PAPER N16: NCLEX FUNDAMENTALS
250 (SAMPLE 30)
Title: NCLEX Fundamentals 250: Sample 30
of 250 with Rationales
Keywords: Nursing fundamentals, NCLEX
fundamentals, basic nursing, nursing practice
questions, nursing test bank, NCLEX prep
,Questions
1. A nurse is preparing to perform a sterile dressing change.
Which action demonstrates proper sterile technique? A)
The sterile field is positioned at waist level B) The nurse
reaches over the sterile field to access supplies C) The
nurse turns their back to the sterile field D) The nurse
places a non-sterile item on the sterile field
Explanation: The sterile field should be kept at waist level to
maintain sterility. Reaching over or turning away from the field
can contaminate it.
2. A nurse is caring for a client on fall precautions. Which
intervention is most appropriate? A) Keep the bed in the
lowest position B) Keep the bed in the highest position C)
Keep the side rails down at all times D) Keep the call bell
out of reach
, Explanation: The bed should be kept in the lowest position to
reduce the risk of injury from falls. The call bell should be
within reach.
3. A nurse is assessing a client's skin. Which finding indicates
the client is at risk for pressure ulcer development? A)
Moist, intact skin B) Redness that does not blanch C) Skin
that is warm and dry D) Skin that is pale and cool
Explanation: Redness that does not blanch is an early sign of
pressure injury and indicates tissue ischemia.
4. A nurse is teaching a client about a low-sodium diet. Which
food should the client avoid? A) Fresh apples B) Canned
soup C) Steamed rice D) Baked chicken
250 (SAMPLE 30)
Title: NCLEX Fundamentals 250: Sample 30
of 250 with Rationales
Keywords: Nursing fundamentals, NCLEX
fundamentals, basic nursing, nursing practice
questions, nursing test bank, NCLEX prep
,Questions
1. A nurse is preparing to perform a sterile dressing change.
Which action demonstrates proper sterile technique? A)
The sterile field is positioned at waist level B) The nurse
reaches over the sterile field to access supplies C) The
nurse turns their back to the sterile field D) The nurse
places a non-sterile item on the sterile field
Explanation: The sterile field should be kept at waist level to
maintain sterility. Reaching over or turning away from the field
can contaminate it.
2. A nurse is caring for a client on fall precautions. Which
intervention is most appropriate? A) Keep the bed in the
lowest position B) Keep the bed in the highest position C)
Keep the side rails down at all times D) Keep the call bell
out of reach
, Explanation: The bed should be kept in the lowest position to
reduce the risk of injury from falls. The call bell should be
within reach.
3. A nurse is assessing a client's skin. Which finding indicates
the client is at risk for pressure ulcer development? A)
Moist, intact skin B) Redness that does not blanch C) Skin
that is warm and dry D) Skin that is pale and cool
Explanation: Redness that does not blanch is an early sign of
pressure injury and indicates tissue ischemia.
4. A nurse is teaching a client about a low-sodium diet. Which
food should the client avoid? A) Fresh apples B) Canned
soup C) Steamed rice D) Baked chicken
