NCLEX-RN EXAM PRACTICE (LATEST
2023/ 2024) HIGHLY ASKED QUESTIONS
AND VERIFIED ANSWERS| 100%
CORRECT
QUESTION:
You are working with a child and
... [Show More] suspect physical abuse. What is your primary legal
responsibility?
a. Document your assessment thoroughly and accurately.
b. Report the abuse to local authorities.
c. Refer the family to support groups.
d. Assist the family in identifying resources and support systems.
Answer:
b. Report the abuse to local authorities.
QUESTION:
There is a patient on the unit with herpes zoster. You would avoid assigning this patient to a staff
member who has never had or been vaccinated for:
a. Mumps
b. Chicken pox
c. Roseola
d. German measles
Answer:
b. Chicken pox
QUESTION:
You are preparing an in-service for the staff on delegation. What would you want to include on
how delegation impacts safety and quality of patient care?
a. It prevents staff from becoming ineffective and nonproductive.
b.It utilizes appropriate resources, getting the job done in the most effective way.
c.It gives nursing tasks to the staff members who can best understand the goals of treatment,
d. It creates teamwork on the unit
Answer:
b.It utilizes appropriate resources, getting the job done in the most effective way.
QUESTION:
Which of the following patients would the nurse want to delegate to unlicensed assistive
personnel?
a. A patient whose husband died and needs to talk
b. A patient with a nasogastric feedings and foley catheter
c. A patient with leakage from an ostomy
d. An ambulatory patient who has been on the unit for 3 days
Answer:
d. An ambulatory patient who has been on the unit for 3 days
QUESTION:
You are preparing assignments for the day. You have one licensed practical nurse (LPN) and one
unlicensed assistive staff member. Which of the following assignments would you not want to
make?
a. LPN to reinforce discharge instruction with a patient
b. Unlicensed personnel to take vital signs and to document and report any changes
c. Unlicensed personnel to assess effectiveness of pain medication
d. LPN to remove dressing from an abdominal wound on a postoperative patient
Answer:
c. Unlicensed personnel to assess effectiveness of pain medication
QUESTION:
When a registered nurse (RN) decides to delegate care to unlicensed personnel, what should the
RN take into consideration when delegating care?
a. Amount of support from RN
b. Complexity of nursing tasks
c. Amount of time the staff member will need to complete care
d. Capability of the staff member to perform assessments
Answer:
b. Complexity of nursing tasks
QUESTION:
You are observing one of the RNs on the unit administer medication. What action by the nurse
would lead you to conclude there is a risk for a medication error?
a. Answering a physician's page while giving medication
b. Documenting in military time
c. Asking for help with calculations
d. Holding a medication that the patient questions
Answer:
a. Answering a physician's page while giving medication
QUESTION:
You are delegating to a licensed practical nurse (LPN) to wound care on a patient. The LPN has
never performed this type of wound care before. What component of delegation have you
neglected?
a. Authority
b. Competency
c. Communication
d. Responsibility
Answer:
b. Competency
QUESTION:
You are caring for a patient with gastroesophageal reflux disease (GERD). You have an
unlicensed staff member working with you. Which activity can you delegate to the unlicensed
staff?
a. Teach the patient about weight loss
b. Explore any concerns about managing the disease
c. Explain why the patient needs to eat several small meals a day
d. Instruct the patient to remain upright for 2 hours following a meal
Answer:
d. Instruct the patient to remain upright for 2 hours following a meal
QUESTION:
You will be working with an unlicensed staff member this shift. Which of the following should
be priority before delegating care to the staff member?
a. Assessing whether the staff member is competent to perform the skill
b. Preparing written instructions on how to perform skill
c. Gathering supplies
d.Informing the patient that an unlicensed staff member will perform the car [Show Less]