give a bag bath to a patient with end-stage chronic obstructive pulmonary disease. How should the NAP proceed?

For a morbidly obese patient, which intervention should the nurse choose to counteract the pressure created by the skin folds?

A client exhibits all of the following during a physical assessment. Which of these is considered a primary defense against infection?

A client with a stage 2 pressure ulcer has methicillin-resistant Staphylococcus aureus (MRSA) cultured from the wound. Contact precautions are initiated. Which rule must be observed to follow contact precautions?

A client requires protective isolation. Which client can be safely paired with this client in a client-care assignment? One:

A newly hired at Nurseslabs Medical Center is assigned to the OR Department. Which action demonstrates a break in sterile technique?

Nurse Berta is facilitating a monthly mothers’ class at a small village. As a knowledgeable nurse, she must know that a mother who breastfeeds her child passes on which antibody through breast milk?

The clinical instructor asks her students the rationale for handwashing. The students are correct if they answered that handwashing is expected to remove:

Which of the following incidents requires the nurse to complete an occurrence report?

The nurse is orienting a new nurse to the unit and reviews source-oriented charting. Which statement by the nurse best describes source-oriented charting? Source-oriented charting:

When the nurse completes the patient’s admission nursing database, the patient reports that he does not have any allergies. Which acceptable medical abbreviation can the nurse use to document this finding?

The nurse is working on a unit that uses nursing assessment flow sheets. Which statement best describes this form of charting? Nursing assessment flow sheets:

At the end of the shift, the nurse realizes that she forgot to document a dressing change that she performed for a patient. Which action should the nurse take?

Patient Z asks Nurse Toni why an electronic health record (EHR) system is being used. Which response by the nurse indicates an understanding of the rationale for an EHR system?

In the United States, the first programs for training nurses were affiliated with:

Which of the following is/are an example(s) of a health restoration activity? Select all that apply.

Which of the following aspects of nursing is essential to defining it as both a profession and a discipline?

The charge nurse on the medical-surgical floor assigns vital signs to the nursing assistive personnel (NAP) and medication administration to the licensed vocational nurse (LVN). Which nursing model of care is this floor following?

Paul Jake suffered a stroke and has difficulty swallowing. Which healthcare team member should be consulted to assess the patient’s risk for aspiration?

Which of the following is/are an example(s) of theoretical knowledge? Select all that apply.

The nurse recognizes that urinary elimination changes may occur even in healthy older adults because of which of the following?

During the assessment of the client with urinary incontinence, the nurse is most likely to assess for which of the following? Select all that apply.

Which action represents the appropriate nursing management of a client wearing a condom catheter?

The catheter slips into the vagina during a straight catheterization of a female client. The nurse does which action?

Which statement indicates a need for further teaching of a home care client with a long term indwelling catheter?

During shift report, the nurse learns that an older female client is unable to maintain continence after she senses the urge to void and becomes incontinent on the way to the bathroom. Which nursing diagnosis is most appropriate?

A female client has a urinary tract infection. Which teaching points by the nurse should be helpful to the client? Select all that apply.

The nurse will need to assess the client’s performance of clean intermittent self catheterization (CISC) for a client with which urinary diversion?

Which focus is the nurse most likely to teach for a client with a flaccid bladder?

Which of the following behaviors indicates that the client on a bladder training program has met the expected outcomes? Select all that apply.

A nurse has identified that the patient has overflow incontinence. What is a major factor that contributes to this clinical manifestation?

A nurse must measure the intake and output (I&O) for a patient who has a urinary retention catheter. Which equipment is most appropriate to use to accurately measure urine output from a urinary retention catheter?

A patient’s urine is cloudy, is amber, and has an unpleasant odor. What problem may this information indicate that requires the nurse to make a focused assessment?

A nurse is caring for a debilitated female patient with nocturia. Which nursing intervention is the priority when planning to meet this patient’s needs?

A practitioner uses a urine specimen for culture and sensitivity via a straight catheter for a patient. What should the nurse do when collecting this urine specimen?

A nurse in a provider’s office is assessing a client who reports losing control of urine whenever she coughs, laughs, or sneezes. The client relates a history of three vaginal births, but no serious accidents or illnesses. Which of the following interventions are appropriate for helping to control or eliminate the clients incontinence? Select all that apply.

A client who has an indwelling catheter reports the need to urinate. Which of the following interventions should the nurse perform?

A provider prescribes a 24-hour urine collection for a client. Which of the following actions should the nurse take?

A nurse is preparing to initiate a bladder training program for a client who has a voiding disorder. Which of the following actions should the nurse take? Select all that apply.

A nurse educator on a medical unit is reviewing factors that increase the risk of urinary tract infections with a group of assistive personnel. Which of the following should be included in the review? Select all that apply.

To prevent postoperative complications, Nurse Kim assists the client with coughing and deep breathing exercises. This is best accomplished by implementing which of the following?

Nurse Trixie is preparing to perform tracheostomy care. Prior to the beginning of the procedure, the nurse performs which action?

Which action by the nurse represents proper nasopharyngeal/nasotracheal suctioning technique?

Which client statement informs the nurse that his teaching about the proper use of an incentive spirometer was effective?

While a client with chest tubes is ambulating, the connection between the tube and the water seal dislodges. Which action by Nurse Flora is most appropriate?

Nurse Peter makes the assessment that which client has the greatest risk for a problem with the transport of oxygen from the lungs to the tissues? A client who has:

Which term does the nurse document to best describe a client experiencing shortness of breath while lying down who must assume an upright or sitting position to breathe more comfortably and effectively?

A client with emphysema is prescribed corticosteroid therapy on a short-term basis for acute bronchitis. The client asks the nurse how the steroids will help him. The nurse responded by saying that the corticosteroids will do which of the following?

Nurse Aleli is planning to perform percussion and postural drainage. Which is an important aspect of planning the clients’ care?

Nurse Winona teaches a patient how to use an incentive spirometer. What patient outcome will support the conclusion that the use of the incentives spirometer was effective?

Nurse AJ is applying a warm compress. What should the nurse explain to the patient is the primary reason why heat is used instead of cold?

A practitioner orders chest physiotherapy with percussion and vibration for a newly admitted patient. Which information obtained by the nurse during the health history should alert the nurse to question the practitioner’s order?

Nurse Sue teaches a patient about pursed lip breathing. The nurse identifies that the teaching is affected when the patient says its purpose is to:

What should Nurse Mavie do first if a patient is choking on food?

Nurse Stephanie is assessing a client who has an acute respiratory infection that puts her at risk for hypoxemia. Which of the following findings are early indications that should alert the nurse that the client is developing hypoxemia? Select all that apply.

Nurse CJ is caring for a client who is having difficulty breathing. The client is lying in bed and is already receiving oxygen therapy via nasal cannula. Which of the following interventions is the nurse’s priority?

Nurse Aldrin is preparing to perform endotracheal suctioning for a client. Which of the following are appropriate guidelines for the nurse to follow? Select all that apply.

A nurse is caring for a client who has a tracheostomy. Which of the following actions should the nurse take each time he provides tracheostomy care? Select all that apply.

An elderly nursing home resident has refused to eat or drink for several days and is admitted to the hospital. The nurse should expect which assessment finding?

A man brings his elderly wife to the emergency department. He states that she has been vomiting and has had diarrhea for the past two days. She appears lethargic and is complaining of leg cramps. What should the nurse do first?

Which of the following is the appropriate meaning of CBR?

One (1) tsp is equal to how many drops?

20 cc is equal to how many ml?

1 cup is equal to how many ounces?

The nurse must verify the client’s identity before administration of medication. Which of the following is the safest way to identify the client?

The nurse prepares to administer buccal medication. The medicine should be placed in what area?

The nurse administers a cleansing enema. The common position for this procedure is?

A client complains of difficulty swallowing when the nurse tries to administer capsule medication. Which of the following measures should the nurse do?

Which of the following is the appropriate route of administration for insulin?

The nurse is ordered to administer ampicillin capsule TID p.o. The nurse should give the medication by which frequency?

Back Care is best described as:

It refers to the preparation of the bed with a new set of linens

Which of the following is the most important purpose of handwashing?

What should be done in order to prevent contaminating the environment in bed making?

The most important purpose of cleansing bed bath is: