NCLEX review questions and material (NCSBN)
NCLEX review questions and material (NCSBN)
Study online at https://quizlet.com/_9k24io
1. How can you identi- Name
fy your patient? Date of birth
MR number
NOT Room number
2. R.A.C.E R: Remove and rescue patients
A: Activate fire alarm
C: Contain fire
E: Extinguish
3. Restraints If a client can easily remove the device, it does not qualify as a physical
restraint.
A provider order for restraints can never be written in advance for "what if"
situations or "as needed" (i.e., PRN).
Always attempt to use the least restrictive form of restraint and/or safety device.
Never apply or use a restraint (chemical, physical or seclusion) to punish a
client
Chemical: These include medications such as anxiolytics, sedatives, opioids
and paralytics.
Physical: These include mechanical devices or equipment that limit the client
from moving or from moving an extremity. A chair with an attached tray that
prevents the client from getting up is considered a restraint. Raising all bed
rails can be considered a form of restraint; however, one raised side rail that
the client uses to move in and out of bed would not be considered a restraint.
Seclusion: A locked room or area away from other clients that the client cannot
leave. This is primarily used with clients in behavioral health settings who are
at risk for violent behavior and only after all other interventions have failed
1
, NCLEX review questions and material (NCSBN)
NCLEX review questions and material (NCSBN)
Study online at https://quizlet.com/_9k24io
4. A soft wrist re- True
straint can be ap-
plied before a doc-
tor's order is given,
but the nurse must
contact the HCP im-
mediately after the
restraint is applied
to obtain the order.
(True or False)
5. Contact precau- Gastrointestinal infections, e.g., foodborne illness such as norovirus or
tions Clostridium difficile (C. diff.)
Diarrhea of unknown origin
Skin infections or infestations, e.g., impetigo, scabies
Presence of, or colonization with, multidrug-resistant bacteria, e.g. methi-
cillin-resistant Staphylococcus aureus (MRSA)
Gown, gloves, mask, eye protection
6. Herpes Zoster implement both contact and airborne precautions until lesions are dry and
(shingles) dissemi- crusted.
nated needs what
precautions
7. Droplet precau- Influenza
tions Meningococcal meningitis
2
, NCLEX review questions and material (NCSBN)
NCLEX review questions and material (NCSBN)
Study online at https://quizlet.com/_9k24io
Mumps
Rubella (German measles)
Diphtheria
Pertussis (Whooping cough)
Infections caused by drug-resistant Streptococcus pneumonia
Surgical mask
6 ft distance
gown and gloves when providing care
8. Airborne precau- Varicella (chicken pox)
tions Tuberculosis
Measles (rubella)
N95
9. Filing incidence re- Medication administration errors (even if the error did not reach the client)
port Any time a client makes a complaint
Medical device malfunction
Any time a client, staff member or visitor is injured or involved in a situation
with the potential for injury
When a client leaves the health care facility against medical advice (AMA)
Loss or theft of a client's or visitor's property
10. Triage Categories Immediate, Delayed, Minimal, Expectant
3
, NCLEX review questions and material (NCSBN)
NCLEX review questions and material (NCSBN)
Study online at https://quizlet.com/_9k24io
11. Immediate (red) Chest wounds
Shock
Open fractures
2/3 degree burns
12. Delayed (yellow) second priority
need treatment and transport but can be delayed
multiple injuries to bones or joints, back injuries
stable abd wounds
eye and CNS injury
13. Minimal (green) Minor burns or fractures or bleeds
14. Expectant (black) last priority
dead or minimal chance of survival
cardiac arrest or open head injury
brain stem injury
15. chelating agents molecules that attract or bind with other molecules and are therefore useful in
either preventing or promoting movement of substances from place to place
Potassium iodine: helps radioactive iodine in thyroid
Prussian blue : for cesium and thallium
16. Biological agents Anthrax (Bacillus anthracis)
with a high Botulism (Clostridium botulinumtoxin)
probability of mass
4
NCLEX review questions and material (NCSBN)
Study online at https://quizlet.com/_9k24io
1. How can you identi- Name
fy your patient? Date of birth
MR number
NOT Room number
2. R.A.C.E R: Remove and rescue patients
A: Activate fire alarm
C: Contain fire
E: Extinguish
3. Restraints If a client can easily remove the device, it does not qualify as a physical
restraint.
A provider order for restraints can never be written in advance for "what if"
situations or "as needed" (i.e., PRN).
Always attempt to use the least restrictive form of restraint and/or safety device.
Never apply or use a restraint (chemical, physical or seclusion) to punish a
client
Chemical: These include medications such as anxiolytics, sedatives, opioids
and paralytics.
Physical: These include mechanical devices or equipment that limit the client
from moving or from moving an extremity. A chair with an attached tray that
prevents the client from getting up is considered a restraint. Raising all bed
rails can be considered a form of restraint; however, one raised side rail that
the client uses to move in and out of bed would not be considered a restraint.
Seclusion: A locked room or area away from other clients that the client cannot
leave. This is primarily used with clients in behavioral health settings who are
at risk for violent behavior and only after all other interventions have failed
1
, NCLEX review questions and material (NCSBN)
NCLEX review questions and material (NCSBN)
Study online at https://quizlet.com/_9k24io
4. A soft wrist re- True
straint can be ap-
plied before a doc-
tor's order is given,
but the nurse must
contact the HCP im-
mediately after the
restraint is applied
to obtain the order.
(True or False)
5. Contact precau- Gastrointestinal infections, e.g., foodborne illness such as norovirus or
tions Clostridium difficile (C. diff.)
Diarrhea of unknown origin
Skin infections or infestations, e.g., impetigo, scabies
Presence of, or colonization with, multidrug-resistant bacteria, e.g. methi-
cillin-resistant Staphylococcus aureus (MRSA)
Gown, gloves, mask, eye protection
6. Herpes Zoster implement both contact and airborne precautions until lesions are dry and
(shingles) dissemi- crusted.
nated needs what
precautions
7. Droplet precau- Influenza
tions Meningococcal meningitis
2
, NCLEX review questions and material (NCSBN)
NCLEX review questions and material (NCSBN)
Study online at https://quizlet.com/_9k24io
Mumps
Rubella (German measles)
Diphtheria
Pertussis (Whooping cough)
Infections caused by drug-resistant Streptococcus pneumonia
Surgical mask
6 ft distance
gown and gloves when providing care
8. Airborne precau- Varicella (chicken pox)
tions Tuberculosis
Measles (rubella)
N95
9. Filing incidence re- Medication administration errors (even if the error did not reach the client)
port Any time a client makes a complaint
Medical device malfunction
Any time a client, staff member or visitor is injured or involved in a situation
with the potential for injury
When a client leaves the health care facility against medical advice (AMA)
Loss or theft of a client's or visitor's property
10. Triage Categories Immediate, Delayed, Minimal, Expectant
3
, NCLEX review questions and material (NCSBN)
NCLEX review questions and material (NCSBN)
Study online at https://quizlet.com/_9k24io
11. Immediate (red) Chest wounds
Shock
Open fractures
2/3 degree burns
12. Delayed (yellow) second priority
need treatment and transport but can be delayed
multiple injuries to bones or joints, back injuries
stable abd wounds
eye and CNS injury
13. Minimal (green) Minor burns or fractures or bleeds
14. Expectant (black) last priority
dead or minimal chance of survival
cardiac arrest or open head injury
brain stem injury
15. chelating agents molecules that attract or bind with other molecules and are therefore useful in
either preventing or promoting movement of substances from place to place
Potassium iodine: helps radioactive iodine in thyroid
Prussian blue : for cesium and thallium
16. Biological agents Anthrax (Bacillus anthracis)
with a high Botulism (Clostridium botulinumtoxin)
probability of mass
4
