NCLEX Prep-Foundations Exam 1 Questions and
Answers.
You gave your patient a bath and assisted with ADLs. Which nursing role did you
perform?
A. Collaborator
B. Educator
C. Caregiver
D. Advocate - Correct Answer C. Caregiver
You are giving report to the oncoming nurse and updating her on patient's progress since
the admission. Which nursing role are you performing?
A. Advocate
B. Caregiver
C. Collaborator
D. Communicator - Correct Answer D. Communicator
Your patient has been diagnosed with cancer, and she is crying. Which actions facilitate
therapeutic communication? (Check all that apply)
A. Turning on TV to her favorite show
B. Pulling curtain to provide privacy
C. Offering to discuss information about her diagnosis
D. Asking her why she is crying
E. Sitting quietly with her holding her hand. - Correct Answer B. Pulling curtain to provide
privacy
C. Offering to discuss information about her diagnosis
E. Sitting quietly with her holding her hand.
The nurse states to the patient: "When you tell me that you are having a hard time to live
up to expectations, are you talking about your family expectations? The nurse is using
which therapeutic communication technique?
,A. Focusing
B. Clarifying
C. Reflecting
D. Paraphrasing - Correct Answer B. Clarifying
The nurse prepares to administer medications to a client with a health care associated
infection caused by methicillin resistant staphylococcus aureus (MRSA). Which
protective items should the nurse obtain to perform this task?
A. gloves and gown
B. gloves and goggles
C. gloves, gown and shoe protectors
D. gloves, gown, and face shield - Correct Answer A. Gloves and Gown
The nurse is caring for a client with meningitis and implements which transmission-
based/second tier precautions for this patient?
A. Private room or cohort
B. Nurse wears personal respiratory protection device (ex.N-95)
C. Private room with negative airflow pressure
D. Nurse wears surgical mask when transporting client - Correct Answer A. Private room
or cohort
The nurse is changing the dressing for a client with a draining wound. The nurse's
ungloved hand comes in contact with the drainage. What is the correct method for the
nurse to clean their hands?
A. wash them with soap and water
B. use an alcohol based cleanser
C. rinse them and use the alcohol base cleanser
D. Wipe them with a paper towel - Correct Answer A. wash them with soap and water
A nurse is placing a peripheral intravenous (IV) catheter. After the site is prepped with
chlorhexidine the nurse taps the site one last time with a clean gloved finger to ensure the
proper placement of the needle. Did the nurse adhere to sterile technique?
A. Yes
,B. No - Correct Answer B. No
Why?
What principle of sterile technique did the nurse violate?
The nurse is caring for a patient with an indwelling urinary catheter. The nurse notes that
there has been no urine output in catheter bag for 5 hours. What would be the first action
the nurse should take?
A. Irrigate catheter
B. Assess patient's intake
C. Remove and replace catheter
D. Check for kinks in catheter tubing - Correct Answer D. Check for kinks in catheter
tubing
The nurse removed a patient's urinary indwelling catheter at 1400. The nurse should
check if the patient has voided by what time?
A. 1600
B. 1800
C. 2000
D. 2200 - Correct Answer B. 1800
A nurse is caring for a patient with end stage renal disease (ESRD). What urinary
symptom would the nurse likely expect to see?
A. anuria
B. polyuria
C. nocturia
D. dysuria - Correct Answer A. anuria
If an infectious disease can be transmitted directly from one person to another, it is a:
A. susceptible host.
B. communicable disease
C. port of entry to a host
, D. port of exit from a reservoir. - Correct Answer B. communicable disease
Which is the most likely means of transmitting infection between patients?
A. exposure to another patient's cough
B. Sharing equipment among patients
C. Disposing of soiled linen in a shared linen bag.
D. Contact with a health care worker's hands. - Correct Answer D. Contact with a health
care worker's hands.
Identify the interval when a patient progresses from nonspecific signs to manifesting
signs and symptoms specific to a type of infection.
A. Illness Stage
B. Convalescence
C. Prodromal stage
D. Incubation period - Correct Answer C. Prodromal Stage
Which of the following is the most effective way to break the chain of infection?
A. Hand hygiene
B. wearing gloves
C. placing patients in isolation
D. Providing private rooms for patients - Correct Answer A. Hand Hygiene
A family member is providing care to a loved one who has an infected leg wound. What
would you instruct the family member to do after providing care and handling
contaminated equipment or organic material?
A. wear gloves before eating or handling food.
B. place any soiled materials into a bag and double bag it.
C. Have the family member check with the doctor about the need for immunization.
D. Perform hand hygiene after care and/or handling contaminated equipment or material.
- Correct Answer D. Perform hand hygiene after care and/or handling contaminated
equipment or material.
Answers.
You gave your patient a bath and assisted with ADLs. Which nursing role did you
perform?
A. Collaborator
B. Educator
C. Caregiver
D. Advocate - Correct Answer C. Caregiver
You are giving report to the oncoming nurse and updating her on patient's progress since
the admission. Which nursing role are you performing?
A. Advocate
B. Caregiver
C. Collaborator
D. Communicator - Correct Answer D. Communicator
Your patient has been diagnosed with cancer, and she is crying. Which actions facilitate
therapeutic communication? (Check all that apply)
A. Turning on TV to her favorite show
B. Pulling curtain to provide privacy
C. Offering to discuss information about her diagnosis
D. Asking her why she is crying
E. Sitting quietly with her holding her hand. - Correct Answer B. Pulling curtain to provide
privacy
C. Offering to discuss information about her diagnosis
E. Sitting quietly with her holding her hand.
The nurse states to the patient: "When you tell me that you are having a hard time to live
up to expectations, are you talking about your family expectations? The nurse is using
which therapeutic communication technique?
,A. Focusing
B. Clarifying
C. Reflecting
D. Paraphrasing - Correct Answer B. Clarifying
The nurse prepares to administer medications to a client with a health care associated
infection caused by methicillin resistant staphylococcus aureus (MRSA). Which
protective items should the nurse obtain to perform this task?
A. gloves and gown
B. gloves and goggles
C. gloves, gown and shoe protectors
D. gloves, gown, and face shield - Correct Answer A. Gloves and Gown
The nurse is caring for a client with meningitis and implements which transmission-
based/second tier precautions for this patient?
A. Private room or cohort
B. Nurse wears personal respiratory protection device (ex.N-95)
C. Private room with negative airflow pressure
D. Nurse wears surgical mask when transporting client - Correct Answer A. Private room
or cohort
The nurse is changing the dressing for a client with a draining wound. The nurse's
ungloved hand comes in contact with the drainage. What is the correct method for the
nurse to clean their hands?
A. wash them with soap and water
B. use an alcohol based cleanser
C. rinse them and use the alcohol base cleanser
D. Wipe them with a paper towel - Correct Answer A. wash them with soap and water
A nurse is placing a peripheral intravenous (IV) catheter. After the site is prepped with
chlorhexidine the nurse taps the site one last time with a clean gloved finger to ensure the
proper placement of the needle. Did the nurse adhere to sterile technique?
A. Yes
,B. No - Correct Answer B. No
Why?
What principle of sterile technique did the nurse violate?
The nurse is caring for a patient with an indwelling urinary catheter. The nurse notes that
there has been no urine output in catheter bag for 5 hours. What would be the first action
the nurse should take?
A. Irrigate catheter
B. Assess patient's intake
C. Remove and replace catheter
D. Check for kinks in catheter tubing - Correct Answer D. Check for kinks in catheter
tubing
The nurse removed a patient's urinary indwelling catheter at 1400. The nurse should
check if the patient has voided by what time?
A. 1600
B. 1800
C. 2000
D. 2200 - Correct Answer B. 1800
A nurse is caring for a patient with end stage renal disease (ESRD). What urinary
symptom would the nurse likely expect to see?
A. anuria
B. polyuria
C. nocturia
D. dysuria - Correct Answer A. anuria
If an infectious disease can be transmitted directly from one person to another, it is a:
A. susceptible host.
B. communicable disease
C. port of entry to a host
, D. port of exit from a reservoir. - Correct Answer B. communicable disease
Which is the most likely means of transmitting infection between patients?
A. exposure to another patient's cough
B. Sharing equipment among patients
C. Disposing of soiled linen in a shared linen bag.
D. Contact with a health care worker's hands. - Correct Answer D. Contact with a health
care worker's hands.
Identify the interval when a patient progresses from nonspecific signs to manifesting
signs and symptoms specific to a type of infection.
A. Illness Stage
B. Convalescence
C. Prodromal stage
D. Incubation period - Correct Answer C. Prodromal Stage
Which of the following is the most effective way to break the chain of infection?
A. Hand hygiene
B. wearing gloves
C. placing patients in isolation
D. Providing private rooms for patients - Correct Answer A. Hand Hygiene
A family member is providing care to a loved one who has an infected leg wound. What
would you instruct the family member to do after providing care and handling
contaminated equipment or organic material?
A. wear gloves before eating or handling food.
B. place any soiled materials into a bag and double bag it.
C. Have the family member check with the doctor about the need for immunization.
D. Perform hand hygiene after care and/or handling contaminated equipment or material.
- Correct Answer D. Perform hand hygiene after care and/or handling contaminated
equipment or material.
