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NCLEX-PN Test 01: Fundamental Nursing Care & Safety

NCLEX-PN Test 01: Essential Patient Safety

This test checks your ability to keep patients safe and identify serious health changes.

Allergy Safety: Always check for shellfish or iodine allergies before tests using contrast dye. This prevents severe allergic reactions.
Infection Control: For patients with MRSA, keep equipment like stethoscopes in the room. This stops the spread of germs.
Medication Checks: High-alert drugs like insulin always need a second nurse to verify the dose and type.
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Q:1A doctor orders butorphanol for a client after surgery. The nurse knows the medicine is working as intended when the client:
Q:2The mother of a child with cystic fibrosis says her child makes snoring sounds while breathing. The nurse knows that many children with this condition have:
Q:3A client is in the hospital with hepatitis A. Which of the client’s regular medicines should be stopped because of this illness?
Q:4A nurse teaches a client with high blood pressure about a healthy diet. Which meal choice shows the client understands the new diet?
Q:5An 18-month-old child is going home after a surgery to repair the penis (hypospadias). Which instruction should the nurse give the parents?
Q:6A pregnant client calls the clinic because she has morning sickness. The nurse should tell the client to:
Q:7A nurse takes the blood pressure of a client with a drug-resistant infection (MRSA). Which action shows the nurse knows how to prevent the spread of MRSA?
Q:8A doctor talks to parents about medicine for an infant with a thyroid condition. The nurse reinforces the teaching by saying:
Q:9A client with diabetes has a prescription for glipizide extended-release. The nurse should tell the client to take the medicine:
Q:10A nurse is getting ready to give an insulin shot to a client. Which action is best for patient safety?
Q:11A client with schizophrenia gets long-acting injections of haloperidol decanoate. The client should return for the next shot in:
Q:12A 3-year-old child is in a large body cast (hip spica). Which instruction should the nurse give the parents?
Q:13A nurse cares for a client after a surgery to reattach a thumb and finger. Which sign must the nurse report immediately?
Q:14A client just had a procedure to break up kidney stones (ESWL). What should the nurse expect to find in the urine?
Q:15A doctor prescribes tacrine for a client with dementia. The nurse should watch the client for:
Q:16What is the best sign that a client needs suctioning to clear their airway?
Q:17A client with tuberculosis is taking ethambutol. The nurse should tell the client to call the doctor if they notice:
Q:18What is the main cause of anemia in a client with chronic kidney failure?
Q:19A client is scheduled for a kidney X-ray using dye (IVP). Which action is the highest priority for the nurse?
Q:20A doctor prescribes daily aspirin for a client who had mini-strokes (TIAs). The nurse knows aspirin is given to:

Test 01 Study Summary

1. Post-Surgical Monitoring Watch for cool or blue skin after surgery to reattach limbs. This means the blood is not flowing.
2. Kidney Function The kidneys make a hormone to help create red blood cells. Chronic kidney failure is the main cause of low blood count.
3. Health Teaching Children with long-term conditions like hypothyroidism or cystic fibrosis need specific daily care and lifelong medicine.

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