NCLEX select all that apply strategies practice questions
Practice questions and strategies for NCLEX select all that apply format, focusing on prioritization, safety, normal values, and nursing actions.
Quiz(28 questions)
1. What is the normal range for white blood cell (WBC) count?
Terms in this Study Set(28)
Prioritization and Safety(16)
What are the ABCs of prioritization?
Airway, Breathing, Circulation - prioritize these in patient assessments.
True or False: Safety is always the nurse's highest priority.
True - Ensuring patient safety is the primary responsibility of a nurse.
Fill in the blank: The priority for an unstable patient is _____.
stabilization and assessment.
Compare a stable patient vs. unstable patient.
Stable: Vital signs in normal range. Unstable: Abnormal vital signs requiring immediate intervention.
What should be done first for a patient experiencing chest pain?
Assess vital signs and administer oxygen if needed.
True or False: Delegating tasks always ensures patient safety.
False - Delegation must be appropriate and within the delegate's scope.
Identify the priority action for a patient with a new tracheostomy.
Ensure the airway is patent - suction if necessary.
Cause → Effect: Administering sedatives to a patient.
Cause: Sedation. Effect: Potential respiratory depression - monitor closely.
What is the initial step when responding to a fire in a hospital?
Activate the fire alarm and ensure patient safety.
List three high-risk medications requiring careful monitoring.
- Insulin - Anticoagulants - Opioids
What action should be prioritized for a patient with anaphylaxis?
Administer epinephrine immediately to counteract allergic reaction.
Fill in the blank: The R in RACE stands for _____ in fire safety.
Rescue - prioritize rescuing patients in danger.
Identify the priority for a patient showing signs of stroke.
Administer thrombolytics within the window for best outcomes.
True or False: It is safe to ignore a patient's call light if busy.
False - Always respond to call lights promptly to ensure patient safety.
What is the first nursing action for a patient with severe bleeding?
Apply direct pressure to control the bleeding.
What should be done for a patient with a history of falls?
Implement fall precautions and assess for safety hazards in the environment.
Normal Values and Nursing Actions(12)
Normal potassium level range?
3.5 - 5.0 mEq/L. Monitor for cardiac arrhythmias.
True or False: A blood glucose level of 150 mg/dL is normal.
False. Normal fasting blood glucose is 70-99 mg/dL.
What action to take if sodium is 130 mEq/L?
Notify healthcare provider immediately. Potential for hyponatremia.
Normal adult heart rate range?
60 - 100 beats per minute. Assess for rhythm and strength.
Fill in the blank: Normal respiratory rate is ____ breaths per minute.
12-20. Assess for depth and effort of breathing.
Compare normal and critical calcium levels.
Normal: 8.5-10.5 mg/dL. Critical: < 7.0 or > 12.0 mg/dL.
What is the normal range for hemoglobin?
Male: 13.8-17.2 g/dL; Female: 12.1-15.1 g/dL. Check for anemia.
True or False: A platelet count of 200,000/mm³ is harmful.
False. Normal platelet count is 150,000-450,000/mm³.
Normal blood pressure range?
120/80 mmHg. Monitor for hypotension or hypertension.
What should you do if BUN is elevated?
Assess hydration status and kidney function. Notify provider.
Cause of low magnesium level?
Diuretics, malnutrition, and gastrointestinal loss can cause hypomagnesemia.
What indicates a normal thyroid-stimulating hormone (TSH) level?
0.4 - 4.0 mIU/L. Abnormal levels suggest thyroid dysfunction.
Questions in this Study Set(28)
1. What is the normal range for white blood cell (WBC) count?
2. Which of the following is the first priority when treating a patient with difficulty breathing?
3. True or False: A serum sodium level of 145 mEq/L is considered normal.
4. What should a nurse do first for a patient who has just been admitted with a suspected myocardial infarction?
5. Which action should be taken if a patient's potassium level is 6.5 mEq/L?
6. Which statement best describes the priority action for a patient with a sudden onset of confusion?
7. Normal adult respiratory rate is ____ breaths per minute.
8. In which scenario would it be appropriate to delegate tasks to a nursing assistant?
9. Which of the following is NOT a normal fasting blood glucose level?
10. Which action is NOT a priority when caring for a patient experiencing anaphylactic shock?
11. What are the normal values for total cholesterol?
12. What is the initial nursing action when a patient is found unresponsive?
13. What nursing action should be taken for a patient with a hemoglobin level of 9 g/dL?
14. If a nurse suspects a patient has a tension pneumothorax, what should be the immediate action?
15. True or False: A blood pressure reading of 140/90 mmHg is classified as normal.
16. What is the best response to a patient who suddenly develops chest pain while exercising?
17. What is the normal range for calcium levels?
18. Which of the following is considered a critical lab value that requires immediate nursing intervention?
19. Which is a critical potassium level that requires immediate action?
20. What should the nurse prioritize when caring for a patient with a history of falls?
21. What is the normal range for magnesium levels?
22. Which of the following actions is the nurse's priority for a patient showing signs of stroke?
23. If a patient has a BUN level of 30 mg/dL, what is the appropriate nursing action?
24. What is the first step the nurse should take during a code blue in a hospital setting?
25. In a fire situation, which action should be taken first according to the RACE protocol?
26. Which of the following patients should be prioritized for assessment first?
27. Which intervention is NOT appropriate for a patient with respiratory distress?
28. Which action should be taken first for a patient who has just experienced a seizure?
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