NCLEX-RN Review Safe and Effective Care Environment

1.    Which of the following ethnic groups is at higher risk for pesticide-related injury?
a.    Native American
b.    Asian-Pacific
c.    Norwegian
d.    Hispanic

2.    Nurse Helena will teach parents of small children that the most common type of first-degree burn is:
a.    scalding from hot bath water or spills
b.    contact with hot surfaces such as stoves, fireplaces
c.    contact with flammable liquids and/or gases resulting in flash burns
d.    sunburn from lack of protection and overexposure

3.    Nurse George will teach the community-based client that the most common cause of injury from a house fire is:
a.    Explosion
b.    falls from second-story windows
c.    thermal damage to skin and body surfaces
d.    inhalation thermal injury

4.    Acute hyphema is associated with what type of injury?
a.    Orthopedic
b.    Eye
c.    insect sting or snakebite
d.    gynecological trauma

5.    The patient has sustained a hyphema, what intervention should nurse Adrian take?
a.    Have client wear ear protectors in the future
b.    Keep the client at bed rest typically with head of bed up
c.    Apply atropine eye drops
d.    Apply an ice pack to the site of injury

6.    Nurse Hyacnth first action upon discovery of an electrical fire is which of the following?
a.    Disconnect the electrical power if this can be done safely
b.    Smother the source with an object such as a blanket
c.    Saturate the source with water or other liquid readily available
d.    Activate the fire alarm immediately

7.    How many feet should separate nurse Gabriel and the source when extinguishing a small, waste basket fire with an appropriate extinguisher?
a.    1 foot
b.    2 feet
c.    4 feet
d.    6 feet

8.    While repositioning a comatose client, nurse Alexandra senses a tingling sensation as she lowers the bed. What action should she take?
a.    Unplug the bed’s power source
b.    Remove the client from the bed immediately
c.    Notify the biomedical department at once
d.    Turn off the oxygen

9.    After securing the client’s safety from a faulty grounded electric bed, nurse Irina will take which action?
a.    Discuss the matter with the client’s significant others
b.    Document the incident in the client’s record in detail
c.    Notify the physician
d.    Prepare an incident report

10.    Nurse Isabela is documenting a H-E-A-D-D-S-S inventory on the client. In which age group does the client fit?
a.    Preschool
b.    middle childhood
c.    adolescence
d.    college age

11.    One afternoon, an adult male with no history of past medical conditions arrives by ambulance in cardiac arrest after being discovered unconscious in his backyard. Nurse John notes his skin to be warm and moist to touch, diffusely swollen with multiple punctate lesions of the lower extremities. A likely cause of the emergency is:
a.    pulmonary embolus
b.    head trauma
c.    envenomation
d.    myocardial infarction

12.    To ensure patient safety when making an occupied bed, nurse Joseph will place the side rails in which of the following positions?
a.    both side rails in the lowered position
b.    the side rail opposite the nurse’s working area in the lowered position
c.    both side rails in the raised position
d.    the side rail opposite the nurse’s working area in the raised position

13.    Which of the following indicators increases the elderly client’s risk for falls?
a.    cranial nerve five dysfunction
b.    negative orthostatic vital signs
c.    negative Romberg’s sign
d.    diagnosis of urinary tract infection

14.    Which of the following risk factors is significant for predicting domestic violence in the adult population?
a.    married individuals
b.    lower socioeconomic status
c.    history of domestic violence in childhood
d.    no professional education or vocational training

15.    While assessing a Vietnamese child in the emergency department, the nurse notes erythematous, linear markings on the torso. As the caregiver explains how she put them there to treat fever, nurse Joanna suspects:
a.    Cupping
b.    Coining
c.    accidental trauma or child abuse
d.    chelation

16.    During a well infant check-up, the RN notes ecchymotic, bluish markings across the buttocks and sacral region of a dark-skinned infant. The markings most likely represent what skin condition?
a.    child abuse pattern injury or soft tissue trauma
b.    petechiae
c.    Mongolian spots
d.    Koplik’s spots

17.    During a well infant check-up, the RN notes a religious amulet around the client’s neck. What is the best response to the caregiver?
a.    Can you tell me about the necklace?
b.    This is a choking hazard
c.    Let me get this off
d.    Why did you put this around the baby’s neck?

18.    The RN is developing a community accident prevention program related to older adult premature death. Which of the following topics will be presented?
a.    Drowning
b.    Burns
c.    Influenza
d.    Motor vehicle accidents

19.    Nurse Julian instructing a new parent on the proper positioning of the infant car seat will explain that the infant or child may be positioned forward facing in an automobile at what weight?
a.    6 kg (12 lbs)
b.    7.5 kg (15 lbs)
c.    9 kg (20 lbs)
d.    10 kg (22 lbs)

20.    A lifeless child is brought unconscious to ER with resuscitative efforts in progress. In considering the etiology of childhood deaths, which of the following is the most likely cause?
a.    Poisoning
b.    congenital defects
c.    accidents
d.    influenza

21.    Community accident prevention education will include which of the following facts regarding the most prevalent cause of accidental death from age 1-44?
a.    Drowning
b.    Burns
c.    motor vehicle accidents
d.    Firearms

22.    Nurse Justin providing safety instruction to a local daycare explains that the leading cause of death for preschool children is:
a.    Drowning
b.    Burns
c.    Falls
d.    Motor vehicle accidents

23.    Nurse Camille teaching a parenting class instructs that the hot water temperature in the home should be at what degree to prevent thermal burns?
a.    100ºF
b.    120ºF
c.    140ºF
d.    150ºF

24.    Which of the following is the leading cause of accidental injury in the elderly?
a.    Falls
b.    motor-vehicle accidents
c.    firearm related trauma
d.    unintentional overdose

25.    While eating in the hospital cafeteria, nurse Carol sees a visitor display the “universal sign of choking.” Her first action is:
a.    page a “Code Blue” emergency
b.    immediately perform the Heimlich maneuver
c.    assess for ineffective breathing by asking, “Are you choking
d.    deliver four sharp back blows between the scapulae


Answers and rationale

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