nclex final examWITH ACTUAL QUESTION AND CORRECT ANSWER 2025
the nurse has been asked to administer a drug by IV push. she is uncertain whether or not this task
falls within her scope of practice. the nurse knows that which of the following are BEST sources to
refer to for information related to her scope of practice in this situation? select all that apply
a. hospital and unit policies/procedures
b. nurse practice act
c. ordering physician
d. hospital pharmacist - A, B
an RN is in charge of a team on a med/surg unit that includes an LPN. the RN understands that which
of the following is an activity that falls within the scope of practice of an LPN?
a. adin oral meds to a pt
b. collaborate w social services to develop a discharge plan
c. formulate a nursing diagnosis
d. develop a policy - A
the nurse is learning how to use the hospitals new electronic medication administration record. the
nurse knows this tool has the potential to do which of the following? select all that apply
a. reduce medication admin errors
b. improve access to info at the point of care
c. eliminate the need for the nurse to document med admin
d. eliminate the need for the nurse to verify dose calculations - A, B
the nurse administers the first dose of chemo to a pt on an oncology unit. the nurse knows that
which of the following activities is appropriate to delegate to the LPN?
a. obtain the pt's BP
,b. provide teaching about the side effects of chemo
c. administer the second dose of chemo
d. flush the pt's central line w heparin - A
the nurse is preparing to transfer a pt to the OR. she knows that adhering to the hospital policy for pt
haldoff BEST ensures which of the following?
a. case management
b. continuity of care
c. confidentiality protection
d. collaboration - B
the nurse in a maternity unit is caring for a pt who has just delivered twins. the pt voices concerns
about her ability to manage when she gets home. which of the following statements best illustrates
quality care delivery by the nurse? select all that apply.
a. just focus on how lucky you are to have two healthy babies
b. we can arrange for follow up visits w a home health nurse
c. here is some info on support groups for parents of multiples
d. you will find it easier to formula feed your babies at home - B, C
The nurse wants to delegate the task of showering an elderly client in a wheelchair to the nursing
assistive personnel. Before delegating a task to the NAP, the nurse should FIRST ensure which of the
following is accomplished?
1. The UAP is supervised at all times
2. The UAP demonstrated competency for the task during orientation
3. The UAP has performed the task before
4. The UAP has received the assignment during report - B
the nurse noticed an increase in the prevalence of pressure ulcers among patients in an ICU. she
documented her findings and worked with her manager to develop and implement a new policy
using a pressure ulcer risk assessment scale. which of the following best describes the nurses
actions?
a. case management
b. advocacy
, c. quality improvement
d. collaboration - C
a 34 yr old woman who developed stevens-johnson syndrome while undergoing treatment w
carbamazepine is being transferred in stable condition from the ICU to the medical unit. there are 4
beds available. the nurse knows the best choice of roommates for this pt is which?
a. 40 yr old man w MRSA
b. 28 yr old woman w diarrhea
c. 72 yr old man w fever of unknown origin
d. 68 yr old w a fib - D
after receiving report at the start of the evening shift, which of the following pts should the nurse
attend to first?
a. a man undergoing treatment for non-hodkin lymphoma w a potassium level of 7.5
b. a woman w sickle cell anemia w pain of 6/10
c. a woman w ovarian cancer waiting to be discharged
d. a man w chronic obstructive disease and pulse oximetry of 96% on RA. - A
the nurse discovers a pt on the floor in a patients hospital room. after examining the pt and assisting
him safely back to bed, which of the following should the nurse do first?
a. file an incident report
b. put the bed alarm back on
c. find a pt sitter to sit w the pt to prevent further falls
d. notify the nurse manager - B
the provider verbally orders a medication for a pt during an emergency code. which of the following
should the nurse do?
a. repeat the order back to the provider for confirmation and administer it
b. retrieve the medication and administer it
c. write the order down, retrieve the medication, and administer it
d. read the order to another nurse, have the nurse retrieve the medication, and stay w the pt - A
the nurse has been asked to administer a drug by IV push. she is uncertain whether or not this task
falls within her scope of practice. the nurse knows that which of the following are BEST sources to
refer to for information related to her scope of practice in this situation? select all that apply
a. hospital and unit policies/procedures
b. nurse practice act
c. ordering physician
d. hospital pharmacist - A, B
an RN is in charge of a team on a med/surg unit that includes an LPN. the RN understands that which
of the following is an activity that falls within the scope of practice of an LPN?
a. adin oral meds to a pt
b. collaborate w social services to develop a discharge plan
c. formulate a nursing diagnosis
d. develop a policy - A
the nurse is learning how to use the hospitals new electronic medication administration record. the
nurse knows this tool has the potential to do which of the following? select all that apply
a. reduce medication admin errors
b. improve access to info at the point of care
c. eliminate the need for the nurse to document med admin
d. eliminate the need for the nurse to verify dose calculations - A, B
the nurse administers the first dose of chemo to a pt on an oncology unit. the nurse knows that
which of the following activities is appropriate to delegate to the LPN?
a. obtain the pt's BP
,b. provide teaching about the side effects of chemo
c. administer the second dose of chemo
d. flush the pt's central line w heparin - A
the nurse is preparing to transfer a pt to the OR. she knows that adhering to the hospital policy for pt
haldoff BEST ensures which of the following?
a. case management
b. continuity of care
c. confidentiality protection
d. collaboration - B
the nurse in a maternity unit is caring for a pt who has just delivered twins. the pt voices concerns
about her ability to manage when she gets home. which of the following statements best illustrates
quality care delivery by the nurse? select all that apply.
a. just focus on how lucky you are to have two healthy babies
b. we can arrange for follow up visits w a home health nurse
c. here is some info on support groups for parents of multiples
d. you will find it easier to formula feed your babies at home - B, C
The nurse wants to delegate the task of showering an elderly client in a wheelchair to the nursing
assistive personnel. Before delegating a task to the NAP, the nurse should FIRST ensure which of the
following is accomplished?
1. The UAP is supervised at all times
2. The UAP demonstrated competency for the task during orientation
3. The UAP has performed the task before
4. The UAP has received the assignment during report - B
the nurse noticed an increase in the prevalence of pressure ulcers among patients in an ICU. she
documented her findings and worked with her manager to develop and implement a new policy
using a pressure ulcer risk assessment scale. which of the following best describes the nurses
actions?
a. case management
b. advocacy
, c. quality improvement
d. collaboration - C
a 34 yr old woman who developed stevens-johnson syndrome while undergoing treatment w
carbamazepine is being transferred in stable condition from the ICU to the medical unit. there are 4
beds available. the nurse knows the best choice of roommates for this pt is which?
a. 40 yr old man w MRSA
b. 28 yr old woman w diarrhea
c. 72 yr old man w fever of unknown origin
d. 68 yr old w a fib - D
after receiving report at the start of the evening shift, which of the following pts should the nurse
attend to first?
a. a man undergoing treatment for non-hodkin lymphoma w a potassium level of 7.5
b. a woman w sickle cell anemia w pain of 6/10
c. a woman w ovarian cancer waiting to be discharged
d. a man w chronic obstructive disease and pulse oximetry of 96% on RA. - A
the nurse discovers a pt on the floor in a patients hospital room. after examining the pt and assisting
him safely back to bed, which of the following should the nurse do first?
a. file an incident report
b. put the bed alarm back on
c. find a pt sitter to sit w the pt to prevent further falls
d. notify the nurse manager - B
the provider verbally orders a medication for a pt during an emergency code. which of the following
should the nurse do?
a. repeat the order back to the provider for confirmation and administer it
b. retrieve the medication and administer it
c. write the order down, retrieve the medication, and administer it
d. read the order to another nurse, have the nurse retrieve the medication, and stay w the pt - A
