Comprehensive Review NCLEX-RN Examination Fundamentals Review
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1. The nurse is preparing to initiate an intra- ANSWER: B.) Contact the electrical
venous line containing a high dose of potassi- maintenance department for assis-
um chloride and plans to use an intravenous tance.
infusion pump. The nurse brings the pump to
the beside, prepares to plug the pump cord
into the wall, and notes that no receptacle is
available in the wall socket. The nurse should
take which action? *Rationale: Electrical equipment must
be maintained in good working order
A.) Initiate the intravenous line without the use and should be grounded; otherwise it
of a pump. presents a physical hazard.
B.) Contact the electrical maintenance depart-
ment for assistance.
C.) Plug in the pump cord in the available plug
above the room sink.
D.) Use an extension cord from the nurses'
lounge for the pump plug.
2. The nurse obtains a prescription from a health ANSWER: B.) Safely securing the safe-
care provider to restrain a client and instructs ty device straps to the side rails.
an unlicensed assistive personnel (UAP) to ap-
ply the safety device to the client. Which ob-
* Rationale: The safety device straps
servation by the nurse indicates unsafe appli-
are secured to the bed frame and nev-
cation of the safety device by the UAP?
er to the side rail to avoid accidental
A.) Placing a safety knot in the safety device injury in the event that the side rail is
straps. released.
B.) Safely securing the safety device straps to
the side rails.
C.) Applying safety device straps that do not
tighten when force is applied against them.
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D.) Securing so that two fingers can slide easily
between the safety device and the client's skin.
3. The community health nurse is providing a ANSWER:
teaching session about terrorism to members B.) Inhalation of bacterial spores.
of the community and is discussing informa- C.) Through a cut or abrasion in the
tion regarding anthrax. The nurse tells those skin.
attending that anthrax can be transmitted by F.) Ingestion of contaminated un-
which route(s)? * Select all that apply.* der-cooked meat.
A.) Bites from ticks or deer flies.
B.) Inhalation of bacterial spores. * Rationale: Anthrax is caused by
C.) Through a cut or abrasion in the skin. Bacillus anthracis and can be con-
D.) Direct contact with an infected individual. tracted through the digestive sys-
E.) Sexual contact with an infected individual. tem or abrasions in the skin, or in-
F.) Ingestion of contaminated under-cooked haled through the lungs. It cannot be
meat. spread from person to person or from
animal to person.
4. The nurse is giving a report to an unlicensed ANSWER: D.) Every 30 minutes.
assistive personnel (UAP) who will be caring
for a client who has hand restraints ( safety
* Rationale: The neurovascular and
devices). The nurse instructs the UAP to check
circulatory status of the extremity
the skin integrity of the restrained hands how
should also be checked every 30 min-
frequently?
utes. In addition , the safety device
A.) Every 2 hours. should be removed at least every 2
B.) Every 3 hours. hours to permit muscle exercise and
C.) Every 4 hours. to promote circulation.
D.) Every 30 minutes.
5. The nurse is reviewing a plan of care for a client ANSWER: D.) Placing the client in a
with an internal radiation implant. Which inter- semiprivate room at the end of the
2/6
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1. The nurse is preparing to initiate an intra- ANSWER: B.) Contact the electrical
venous line containing a high dose of potassi- maintenance department for assis-
um chloride and plans to use an intravenous tance.
infusion pump. The nurse brings the pump to
the beside, prepares to plug the pump cord
into the wall, and notes that no receptacle is
available in the wall socket. The nurse should
take which action? *Rationale: Electrical equipment must
be maintained in good working order
A.) Initiate the intravenous line without the use and should be grounded; otherwise it
of a pump. presents a physical hazard.
B.) Contact the electrical maintenance depart-
ment for assistance.
C.) Plug in the pump cord in the available plug
above the room sink.
D.) Use an extension cord from the nurses'
lounge for the pump plug.
2. The nurse obtains a prescription from a health ANSWER: B.) Safely securing the safe-
care provider to restrain a client and instructs ty device straps to the side rails.
an unlicensed assistive personnel (UAP) to ap-
ply the safety device to the client. Which ob-
* Rationale: The safety device straps
servation by the nurse indicates unsafe appli-
are secured to the bed frame and nev-
cation of the safety device by the UAP?
er to the side rail to avoid accidental
A.) Placing a safety knot in the safety device injury in the event that the side rail is
straps. released.
B.) Safely securing the safety device straps to
the side rails.
C.) Applying safety device straps that do not
tighten when force is applied against them.
1/6
, Comprehensive Review NCLEX-RN Examination Fundamentals Review
Study online at https://quizlet.com/_2cuq0l
D.) Securing so that two fingers can slide easily
between the safety device and the client's skin.
3. The community health nurse is providing a ANSWER:
teaching session about terrorism to members B.) Inhalation of bacterial spores.
of the community and is discussing informa- C.) Through a cut or abrasion in the
tion regarding anthrax. The nurse tells those skin.
attending that anthrax can be transmitted by F.) Ingestion of contaminated un-
which route(s)? * Select all that apply.* der-cooked meat.
A.) Bites from ticks or deer flies.
B.) Inhalation of bacterial spores. * Rationale: Anthrax is caused by
C.) Through a cut or abrasion in the skin. Bacillus anthracis and can be con-
D.) Direct contact with an infected individual. tracted through the digestive sys-
E.) Sexual contact with an infected individual. tem or abrasions in the skin, or in-
F.) Ingestion of contaminated under-cooked haled through the lungs. It cannot be
meat. spread from person to person or from
animal to person.
4. The nurse is giving a report to an unlicensed ANSWER: D.) Every 30 minutes.
assistive personnel (UAP) who will be caring
for a client who has hand restraints ( safety
* Rationale: The neurovascular and
devices). The nurse instructs the UAP to check
circulatory status of the extremity
the skin integrity of the restrained hands how
should also be checked every 30 min-
frequently?
utes. In addition , the safety device
A.) Every 2 hours. should be removed at least every 2
B.) Every 3 hours. hours to permit muscle exercise and
C.) Every 4 hours. to promote circulation.
D.) Every 30 minutes.
5. The nurse is reviewing a plan of care for a client ANSWER: D.) Placing the client in a
with an internal radiation implant. Which inter- semiprivate room at the end of the
2/6
