NCSBN NCLEX Exam: Ace Your Nursing Licensure with
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Questions & Answers Included to Guarantee Success
Section 1: Fundamentals of Nursing (60 minutes)
1. Which nursing action is appropriate when performing a dressing change on a
patient with a surgical wound?
A. Apply sterile gloves before removing the old dressing.
B. Clean the wound from the least contaminated area to the most contaminated area.
C. Use the same swab to clean the wound edges and the center of the wound.
D. Soak the dressing in warm saline solution before applying it to the wound.
Answer: B. Clean the wound from the least contaminated area to the most contaminated
area.
2. Which of the following interventions is the highest priority when caring for a patient
experiencing hypoxia?
A. Encourage deep breathing and coughing exercises.
B. Place the patient in a high-Fowler’s position.
C. Administer oxygen at 2 L/min via nasal cannula.
D. Monitor oxygen saturation every 4 hours.
Answer: C. Administer oxygen at 2 L/min via nasal cannula.
3. When inserting a Foley catheter in a female patient, the nurse should:
A. Inflate the balloon before inserting the catheter fully.
B. Insert the catheter 7 to 10 inches to ensure placement in the bladder.
C. Lubricate the catheter tip and insert it until urine flows, then advance 2 more inches.
D. Use clean technique when handling the catheter tubing.
Answer: C. Lubricate the catheter tip and insert it until urine flows, then advance 2 more
inches.
4. Which of the following would indicate a positive TB skin test (Mantoux test)?
A. Induration of 5 mm or greater in a healthy adult.
B. Induration of 10 mm or greater in an immunocompromised patient.
C. Induration of 15 mm or greater in a healthy adult.
D. No induration but redness around the injection site.
Answer: C. Induration of 15 mm or greater in a healthy adult.
5. A patient on a clear liquid diet is requesting food. Which of the following is
acceptable to provide?
A. Apple juice
B. Cream of chicken soup
C. Milk
D. Mashed potatoes
Answer: A. Apple juice
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