NCLEX PRACTICE QUESTIONS AND ANSWERS
LATEST 2024 VERSION VERIFIED RATIONALE
GRADED A+
A 34-year-old woman who developed Stevens-Johnson syndrome while undergoing treatment with
carbamazepine (Tegretol) is being transferred in stable condition 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 fibrillation . - ansCorrect answer: (d) A 68-year-old woman with atrial
fibrillation.
Rationale: 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 infection. Atrial fibrillation is not
an infectious process. All other patients may be an infection 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 rehabilitation centre.
The nurse case manager is assisting in the process. The nurse knows that the goals of case management
include which of the following? Select all that apply.
(a) Improving the coordination of care
(b) Increasing referrals to local organizations
(c) Reducing the fragmentation of care
(d) Discharging clients quickly - ansCorrect answer: (a) Improving the coordination of care; and (c)
Reducing the fragmentation of care
Rationale: Some of the primary goals of case management are to improve the coordination of care and
to reduce fragmentation of care. The other options 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 patients to the LPN/LVN?
, NCLEX PRACTICE QUESTIONS AND ANSWERS
LATEST 2024 VERSION VERIFIED RATIONALE
GRADED A+
(a) A 72-year-old patient with diabetes who requires a dressing change for a stasis ulcer.
(b) A 42-year-old patient with cancer of the bone complaining of pain.
(c) A 55-year-old patient with terminal cancer being transferred to hospice home care.
(d) A 23-year-old patient with a fracture of the right leg who asks to use the urinal. - ansCorrect answer:
(a) A 72-year-old patient with diabetes who requires a dressing change for a stasis ulcer.
Rationale: LPN/LVNs assist with implementation of care; performs procedures; differentiates normal
from abnormal; cares for stable patients with predictable conditions; has knowledge of asepsis and
dressing changes; administers medications. Patient (a) is stable with an expected outcome. Patients (b)
and (c) require assessment and nursing judgement; and Patient (d) involves a standard unchanging
procedure that can be assigned to the nursing assistant.
A pregnant woman at 15 weeks' gestation 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 alternatives 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.
Rationale: 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
information to make an informed decision. It is the physician's duty to provide information to the client-
related risks and benefits, and to provide alternatives.
LATEST 2024 VERSION VERIFIED RATIONALE
GRADED A+
A 34-year-old woman who developed Stevens-Johnson syndrome while undergoing treatment with
carbamazepine (Tegretol) is being transferred in stable condition 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 fibrillation . - ansCorrect answer: (d) A 68-year-old woman with atrial
fibrillation.
Rationale: 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 infection. Atrial fibrillation is not
an infectious process. All other patients may be an infection 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 rehabilitation centre.
The nurse case manager is assisting in the process. The nurse knows that the goals of case management
include which of the following? Select all that apply.
(a) Improving the coordination of care
(b) Increasing referrals to local organizations
(c) Reducing the fragmentation of care
(d) Discharging clients quickly - ansCorrect answer: (a) Improving the coordination of care; and (c)
Reducing the fragmentation of care
Rationale: Some of the primary goals of case management are to improve the coordination of care and
to reduce fragmentation of care. The other options 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 patients to the LPN/LVN?
, NCLEX PRACTICE QUESTIONS AND ANSWERS
LATEST 2024 VERSION VERIFIED RATIONALE
GRADED A+
(a) A 72-year-old patient with diabetes who requires a dressing change for a stasis ulcer.
(b) A 42-year-old patient with cancer of the bone complaining of pain.
(c) A 55-year-old patient with terminal cancer being transferred to hospice home care.
(d) A 23-year-old patient with a fracture of the right leg who asks to use the urinal. - ansCorrect answer:
(a) A 72-year-old patient with diabetes who requires a dressing change for a stasis ulcer.
Rationale: LPN/LVNs assist with implementation of care; performs procedures; differentiates normal
from abnormal; cares for stable patients with predictable conditions; has knowledge of asepsis and
dressing changes; administers medications. Patient (a) is stable with an expected outcome. Patients (b)
and (c) require assessment and nursing judgement; and Patient (d) involves a standard unchanging
procedure that can be assigned to the nursing assistant.
A pregnant woman at 15 weeks' gestation 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 alternatives 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.
Rationale: 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
information to make an informed decision. It is the physician's duty to provide information to the client-
related risks and benefits, and to provide alternatives.
