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WorksheetsNCLEX - FUNDAMENTALS Day1 (Part 1)
Total questions: 15
Worksheet time: 15mins
Name
Class
Date
1.
The nurse is observing a client self-administering nasal fluticasone. The nurse should intervene if the client:
a)
Assumes an upright sitting position before administering the medication
b)
Inhales through the nose while administering the medication
c)
Inserts the nasal spray tip into one nostril while occluding the other nostril
d)
Points the nasal spray tip toward the nasal septum during instillation
e)
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2.
Which clients should receive isotonic IV fluids? Select all that apply.
a)
14-day-old client with normal urine output and flat fontanel
b)
3-month-old client with diarrhea, delayed capillary refill, and mottling
c)
8-year-old client with hyponatremia and normal BUN
d)
Client in labor receiving epidural analgesia
e)
Client post-IV fluids for hyperemesis with low urine output and high pulse
3.
What action should the nurse take when IV fluids are discontinued for a client receiving morphine via PCA?
a)
Change PCA settings to continuous infusion
b)
Clarify the order with the health care provider
c)
Connect the PCA tubing directly to the venous access device
d)
Discontinue PCA device
e)
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4.
Which actions are appropriate when administering an acetaminophen suppository to a 4-year-old client? Select all that apply.
a)
Place the client in the side-lying position
b)
Guide the suppository along the rectal wall
c)
Use a gloved index finger for insertion
d)
Advance the suppository only to the external sphincter
e)
Hold the buttocks together firmly after insertion
5.
Which action by a student nurse during tuberculin skin test injection requires correction?
a)
Advances needle until bevel is no longer visible
b)
Uses 1-mL tuberculin syringe with 27-gauge, ¼-inch needle and dons gloves
c)
Injects slowly while raising a wheal
d)
Inserts needle at a 10-degree angle with bevel up
e)
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6.
The nurse should follow up if the following occurs during timolol ophthalmic administration:
a)
Applies pressure to lacrimal duct
b)
Holds dropper ½–¾ in above conjunctival sac
c)
Cleanses eye from outer to inner canthus
d)
Pulls lower eyelid to expose sac
e)
-
7.
The nurse should intervene if a client administering ophthalmic ointment:
a)
Closes the eye after administration
b)
Squeezes a thin strip of ointment onto lower eyelid
c)
Tilts head back and looks upward
d)
Applies direct pressure to the eyeball
e)
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8.
What is the priority action when a client reports difficulty swallowing a potassium chloride tablet?
a)
Consult the pharmacist for an alternate formulation
b)
Crush and mix with pudding or applesauce
c)
Tuck chin to chest while swallowing
d)
Hold the medication and notify the healthcare provider
e)
-
9.
What should the nurse do first when a UAP reports that a client’s BP is 198/102?
a)
Have the UAP recheck the BP
b)
Immediately notify the health care provider
c)
Obtain PRN labetalol from dispensing machine
d)
Recheck BP with a manual cuff
e)
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10.
Which actions are appropriate when experiencing repeated unwanted sexual advances from an HCP?
a)
Seek emotional support
b)
Consult the facility’s harassment policy
c)
Report immediately to the supervisor
d)
Document each occurrence
e)
Confront the HCP outside the workplace
11.
Which topics should be discussed during advance care planning?
a)
Financial power of attorney
b)
Health care proxy
c)
Life insurance beneficiary
d)
Living will
e)
Safe deposit box
12.
Which tasks can RN delegate to UAP?
a)
Ambulate oxygen-dependent client
b)
Assist client with dentures to perform oral care
c)
Document pulse oximetry in COPD client
d)
Instruct pneumonia client on spirometry
e)
Reposition client with pneumonia
13.
Who should the nurse consult about home safety for an older client?
a)
Adult protective services
b)
Physical therapist
c)
Social worker
d)
Physician
e)
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14.
Which situations require mandatory reporting?
a)
Client with cupping marks
b)
Gonorrhea diagnosis with request for confidentiality
c)
RN suspects teenage abuse
d)
RN suspects elder abuse despite denial
e)
Syphilis in a minor who denies sexual activity
15.
Which client needs reassessment first after IV morphine?
a)
22-year-old with nephrolithiasis
b)
26-year-old with osteomyelitis
c)
55-year-old post-op with incision pain
d)
67-year-old with sleep apnea and fractured tibia
e)
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