NCSBN NCLEX EXAM (2025) QUESTIONS AND
(elaborated) WITH COMPLETE SOLUTIONS
Assistive devices are used when a caregiver is required to lift more than 35 lbs/15.9
kg
true or false - ANS>> True
During any patient transferring task, if any caregiver is required to lift a patient who
weighs more than 35 lbs/15.9 kg, then the patient should be considered fully
dependent, and assistive devices should be used for transfer
If a draining wound tests positive for MRSA, the patient is placed on contact
precautions
True or False - ANS>> True
Patients with abscess or draining wounds who tests positive for MRSA are placed
on contact precautions
Hands can be cleaned with alcohol-based hand rub after caring for a patient with C.
diff
True or False - ANS>> False
Alcohol does not kill C diff spores and soap and water should be used for hand
hygiene as recommended by CDC
Disaster triage differs from route emergency department triage
True or False - ANS>> True
,Disaster triage categories range from most urgent (first priority), urgent, nonurgent
(the walking wounded), and dead/catastrophic/coma.
Newborns are fitted with tamperproof security sensors during their stay at the
hospital
True or False - ANS>> True
Wearing a tamper proof safety device reduces the risk of abduction. The sensor
shows the location of the infant and the security system can activate other devices
(such as cameras, door locks, public address systems, sirens, and other alarms) in
the event of an attempted abduction
Restraints can be ordered prn by health care providers
True or False - ANS>> False
HCP are required to specify duration and circumstances for which restraints are
required and for how they should be used. Nurses and HCPs must frequently
monitor patients to reassess for the continued need for restraints.
Sensor pads may be used on beds of individuals who are a fall risk
True or False - ANS>> True
Bed alarms and sensor pads can be used to alert caregivers when a patient is
attempting to get up from a bed or chair, especially for a patient that is at risk for a
fall. This is an effective alternative to the use of restraintts
The 3 elements of radiation protection are time, duration, and shielding
True or False - ANS>> True
,The farther away people are from a radiation source, the less their exposure; as a
rule, if you double the distance, you reduce the exposure by a factor of four. The
amount of radiation exposure typically increases with the time people spend near
the source of radiation
You should quickly remove contaminated clothing by pulling it over your head
True or False - ANS>> False
Contaminated clothing should never be removed quickly, but it should be cut off
instead of pulled over your head. place contaminated clothing inside a plastic bag,
seal the bag, and then place inside another plastic bag
Standard precautions also includes respiratory/cough etiquette
True or False - ANS>> True
Standard precautions are used to reduce the risk of transmission of bloodborne and
other pathogens from both recognized and unrecognized sources. Respiratory
hygiene/cough etiquette is now considered part of standard precautions
The nurse is making patient room assignments. In order to minimize the risk of a
hospital acquired infection, which of these children would be the most appropriate
roommate for a 3-year-old child diagnosed with minimal change disease
a. 3 year old with fracture, with a sibling that has Fifth disease
b. 2 year old diagnosed with respiratory infection
c. 6 year old with sickle cell disease experiencing vaso-occlusive crisis
d. 4 year old with bilateral inguinal hernia repair - ANS>> d. 4 year old with
bilateral inguinal hernia repair
, Minimal change disease is a kidney disorder that can lead to nephrotic syndrome.
Corticosteroids can cure the disease in most children but cytotoxic therapy and
other drugs may be needed, but this treatment can reduce the child's ability to
fight infection. The charge nurse must select a roommate who does not have an
infection, which is the child child who had surgery. The sickle cell crisis may have
triggered an infection. The child's sibling who has a viral disease has the potential
to develop an infection.
The nurse is setting up a patient's dinner tray. When the nurse turns her back to
the patient, the patient grabs the nurse's buttocks and states that he is hungry for
much more than dinner. Which of the following response by the nurse is indicated?
a. ignore the behavior
b. call the HCP
c. quickly leave the room and ask UAP to assist the patient
d. complete an incident report - ANS>> d. complete an incident report
To keep the therapeutic relationship intact, a nurse needs to set limits on
appropriate behavior and not ignore bad behavior. Sexual harassment is a form of
violence and is never part of the job. The nurse should report the incident to her
supervisor and complete an incident report. The nurse has the right to ask not to
be assigned to this patient.
The paramedics are transporting a poisoning victim to the local hospital. In which of
these cases does the nurse anticipate that hyperbaric O2 therapy will be used?
a. 6yo found sitting on bathroom floor beside an empty bottle of diazepam
b. 21 yo with suspected ethanol intoxication
c. 35 yo found unconscious with suspected CO poisoning
2 yo who ate an undetermined amount of crystal drain cleaner - ANS>> c. 35 yo
found unconscious with suspected CO poisoning
(elaborated) WITH COMPLETE SOLUTIONS
Assistive devices are used when a caregiver is required to lift more than 35 lbs/15.9
kg
true or false - ANS>> True
During any patient transferring task, if any caregiver is required to lift a patient who
weighs more than 35 lbs/15.9 kg, then the patient should be considered fully
dependent, and assistive devices should be used for transfer
If a draining wound tests positive for MRSA, the patient is placed on contact
precautions
True or False - ANS>> True
Patients with abscess or draining wounds who tests positive for MRSA are placed
on contact precautions
Hands can be cleaned with alcohol-based hand rub after caring for a patient with C.
diff
True or False - ANS>> False
Alcohol does not kill C diff spores and soap and water should be used for hand
hygiene as recommended by CDC
Disaster triage differs from route emergency department triage
True or False - ANS>> True
,Disaster triage categories range from most urgent (first priority), urgent, nonurgent
(the walking wounded), and dead/catastrophic/coma.
Newborns are fitted with tamperproof security sensors during their stay at the
hospital
True or False - ANS>> True
Wearing a tamper proof safety device reduces the risk of abduction. The sensor
shows the location of the infant and the security system can activate other devices
(such as cameras, door locks, public address systems, sirens, and other alarms) in
the event of an attempted abduction
Restraints can be ordered prn by health care providers
True or False - ANS>> False
HCP are required to specify duration and circumstances for which restraints are
required and for how they should be used. Nurses and HCPs must frequently
monitor patients to reassess for the continued need for restraints.
Sensor pads may be used on beds of individuals who are a fall risk
True or False - ANS>> True
Bed alarms and sensor pads can be used to alert caregivers when a patient is
attempting to get up from a bed or chair, especially for a patient that is at risk for a
fall. This is an effective alternative to the use of restraintts
The 3 elements of radiation protection are time, duration, and shielding
True or False - ANS>> True
,The farther away people are from a radiation source, the less their exposure; as a
rule, if you double the distance, you reduce the exposure by a factor of four. The
amount of radiation exposure typically increases with the time people spend near
the source of radiation
You should quickly remove contaminated clothing by pulling it over your head
True or False - ANS>> False
Contaminated clothing should never be removed quickly, but it should be cut off
instead of pulled over your head. place contaminated clothing inside a plastic bag,
seal the bag, and then place inside another plastic bag
Standard precautions also includes respiratory/cough etiquette
True or False - ANS>> True
Standard precautions are used to reduce the risk of transmission of bloodborne and
other pathogens from both recognized and unrecognized sources. Respiratory
hygiene/cough etiquette is now considered part of standard precautions
The nurse is making patient room assignments. In order to minimize the risk of a
hospital acquired infection, which of these children would be the most appropriate
roommate for a 3-year-old child diagnosed with minimal change disease
a. 3 year old with fracture, with a sibling that has Fifth disease
b. 2 year old diagnosed with respiratory infection
c. 6 year old with sickle cell disease experiencing vaso-occlusive crisis
d. 4 year old with bilateral inguinal hernia repair - ANS>> d. 4 year old with
bilateral inguinal hernia repair
, Minimal change disease is a kidney disorder that can lead to nephrotic syndrome.
Corticosteroids can cure the disease in most children but cytotoxic therapy and
other drugs may be needed, but this treatment can reduce the child's ability to
fight infection. The charge nurse must select a roommate who does not have an
infection, which is the child child who had surgery. The sickle cell crisis may have
triggered an infection. The child's sibling who has a viral disease has the potential
to develop an infection.
The nurse is setting up a patient's dinner tray. When the nurse turns her back to
the patient, the patient grabs the nurse's buttocks and states that he is hungry for
much more than dinner. Which of the following response by the nurse is indicated?
a. ignore the behavior
b. call the HCP
c. quickly leave the room and ask UAP to assist the patient
d. complete an incident report - ANS>> d. complete an incident report
To keep the therapeutic relationship intact, a nurse needs to set limits on
appropriate behavior and not ignore bad behavior. Sexual harassment is a form of
violence and is never part of the job. The nurse should report the incident to her
supervisor and complete an incident report. The nurse has the right to ask not to
be assigned to this patient.
The paramedics are transporting a poisoning victim to the local hospital. In which of
these cases does the nurse anticipate that hyperbaric O2 therapy will be used?
a. 6yo found sitting on bathroom floor beside an empty bottle of diazepam
b. 21 yo with suspected ethanol intoxication
c. 35 yo found unconscious with suspected CO poisoning
2 yo who ate an undetermined amount of crystal drain cleaner - ANS>> c. 35 yo
found unconscious with suspected CO poisoning
