Free NCLEX-PN Exam Braindumps
National Council Licensure Examination(NCLEX-PN) Questions 486–490 (page: 99)

Updated On: 9-Feb-2026

A nurse has been instructed to place an IV line in a patient that has active TB and HIV. Which of the following safety equipment should wear the nurse?

  1. Sterile gloves, mask, and goggles
  2. Surgical cap, gloves, mask, and proper shoe wear
  3. Double gloves, gown, and mask
  4. Goggles, mask, gloves, and gown

Answer(s): D

Explanation:

All protective measures must be worn; it is not required to double glove.



A nurse has just started on the 7PM surgical unit shift.

Which of the following patients should the nurse check on first?

  1. A 75-year-old female who is scheduled for an EGD in 10 hours.
  2. A 34-year-old male who is complaining of low back pain following back surgery and has an onset of urinary incontinence in the last hour.
  3. A 21-year-old male who had a lower extremity BKA yesterday, following a MVA and has phantom pain.
  4. A 27-year-old female who has received 1.5 units of RBC’s. via transfusion the previous day.

Answer(s): B

Explanation:

The new onset of urinary incontinence may require additional medical assessment, and the physician needs to be notified.



A 64-year-old Alzheimer’s patient has exhibited excessive cognitive decline resulting in harmful behaviors. The physician orders restraints to be placed on the patient.

Which of the following is the appropriate procedure?

  1. Secure the restraints to the bed rails on all extremities.
  2. Notify the physician that restraints have been placed properly.
  3. Communicate with the patient and family the need for restraints.
  4. Position the head of the bed at a 45-degree angle.

Answer(s): C

Explanation:

Both the family and the patient should have the need for restraints explained to them.



A 64-year-old male who has been diagnosed with COPD, and CHF exhibits an increase in total body weight of 10 lbs. over the last few days.

The nurse should ______________.

  1. contact the patient’s physician immediately
  2. check the intake and output on the patient’s flow sheet
  3. encourage the patient to ambulate to reduce lower extremity edema
  4. check the patient’s vitals every 2 hours

Answer(s): B

Explanation:

Check the intake and output prior to making any decisions about patient care.



A patient asks a nurse the following question. Exposure to TB can be identified best with which of the following procedures?

Which of the following tests is the most definitive of TB?

  1. Chest x-ray
  2. Mantoux test
  3. Breath sounds examination
  4. Sputum culture for gram-negative bacteria

Answer(s): B

Explanation:

The Mantoux is the most accurate test to determine the presence of TB.



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