NCLEX Practice Test: Video 1 Answers (25 Questions)

Question 1

Which task is most appropriate for an RN to delegate to an unlicensed assistive personnel (UAP)?

Accepted Answer

Measuring vital signs on a stable client

Answer

UAP may obtain vital signs on stable clients. Assessment, teaching, and medication administration require the nurse's licensed judgment and cannot be delegated.

Question 2

The nurse has four clients. Which client should the nurse assess FIRST?

Accepted Answer

Client with new onset chest pain and diaphoresis

Answer

Chest pain with diaphoresis suggests acute coronary syndrome, a life-threatening circulatory problem. The other clients are stable or have lower-acuity needs.

Question 3

A client is scheduled for surgery and is unsure about the procedure. Who is responsible for obtaining informed consent?

Accepted Answer

The surgeon performing the procedure

Answer

The provider performing the procedure must explain risks, benefits, and alternatives and obtain consent. The nurse witnesses the signature and advocates if the client has unresolved questions.

Question 4

A nurse overhears a coworker discussing a client's diagnosis in the hospital elevator. This is a violation of which principle?

Accepted Answer

Confidentiality

Answer

Discussing client information in a public area violates confidentiality and HIPAA. Autonomy concerns self-determination, and veracity concerns truthfulness.

Question 5

A nurse discovers a medication error that reached the client but caused no harm. What is the nurse's priority action?

Accepted Answer

Assess the client and notify the health care provider

Answer

Assess the client first and notify the provider so care can be adjusted. An incident report is completed afterward, and it is not part of the medical record.