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WorksheetsSafety-NCLEX Bootcamp
Total questions: 20
Worksheet time: 13mins
A nurse enters a client’s room and notices the client is restless, tachycardic, and slightly confused. What is the nurse’s priority action?
A. Administer prescribed PRN medication
B. Notify the provider immediately
C. Perform a focused assessment
D. Reorient the client
Which findings indicate early clinical deterioration? (Select all that apply.)
A. Restlessness
B. Decreasing urine output
C. Bradycardia
D. New confusion
E. Warm, dry skin
Which client is at the highest risk for falls?
A. Alert client ambulating independently
B. Post-op client receiving opioid pain medication
C. Client requesting assistance to the bathroom
D. Client with chronic back pain
Which actions are part of standard precautions? (Select all that apply.)
A. Hand hygiene
B. Gloves when in contact with body fluids
C. N95 respirator for all clients
D. Eye protection if splash risk
E. Gown only for isolation rooms
A nurse is caring for a client with C. difficile. Which infection control measure is most important?
A. Alcohol-based hand sanitizer
B. Surgical mask
C. Soap and water handwashing
D. Negative pressure room
Which findings require the nurse to notify the provider immediately? (Select all that apply.)
A. Sudden drop in blood pressure
B. New-onset confusion
C. Mild post-op pain
D. Oxygen saturation of 88%
E. Stable vital signs
Which vital sign is most concerning?
A. BP 138/88
B. HR 102
C. RR 8
D. Temp 99.1°F
Which information is most relevant when recognizing cues? (Select all that apply.)
A. Abnormal lab values
B. New onset symptoms
C. Stable chronic conditions
D. Trends in vital signs
E. Client preferences
A post-op client is tachycardic with decreasing BP. What complication should the nurse suspect first?
A. Infection
B. Atelectasis
C. Hemorrhage
D. DVT
Which tasks can be delegated to a UAP? (Select all that apply.)
A. Ambulating a stable client
B. Teaching medication side effects
C. Measuring intake and output
D. Assessing pain
E. Taking vital signs on a stable client
Which step of clinical judgment occurs first?
A. Generate solutions
B. Take action
C. Analyze cues
D. Recognize cues
Which findings indicate hypoxia? (Select all that apply.)
A. Restlessness
B. Confusion
C. Cyanosis
D. Bradycardia
E. Increased oxygen saturation
A nurse notices an IV site is swollen, cool, and pale. What is the priority action?
A. Slow the infusion
B. Document the finding
C. Stop the IV
D. Apply warm compress
Which findings are considered unexpected post-operatively? (Select all that apply.)
A. Chest pain
B. Mild incisional pain
C. New confusion
D. Fever within first 12 hours
E. Sudden shortness of breath
Which statement best reflects cause vs effect thinking?
A. Treating fever before identifying infection
B. Giving oxygen for hypoxia
C. Treating anxiety without checking oxygen levels
D. Treating pain before assessing vital signs
Which situations increase risk for infection? (Select all that apply.)
A. Foley catheter
B. Peripheral IV
C. Early ambulation
D. Surgical incision
E. Adequate nutrition
Which client requires immediate assessment?
A. Client with chronic back pain
B. Client requesting PRN pain meds
C. Client with new confusion
D. Client eating breakfast
Which findings suggest a client is developing a DVT? (Select all that apply.)
A. Unilateral leg swelling
B. Calf pain
C. Warmth in the extremity
D. Bilateral ankle edema
E. Sudden fever
Which action demonstrates effective coordinated care?
A. Completing all tasks independently
B. Delegating assessment to UAP
C. Using SBAR to report a change in condition
D. Waiting until the end of shift to report changes
Which principles should guide priority setting? (Select all that apply.)
A. Airway, breathing, circulation
B. Acute over chronic
C. Client preference over safety
D. Expected vs unexpected findings
E. Least invasive first
