RN NCLEX Sample Test 4, Alternate
Format
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? - correct answer -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? - correct answer -Position on L
side
-↑ IV LR
-Apply rebreather mask
The adult client is positive for the Hep B surface antigen. What question does the RN ask to help
determine the source of infection? - correct answer -Have you had unprotected sex with anyone who has
Hep B?
-Have you had a recent blood transfusion?
-Do you share needles with anyone?
What are the "Rights of Medication Administration"? - correct answer -Correct client
-Correct dose
-Correct route
-Correct time
The RN administers medication. While documenting the administration, the RN realizes an error in
administration has been made. Which action must the RN take? - correct answer -Evaluate the effect of
the medication
-Notify the HCP
, -Notify the client of the error
-Complete an occurrence report
Which supplies does the RN need to prepare an IV oxytocin solution? - correct answer -19G 1.5" filter
needle
-20G 1" needle
-Alcohol swab or gauze
The RN uses which action to identify the client to ensure the correct client receives the medication? -
correct answer -Ask the client to state the clients name
-Check the name of the clients ID band
-Compare a client photo of the client in the medical record
-Scan barcodes on the clients ID bracelet
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? - correct answer -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? - correct answer -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
Several clients have a diagnosis of depression. Which client comment concerns the nurse and requires
immediate intervention? - correct answer -"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?"
Format
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? - correct answer -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? - correct answer -Position on L
side
-↑ IV LR
-Apply rebreather mask
The adult client is positive for the Hep B surface antigen. What question does the RN ask to help
determine the source of infection? - correct answer -Have you had unprotected sex with anyone who has
Hep B?
-Have you had a recent blood transfusion?
-Do you share needles with anyone?
What are the "Rights of Medication Administration"? - correct answer -Correct client
-Correct dose
-Correct route
-Correct time
The RN administers medication. While documenting the administration, the RN realizes an error in
administration has been made. Which action must the RN take? - correct answer -Evaluate the effect of
the medication
-Notify the HCP
, -Notify the client of the error
-Complete an occurrence report
Which supplies does the RN need to prepare an IV oxytocin solution? - correct answer -19G 1.5" filter
needle
-20G 1" needle
-Alcohol swab or gauze
The RN uses which action to identify the client to ensure the correct client receives the medication? -
correct answer -Ask the client to state the clients name
-Check the name of the clients ID band
-Compare a client photo of the client in the medical record
-Scan barcodes on the clients ID bracelet
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? - correct answer -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? - correct answer -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
Several clients have a diagnosis of depression. Which client comment concerns the nurse and requires
immediate intervention? - correct answer -"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?"
