RN NCLEX SAMPLE TEST 4, ALTERNATE FORMAT
FULLY SOLVED
The RN teaches a community group about the detection,
treatment, and modification of the risks for OA. Which
community client is at risk for developing OA?
-Adolescent with a crushing foot injury in a car accident
-A young adult who has worked in coal mine for 6 years
-Adult client treated for osteomyelitis 3 years ago
-An obese client
The RN determines the need to review medical asepsis
with the nursery staff. Which action is included in the
review?
-Complete a 3 minute hand scrub before entering the
nursery
-Use hand sanitizer consistently between care of
different newborns
-Change the linen in the crib 1x/day
Page 1 of 19
,Several clients have a diagnosis of depression. Which
client comment concerns the nurse and requires
immediate intervention?
-"I am giving my favorite guitar to my best friend."
-"I will never have to work on projects ever again."
-" I have more energy than I had before coming here."
-"Why do you bother with me?"
The nurse alerts the staff to clients at risk for
developing MRSA. Which client has the highest risk?
-A client who has an indwelling urinate catheter for 48
hours
-A client who is receiving vincristine through an
indwelling port
-A client with a CD4 (T cell) count of 200
An adolescent client is diagnosed with anorexia
nervosa. Which information in the client's record
supports the diagnosis of anorexia nervosa for the
nurse?
-Daily intake consists of only cucumbers and carrots
-Eats lunch at 1215 and supper at exactly 1830
Page 2 of 19
, -Reports thinking of eating all the time
-Consumed an entire bag of potato chips in one sitting
An adult client is diagnosed with MRSA. Which PPE
does the RN put on before entering the room to
administer medication?
-Gown
-Gloves
An adult client has a scheduled hip replacement. The
clinic nurse instructs about the necessary devices
needed at home after the procedure. The nurse
determines teaching is successful if the client makes
which statement?
-Elevate toilet seat
-Use shower chair and hand held shower
-Using a grabber
An adult client at 39 weeks gestation is in active labor
assisted by oxytocin. Lace decelerations are noted on
the fetal monitor strip. What should the RN do in the
next 60 seconds?
Page 3 of 19
FULLY SOLVED
The RN teaches a community group about the detection,
treatment, and modification of the risks for OA. Which
community client is at risk for developing OA?
-Adolescent with a crushing foot injury in a car accident
-A young adult who has worked in coal mine for 6 years
-Adult client treated for osteomyelitis 3 years ago
-An obese client
The RN determines the need to review medical asepsis
with the nursery staff. Which action is included in the
review?
-Complete a 3 minute hand scrub before entering the
nursery
-Use hand sanitizer consistently between care of
different newborns
-Change the linen in the crib 1x/day
Page 1 of 19
,Several clients have a diagnosis of depression. Which
client comment concerns the nurse and requires
immediate intervention?
-"I am giving my favorite guitar to my best friend."
-"I will never have to work on projects ever again."
-" I have more energy than I had before coming here."
-"Why do you bother with me?"
The nurse alerts the staff to clients at risk for
developing MRSA. Which client has the highest risk?
-A client who has an indwelling urinate catheter for 48
hours
-A client who is receiving vincristine through an
indwelling port
-A client with a CD4 (T cell) count of 200
An adolescent client is diagnosed with anorexia
nervosa. Which information in the client's record
supports the diagnosis of anorexia nervosa for the
nurse?
-Daily intake consists of only cucumbers and carrots
-Eats lunch at 1215 and supper at exactly 1830
Page 2 of 19
, -Reports thinking of eating all the time
-Consumed an entire bag of potato chips in one sitting
An adult client is diagnosed with MRSA. Which PPE
does the RN put on before entering the room to
administer medication?
-Gown
-Gloves
An adult client has a scheduled hip replacement. The
clinic nurse instructs about the necessary devices
needed at home after the procedure. The nurse
determines teaching is successful if the client makes
which statement?
-Elevate toilet seat
-Use shower chair and hand held shower
-Using a grabber
An adult client at 39 weeks gestation is in active labor
assisted by oxytocin. Lace decelerations are noted on
the fetal monitor strip. What should the RN do in the
next 60 seconds?
Page 3 of 19
