NCLEX Prep Final Exam 208 Questions and
Answers.
a nurse has been asked to administer a drug by IV push. she is uncertain whether or not
this task falls within her scope of practice. the nurse knows that which of the following are
BEST sources to refer to for info related to her scope of practice in her situation? (SATA)
a. hospital and unit policies and procedures
b. nurse practice act
c. ordering physician
d. hospital pharmacist - Correct Answer a, b
an RN is in charge of a team on a m/s unit that includes an LPN. the rn understands that
which of the following is an activity that falls within the scope of practice of an lpn?
a. administer oral meds to a patient
b. collaborate with social servies to develop a discharge plan
c. formulate a nursing diagnosis
d. develop a policy - Correct Answer a
the nurse is learning how to use the hospital's new electronic medication administration
record. the nurse knows this tool has the potential to do which of the following? (SATA)
a. reduce medication administration errors
b. improve access to information at the point of care
c. eliminate the need for the nurse to document med admin
d. eliminate the need for the nurse to verify dose calculations - Correct Answer a, b
the nurse administers the first dose of chemotherapy to a patient on an oncology unit. the
nurse knows that which of the following activities is appropriate to delegate to the lpn?
a. obtain the patients blood pressure
b. provide teaching about the side effects of chemo
,c. administer the second dose of chemo
d. flush the patients central line with heparin - Correct Answer a
the nurse is preparing to transfer a patient to the OR. she knows that adhering to the
hospital policy for patient handoff's BEST ensures which of the following?
a. case management
b. continuity of care
c. confidentiality protection
d. collaboration - Correct Answer b.
the nurse in a maternity unit is caring for a patient who has just delivered twins. the
patient voices concerns about her ability to manage when she gets home. which of the
following statements BEST illustrates the quality care delivery by the nurse? (SATA)
a. "just focus on how lucky you are to have 2 healthy babies"
b. "we can arrange for follow-up visits with a home health nurse"
c. "here is some info on support groups for parents of multiples"
d. "you will find it easier to formula feed your babies at home" - Correct Answer b, c
the nurse wants to delegate the task of showering an elderly patient in a wheelchair to the
nursing assistive personnel. before delegating a task to the NAP, the nurse should FIRST
ensure that which of the following is accomplished?
a. the NAP is supervised at all times
b. the NAP demonstrated competency for the task during orientation
c. the NAP has performed the task beforE
d. the NAP has received the assignment during report - Correct Answer b.
the nurse noticed an increase in the prevalence of pressure ulcers among patients in an
ICU> she documented her findings and worked with her manager to develop and
,implement a new policy using a pressure ulcer risk assessment scale. which of the
following best describes the nurse's actions?
a. case management
b. advocacy
c. quality improvement
d. collaboration - Correct Answer c.
a 34-year old woman who developed stevens-johnson syndrome while undergoing
treatment with carbamazepine is being transferred in stable condition from the ICU to the
medical unit. there are 4 beds available. the nurse knows the BEST choice of roommates
for this patient is which of the following?
a. a 40-year-old man with MRSA
b. a 28-year-old woman diagnosed with diarrhea
c. a 72-year-old man with fever of unknown origin
d. a 68-year-old with atrial fibrillation - Correct Answer d.
after receiving report at the start of the evening shift, which of the following patients
should the nurse attend to first?
a. a man undergoing treatment for non-Hodgkins lymphoma with a potassium level of 7.5
mEq/L
b. a woman with sickle-cell anemia with pain of 6 on a scale of 1-10
c. a woman with ovarian cancer waiting to be discharged
d. a man with COPD and a pulse ox of 96% RA - Correct Answer a.
the nurse discovers a patient on the floor in the hospital room. after examining the patient
and assisting him safely back to bed, which of the following should thenurse do FIRST?
a. file an incident report
b. put the bed alarm back on
c. find a patient sitter to sit with the patient to prevent further falls
, d. notify the nurse manager - Correct Answer b.
the provider verbally orders a medication for a pt during an emergency code. which of the
following should the nurse do?
a. repeat the order back to the provider for confirmation and administer it
b. retrieve the med and administer it
c. write the order down, retrieve it, and administer it
d. read the order to another nurse, have the nurse retrieve the med, and stay with the
patient - Correct Answer a.
the nurse is preparing to administer a unit of PRBCs to an anemic pt. after obtaining the
blood from the blood bank, the nurse must begin administering it within which of the
following time periods?
a. 15 mins
b. 45 mins
c. 60 mins
d. 30 mins - Correct Answer d
an older adult has been admitted with diagnosis for stroke and a history of dementia.
which of the following nursing diagnosis has the highest priority for this pt.
a. bathing/hygiene self-care deficit
b. risk for injury
c. impaired physical mobility
d. disturbed thought process - Correct Answer b.
in the ED, the nurse assesses a 4-year-old child suspected of having measles. which of
the following kinds of precautions should the nurse initiate?
a. contact
b. droplet
Answers.
a nurse has been asked to administer a drug by IV push. she is uncertain whether or not
this task falls within her scope of practice. the nurse knows that which of the following are
BEST sources to refer to for info related to her scope of practice in her situation? (SATA)
a. hospital and unit policies and procedures
b. nurse practice act
c. ordering physician
d. hospital pharmacist - Correct Answer a, b
an RN is in charge of a team on a m/s unit that includes an LPN. the rn understands that
which of the following is an activity that falls within the scope of practice of an lpn?
a. administer oral meds to a patient
b. collaborate with social servies to develop a discharge plan
c. formulate a nursing diagnosis
d. develop a policy - Correct Answer a
the nurse is learning how to use the hospital's new electronic medication administration
record. the nurse knows this tool has the potential to do which of the following? (SATA)
a. reduce medication administration errors
b. improve access to information at the point of care
c. eliminate the need for the nurse to document med admin
d. eliminate the need for the nurse to verify dose calculations - Correct Answer a, b
the nurse administers the first dose of chemotherapy to a patient on an oncology unit. the
nurse knows that which of the following activities is appropriate to delegate to the lpn?
a. obtain the patients blood pressure
b. provide teaching about the side effects of chemo
,c. administer the second dose of chemo
d. flush the patients central line with heparin - Correct Answer a
the nurse is preparing to transfer a patient to the OR. she knows that adhering to the
hospital policy for patient handoff's BEST ensures which of the following?
a. case management
b. continuity of care
c. confidentiality protection
d. collaboration - Correct Answer b.
the nurse in a maternity unit is caring for a patient who has just delivered twins. the
patient voices concerns about her ability to manage when she gets home. which of the
following statements BEST illustrates the quality care delivery by the nurse? (SATA)
a. "just focus on how lucky you are to have 2 healthy babies"
b. "we can arrange for follow-up visits with a home health nurse"
c. "here is some info on support groups for parents of multiples"
d. "you will find it easier to formula feed your babies at home" - Correct Answer b, c
the nurse wants to delegate the task of showering an elderly patient in a wheelchair to the
nursing assistive personnel. before delegating a task to the NAP, the nurse should FIRST
ensure that which of the following is accomplished?
a. the NAP is supervised at all times
b. the NAP demonstrated competency for the task during orientation
c. the NAP has performed the task beforE
d. the NAP has received the assignment during report - Correct Answer b.
the nurse noticed an increase in the prevalence of pressure ulcers among patients in an
ICU> she documented her findings and worked with her manager to develop and
,implement a new policy using a pressure ulcer risk assessment scale. which of the
following best describes the nurse's actions?
a. case management
b. advocacy
c. quality improvement
d. collaboration - Correct Answer c.
a 34-year old woman who developed stevens-johnson syndrome while undergoing
treatment with carbamazepine is being transferred in stable condition from the ICU to the
medical unit. there are 4 beds available. the nurse knows the BEST choice of roommates
for this patient is which of the following?
a. a 40-year-old man with MRSA
b. a 28-year-old woman diagnosed with diarrhea
c. a 72-year-old man with fever of unknown origin
d. a 68-year-old with atrial fibrillation - Correct Answer d.
after receiving report at the start of the evening shift, which of the following patients
should the nurse attend to first?
a. a man undergoing treatment for non-Hodgkins lymphoma with a potassium level of 7.5
mEq/L
b. a woman with sickle-cell anemia with pain of 6 on a scale of 1-10
c. a woman with ovarian cancer waiting to be discharged
d. a man with COPD and a pulse ox of 96% RA - Correct Answer a.
the nurse discovers a patient on the floor in the hospital room. after examining the patient
and assisting him safely back to bed, which of the following should thenurse do FIRST?
a. file an incident report
b. put the bed alarm back on
c. find a patient sitter to sit with the patient to prevent further falls
, d. notify the nurse manager - Correct Answer b.
the provider verbally orders a medication for a pt during an emergency code. which of the
following should the nurse do?
a. repeat the order back to the provider for confirmation and administer it
b. retrieve the med and administer it
c. write the order down, retrieve it, and administer it
d. read the order to another nurse, have the nurse retrieve the med, and stay with the
patient - Correct Answer a.
the nurse is preparing to administer a unit of PRBCs to an anemic pt. after obtaining the
blood from the blood bank, the nurse must begin administering it within which of the
following time periods?
a. 15 mins
b. 45 mins
c. 60 mins
d. 30 mins - Correct Answer d
an older adult has been admitted with diagnosis for stroke and a history of dementia.
which of the following nursing diagnosis has the highest priority for this pt.
a. bathing/hygiene self-care deficit
b. risk for injury
c. impaired physical mobility
d. disturbed thought process - Correct Answer b.
in the ED, the nurse assesses a 4-year-old child suspected of having measles. which of
the following kinds of precautions should the nurse initiate?
a. contact
b. droplet
