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NURSING NCLEX EXAM QUESTION AND ANSWERS

1. Four clients arrive in the emergency room. Which client should receive priority?
a) The client with burns of the chest and neck
b) The client with gastroenteritis
c) The client with a migraine headache
d) The client with a fractured tibia

Answer: a) The client with burns of the chest and neck

2.  The nurse observes the nursing assistant speaking harshly to an elderly client. Which action is most appropriate?
a) Ask the nursing assistant to speak in a lower tone because he is disturbing the other clients
b) Report the nursing assistant to the charge nurse
c) Reassign the nursing assistant to a younger client
d) Call the nursing assistant aside to discuss the observation

Answer:

3.A category four tornado has injured 50 people from the community. The nurse is responsible for in field triage. According to triage protocol, which client should betreated last?
a) The 30-year-old with lacerations to the neck and face
b) The 70-year-old with chest pain and shortness of breath.
c) The 6-year-old with fixed, dilated pupils who is nonresponsive
d) The 40-year-old with tachypnea and tachycardia

Answer: b) The 70-year-old with chest pain and shortness of breath.

4. The nurse with 5 years experience in the emergency roomThe nurse is preparing to make rounds. Which client should be seen first?:
a) A 1-year-old with hand-and-foot syndrome
b) A 69-year-old with congestive heart failure
c) A 40-year-old with resolving pancreatitis
d) A 56-year-old with Cushing’s disease

Answer: b) A 69-year-old with congestive heart failure

5. The charge nurse is responsible for assigning clients to share a semi-private room. Which two clients can be assigned to share the room?
a) The 15-year-old with pneumonia and a 10-year-old with human immunovirus
b) The 30-year-old with leukemia receiving chemotherapy and the 25-year-old with bronchitis
c) The 60-year-old with gastroenteritis and the 65-year-old with Cushing’s disease
d) The 70-year-old with diabetes and the 75-year-old with a fractured hip

Answer: d) The 70-year-old with diabetes and the 75-year-old with a fractured hip

6. A nursing assistant has reported to work late for the last three days. Which action should be taken first?
a) Document the lateness in the employee’s record
b) Terminate the employee immediately
c) Discuss the problem with the employee
d) Confront the employee during the change of shift

Answer: c) Discuss the problem with the employee

7. The nurse is preparing to administer four medications to the client with dysphagia.Which medication should be administered first?

a) Conjugated estrogen (Premarin)
b) Furosemide (Lasix)
c) Ceclor (cephaclor)
d) Diphenhydramine (Benadryl)

8. Which task must be performed by the registered nurse?
a) Hanging a bag of total parenteral nutrition solution
b) Inserting an indwelling urinary catheter
c) Administering a vaginal suppository
d) Checking the weights used with skeletal traction

9. Which task is best delegated to the licensed practical nurse?
a) Beginning an infusion of platelets
b) Inserting a nasogastric tube
c) Flushing a central venous catheter
d) Administering intravenous dexamethasone (Decadron)

10. Which nurse should be assigned to care for the client who has recently returned from surgery following a coronary artery bypass graft?
a) The nurse with 2 years experience in surgery
b) The nurse with 1 year experience in oncology
c) The nurse with 10 years experience in neonatal intensive care
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