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WorksheetsNCLEX - Skills and Procedures Day1 (Part 2)
Total questions: 10
Worksheet time: 5mins
Name
Class
Date
1.
Nurse teaching client prescribed 24-hour urine collection for suspected Cushing syndrome. What instructions are correct?
a)
An indwelling catheter will be inserted for collection.
b)
Discard first void and start collection to coincide with empty bladder.
c)
Keep collection container in refrigerator or cooled ice chest.
d)
Only daytime urine should be collected.
e)
Collect in opaque plastic container to protect from light.
2.
Nurse preparing for large-bore NG tube insertion. How should nurse measure and mark tube?
a)
Fold tube in half and mark halfway point.
b)
Extend tape measure from naris to stomach.
c)
Measure from nose tip to earlobe to xiphoid process.
d)
Place small piece of tape at point of measurement.
e)
Use rubber clamp after measuring to mark location.
3.
Nurse observing staff performing closed suctioning of endotracheal tube. When should nurse intervene?
a)
Advancing suction catheter during inhalation
b)
Administering 100% oxygen prior to suctioning
c)
Applying suction while advancing catheter
d)
Encouraging client to cough while withdrawing catheter
e)
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4.
Nurse preparing to change wound dressing for client on negative pressure wound therapy. What actions are correct?
a)
Administer pain medication 30 minutes before procedure
b)
Apply skin protectant to intact skin surrounding wound
c)
Cut foam dressing to shape and size of wound
d)
Ensure prescribed negative-pressure setting is applied
e)
Verify occlusive dressing is free of air leaks
5.
Parent of child with history of anaphylaxis is being taught about EpiPen. Which statements show correct understanding?
a)
I will administer injection if my child experiences swelling or difficulty breathing after a bee sting.
b)
I will take my child to the ED after administering injection.
c)
I should keep EpiPen readily available at all times.
d)
I can administer injection through clothing.
e)
I should administer injection in my child’s upper arm.
6.
Naloxone 0.1 mg/kg IM STAT. Infant weighs 3600 g. Available: 0.4 mg/mL. How many mL per dose?
4 lines
7.
Nurse assisting with bedside needle liver biopsy. Which actions are essential?
a)
Assess for rising pulse and respirations afterward
b)
Check PT/INR and PTT before procedure
c)
Ensure blood is typed and crossmatched
d)
Have client void to ensure empty bladder
e)
Position client flat or left side after procedure
8.
Nurse preparing to flush central venous catheter. Which size syringe should nurse choose?
a)
1 mL
b)
3 mL
c)
10 mL
d)
30 mL
e)
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9.
Staff nurse preparing insulin syringe: mixing NPH and regular insulin. When should nurse intervene?
a)
Drawing up NPH after regular insulin
b)
Injecting air into regular insulin after NPH
c)
Allowing needle to touch NPH insulin during air injection
d)
Cleaning vial tops with alcohol swab
e)
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10.
Elderly client with lethargy and sharp chest pain on deep breathing. Pulse ox 93% on RA, RR 24/min. What’s initial nursing action?
a)
Administer IV morphine
b)
Auscultate lung sounds
c)
Initiate IV infusion of normal saline
d)
Initiate nasal oxygen at 3 L/min
e)
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