NCLEX-RN Practice Test

Answer choices

1. A. To deliver the prescribed fluid amount at a precise rate and prevent administration that is too fast or too slow.
2. B. To administer the medication more quickly than a gravity infusion.
3. C. To reduce the nurse’s responsibility for safely setting up the infusion.
4. D. To allow the nurse to change the medication dose independently based on patient response.

Wrong-answer review

• B. To administer the medication more quickly than a gravity infusion.: The purpose is controlled delivery, not automatically administering medication more quickly than gravity infusion.
• C. To reduce the nurse’s responsibility for safely setting up the infusion.: The source explicitly states that the nurse remains responsible for safely setting up the pump.
• D. To allow the nurse to change the medication dose independently based on patient response.: A pump does not authorize the nurse to independently change the prescribed dose.

Answer choices

1. A. Administer a topical antibiotic ointment to the ulcer site.
2. B. Demonstrate and teach the client techniques for repositioning and skin care.
3. C. Notify the physician of the client’s frustration and limited mobility.
4. D. Schedule a consultation with a physical therapist for mobility training.

Answer choices

1. A. Autonomy
2. B. Beneficence
3. C. Justice
4. D. Veracity

Answer choices

1. A. Document the delegation in the patient’s chart and move on to other tasks.
2. B. Provide the nursing assistant with a written checklist of vital signs to monitor.
3. C. Ensure the nursing assistant understands the expected parameters, what actions to take if abnormalities are noted, and how to escalate concerns.
4. D. Briefly explain the task and allow the nursing assistant to proceed independently.

Answer choices

1. A. Teletherapy reduces the need for specialized mental health training for nurses.
2. B. Teletherapy eliminates the need for client-nurse rapport building.
3. C. Teletherapy provides mental health counseling over the phone or online with videoconferencing.
4. D. Teletherapy is always less expensive than in-person mental health services.

Answer choices

1. A. Administer a warm blanket to the patient regardless of their verbal report.
2. B. Offer the patient a cool beverage to help regulate their body temperature.
3. C. Make space and seating available for the patient’s family member to provide support.
4. D. Instruct the patient to remove their sweater due to the warm room temperature.

Answer choices

1. A. Administer the medication anyway to ensure compliance.
2. B. Immediately notify the physician of the client’s refusal.
3. C. Explore the client’s concerns and collaboratively develop a plan to address them.
4. D. Document the client’s refusal and discontinue the medication order.

Answer choices

1. A. This is within the normal range for an adult.
2. B. This indicates a decreased respiratory rate.
3. C. This is a normal finding for a child.
4. D. This indicates an elevated respiratory rate.

Answer choices

1. A. Administer the prescribed topical medication without assessing the wound.
2. B. Delegate the initial wound-care teaching to the LPN/VN without the RN teaching the initial plan.
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.

Answer choices

1. A. Notify the physician of the conversation and request a private space for the handoff report.
2. B. Document the conversation in the client’s chart as a discussion of care planning.
3. C. Continue the handoff report, as it is standard practice to discuss client information openly.
4. D. Inform the client that the conversation was overheard and offer reassurance.