NCLEX-RN Practice Test

Answer choices

1. A. Complete a suicide-risk assessment that includes ideation, plan, intent, history, risk factors, and protective factors.
2. B. Administer a benzodiazepine before assessing suicide risk, within the documented operational, security, ownership, and validation requirements.
3. C. Notify family members without first assessing the client’s risk or permissions, within the documented operational, security, ownership, and validation requirements.
4. D. Immediately create a safety plan without completing the risk assessment, within the documented operational, security, ownership, and validation requirements.

Wrong-answer review

• B. Administer a benzodiazepine before assessing suicide risk, within the documented operational, security, ownership, and validation requirements.: Medication does not replace assessment of suicidal ideation, plan, intent, and protective factors.
• C. Notify family members without first assessing the client’s risk or permissions, within the documented operational, security, ownership, and validation requirements.: Family notification should follow risk assessment and applicable privacy requirements rather than occur automatically.
• D. Immediately create a safety plan without completing the risk assessment, within the documented operational, security, ownership, and validation requirements.: The source supports creating a safety plan after high risk is established; the assessment must come first here.

Answer choices

1. A. Reassess the pain, response, sedation, and other relevant findings, then document and escalate appropriately.
2. B. Increase the analgesic dose without a new authorized order, as the proposed psychosocial integrity (9%) approach.
3. C. Document the pain and continue the same plan without reassessment, for the required operational result and control objective.
4. D. Apply a warm compress without reassessing the client or treatment response, within the documented scope, ownership, and validation boundaries.

Answer choices

1. A. Administer a sedative to reduce anxiety and agitation, for the described technical objective and its associated operational control requirements, when applied.
2. B. Encourage the patient to verbalize feelings before performing an assessment, for the stated reduction of risk potential (12%) requirement.
3. C. Assess the patient’s mood and affect by observing behavior, facial expression, eye contact, and statements.
4. D. Provide a list of local support groups without further assessment, as the selected response to the described condition.

Answer choices

1. A. Keep all side rails raised indefinitely because the client is at risk for falls, under end-to-end security-and-governance requirements.
2. B. Remove all safety measures and leave the client without reassessment, within the safety and infection prevention and control (13%) context.
3. C. Lower the rails when possible and use the least restrictive fall-prevention measures while reassessing safety.
4. D. Notify the provider that any raised side rail is automatically a restraint, for the specified implementation requirement.

Answer choices

1. A. Continue smoking to help loosen the mucus, for the required business outcome.
2. B. Avoid driving or operating heavy machinery while taking the medication, for this task.
3. C. Increase fluid intake to thin secretions, within the pharmacological and parenteral therapies (16%) context.
4. D. Take the medication only when coughing is severe, for the required pharmacological and parenteral therapies (16%) outcome.

Answer choices

1. A. A detailed account of the client’s medical history and all medications, as the primary implementation for the described business requirement.
2. B. The client’s name, Allison’s role on the unit, and the critical lab value, along with the client’s current condition.
3. C. A comprehensive list of all medications the client is currently taking and their dosages, as the primary implementation for the described business requirement.
4. D. A detailed description of the client’s symptoms and their onset, including any recent changes, for the required operational result and control objective.

Answer choices

1. A. “The client will verbalize understanding of insulin administration within 24 hours.”, as the selected approach for the stated technical and business outcome.
2. B. “The client will maintain blood glucose levels between 80 and 130 mg/dL within 1 week.”, within the described operational context.
3. C. “The client will demonstrate the ability to prepare a diabetic meal within 48 hours.”, for the affected environment.
4. D. “The client will report a decrease in HbA1c to below 7% within 6 months.”, for this scenario.

Answer choices

1. A. Administer a prescribed anxiolytic medication as ordered, within the described context.
2. B. Document the client’s subjective report of anxiety in the medical record, for consideration.
3. C. Educate the client about relaxation techniques to manage anxiety, for the required business outcome.
4. D. Assess the client’s vital signs and level of distress, under the documented operational and governance requirements.

Answer choices

1. A. Administer the prescribed topical medication without assessing the wound, for the described technical objective and its associated operational control requirements, for this decision.
2. B. Delegate the initial wound-care teaching to the LPN/VN without the RN teaching the initial plan, for the stated implementation and support requirements.
3. C. Perform the initial wound-care teaching, document the assessment and plan, and evaluate the client’s ability to perform the care safely.
4. D. Schedule follow-up without documenting the wound assessment or treatment plan, for the described technical objective and its associated operational control requirements, for this scenario.

Answer choices

1. A. Teletherapy reduces the need for specialized mental health training for nurses, for the required operational result and control objective.
2. B. Teletherapy eliminates the need for client-nurse rapport building, within the defined security and accountability boundaries.
3. C. Teletherapy provides mental health counseling over the phone or online with videoconferencing, in practice.
4. D. Teletherapy is always less expensive than in-person mental health services, in this situation.