NCLEX Assessment in class quizzes 2/5/2026
A client has a right subclavian central venous catheter. C. "Bear down while holding breath.
When reconnecting a new administration set, which of
the following instructions should the nurse give the The client should perform a Valsalva maneuver by holding a breath and
client? bearing down while the nurse disconnects the old set and reconnects the
A. "Turn head to the right." new set. This action prevents air from entering the lumen, the heart, and
B. "Sit in semi-Fowler's position." pulmonary circulation.
C. "Bear down while holding breath."
D. "Exhale slowly."
A client is planning to perform nasotracheal suction C. Preoxygenate the client with 100% oxygen for up to 3 min.
for a client who has COPD and an artificial airway.
Which of the following actions should the nurse take? To prevent hypoxemia, the nurse should preoxygenate the client with 100%
A. Perform suctioning for up to four passes. oxygen for 30 seconds to 3 min prior to suctioning.
B. Apply suction to the catheter when advancing it
into the trachea.
C. Preoxygenate the client with 100% oxygen for up
to 3 min.
D. Limit each suction pass to 25 seconds.
NCLEX Assessment in class quizzes Page 1 of 21
,NCLEX Assessment in class quizzes 2/5/2026
A client is planning to perform nasotracheal suction C. Preoxygenate the client with 100% oxygen for up to 3 min.
for a client who has COPD and an artificial airway.
Which of the following actions should the nurse take? Feedback: To prevent hypoxemia, the nurse should preoxygenate the client
A. Perform suctioning for up to four passes. with 100% oxygen for 30 seconds to 3 min prior to suctioning.
B. Apply suction to the catheter when advancing it
into the trachea.
C. Preoxygenate the client with 100% oxygen for up
to 3 min.
D. Limit each suction pass to 25 seconds.
A client who experienced a myocardial infarction (MI) C. arrhythmias
48 hours ago is most at risk for developing:
A. cardiogenic shock Feedback: caused by oxygen deprivation to the myocardium is the most
B. heart failure common complication of MI
C. arrhythmias
D. pericarditis
NCLEX Assessment in class quizzes Page 2 of 21
, NCLEX Assessment in class quizzes 2/5/2026
The nurse asks a client who is about to have a cardiac A. Notify the provider of the client's allergy.
catheterization about any allergies. The client states, "I
always get a rash when I eat shellfish." Which of the Feedback: The greatest risk to the client is an allergic reaction to the iodine-
following is the priority nursing action? containing contrast agent the client will receive IV for the procedure,
A. Notify the provider of the client's allergy. because shellfish also contains iodine. A steroid and/or antihistamine will be
B. Attach a wrist band indicating the client's allergy. given to a client with an iodine allergy to prevent or minimize a reaction.
C. Ask the client if any other foods cause such a
reaction.
D. Notify the dietary department of the client's allergy.
A nurse in an emergency department is caring for a B. Administer oxygen via nasal cannula.
client who has a sucking chest wound resulting from a
gunshot. The client has a blood pressure of 100/60 The client has an increased respiratory rate and heart rate, indicating that
mm Hg, a weak pulse rate of 118/min, and a respiratory she is having respiratory difficulty. The sucking chest wound indicates the
rate of 40/min. Which of the following actions should client has a pneumothorax and/or a hemothorax. Administering oxygen will
the nurse take? increase the oxygen exchange in the lungs and the oxygen available to the
A. Prepare to insert a central line. tissues.
B. Administer oxygen via nasal cannula.
C. Raise the foot of the bed to a 90° angle.
D. Remove the dressing to inspect the wound.
NCLEX Assessment in class quizzes Page 3 of 21
A client has a right subclavian central venous catheter. C. "Bear down while holding breath.
When reconnecting a new administration set, which of
the following instructions should the nurse give the The client should perform a Valsalva maneuver by holding a breath and
client? bearing down while the nurse disconnects the old set and reconnects the
A. "Turn head to the right." new set. This action prevents air from entering the lumen, the heart, and
B. "Sit in semi-Fowler's position." pulmonary circulation.
C. "Bear down while holding breath."
D. "Exhale slowly."
A client is planning to perform nasotracheal suction C. Preoxygenate the client with 100% oxygen for up to 3 min.
for a client who has COPD and an artificial airway.
Which of the following actions should the nurse take? To prevent hypoxemia, the nurse should preoxygenate the client with 100%
A. Perform suctioning for up to four passes. oxygen for 30 seconds to 3 min prior to suctioning.
B. Apply suction to the catheter when advancing it
into the trachea.
C. Preoxygenate the client with 100% oxygen for up
to 3 min.
D. Limit each suction pass to 25 seconds.
NCLEX Assessment in class quizzes Page 1 of 21
,NCLEX Assessment in class quizzes 2/5/2026
A client is planning to perform nasotracheal suction C. Preoxygenate the client with 100% oxygen for up to 3 min.
for a client who has COPD and an artificial airway.
Which of the following actions should the nurse take? Feedback: To prevent hypoxemia, the nurse should preoxygenate the client
A. Perform suctioning for up to four passes. with 100% oxygen for 30 seconds to 3 min prior to suctioning.
B. Apply suction to the catheter when advancing it
into the trachea.
C. Preoxygenate the client with 100% oxygen for up
to 3 min.
D. Limit each suction pass to 25 seconds.
A client who experienced a myocardial infarction (MI) C. arrhythmias
48 hours ago is most at risk for developing:
A. cardiogenic shock Feedback: caused by oxygen deprivation to the myocardium is the most
B. heart failure common complication of MI
C. arrhythmias
D. pericarditis
NCLEX Assessment in class quizzes Page 2 of 21
, NCLEX Assessment in class quizzes 2/5/2026
The nurse asks a client who is about to have a cardiac A. Notify the provider of the client's allergy.
catheterization about any allergies. The client states, "I
always get a rash when I eat shellfish." Which of the Feedback: The greatest risk to the client is an allergic reaction to the iodine-
following is the priority nursing action? containing contrast agent the client will receive IV for the procedure,
A. Notify the provider of the client's allergy. because shellfish also contains iodine. A steroid and/or antihistamine will be
B. Attach a wrist band indicating the client's allergy. given to a client with an iodine allergy to prevent or minimize a reaction.
C. Ask the client if any other foods cause such a
reaction.
D. Notify the dietary department of the client's allergy.
A nurse in an emergency department is caring for a B. Administer oxygen via nasal cannula.
client who has a sucking chest wound resulting from a
gunshot. The client has a blood pressure of 100/60 The client has an increased respiratory rate and heart rate, indicating that
mm Hg, a weak pulse rate of 118/min, and a respiratory she is having respiratory difficulty. The sucking chest wound indicates the
rate of 40/min. Which of the following actions should client has a pneumothorax and/or a hemothorax. Administering oxygen will
the nurse take? increase the oxygen exchange in the lungs and the oxygen available to the
A. Prepare to insert a central line. tissues.
B. Administer oxygen via nasal cannula.
C. Raise the foot of the bed to a 90° angle.
D. Remove the dressing to inspect the wound.
NCLEX Assessment in class quizzes Page 3 of 21
