Nurseclex 30-Day NCLEX Study Calendar

Skill tested: Who do you see first?

Four clients were just assigned. Which should the RN assess first?

1. A. Client 1 day after an appendectomy asking for pain medication
2. B. Client with COPD whose SpO2 is 90%, which is their baseline
3. C. Client with new confusion and a respiratory rate of 8/min after an opioid dose
4. D. Client with diabetes whose breakfast tray is late

Skill tested: Choosing the right precautions

A client has confirmed C. difficile. Which PPE and hand-hygiene practice is correct?

1. A. Surgical mask and alcohol rub
2. B. Gown and gloves, then soap and water
3. C. N95 respirator only
4. D. Gloves only, then alcohol rub

Skill tested: Spotting drug toxicity

A client taking digoxin reports nausea and yellow-tinged vision. What is the priority action?

1. A. Give the next dose with food
2. B. Hold the dose, check the apical pulse, and report possible toxicity
3. C. Encourage oral fluids
4. D. Recheck vision in 4 hours

Skill tested: Knowing when to escalate

Which finding should the PN report to the RN right away?

1. A. Temperature 37.2 °C (99 °F)
2. B. New facial droop on one side
3. C. Client requests a blanket
4. D. Urine output of 50 mL/hr

Skill tested: Reading lab values

Which potassium level needs urgent follow-up for a client receiving IV furosemide?

1. A. 4.2 mEq/L
2. B. 3.8 mEq/L
3. C. 2.9 mEq/L
4. D. 4.9 mEq/L

Skill tested: Preventing complications

Which action best prevents pressure injury in a client who cannot move independently?

1. A. Massage reddened bony areas
2. B. Reposition at least every 2 hours
3. C. Keep the head of the bed at 60° at all times
4. D. Use a donut cushion