NCLEX SAFETY EXAM TEST WITH 100% VERIFIED ANSWERS
1. A client is transferred from ensure safety by initiating suicide precautions
the emergency department
to the locked psychiatric
unit after attempting sui-
cide by taking 200 ac-
etaminophen tablets. The
client is now awake and
alert but refuses to speak
with the nurse. In this situa-
tion, the nurse's first priori-
ty is to:
2. A client arrives on the psy- risk for injury
chiatric unit exhibiting ex-
treme excitement, disorien-
tation, incoherent speech,
agitation, frantic and aim-
less physical activity, and
grandiose delusion. Which
nursing diagnosis takes
highest priority for this
client at this time?
3. What should the nurse stuffed animals; For the child with eczema,
teach the parent of which is commonly related to an allergic re-
a 3-year-old child with sponse, stuffed animals should be avoided be-
eczema to remove from cause they tend to collect dust and are difficult
the child's environment at to clean
home?
4. When caring for the client a blood splash into the nurse's eyes; Hepati-
with hepatitis B, which sit- tis B virus is spread through contact with
uation would expose the blood, body fluids contaminated with blood,
nurse to the virus? and such body fluids as cerebrospinal, pleur-
al, peritoneal, and synovial fluids; semen; and
vaginal secretions. The risk of transmission of
hepatitis B through feces is low. Touching the
client without gloves is acceptable when there
is no danger of contact with blood or body
,NCLEX SAFETY EXAM TEST WITH 100% VERIFIED ANSWERS
fluids. Recapping a used needle is a common
source of needlestick injuries; needles should
be properly disposed of uncapped.
5. A client has received nu- contact precautions; The nurse should initiate
merous different antibiotics contact precautions to prevent blood borne in-
and now is experiencing di- fection through percutaneous injury. Extreme
arrhea. What type of pre- care is essential when needles, scalpels, and
cautions should the nurse other sharp objects are handled. Airborne pre-
institute? cautions are required for clients with presumed
or proven pulmonary tuberculosis, chickenpox,
or other airborne pathogens. Contact precau-
tions are used for organisms that are spread
by skin-to-skin contact, such as antibiotic-resis-
tant organisms or Clostridium difficile. Droplet
precautions are used for organisms such as
influenza or Neisseria meningitides that can
be transmitted by close respiratory or mu-
cous membrane contact with respiratory secre-
tions. Standard precautions include handwash-
ing and use of a mask and gown.
6. The children of an elder- ensuring any complementary therapies are
ly client who has suffered safe when combined with his prescribed ther-
an ischemic stroke have apy
informed the nurse that
an herbalist will be com-
ing to their parent's bed-
side tomorrow to make rec-
ommendations for client's
care. Which considerations
should the nurse prioritize
in light of the practitioner's
planned visit?
7. A client is admitted to the The client will show no self-harm or harm to
psychiatric unit exhibiting staff.
extreme agitation, disori-
entation, and incoherence
, NCLEX SAFETY EXAM TEST WITH 100% VERIFIED ANSWERS
of speech with frantic and
aimless physical activity
and grandiose delusions.
Which would the highest
priority goal in planning
nursing interventions?
8. The nurse assists the client Wetness in the sterile cloth on top of the non-
to the operating room table sterile table has been noted; Moisture outside
and supervises the operat- the sterile package contaminates the sterile
ing room technician prepar- field because fluid can be wicked into the sterile
ing the sterile field. Which field. Bacteria tend to settle, so there is less
action, completed by the contamination above waist level and away from
surgical technician, indi- the technician. The outer inch of the drape is
cates to the nurse that a considered contaminated but does not indicate
sterile field has been cont- that the sterile field itself has been contaminat-
aminated? ed.
9. A parent calls the health Give the parent instructions on how to call poi-
clinic and tells the nurse son control;
that the toddler was found
with an open and emp-
ty bottle of acetaminophen.
The parent asks the nurse
what to do. What is the
nurse's priority interven-
tion?
10. A biohazardous trash con- liquid blood
tainer is placed outside of semiliquid blood
a client's room. Which item dressing with blood
should the nurse place in dressing with purulent drainage
this container? Select all
that apply.
11. To prepare the community anthrax can infect the integumentary, GI, and
for the possible threat of respiratory systems; Penicillin is the most com-
anthrax, a nurse must teach mon drug used to threat anthrax. Immuniza-
that tions are appropriate only for those at risk of
anthrax exposure.
1. A client is transferred from ensure safety by initiating suicide precautions
the emergency department
to the locked psychiatric
unit after attempting sui-
cide by taking 200 ac-
etaminophen tablets. The
client is now awake and
alert but refuses to speak
with the nurse. In this situa-
tion, the nurse's first priori-
ty is to:
2. A client arrives on the psy- risk for injury
chiatric unit exhibiting ex-
treme excitement, disorien-
tation, incoherent speech,
agitation, frantic and aim-
less physical activity, and
grandiose delusion. Which
nursing diagnosis takes
highest priority for this
client at this time?
3. What should the nurse stuffed animals; For the child with eczema,
teach the parent of which is commonly related to an allergic re-
a 3-year-old child with sponse, stuffed animals should be avoided be-
eczema to remove from cause they tend to collect dust and are difficult
the child's environment at to clean
home?
4. When caring for the client a blood splash into the nurse's eyes; Hepati-
with hepatitis B, which sit- tis B virus is spread through contact with
uation would expose the blood, body fluids contaminated with blood,
nurse to the virus? and such body fluids as cerebrospinal, pleur-
al, peritoneal, and synovial fluids; semen; and
vaginal secretions. The risk of transmission of
hepatitis B through feces is low. Touching the
client without gloves is acceptable when there
is no danger of contact with blood or body
,NCLEX SAFETY EXAM TEST WITH 100% VERIFIED ANSWERS
fluids. Recapping a used needle is a common
source of needlestick injuries; needles should
be properly disposed of uncapped.
5. A client has received nu- contact precautions; The nurse should initiate
merous different antibiotics contact precautions to prevent blood borne in-
and now is experiencing di- fection through percutaneous injury. Extreme
arrhea. What type of pre- care is essential when needles, scalpels, and
cautions should the nurse other sharp objects are handled. Airborne pre-
institute? cautions are required for clients with presumed
or proven pulmonary tuberculosis, chickenpox,
or other airborne pathogens. Contact precau-
tions are used for organisms that are spread
by skin-to-skin contact, such as antibiotic-resis-
tant organisms or Clostridium difficile. Droplet
precautions are used for organisms such as
influenza or Neisseria meningitides that can
be transmitted by close respiratory or mu-
cous membrane contact with respiratory secre-
tions. Standard precautions include handwash-
ing and use of a mask and gown.
6. The children of an elder- ensuring any complementary therapies are
ly client who has suffered safe when combined with his prescribed ther-
an ischemic stroke have apy
informed the nurse that
an herbalist will be com-
ing to their parent's bed-
side tomorrow to make rec-
ommendations for client's
care. Which considerations
should the nurse prioritize
in light of the practitioner's
planned visit?
7. A client is admitted to the The client will show no self-harm or harm to
psychiatric unit exhibiting staff.
extreme agitation, disori-
entation, and incoherence
, NCLEX SAFETY EXAM TEST WITH 100% VERIFIED ANSWERS
of speech with frantic and
aimless physical activity
and grandiose delusions.
Which would the highest
priority goal in planning
nursing interventions?
8. The nurse assists the client Wetness in the sterile cloth on top of the non-
to the operating room table sterile table has been noted; Moisture outside
and supervises the operat- the sterile package contaminates the sterile
ing room technician prepar- field because fluid can be wicked into the sterile
ing the sterile field. Which field. Bacteria tend to settle, so there is less
action, completed by the contamination above waist level and away from
surgical technician, indi- the technician. The outer inch of the drape is
cates to the nurse that a considered contaminated but does not indicate
sterile field has been cont- that the sterile field itself has been contaminat-
aminated? ed.
9. A parent calls the health Give the parent instructions on how to call poi-
clinic and tells the nurse son control;
that the toddler was found
with an open and emp-
ty bottle of acetaminophen.
The parent asks the nurse
what to do. What is the
nurse's priority interven-
tion?
10. A biohazardous trash con- liquid blood
tainer is placed outside of semiliquid blood
a client's room. Which item dressing with blood
should the nurse place in dressing with purulent drainage
this container? Select all
that apply.
11. To prepare the community anthrax can infect the integumentary, GI, and
for the possible threat of respiratory systems; Penicillin is the most com-
anthrax, a nurse must teach mon drug used to threat anthrax. Immuniza-
that tions are appropriate only for those at risk of
anthrax exposure.
