NCLEX PRACTICE QUESTIONS AND ANSWERS
LATEST 2024 VERSION VERIFIED RATIONALE
COMPLETE 100% GRADED A+
A 34-year-old woman who developed Stevens-Johnson syndrome while undergoing treatment with
carbamazepine (Tegretol) is being transferred in stable condi�on from the intensive care unit to the
medical unit. There are 4 beds available. The nurse knows the best choice of roommates for this client is
which of the following?
(a) A 40-year-old man with methicillin-resistant Staphylococcus aureus (MRSA).
(b) A 28-year-old woman diagnosed with diarrhea.
(c) A 72-year-old man with fever of unknown origin.
(d) A 68-year-old woman with atrial fibrilla�on . - ansCorrect answer: (d) A 68-year-old woman with
atrial fibrilla�on.
Ra�onale: A client with Stevens-Johnson syndrome is likely to have severe skin integrity issues, including
blistering and skin shedding, which can place the client at high risk for infec�on. Atrial fibrilla�on is not
an infec�ous process. All other pa�ents may be an infec�on risk for an individual with altered skin
integrity.
A 72-year-old man who had a stroke is being transferred from a medical unit to a rehabilita�on centre.
The nurse case manager is assis�ng in the process. The nurse knows that the goals of case management
include which of the following? Select all that apply.
(a) Improving the coordina�on of care
(b) Increasing referrals to local organiza�ons
(c) Reducing the fragmenta�on of care
(d) Discharging clients quickly - ansCorrect answer: (a) Improving the coordina�on of care; and (c)
Reducing the fragmenta�on of care
Ra�onale: Some of the primary goals of case management are to improve the coordina�on of care and
to reduce fragmenta�on of care. The other op�ons are not goals of case management.
A nursing team consists of an RN, an LPN/ LVN, and a nursing assistant. The nurse should assign which of
the following pa�ents to the LPN/LVN?
, NCLEX PRACTICE QUESTIONS AND ANSWERS
LATEST 2024 VERSION VERIFIED RATIONALE
COMPLETE 100% GRADED A+
(a) A 72-year-old pa�ent with diabetes who requires a dressing change for a stasis ulcer.
(b) A 42-year-old pa�ent with cancer of the bone complaining of pain.
(c) A 55-year-old pa�ent with terminal cancer being transferred to hospice home care.
(d) A 23-year-old pa�ent with a fracture of the right leg who asks to use the urinal. - ansCorrect answer:
(a) A 72-year-old pa�ent with diabetes who requires a dressing change for a stasis ulcer.
Ra�onale: LPN/LVNs assist with implementa�on of care; performs procedures; differen�ates normal
from abnormal; cares for stable pa�ents with predictable condi�ons; has knowledge of asepsis and
dressing changes; administers medica�ons. Pa�ent (a) is stable with an expected outcome. Pa�ents (b)
and (c) require assessment and nursing judgement; and Pa�ent (d) involves a standard unchanging
procedure that can be assigned to the nursing assistant.
A pregnant woman at 15 weeks' gesta�on is scheduled for an amniocentesis. As the client is being
prepped for the procedure, it becomes clear to the nurse that the client doesn't fully understand the
risks and benefits associated with the procedure. Which of the following describe the nurse's role in
obtaining informed consent? Select all that apply.
(a) Explain the risks and benefits associated with the procedure.
(b) Describe alterna�ves to the procedure.
(c) Witness the client's signature on the consent form.
(d) Advocate for the client by ensuring she is making an informed decision. - ansCorrect answer: (c)
Witness the client's signature on the consent form; and
(d) Advocate for the client by ensuring she is making an informed decision.
Ra�onale: Some of the nurse's roles in the informed consent process are to witness the signature on the
consent form, and to advocate for the client by ensuring she has been provided the necessary
informa�on to make an informed decision. It is the physician's duty to provide informa�on to the client-
related risks and benefits, and to provide alterna�ves.
LATEST 2024 VERSION VERIFIED RATIONALE
COMPLETE 100% GRADED A+
A 34-year-old woman who developed Stevens-Johnson syndrome while undergoing treatment with
carbamazepine (Tegretol) is being transferred in stable condi�on from the intensive care unit to the
medical unit. There are 4 beds available. The nurse knows the best choice of roommates for this client is
which of the following?
(a) A 40-year-old man with methicillin-resistant Staphylococcus aureus (MRSA).
(b) A 28-year-old woman diagnosed with diarrhea.
(c) A 72-year-old man with fever of unknown origin.
(d) A 68-year-old woman with atrial fibrilla�on . - ansCorrect answer: (d) A 68-year-old woman with
atrial fibrilla�on.
Ra�onale: A client with Stevens-Johnson syndrome is likely to have severe skin integrity issues, including
blistering and skin shedding, which can place the client at high risk for infec�on. Atrial fibrilla�on is not
an infec�ous process. All other pa�ents may be an infec�on risk for an individual with altered skin
integrity.
A 72-year-old man who had a stroke is being transferred from a medical unit to a rehabilita�on centre.
The nurse case manager is assis�ng in the process. The nurse knows that the goals of case management
include which of the following? Select all that apply.
(a) Improving the coordina�on of care
(b) Increasing referrals to local organiza�ons
(c) Reducing the fragmenta�on of care
(d) Discharging clients quickly - ansCorrect answer: (a) Improving the coordina�on of care; and (c)
Reducing the fragmenta�on of care
Ra�onale: Some of the primary goals of case management are to improve the coordina�on of care and
to reduce fragmenta�on of care. The other op�ons are not goals of case management.
A nursing team consists of an RN, an LPN/ LVN, and a nursing assistant. The nurse should assign which of
the following pa�ents to the LPN/LVN?
, NCLEX PRACTICE QUESTIONS AND ANSWERS
LATEST 2024 VERSION VERIFIED RATIONALE
COMPLETE 100% GRADED A+
(a) A 72-year-old pa�ent with diabetes who requires a dressing change for a stasis ulcer.
(b) A 42-year-old pa�ent with cancer of the bone complaining of pain.
(c) A 55-year-old pa�ent with terminal cancer being transferred to hospice home care.
(d) A 23-year-old pa�ent with a fracture of the right leg who asks to use the urinal. - ansCorrect answer:
(a) A 72-year-old pa�ent with diabetes who requires a dressing change for a stasis ulcer.
Ra�onale: LPN/LVNs assist with implementa�on of care; performs procedures; differen�ates normal
from abnormal; cares for stable pa�ents with predictable condi�ons; has knowledge of asepsis and
dressing changes; administers medica�ons. Pa�ent (a) is stable with an expected outcome. Pa�ents (b)
and (c) require assessment and nursing judgement; and Pa�ent (d) involves a standard unchanging
procedure that can be assigned to the nursing assistant.
A pregnant woman at 15 weeks' gesta�on is scheduled for an amniocentesis. As the client is being
prepped for the procedure, it becomes clear to the nurse that the client doesn't fully understand the
risks and benefits associated with the procedure. Which of the following describe the nurse's role in
obtaining informed consent? Select all that apply.
(a) Explain the risks and benefits associated with the procedure.
(b) Describe alterna�ves to the procedure.
(c) Witness the client's signature on the consent form.
(d) Advocate for the client by ensuring she is making an informed decision. - ansCorrect answer: (c)
Witness the client's signature on the consent form; and
(d) Advocate for the client by ensuring she is making an informed decision.
Ra�onale: Some of the nurse's roles in the informed consent process are to witness the signature on the
consent form, and to advocate for the client by ensuring she has been provided the necessary
informa�on to make an informed decision. It is the physician's duty to provide informa�on to the client-
related risks and benefits, and to provide alterna�ves.
