NCLEX Safety Test Questions with Verified Answers | Graded A+
1. The nurse is performing an environmental assess- Unsecured scatter
ment in the home of an older client. Which requires rugs
immediate attention?
2. The nurse is preparing to administer an intramuscular Vastus lateralis
injection to a 1-year-old child. Which location should muscle
the nurse select to administer the medication?
3. A client is receiving enteral feedings via a gastrosto- Monitoring the
my tube (G-tube). Which nursing measure is neces- skin around the
sary when caring for this client? stoma site for skin
irritation
4. A client is having trouble remembering his prescribed "Let me go over
medication regimen. Which statement by the nurse is your prescribed
therapeutic? medications with
you again."
5. A client who has open draining lesions from Kaposi's Gown and gloves
sarcoma needs to be bathed and have bed linens
changed. Which should the nurse wear to perform
these tasks?
6. The nurse is collecting data from a client and is ob- The client moves
serving the client ambulate with the use of a cane. For the cane and the
which client action, when observed, should the nurse unaffected side to-
intervene and suggest a physical therapy referral? gether.
7. The nurse reinforces instructions to the parents of a Restrain in a car
newborn infant regarding car travel and safety seats. seat in the back
Which information related to the safety of the infant is seat in a semire-
correct? clined, rear-facing
position.
8. The nurse assists a health care provider with the On the right side
insertion of a Miller-Abbott tube. After insertion of
the tube, the nurse should assist the client to which
position?
9.
, NCLEX Safety Test Questions with Verified Answers | Graded A+
The nurse enters the nursing lounge and discovers Aim at the base of
that a chair is on fire. The nurse activates the alarm, the fire.
closes the lounge door, and obtains the fire extin-
guisher to extinguish the fire. The nurse pulls the pin
on the fire extinguisher. Which is the next action the
nurse should perform?
10. The nurse assists in developing a plan of care for a Place a radia-
client who will be hospitalized for insertion of an inter- tion sign on the
nal cervical (vaginal) radiation implant. Which action door outside of the
should the nurse suggest including in the plan of care client's room.
for the client?
11. The nurse is inserting an indwelling urinary catheter Aspirate the flu-
into the urethra of a client. As the nurse inflates the id, advance the
balloon, the client complains of discomfort. Which is catheter further,
the appropriate nursing action? and reinflate the
balloon.
12. The nurse assists to conduct a home safety assess- The space heater
ment with a client preparing for discharge, and the needs to be placed
client tells the nurse that a space heater is used at least 3 feet from
to heat the apartment. Which instruction should the anything that can
nurse provide to the client regarding the use of the burn.
space heater?
13. A client is being discharged to home following spinal The bedroom and
fusion with insertion of rods. For which home environ- bath are on the
ment situation should the nurse suggest a consulta- second floor of the
tion with the continuing care nurse? home.
14. The nurse is preparing to get a client with tetraplegia Water pad
(quadriplegia) out of bed into a chair. The nurse places
which item on the seat of the chair as the best device
for pressure relief?
15. The nurse is caring for a client with a diagnosis of 1.
amyotrophic lateral sclerosis (ALS). On data collec- Allowing the client
tion, the nurse notes that the client is severely dys- sufficient time to
eat
, NCLEX Safety Test Questions with Verified Answers | Graded A+
phagic. The nurse should include which in the plan of
care? Select all that apply. 2.
Providing oral hy-
giene after each
meal
3.
Maintaining a suc-
tion machine at the
bedside
16. The nurse is preparing to begin a continuous tube With the head ele-
feeding on a client with a nasogastric tube. In which vated 45 degrees
position should the nurse place the client for safe
administration of the tube feeding?
17. The nurse is instructed to complete a medication rec- It helps to
onciliation form on a newly admitted client. Why is it make sure that
important for the nurse to ensure that this process is the health care
completed accurately? provider is aware
of all of the med-
ications the client
is taking and has
been taking at
home.
18. The nurse is reinforcing instructions about home "I need to refer
safety measures to a parent. Which statement by the to medication as
parent indicates a need for further teaching? 'candy' only when
really necessary."
19. The nurse is told that a client will be admitted to the Admit the client to
hospital for a radiation implant for bladder cancer. The a private room.
nurse is asked to prepare for the admission of the
client and plans which measure for this client?
20. The nurse is assigned to care for a client experienc- Allow the client to
ing episodes of postural hypotension. Which action dangle the legs in
should the nurse take to ensure safety while transfer- a sitting position
ring the client from the bed to the chair?
1. The nurse is performing an environmental assess- Unsecured scatter
ment in the home of an older client. Which requires rugs
immediate attention?
2. The nurse is preparing to administer an intramuscular Vastus lateralis
injection to a 1-year-old child. Which location should muscle
the nurse select to administer the medication?
3. A client is receiving enteral feedings via a gastrosto- Monitoring the
my tube (G-tube). Which nursing measure is neces- skin around the
sary when caring for this client? stoma site for skin
irritation
4. A client is having trouble remembering his prescribed "Let me go over
medication regimen. Which statement by the nurse is your prescribed
therapeutic? medications with
you again."
5. A client who has open draining lesions from Kaposi's Gown and gloves
sarcoma needs to be bathed and have bed linens
changed. Which should the nurse wear to perform
these tasks?
6. The nurse is collecting data from a client and is ob- The client moves
serving the client ambulate with the use of a cane. For the cane and the
which client action, when observed, should the nurse unaffected side to-
intervene and suggest a physical therapy referral? gether.
7. The nurse reinforces instructions to the parents of a Restrain in a car
newborn infant regarding car travel and safety seats. seat in the back
Which information related to the safety of the infant is seat in a semire-
correct? clined, rear-facing
position.
8. The nurse assists a health care provider with the On the right side
insertion of a Miller-Abbott tube. After insertion of
the tube, the nurse should assist the client to which
position?
9.
, NCLEX Safety Test Questions with Verified Answers | Graded A+
The nurse enters the nursing lounge and discovers Aim at the base of
that a chair is on fire. The nurse activates the alarm, the fire.
closes the lounge door, and obtains the fire extin-
guisher to extinguish the fire. The nurse pulls the pin
on the fire extinguisher. Which is the next action the
nurse should perform?
10. The nurse assists in developing a plan of care for a Place a radia-
client who will be hospitalized for insertion of an inter- tion sign on the
nal cervical (vaginal) radiation implant. Which action door outside of the
should the nurse suggest including in the plan of care client's room.
for the client?
11. The nurse is inserting an indwelling urinary catheter Aspirate the flu-
into the urethra of a client. As the nurse inflates the id, advance the
balloon, the client complains of discomfort. Which is catheter further,
the appropriate nursing action? and reinflate the
balloon.
12. The nurse assists to conduct a home safety assess- The space heater
ment with a client preparing for discharge, and the needs to be placed
client tells the nurse that a space heater is used at least 3 feet from
to heat the apartment. Which instruction should the anything that can
nurse provide to the client regarding the use of the burn.
space heater?
13. A client is being discharged to home following spinal The bedroom and
fusion with insertion of rods. For which home environ- bath are on the
ment situation should the nurse suggest a consulta- second floor of the
tion with the continuing care nurse? home.
14. The nurse is preparing to get a client with tetraplegia Water pad
(quadriplegia) out of bed into a chair. The nurse places
which item on the seat of the chair as the best device
for pressure relief?
15. The nurse is caring for a client with a diagnosis of 1.
amyotrophic lateral sclerosis (ALS). On data collec- Allowing the client
tion, the nurse notes that the client is severely dys- sufficient time to
eat
, NCLEX Safety Test Questions with Verified Answers | Graded A+
phagic. The nurse should include which in the plan of
care? Select all that apply. 2.
Providing oral hy-
giene after each
meal
3.
Maintaining a suc-
tion machine at the
bedside
16. The nurse is preparing to begin a continuous tube With the head ele-
feeding on a client with a nasogastric tube. In which vated 45 degrees
position should the nurse place the client for safe
administration of the tube feeding?
17. The nurse is instructed to complete a medication rec- It helps to
onciliation form on a newly admitted client. Why is it make sure that
important for the nurse to ensure that this process is the health care
completed accurately? provider is aware
of all of the med-
ications the client
is taking and has
been taking at
home.
18. The nurse is reinforcing instructions about home "I need to refer
safety measures to a parent. Which statement by the to medication as
parent indicates a need for further teaching? 'candy' only when
really necessary."
19. The nurse is told that a client will be admitted to the Admit the client to
hospital for a radiation implant for bladder cancer. The a private room.
nurse is asked to prepare for the admission of the
client and plans which measure for this client?
20. The nurse is assigned to care for a client experienc- Allow the client to
ing episodes of postural hypotension. Which action dangle the legs in
should the nurse take to ensure safety while transfer- a sitting position
ring the client from the bed to the chair?
