Fundamentals of Nursing NCLEX
Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A nurse is preparing to take a client’s blood pressure. Which action is correct?
a. Place the cuff above the elbow
✔✔b. Position the client’s arm at heart level
c. Inflate the cuff slowly and deflate rapidly
d. Take the measurement immediately after exercise
**Rationale:** Arm at heart level ensures an accurate reading.
A client with a nasogastric tube reports nausea. What should the nurse do first?
✔✔a. Check tube placement and patency
b. Administer antiemetic
c. Encourage oral fluids
d. Notify dietary
**Rationale:** Ensuring tube patency prevents aspiration or blockage.
Which action demonstrates proper hand hygiene?
1
,a. Use alcohol-based sanitizer only when hands are visibly dirty
✔✔b. Wash hands with soap and water when visibly soiled
c. Rinse hands with water for 5 seconds
d. Skip handwashing if gloves are worn
**Rationale:** Soap and water are required when hands are visibly soiled.
A nurse is performing oral care for an unconscious client. What is the best position?
a. Supine with head flat
✔✔b. Side-lying with head turned
c. Prone
d. Sitting upright
**Rationale:** Side-lying prevents aspiration.
Which action promotes skin integrity in an immobile client?
a. Apply lotion once weekly
✔✔b. Reposition every 2 hours
c. Keep client in one position for comfort
d. Avoid using pillows
2
,**Rationale:** Frequent repositioning prevents pressure injuries.
The nurse is caring for a client on oxygen. Which statement is correct?
a. Place oxygen tubing under blankets
b. Use petroleum jelly around nares for comfort
✔✔c. Ensure tubing is free of kinks
d. Allow client to smoke near oxygen
**Rationale:** Kink-free tubing ensures proper oxygen delivery.
A client has a new urinary catheter. Which intervention is correct to prevent infection?
a. Keep drainage bag above bladder
✔✔b. Maintain a closed drainage system
c. Irrigate catheter every shift
d. Use the same catheter for a week
**Rationale:** Closed systems reduce infection risk.
Which technique ensures proper use of a walker?
a. Hold walker on the weak side
3
, ✔✔b. Hold walker on the strong side
c. Move legs before moving walker
d. Keep walker 3 feet away
**Rationale:** The walker supports the weaker side when held on the strong side.
A nurse is performing passive range-of-motion exercises. What is the purpose?
a. Reduce fever
b. Improve appetite
✔✔c. Prevent contractures
d. Improve digestion
**Rationale:** ROM exercises maintain joint mobility and prevent contractures.
Which action is appropriate for preventing falls in elderly clients?
a. Leave side rails down
b. Keep room dimly lit
✔✔c. Keep call light within reach
d. Allow wandering in hallways
**Rationale:** Accessible call light ensures rapid assistance.
4
Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
A nurse is preparing to take a client’s blood pressure. Which action is correct?
a. Place the cuff above the elbow
✔✔b. Position the client’s arm at heart level
c. Inflate the cuff slowly and deflate rapidly
d. Take the measurement immediately after exercise
**Rationale:** Arm at heart level ensures an accurate reading.
A client with a nasogastric tube reports nausea. What should the nurse do first?
✔✔a. Check tube placement and patency
b. Administer antiemetic
c. Encourage oral fluids
d. Notify dietary
**Rationale:** Ensuring tube patency prevents aspiration or blockage.
Which action demonstrates proper hand hygiene?
1
,a. Use alcohol-based sanitizer only when hands are visibly dirty
✔✔b. Wash hands with soap and water when visibly soiled
c. Rinse hands with water for 5 seconds
d. Skip handwashing if gloves are worn
**Rationale:** Soap and water are required when hands are visibly soiled.
A nurse is performing oral care for an unconscious client. What is the best position?
a. Supine with head flat
✔✔b. Side-lying with head turned
c. Prone
d. Sitting upright
**Rationale:** Side-lying prevents aspiration.
Which action promotes skin integrity in an immobile client?
a. Apply lotion once weekly
✔✔b. Reposition every 2 hours
c. Keep client in one position for comfort
d. Avoid using pillows
2
,**Rationale:** Frequent repositioning prevents pressure injuries.
The nurse is caring for a client on oxygen. Which statement is correct?
a. Place oxygen tubing under blankets
b. Use petroleum jelly around nares for comfort
✔✔c. Ensure tubing is free of kinks
d. Allow client to smoke near oxygen
**Rationale:** Kink-free tubing ensures proper oxygen delivery.
A client has a new urinary catheter. Which intervention is correct to prevent infection?
a. Keep drainage bag above bladder
✔✔b. Maintain a closed drainage system
c. Irrigate catheter every shift
d. Use the same catheter for a week
**Rationale:** Closed systems reduce infection risk.
Which technique ensures proper use of a walker?
a. Hold walker on the weak side
3
, ✔✔b. Hold walker on the strong side
c. Move legs before moving walker
d. Keep walker 3 feet away
**Rationale:** The walker supports the weaker side when held on the strong side.
A nurse is performing passive range-of-motion exercises. What is the purpose?
a. Reduce fever
b. Improve appetite
✔✔c. Prevent contractures
d. Improve digestion
**Rationale:** ROM exercises maintain joint mobility and prevent contractures.
Which action is appropriate for preventing falls in elderly clients?
a. Leave side rails down
b. Keep room dimly lit
✔✔c. Keep call light within reach
d. Allow wandering in hallways
**Rationale:** Accessible call light ensures rapid assistance.
4
