NCLEX-RN Sample Questions

1.

A 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?

2.

Which of the following pieces of data obtained during a health assessment would cause the nurse to consider a child at risk for the development of a psychiatric disorder?

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?

4.

A 35-year-old male client with a basilar skull fracture has been admitted to the nursing unit by a nurse. Since the client is at risk for increased intracranial pressure, which of the following is a correct position to safely place the client?

5.

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

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 of the following foods is acceptable to consume while taking this medication?

7.

A 64-year-old female client was diagnosed with diabetes mellitus three days ago. The client received 60 units of Humulin N insulin subcutaneously at 06:00. What time should the nurse plan to assess the client for a hypoglycemic reaction?

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?

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)

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 most appropriate?

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.

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?

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?

14.

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

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?

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?

17.

A clinic nurse is assessing jaundice in a 5-year-old child with hepatitis. The following anatomical area would provide the accurate data regarding the presence of jaundice, except:

18. A 62-year-old male client suffered a punctured right lung while working on a construction site.  The client is admitted to the hospital and a chest tube is inserted.  The nurse tells the client to cough while covering the wound after the chest tube becomes disconnected.  If the chest tube disconnected again, the tubing should be:

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 for the nurse to know?

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?

21. A nurse is reviewing a chart of a new evaluation for a client in an acute care facility. The nurse finds that the client currently has the following lab values: pH: 7.41, PaCO₂: 33, HCO₃: 20. Which of the following is correct regarding this client?

22. A nurse is caring for a 77-year-old female client following a bone marrow transplant.  The client's platelet count is 25,000 cells/mm³.  Which would be the most appropriate intervention for this scenario?

23. A nurse is providing care for a gravida 1 para 0 in labor. Which of the following would be most appropriate for the primagravida as she completes the early phase of labor?

24. A 5-year-old boy was diagnosed with Duchenne muscular dystrophy less than 18 months ago.  The client presents with fatigue, muscular weakness and is having difficulty running and often falls majority of his attempts.  Which of the following would the nurse expect to be elevated in Duchenne muscular dystrophy?

25. A nurse is reviewing the lab work of a pediatric client admitted for chemotherapy treatment.  Which of the following laboratory values would alert the nurse the client would not be able to tolerate the next round of chemotherapy?

26. Which of the following ranges is the normal serum osmolarity of an isotonic solution?

27. A esophagogastrectomy was performed 10 hours ago on a 55-year-old male client.  The nurse then reinserts the nasogastric (NG) tube immediately after the client pulls it out.  Reinserting the NG tube would be considered:

28. A 62-year-old male status post myocardial infarction. Yesterday, the client was in the coronary care unit and was scheduled to begin cardiac rehabilitation today.  While exercising in a phase I cardiac rehabilitation program, a client's vital signs are monitored by nurse. The client is status post myocardial infarction and has progressed without difficulty. Which potential complication of a myocardial infarction is the client most susceptible to?

29. A 65-year-old male client is recovering from a coronary stent procedure.  The client mentions to the nurse he is breathless while dressing.  Which intervention should the nurse recommend to the client?

30. A 73-year-old male client who was admitted with an exacerbation of chronic obstructive pulmonary disease (COPD).  His symptoms included shortness of breath, excessive coughing and mucus production. The nurse ask the client to blow into the mouthpiece of the device and are encouraged to exhale normally before inhaling slowly. An indicator within the chamber of the device will rise upon inhalation providing an observable measure of volume that may be recorded to assess progress.  What device is being used here?

31. A 5-year-old female client was diagnosed with Marfan syndrome.  She has long extremities and fingers, joint laxity and contractures, and loose skin.  She has breathing difficulties and struggles with feeding. In regards to modifications to address cardiovascular issues, what should the client keep prolonged heart rate under?

32. An ambulatory client has significant difficulty with lower extremity edema requires a certain amount of pressure necessary to control it.  What would the nurse expect a physician to order for this client?

33.

A 15-year-old boy with a history of conduct disorder is brought to the community mental health center.  When obtaining a history and mental health assessment, which of the following behaviors would suggest support for this diagnosis?

34. A nurse is caring for a 28-year-old pregnant client with severe preeclampsia.  She is currently is receiving IV magnesium sulfate due to worsening preeclampsia.  The following are appropriate nursing interventions for this client, except:

35. A nurse is monitoring a 32-year-old client with pregnancy induced hypertension.  The client shows signs of swelling, headaches, and blurred vision.  Laboratory results came back confirming proteinuria.  These signs are indicative of:

36. A 32-year-old male and has been recently admitted into the hospital for multiple fractures in his right leg. According to Erikson's stages of psychosocial development, which of the following stages is the adult in?

37. A nurse if reviewing a 6-year-old client's chart and notices that the client suffers from conjunctivitis. Which of the following microorganisms is related to this condition?

38. A nurse is caring for clients in the OB/GYN clinic. A 32-year-old female client reports an off-white vaginal discharge with a curd like appearance. The nurse notes the discharge and vulvular erythema. Which of the following questions would be most important for the nurse to ask?

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

40. The nurse is observing several healthcare workers providing care including an Unlicensed Assistive Personnel (UAP), practical nurse (LPN/RPN) and a physician. Which of the following actions indicates a need for further teaching?

41. A 66-year-old female with anorexia nervosa is having an indwelling central venous access device placed in preparation for total parenteral nutrition (TPN) administration.  Which of the following assessment is essential?

42. An emergency treatment for an acute asthmatic attack is Epinephrine 1:1000 given hypodermically. This is given to:

43. A 45-year-old female client is diagnosed with hyperkalemia.  The following medications would be effective in lowering a client’s serum potassium level, except:

44. A physician prescribes Lipitor to a 52-year-old male client who is obese with high cholesterol.  The following below, when reduced, is effective when administering this medication?

45. A nurse is caring for a 65-year-old male client diagnosed with acute myocardial infarction (MI). The client has a history of severe uncontrolled hypertension. Which of the following physician orders should be questioned by the nurse?

46.

Layla, a nurse and team manager, is on a unit where the nursing staff is experiencing a conflict.  She asks one of the nurses to tell her what is taking place among the staff.  The nurse gives her some details, and Layla responds by saying, "What I hear you saying is that some nurses feel the overtime hours are unfair."  Layla is using which of the following effective communication techniques?

47. A 41-year-old female is in the withdrawn phase of catatonic schizophrenia.  This is a her first admission to an early psychosis program at the hospital.  The nurse notes the client is completely stuporous.  While giving care to this client, the nurse must:

48. A nurse is caring for a 78-year-old male client with age-related hearing loss (known as Presbycusis). At age 52, he slowly loss some of his hearing in both his left and right ear.  By age 75, the client now has moderate hearing loss.  What adapted communication approach is best for the nurse when caring for older clients with hearing loss?

49.

Contemporary mental health practice is highly collaborative and includes a number of professional and paraprofessional workers.  Which of the following tasks may be delegated to a nursing assistant in an acute mental health setting?

50. A 42-year-old client has undergone surgical repair of his inguinal hernia. Which of the following is the correct discharge teaching by the nurse?