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WorksheetsNCLEX - Skills and Procedures Day1 (Part 1)
Total questions: 15
Worksheet time: 8mins
Name
Class
Date
1.
The nurse is planning a staff education program about nail changes in older adult clients. Which of the following information should the nurse include?
a)
The speed of nail growth increases.
b)
Horizontal ridges on the nail typically develop.
c)
It is common to experience thickening of the nails.
d)
Crumbling of the nail with discoloration is an expected finding.
e)
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2.
The nurse is caring for a client prescribed sodium bicarbonate 2 mEq/kg IV over 4 hours. The client weighs 68.2 kg. How many mL/hr should the nurse administer?
4 lines
3.
The nurse is observing a staff member performing closed suctioning for a client with a tracheostomy. The nurse should intervene if the staff member is observed
a)
wearing clean gloves while suctioning the client
b)
advancing the suction catheter until the client coughs
c)
applying low suction while inserting the suction catheter
d)
applying intermittent suction while withdrawing the suction catheter
e)
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4.
A client reports severe pain and swelling at the peripheral IV site while receiving norepinephrine. What should the nurse do first?
a)
Stop the infusion and disconnect the IV tubing.
b)
Insert a new peripheral VAD in the opposite extremity.
c)
Perform a neurovascular assessment of the affected extremity.
d)
Notify the health care provider and request phentolamine.
e)
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5.
Using Parkland formula, how many L of fluid should the client receive in first 8 hours after burn? (40% TBSA, 85 kg)
4 lines
6.
A nurse is caring for an intubated client receiving continuous sedative infusion. Which interventions reflect correct prevention of ventilator-acquired pneumonia?
a)
Elevating the head of the bed 30-45 degrees
b)
Performing hourly in-line endotracheal suctioning
c)
Practicing strict hand hygiene
d)
Providing frequent oral care with chlorhexidine
e)
Scheduling daily sedation vacations
7.
Ten minutes into a transfusion of packed RBCs, client reports shortness of breath and chest tightness. What should the nurse do?
a)
Assess the client's breath sounds
b)
Flush the blood IV tubing with 0.9% sodium chloride
c)
Notify the health care provider
d)
Remove the CVC
e)
Stop the infusion of packed RBCs
8.
A charge nurse is observing a newly licensed nurse. What action requires intervention?
a)
Administers hydromorphone 1 mg to a client who rates pain at 7
b)
Notifies physician of occasional PVCs in a client with MI
c)
Positions a postop pneumonectomy client on the affected side
d)
Prepares to administer IVPB potassium chloride via gravity infusion
e)
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9.
Client prescribed clarithromycin 7.5 mg/kg/day PO in 2 doses. Weight: 35.5 kg. Available: 125 mg/5 ml. How many mL per dose?
4 lines
10.
Client prescribed 1 unit PRBCs for sickle cell anemia. Which actions are appropriate?
a)
Administers type A-negative blood
b)
Delegates all vital signs to UAP
c)
Transfuses PRBCs over 6 hours
d)
Uses filtered Y-type tubing with 0.9% sodium chloride
e)
Verifies client identifiers and blood product with another nurse
11.
Client prescribed norepinephrine 8 mcg/min IV. Drug available: 4 mg in 250 mL D5W. How many mL/hr should nurse administer?
4 lines
12.
Client on TPN via subclavian CVC. What is the nurse’s priority before starting infusion?
a)
Attach a filter to the IV tubing
b)
Check baseline glucose levels
c)
Check chest x-ray results
d)
Program the electronic infusion pump
e)
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13.
Nurse preparing to infuse potassium chloride 10 mEq/hr IV. Prescription is to infuse in 30 minutes via peripheral IV. What should nurse do first?
a)
Flush the VAD.
b)
Obtain an IV infusion pump.
c)
Instruct client to report swelling or pain at site.
d)
Clarify the prescribed infusion rate with the health care provider.
e)
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14.
Nurse preparing to obtain urine specimen for culture from client with indwelling catheter. What action should nurse take?
a)
Attach a sterile syringe to the specimen port.
b)
Withdraw sample from balloon port.
c)
Empty urine from drainage bag into specimen container.
d)
Collect all urine from drainage bag during 24-hour period.
e)
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15.
Nurse preparing to administer 2 units of PRBCs. Which actions are appropriate?
a)
Assess the client's vital signs.
b)
Infuse 2 units simultaneously.
c)
Obtain a Y-type tubing infusion set.
d)
Prime the IV tubing with 5% dextrose in water.
e)
Stay with the client for the first 15 minutes.
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