COMPREHENSIVE REVIEW NCLEX-RN
EXAMINATION FUNDAMENTALS
REVIEW QUESTIONS AND ANSWERS
WITH SOLUTIONS 2024
TheUnurseUisUpreparingUtoUinitiateUanUintravenousUlineUcontainingUaUhighUdoseUofUpotassiumUchlorideUandU
plansUtoUuseUanUintravenousUinfusionUpump.UTheUnurseUbringsUtheUpumpUtoUtheUbeside,UpreparesUtoUplug
UtheUpumpUcordUintoUtheUwall,UandUnotesUthatUnoUreceptacleUisUavailableUinUtheUwallUsocket.UTheUnurseUsh
ouldUtakeUwhichUaction?
A.)UInitiateUtheUintravenousUlineUwithoutUtheUuseUofUaUpump.
B.)UContactUtheUelectricalUmaintenanceUdepartmentUforUassistance.
C.)UPlugUinUtheUpumpUcordUinUtheUavailableUplugUaboveUtheUroomUsink.
D.)UUseUanUextensionUcordUfromUtheUnurses'UloungeUforUtheUpumpUplug.U-
UANSWERUANSWER:UB.)UContactUtheUelectricalUmaintenanceUdepartmentUforUassistance.
*Rationale:UElectricalUequipmentUmustUbeUmaintainedUinUgoodUworkingUorderUandUshouldUbeUgrounded;U
otherwiseUitUpresentsUaUphysicalUhazard.
TheUnurseUobtainsUaUprescriptionUfromUaUhealthUcareUproviderUtoUrestrainUaUclientUandUinstructsUanUunlice
nsedUassistiveUpersonnelU(UAP)UtoUapplyUtheUsafetyUdeviceUtoUtheUclient.UWhichUobservationUbyUtheUnurse
UindicatesUunsafeUapplicationUofUtheUsafetyUdeviceUbyUtheUUAP?
A.)UPlacingUaUsafetyUknotUinUtheUsafetyUdeviceUstraps.
B.)USafelyUsecuringUtheUsafetyUdeviceUstrapsUtoUtheUsideUrails.
C.)UApplyingUsafetyUdeviceUstrapsUthatUdoUnotUtightenUwhenUforceUisUappliedUagainstUthem.U
D.)USecuringUsoUthatUtwoUfingersUcanUslideUeasilyUbetweenUtheUsafetyUdeviceUandUtheUclient'sUskin.U-
UANSWERUANSWER:UB.)USafelyUsecuringUtheUsafetyUdeviceUstrapsUtoUtheUsideUrails.U
, *URationale:UTheUsafetyUdeviceUstrapsUareUsecuredUtoUtheUbedUframeUandUneverUtoUtheUsideUrailUtoUavoidU
accidentalUinjuryUinUtheUeventUthatUtheUsideUrailUisUreleased.
TheUcommunityUhealthUnurseUisUprovidingUaUteachingUsessionUaboutUterrorismUtoUmembersUofUtheUcomm
unityUandUisUdiscussingUinformationUregardingUanthrax.UTheUnurseUtellsUthoseUattendingUthatUanthraxUcanU
beUtransmittedUbyUwhichUroute(s)?U*USelectUallUthatUapply.*
A.)UBitesUfromUticksUorUdeerUflies.
B.)UInhalationUofUbacterialUspores.
C.)UThroughUaUcutUorUabrasionUinUtheUskin.
D.)UDirectUcontactUwithUanUinfectedUindividual.
E.)USexualUcontactUwithUanUinfectedUindividual.
F.)UIngestionUofUcontaminatedUunder-cookedUmeat.U-UANSWERUANSWER:U
U B.)UInhalationUofUbacterialUspores.
U C.)UThroughUaUcutUorUabrasionUinUtheUskin.
U F.)UIngestionUofUcontaminatedUunder-cookedUmeat.
*URationale:UAnthraxUisUcausedUbyUBacillusUanthracisUandUcanUbeUcontractedUthroughUtheUdigestiveUsyste
mUorUabrasionsUinUtheUskin,UorUinhaledUthroughUtheUlungs.UItUcannotUbeUspreadUfromUpersonUtoUpersonUor
UfromUanimalUtoUperson.
TheUnurseUisUgivingUaUreportUtoUanUunlicensedUassistiveUpersonnelU(UAP)UwhoUwillUbeUcaringUforUaUclientU
whoUhasUhandUrestraintsU(UsafetyUdevices).UTheUnurseUinstructsUtheUUAPUtoUcheckUtheUskinUintegrityUofUth
eUrestrainedUhandsUhowUfrequently?
A.)UEveryU2Uhours.
B.)UEveryU3Uhours.
C.)UEveryU4Uhours.
EXAMINATION FUNDAMENTALS
REVIEW QUESTIONS AND ANSWERS
WITH SOLUTIONS 2024
TheUnurseUisUpreparingUtoUinitiateUanUintravenousUlineUcontainingUaUhighUdoseUofUpotassiumUchlorideUandU
plansUtoUuseUanUintravenousUinfusionUpump.UTheUnurseUbringsUtheUpumpUtoUtheUbeside,UpreparesUtoUplug
UtheUpumpUcordUintoUtheUwall,UandUnotesUthatUnoUreceptacleUisUavailableUinUtheUwallUsocket.UTheUnurseUsh
ouldUtakeUwhichUaction?
A.)UInitiateUtheUintravenousUlineUwithoutUtheUuseUofUaUpump.
B.)UContactUtheUelectricalUmaintenanceUdepartmentUforUassistance.
C.)UPlugUinUtheUpumpUcordUinUtheUavailableUplugUaboveUtheUroomUsink.
D.)UUseUanUextensionUcordUfromUtheUnurses'UloungeUforUtheUpumpUplug.U-
UANSWERUANSWER:UB.)UContactUtheUelectricalUmaintenanceUdepartmentUforUassistance.
*Rationale:UElectricalUequipmentUmustUbeUmaintainedUinUgoodUworkingUorderUandUshouldUbeUgrounded;U
otherwiseUitUpresentsUaUphysicalUhazard.
TheUnurseUobtainsUaUprescriptionUfromUaUhealthUcareUproviderUtoUrestrainUaUclientUandUinstructsUanUunlice
nsedUassistiveUpersonnelU(UAP)UtoUapplyUtheUsafetyUdeviceUtoUtheUclient.UWhichUobservationUbyUtheUnurse
UindicatesUunsafeUapplicationUofUtheUsafetyUdeviceUbyUtheUUAP?
A.)UPlacingUaUsafetyUknotUinUtheUsafetyUdeviceUstraps.
B.)USafelyUsecuringUtheUsafetyUdeviceUstrapsUtoUtheUsideUrails.
C.)UApplyingUsafetyUdeviceUstrapsUthatUdoUnotUtightenUwhenUforceUisUappliedUagainstUthem.U
D.)USecuringUsoUthatUtwoUfingersUcanUslideUeasilyUbetweenUtheUsafetyUdeviceUandUtheUclient'sUskin.U-
UANSWERUANSWER:UB.)USafelyUsecuringUtheUsafetyUdeviceUstrapsUtoUtheUsideUrails.U
, *URationale:UTheUsafetyUdeviceUstrapsUareUsecuredUtoUtheUbedUframeUandUneverUtoUtheUsideUrailUtoUavoidU
accidentalUinjuryUinUtheUeventUthatUtheUsideUrailUisUreleased.
TheUcommunityUhealthUnurseUisUprovidingUaUteachingUsessionUaboutUterrorismUtoUmembersUofUtheUcomm
unityUandUisUdiscussingUinformationUregardingUanthrax.UTheUnurseUtellsUthoseUattendingUthatUanthraxUcanU
beUtransmittedUbyUwhichUroute(s)?U*USelectUallUthatUapply.*
A.)UBitesUfromUticksUorUdeerUflies.
B.)UInhalationUofUbacterialUspores.
C.)UThroughUaUcutUorUabrasionUinUtheUskin.
D.)UDirectUcontactUwithUanUinfectedUindividual.
E.)USexualUcontactUwithUanUinfectedUindividual.
F.)UIngestionUofUcontaminatedUunder-cookedUmeat.U-UANSWERUANSWER:U
U B.)UInhalationUofUbacterialUspores.
U C.)UThroughUaUcutUorUabrasionUinUtheUskin.
U F.)UIngestionUofUcontaminatedUunder-cookedUmeat.
*URationale:UAnthraxUisUcausedUbyUBacillusUanthracisUandUcanUbeUcontractedUthroughUtheUdigestiveUsyste
mUorUabrasionsUinUtheUskin,UorUinhaledUthroughUtheUlungs.UItUcannotUbeUspreadUfromUpersonUtoUpersonUor
UfromUanimalUtoUperson.
TheUnurseUisUgivingUaUreportUtoUanUunlicensedUassistiveUpersonnelU(UAP)UwhoUwillUbeUcaringUforUaUclientU
whoUhasUhandUrestraintsU(UsafetyUdevices).UTheUnurseUinstructsUtheUUAPUtoUcheckUtheUskinUintegrityUofUth
eUrestrainedUhandsUhowUfrequently?
A.)UEveryU2Uhours.
B.)UEveryU3Uhours.
C.)UEveryU4Uhours.
