NCLEX Style Quiz for Nursing Fundamentals

A nurse is caring for a client who is receiving oxygen therapy via nasal cannula. What is the maximum flow rate (in liters per minute) that should be administered using this device to avoid mucosal drying and discomfort?

• 2 L/min

• 4 L/min

• 10 L/min

• 15 L/min

A nurse is assisting a client who has limited mobility to use a bedpan. Which position should the nurse place the client in to promote effective elimination?

• Supine

• Prone

• Semi-Fowler’s

• High Fowler’s

A nurse is reviewing laboratory results for a client with suspected dehydration. Which electrolyte imbalance is most commonly associated with dehydration?

• Hyperkalemia

• Hyponatremia

• Hypernatremia

• Hypocalcemia

A nurse is teaching a client about infection prevention. Which of the following is the most effective method to prevent the spread of infection?

• Wearing gloves at all times

• Hand hygiene

• Using a face mask

• Disinfecting surfaces

A nurse is caring for a client who is at risk for falls. Which intervention should the nurse implement to promote safety?

• Keep the bed in the highest position

• Place the call light within reach

• Remove all personal items from the room

• Encourage the client to ambulate alone

A nurse is caring for a client with impaired mobility due to a recent hip surgery. Which nursing intervention is most appropriate to prevent complications of immobility?

• Encourage the client to remain in bed

• Perform passive range-of-motion exercises

• Restrict fluid intake

• Apply heat packs to the surgical site

A nurse is monitoring a client who is receiving intravenous fluids for signs of fluid overload. Which assessment finding should prompt the nurse to slow the infusion rate?

• Dry mucous membranes

• Decreased urine output

• Crackles in the lungs

• Hypotension

A nurse is caring for a client with a urinary catheter. Which action should the nurse take to reduce the risk of catheter-associated urinary tract infection (CAUTI)?

• Irrigate the catheter daily

• Maintain a closed drainage system

• Change the catheter every 24 hours

• Elevate the drainage bag above bladder level

A nurse is caring for a client with pneumonia who is experiencing shortness of breath and low oxygen saturation. The nurse elevates the head of the bed, encourages coughing and deep breathing, and administers prescribed oxygen. Which action should the nurse take next to evaluate the effectiveness of these interventions?

• Ask the client if they feel better

• Reassess the client’s oxygen saturation

• Increase the oxygen flow rate

• Notify the healthcare provider immediately

A nurse is caring for a client who is confused and attempting to get out of bed unassisted. The nurse has already implemented safety measures such as bed alarms and frequent rounding. What should the nurse do next to further ensure the client’s safety?

• Apply physical restraints immediately

• Move the client’s bed closer to the nurse’s station

• Turn off the bed alarm to avoid disturbing the client

• Instruct the client to call for help before getting up