NCLEX RN QUESTIONS AND CORRECT
DETAILED WITH RATIONALES ANSWERS
You are observing one of the RNs on the unit administer
medication. What action by the nurse would lead you to conclude
there is a risk for a medication error?
a. Answering a physician's page while giving medication
b. Documenting in military time
c. Asking for help with calculations
d. Holding a medication that the patient questions - ANSWER--a.
Answering a physician's page while giving medication
You are delegating to a licensed practical nurse (LPN) to wound
care on a patient. The LPN has never performed this type of
wound care before. What component of delegation have you
neglected?
a. Authority
b. Competency
c. Communication
,d. Responsibility - ANSWER--b. Competency
You are caring for a patient with gastroesophageal reflux disease
(GERD). You have an unlicensed staff member working with you.
Which activity can you delegate to the unlicensed staff?
a. Teach the patient about weight loss
b. Explore any concerns about managing the disease
c. Explain why the patient needs to eat several small meals a day
d. Instruct the patient to remain upright for 2 hours following
a meal - ANSWER--d. Instruct the patient to remain upright for 2
hours following a meal
You will be working with an unlicensed staff member this shift.
Which of the following should be priority before delegating care to
the staff member?
a. Assessing whether the staff member is competent to
perform the skill
,b. Preparing written instructions on how to perform skill
c. Gathering supplies
d. Informing the patient that an unlicensed staff member will
perform the car - ANSWER--a. Assessing whether the staff
member is competent to perform the skill
A nurse from the surgical care unit has been floated to your unit
for the day. Which of the following patients would you want to
assign to this nurse?
a. Exacerbation of heart failure
b. Diabetes type II, new onset
c. Emergency appendectomy
d. Thyrotoxicosis - ANSWER--c. Emergency appendectomy
The nurse from the surgical care unit should be comfortable
taking care of an emergency appendectomy patient. This nurse
should be most comfortable with pre- and post-operative patients;
, therefore, the nurse should choose to give him or her those
patients if available.
You are working on the postpartum unit today. Which task would
you assign to a beginning nursing student?
a. Ambulate a patient
b. Complete an admission assessment
c. Notify the physician of adverse labs
d. Verify a unit of blood - ANSWER--a. Ambulate a patient
Which of the following patients should be assigned a pediatric
nurse assigned to float to your unit?
a. A 32-year-old with diabetes in need of teaching and
medications
b. A 56-year-old with Guillain-barre with leg weakness
c. A 86-year-old with dementia from a skilled nursing home
DETAILED WITH RATIONALES ANSWERS
You are observing one of the RNs on the unit administer
medication. What action by the nurse would lead you to conclude
there is a risk for a medication error?
a. Answering a physician's page while giving medication
b. Documenting in military time
c. Asking for help with calculations
d. Holding a medication that the patient questions - ANSWER--a.
Answering a physician's page while giving medication
You are delegating to a licensed practical nurse (LPN) to wound
care on a patient. The LPN has never performed this type of
wound care before. What component of delegation have you
neglected?
a. Authority
b. Competency
c. Communication
,d. Responsibility - ANSWER--b. Competency
You are caring for a patient with gastroesophageal reflux disease
(GERD). You have an unlicensed staff member working with you.
Which activity can you delegate to the unlicensed staff?
a. Teach the patient about weight loss
b. Explore any concerns about managing the disease
c. Explain why the patient needs to eat several small meals a day
d. Instruct the patient to remain upright for 2 hours following
a meal - ANSWER--d. Instruct the patient to remain upright for 2
hours following a meal
You will be working with an unlicensed staff member this shift.
Which of the following should be priority before delegating care to
the staff member?
a. Assessing whether the staff member is competent to
perform the skill
,b. Preparing written instructions on how to perform skill
c. Gathering supplies
d. Informing the patient that an unlicensed staff member will
perform the car - ANSWER--a. Assessing whether the staff
member is competent to perform the skill
A nurse from the surgical care unit has been floated to your unit
for the day. Which of the following patients would you want to
assign to this nurse?
a. Exacerbation of heart failure
b. Diabetes type II, new onset
c. Emergency appendectomy
d. Thyrotoxicosis - ANSWER--c. Emergency appendectomy
The nurse from the surgical care unit should be comfortable
taking care of an emergency appendectomy patient. This nurse
should be most comfortable with pre- and post-operative patients;
, therefore, the nurse should choose to give him or her those
patients if available.
You are working on the postpartum unit today. Which task would
you assign to a beginning nursing student?
a. Ambulate a patient
b. Complete an admission assessment
c. Notify the physician of adverse labs
d. Verify a unit of blood - ANSWER--a. Ambulate a patient
Which of the following patients should be assigned a pediatric
nurse assigned to float to your unit?
a. A 32-year-old with diabetes in need of teaching and
medications
b. A 56-year-old with Guillain-barre with leg weakness
c. A 86-year-old with dementia from a skilled nursing home
