NCLEX-RN Sample Questions

Note: This NCLEX-RN sample exam contains 20 questions.  Each of ExamPrepHero's NCLEX-RN practice exams contain 170 questions. Good luck!

1.

A registered nurse is working in a unit that is equipped with electronic medication administration processes. The unit includes a computer at the bedside that allows for scanning a barcode on the client's identification band, medication labels and medication order. Which of the following is the best method for the nurse to practice regularly?

a.
b.
c.
d.

2.

The emergency department nurse is caring for a client who has been identified as a victim of physical abuse. In planning care for the client, which is the priority nursing action?

a.
b.
c.
d.

3.

A nurse manager at a long-term care facility is holding a meeting with the nursing team to discuss management decisions to reduce staffing on the unit.  During the discussion, one of the nurses yells profanity at the nurse manager.  What would be the acceptable next step by the nurse manager to take?

a.
b.
c.
d.

4.

A nurse is caring for a client 5 hours after a pancreatectomy for cancer of the pancreas.  On assessment, the nurse notes that there is minimal drainage from the nasogastric (NG) tube.  It is most important for the nurse to:

a.
b.
c.
d.

5.

To sustain his life, a 55-year-old male client with diabetes mellitus is told that amputation of his leg. The client is very upset and tells the nurse, 'This is all of my health care provider's fault. I have done everything I've been asked to do!' What is the best interpretation by the nurse for this situation?

a.
b.
c.
d.

6.

A 52-year-old male client has been hospitalized for depression.  The health care provider has started the client's treatment of depression with phenelzine.  Which one of the following foods is acceptable to consume while taking this medication?

a.
b.
c.
d.

7.

A 35-year-old male client with a basilar skull fracture has been admitted to the nursing unit by a registered nurse. The client is at risk for increased intracranial pressure. Pending specific health care provider prescriptions, which of the following is not a position to safely place the client?

a.
b.
c.
d.

8.

A nurse is reading a health care provider's (HCP's) progress notes in the client's record and reads that the HCP has documented 'insensible fluid loss of approximately 900 mL daily.' Which type of excretion would insensible fluid loss occurs through?

a.
b.
c.
d.

9.

A health care provider prescribes 1000 mL of 5% dextrose and half-normal saline to infuse over 24 hours. The drop factor is 13 drops (gtt)/mL. The nurse should set the flow rate at how many drops per minute? (To the nearest whole number)

a.
b.
c.
d.

10.

A nurse is working in a nursing unit with only electronic medical records. The room are semi-private, with two clients to a room, and equipped with a computer for each client. Which of the following actions by the nurse is the most appropriate?

a.
b.
c.
d.

11.

A nurse is caring for a 52-year-old client with cirrhosis of the liver. The nurse teaches the client about foods that are high in thiamine.  Consuming these foods helps minimize the effects of the disorder. The client's intention to increase the intake of ___________, demonstrates the nurse's teaching was successful.

a.
b.
c.
d.

12.

To prevent maternal antibody formation, Rh-immune prophylaxis treatment with WinRho should be administered in certain situations. Which of the following situations would WinRho be administered to a mother who is Rh-negative?

a.
b.
c.
d.

13.

A nurse hears a client yelling 'Help! Help! I need help!'. The nurse runs down the hallway to the client's room, and finds the client lying on the floor. The nurse performs an assessment, assists the client back to bed. The nurse then notifies the health care provider of the incident and completes an incident report. Which of the following statements should the nurse document on the incident report?

a.
b.
c.
d.

14.

A registered nurse is giving a report to an unlicensed assistive personnel (UAP) who will be caring for a client who has hand restraints (safety devices). The RN instructs the UAP to check the skin integrity of the restrained hands every:

a.
b.
c.
d.

15.

A 54-year-old male has just developed acute renal failure. What is the safest action by the nurse regarding administration of his prescribed medication?

a.
b.
c.
d.

16.

A breastfeeding mother of an infant with lactose intolerance asks the nurse about dietary measures. Which of the following foods should the nurse not tell the mother are acceptable to consume while breastfeeding?

a.
b.
c.
d.

17.

A home care nurse is performing chest physiotherapy on an elderly client with chronic airflow limitations (CAL). Which of the following actions should the nurse take first?

a.
b.
c.
d.

18. A 37-year-old male client is admitted to the hospital for treatment. He is diagnosed with pneumocystis jiroveci pneumonia and Kaposi's sarcoma. The client tells the nurse that he has been considering organ donations when he dies. Which of the following is the best response by the nurse?

a.
b.
c.
d.

19.

A nurse reviews a 45-year-old male client's health history. Prior to the client undergoing a scheduled intravenous pyelogram (IVP), which of the following questions is most important to know the answer to?

a.
b.
c.
d.

20.

A mother brings her 5-year-old son to the pediatrician for treatment of chronic otitis media. The mother asks the nurse how can she prevent her child from getting ear infections so often. Which of the following decreases the recurrence of otitis media?

a.
b.
c.
d.