NCLEX Safety Questions

Two days after a coronary artery bypass graft (CABG), a patient is sitting up in a chair by the side of the bed. The nurse walks in and discovers the patient is cold, pale, and responds only to tactile stimulation. Which of the following actions does the nurse take NEXT?

The home health nurse visits the home of a client diagnosed with moderate-stage Alzheimer’s disease. The patient is pleasantly confused and lives with his son-in-law and daughter. Which of the following observations, if made by the nurse, is MOST concerning?

The nurse on the surgical unit receives a call from the operating room to administer a preoperative medication to a client scheduled for surgery. After giving the ordered medication, the nurse discovers the consent form for the surgery has not been signed. Which of the following actions should the nurse take NEXT?

The nurse at the daycare center observes children playing on the playground. The nurse is MOST concerned if which of the following is observed?

A patient is scheduled for a cardiac catheterization this afternoon. Which of the following, if noted in the patient’s chart by the nurse, is a contraindication to the test?

The nurse is caring for a client after an ECT treatment. The nurse is MOST concerned if which of the following is observed?

A patient comes into the ER with the complaint of inability to void. The nurse performs a bladder scan and receives a result of 2,000 mL. The nurse prepares to catheterize the patient and knows that the most important part of the procedure relies on:

The nurse is caring for a patient with Meniere’s disease. The nurse knows that the most important consideration in regard for patient safety is to:

A patient is ordered to undergo a CT scan with contrast dye. The most important action for the nurse to take in regard to patient safety is to:

After a cardiac catheterization, the nurse instructs the patient to lie in which of the following positions?

A patient being treated for uterine cancer has just had an internal radiation implant placed. The fire alarm sounds and, without thinking, the patient stands up. The radiation implant falls out and onto the floor. What is the NEXT action the nurse should take?

The nurse is caring for a confused patient with an IV catheter. The patient habitually tugs at the IV tubing with his left hand and has almost dislodged it. What is the LEAST amount of restraint that will still maintain the patient’s safety?

A day shift nurse notices that the charting by the previous night shift nurse is not fully complete and ends mid-sentence. What is the CORRECT method to fix this issue?

The medical/surgical nurse watches a student nurse prepare a sterile field. Which of the following actions, if performed by the student nurse, requires further instruction?

The nurse is caring for a patient with pneumonia using ________ precautions.

The medical/surgical nurse cares for a middle-aged patient with a wound infected with MRSA (Methicillin-resistant Staphylococcus aureus). Which of the following protective safety items, if worn by the nurse, would be considered appropriate?

The nurse cares for a patient with AIDS who has acquired jiroveci pneumonia. Which of the following precautions levels is appropriate for this patient?

A nurse cares for a patient who cannot turn by using an overhead lift. The nurse knows that which of the following is the MOST important actions to follow in terms of safety?

Which of the following assessments, performed on a patient after a myelogram, is most important in regard to patient safety?

A patient diagnosed with SIADH is ordered by the physician to receive 3% NaCl 500mL at a rate of 60mL/hr. Which of the following actions, if taken by the nurse, is most important in regard to patient safety?

A patient arrives in the ER with suspected appendicitis. Which of the following actions, if performed by the UAP (unlicensed assistive personnel) caring for the patient, would require further teaching in regard to safety?

The herpes zoster virus requires a nurse to follow ________ precautions at all times.

When evaluating the growth and development of a 6 month-old infant, a nurse expects the infant to be able to perform which of the following actions?

The client with an undisplaced midshaft fracture of the left tibia was placed in a long leg cast after experiencing a car accident. Overnight the client returned to the emergency department and is now complaining of unrelenting severe pain and feeling as if the toes are asleep. When the cast is removed and the patient still complains of severe pain, the nurse suspects that the client is experiencing which of the following conditions?

A hospital has been notified that an alleged inhalation anthrax exposure has occurred at the local post office. Which of the following below is the correct personal protective equipment (PPE) that the response team would wear?

A 4-year-old child is seen in the emergency department with rashes mostly found on his torso. The nurse obtained a medical history from the mother and she said her child had fever before the rashes appeared. Other symptoms include loss of appetite and he began coughing and complains of a sore throat. With these objective data at hand, the nurse suspects that the child is having?

The nurse is correctly implementing the prescribed transmission-based precaution when she does the following:

During report, the previous nurse emphasized that one of the newly admitted patients is on seizure precautions. The incoming nurse is correct when she performs which of the following actions to the client?

The doctor orders a 24-hour ambulatory electrocardiography using a Holter monitor to a client with frequent fainting spells. To prevent electrical interference with the Holter monitor, the nurse should instruct the client to avoid which of the following?

A licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP) are caring for a client with right-sided paralysis. Which action by the UAP requires the LPN to intervene?

Which of the following actions, if made by the student nurse, are examples of primary prevention?

SELECT ALL THAT APPLY:

What is the primary responsibility of the nurse and radiology staff when assisting a client with multiple myeloma who is ordered to receive a bone scan and a chest x-ray?