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Exam Information:
Context: Based on the provided "Nursing Education" persona and the acronym's common confusion with
NCSBN (National Council of State Boards of Nursing) or NCLEX licensing exams, this practice test is
designed for Nursing Licensure Preparation (NCLEX-RN/PN style).
Format: Multiple Choice, Select-All-That-Apply, and NGN Case Studies.
Focus: High-yield clinical judgment, safety, and management concepts.
Part 1: Management of Care & Safety
Q1: A nurse is assigned to care for four clients. Which client should the nurse assess first?
A. A client who is scheduled for a colonoscopy in 2 hours.
B. A client who has a new order for a blood transfusion.
C. A client who is reporting sudden onset of chest pain. [CORRECT]
D. A client who needs discharge teaching regarding wound care.
Correct Answer: C
Rationale: Using the ABC (Airway, Breathing, Circulation) prioritization framework, sudden chest pain is a
potential life-threatening emergency (e.g., myocardial infarction or pulmonary embolism) and takes
precedence over routine or scheduled tasks.
A is incorrect: This is a scheduled procedure; the client is stable.
B is incorrect: While time-sensitive, starting a transfusion follows assessment of the client with chest pain.
D is incorrect: Discharge teaching is a routine task.
Client Need: Management of Care; NCLEX Competency: Prioritization.
Q2: A nurse discovers a fire in the client's trash can. After removing the client from the room, which action
should the nurse take next?
A. Extinguish the fire.
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B. Activate the fire alarm. [CORRECT]
C. Close the doors to contain the fire.
D. Call the security department.
Correct Answer: B
Rationale: The RACE protocol is Rescue, Alarm, Confine, Extinguish. After rescuing the client, the nurse must
activate the alarm to alert the facility and emergency services.
Client Need: Safety; NCLEX Competency: Emergency Response.
Q3: A nurse is caring for a client who has a prescription for a nasogastric (NG) tube. Which finding indicates
the tube is correctly positioned in the stomach?
A. The client is coughing continuously.
B. The pH of aspirated fluid is 4.0. [CORRECT]
C. The pH of aspirated fluid is 7.0.
D. The tube measure mark is at the client's nose.
Correct Answer: B
Rationale: Gastric fluid is acidic (pH < 5.5). A pH of 4.0 confirms placement in the stomach. A pH of 7.0
indicates intestinal or respiratory placement.
A is incorrect: Coughing suggests the tube may be in the airway or irritating the airway.
Client Need: Reduction of Risk Potential; NCLEX Competency: Clinical Judgment.
Q4 (Select All That Apply): A nurse is planning care for a client who has a latex allergy. Which items should
the nurse remove from the client's care area?
A. Vinyl gloves
B. Blood pressure cuff with latex tubing [CORRECT]
C. Silicone urinary catheter