NCLEX-RN FREE Sample Exam — Fixed Set

Which elements are part of safe delegation? Select all that apply.

A client admitted with a stroke is medically stable, but the team notes the client cannot swallow safely and lives alone. What is the most important next management step?

Case study (item 4 of 6): Marcus Bell, age 62, is scheduled for a non-contrast MRI of the lumbar spine for persistent leg pain. Screening notes: he worked 22 years as a sheet-metal fabricator and was treated at age 24 for a metal fragment in his left eye; no eye imaging was ever done afterward. He wears an insulin pump. A transdermal patch with a metallic foil backing is on his upper arm. He carries a card documenting MRI-conditional titanium spinal hardware placed in 2019. He ate breakfast this morning. Which actions should be completed before Mr. Bell’s scan proceeds? Select all that apply.

Case (item 2 of 6 in this set): Leo M., age 4 years, is brought to a pediatric clinic with 3 days of fever to 103.1 F (39.5 C), cough, runny nose, and red, watery eyes, followed today by a blotchy red rash spreading from the hairline down the face and small white spots on the inside of his cheeks. He has received no childhood vaccines. Before being roomed, he spent 45 minutes in the shared waiting room with a 5-month-old infant, a pregnant parent, and a child who is receiving chemotherapy. Which additional findings support the nurse’s concern about this situation? Select all that apply.

A sedentary adult client asks how much aerobic activity to aim for each week for substantial health benefits. Which target is correct?

A school nurse sees a 7-year-old for the third time this month. The child has bruises in various stages of healing on the torso and upper arms, flinches when an adult raises a hand to reach a shelf, and says a caregiver gets angry when the child spills food. Which actions should the nurse take? Select all that apply.

A nurse must verify placement of a newly inserted nasogastric tube before the first feeding. Which method is the most reliable initial bedside confirmation strategy?

Shortly after a nurse gives an IV medication by rapid push, a client reports a pounding headache and a feeling of tightness in the chest, feels flushed, and the blood pressure drops. Which complication should the nurse suspect and act on?

A nurse is setting up a total parenteral nutrition solution that contains dextrose and amino acids without lipids. Which filter is correct for this solution?

A potassium result of 5.7 mEq/L is reported for a comfortable client with a normal ECG. The specimen note says the sample was hemolyzed and difficult to draw. Which action is most appropriate?

A client with potassium 6.2 mEq/L and no ECG changes is receiving an IV insulin-and-dextrose infusion to shift potassium into cells. Which monitoring is most important during this therapy?

A 4-year-old sits leaning forward, drooling, with a muffled voice, high fever, and a soft inspiratory stridor. The throat has not been examined. Which action is correct?