Is the NCLEX exam difficult?

Yes. The exam is challenging. The National Council of State Boards of Nursing uses NCLEX to test practical and registered nurses on their competency in practical nursing skills. It tests the nursing process, critical thinking, and assessment skills. Learners must establish that they can apply concepts learned in real-life scenarios.

What is a good score on the NCLEX practice exam?

We can’t say that there’s a particular score that’s a sure bet you’ll pass the NCLEX. Practice exams show how well you know the exam content. With the results, you are supposed to reread the areas you are weak and also check the rationales to increase your chances of passing.

Is there a free practice NCLEX exam?

There are many free NCLEX practice exams. Nurse Code has 1,020 free NCLEX RN and 780 NCLEX PN practice questions. You’ll find three sets of timed mock exams with 100 questions for each of the two tests. Also, we have free end-of-topic quizzes to test how well you’ve mastered each topic.

Is one month enough for NCLEX?

Yes. It takes a month to three to prepare well for the exam. How long you take depends on how prepared you already are. If you’ve recently graduated, you may take a shorter time to prepare for the NCLEX RN test. You’d need more time if you graduated long ago.

What is the passing score for NCLEX?

The NCLEX is a pass/fail exam. There’s no passing score since it’s a computer adaptive test. The system tests how well you can offer safe and effective nursing care. You pass the exam if you answer enough questions to establish your competency level in the nursing practice.

What are the best NCLEX practice exams?

There are several. UWorld tops the list because of its thorough answer explanations. Kaplan is hot in pursuit with its CAT practice tests and massive Qbank. Nursing.com has SIMCLEX, the closest you can get to the NCLEX exam. Other providers like Hurst, NurseAchieve, and SimpleNurisng also have excellent practice questions.

What is the best way to prepare for NCLEX?

- Create a comprehensive study plan - Start slowly and pick a pace with your material review - Diversify the study resources you use - Use practice questions to familiarize yourself with the test questions and types, e.g., multiple-response questions - Go through the answer explanations

Is the NCLEX exam difficult if you have a bachelor’s degree?

The NCLEX RN is for nursing students who have a bachelor of science degree in nursing. And yes, it’s challenging. To pass the exam, you must adequately prepare. Sign up for a prep course and start your test preparation. Cover the exam content and take many practice questions before the test.

What do you need to take the NCLEX exam?

According to the NCSBN, you need your identification card. The names on your ID must match the names on the ATT. Test-takers leave their personal belongings outside the testing room. Phones, watches, scarves, wallets, water, and so on are not allowed in the testing room.

How does NCLEX test for math?

The math question on the NCLEX revolves around dosage calculations and conversion. The questions are straightforward. All you need to do is practice before the exam. In the exam room, read the math question to understand before you start your calculation.

How do I pass the NCLEX exam?

- Start your preparations early and make sure you take many practice exams - Use flashcards to review hard-to-memorize areas like vital sign values, medication, side effects, etc. - Have enough rest the night before the exam. Don’t study. - Read questions and answer choices before you answer - Don’t panic

1800+ Free NCLEX practice questions - 6 Practice exams 2023

Hi guys! Welcome to another exciting article on the NCLEX practice questions.

In today’s session, we share free NCLEX practice exams for the NCLEX RN and NCLEX PN exams.

You’ll also find insightful tips to help you get the most out of our practice questions.

After reading this article, you’ll know how to answer the NCLEX exam questions using practice exams.

That said, here is what you’ll learn:

Free 6 full practice exams for NCLEX
Links to our other NCLEX practice quiz pages
An overview of the NCLEX practice test
Tips and tricks to make the most of the NCLEX practice test
Why are practice questions so important for NCLEX prep?

Let’s jump straight into it.

Other free NCLEX RN study materials:

NCLEX RN exam prep
NCLEX RN study plan
NCLEX study guide
NCLEX practice questions
NCLEX RN flashcards
NCLEX cheat sheet
NCLEX RN Exam FAQ
Best NCLEX RN study materials

NCLEX PN study materials:

NCLEX PN exam prep
NCLEX PN study plan
NCLEX study guide
NCLEX practice questions
NCLEX PN flashcards
NCLEX cheat sheet
NCLEX PN Exam FAQ
Best NCLEX PN study materials

Table of Contents

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NCLEX RN Practice Exams
Additional NCLEX RN practice tests and quizzes
NCLEX PN Practice Exams
Additional NCLEX PN practice tests and quizzes
An Overview of the NCLEX Practice Tests
Tips and Tricks to Make the Most of the NCLEX Practice Test
Why Are Practice Questions So Important for NCLEX Prep?
The Next Ideal Step in NCLEX Test Prep
NCLEX Practice Test FAQs

NCLEX RN Practice Exams

NCLEX RN Practice Exam 1

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Welcome to your NCLEX-RN Practice Exam 1

This test is designed to prepare you mentally for the actual NCLEX-RN Exam with (100 questions) and the time allowed (120 minutes) as the actual exam.

The NCLEX-RN Exam is breakdown into Eight (8) Parts.

Here are the Eight (8) Domains of the NCLEX-RN Exam with the weightage and number of questions in this practice exam:

Domain	Weightage
1- Management of Care	15% to 21%
2- Safety and Infection Control	10% to 16%
3- Basic Care and Comfort	6% to 12%
4- Reduction of Risk Potential	9% to 15%
5- Pharmacological and Parenteral Therapies	13% to 19%
6-Physiological Adaptation	11% to 17%
7- Psychosocial Integrity	6% to 12%
8- Health Promotion and Maintenance	6% to 12%

Please click NEXT to start your Free NCLEX-RN PRACTICE EXAM right away.

Best of Luck!

The nurse reviews a patient's recent orders and sees that informed consent must be obtained before tomorrow's surgery. The nurse was not present when the doctor explained the procedure to the patient. When the nurse brings the form to the patient, which statement to the patient is best?

Do you have any questions about your surgery tomorrow?

You have the right to change your mind at any time

Your surgeon asked me to make sure that you sign the consent form

What were you told about your surgical procedure?

The nurse works in a unit that has a primary nursing care delivery model. What nursing activity is unique to this model?

The nurse shares care of clients with unlicensed assistants

The nurse has the responsibility from admission to discharge

The nurse serves as liaison between providers and clients

The nurse provides all care for assigned clients

A nurse in the neonatal ICU (NICU) administers adult-strength digitalis (Digoxin, Lanoxin) to a 3-pound infant. As a result, the neonate experiences permanent heart and brain damage. The nurse can be charged with

negligence

tort

malpractice

assault

Which legal document lists the medical procedures and treatments that a person will refuse if the person is unable to make decisions?

Advance Directive

Informed Consent

Patient's Bill of Rights

Power of Attorney

The health care provider (HCP) prescribes bilateral soft wrist restraints for a client. Which of the following tasks can the nurse delegate to a certified nursing assistant (CNA)?

Teach the client's family about the need for restraints

Assist with bathing, feeding, and toileting

Document the client's status every hour

Assess when restraints are no longer indicated

The nurse is at home with their 10-year-old son when the child falls off his bike and his front tooth is avulsed (knocked out). The nurse is able to quickly retrieve the tooth. What is the nurse's BEST action before going to the Emergency Department?

Quickly brush dirt off the root of the tooth

Place the tooth in milk for transport to the ED

Ask the child to hold the tooth in his cheek pouch

Use a ziplock bag to protect the tooth

Which ethical principle is used when a client asks about her prognosis?

Veracity

Beneficence

Nonmaleficence

Fidelity

The nurse manager notes that a staff nurse has been tardy three times in the last two weeks. Which of the following should the nurse manager do FIRST?

Schedule a staff meeting to review policies

Notify Human Resources of the nurse's behavior

Place a reminder in the staff break room

Ask the nurse to meet privately

The PDCA cycle is a quality improvement method of implementing change. Which of the following steps is INCORRECT?

P = Plan

C = Check

A = Access

D=Do

10.

When a client is scheduled for a transesophageal echocardiogram (TEE), which task may be assigned to the unlicensed assistive personnel (UAP)?

Give the client brief instructions on the procedure

Ensure that the client has signed the informed consent

Remove the water pitcher from the client's bedside

Assess the client's anxiety level and tell the nurse

11.

Which of the following findings indicates the need to IMMEDIATELY stop a treadmill (exercise) stress test?

Blood pressure 150/86 mmHg

Heart rate of 142 bpm

Pulse oximeter (SpO2) of 91%

Chest pain of 4 on a 0-10 scale

12.

A client comes to the clinic with complaints of heart palpitations, shortness of breath, fatigue, and syncope. An ECG indicates atrial fibrillation. When the nurse performs an assessment, which finding is MOST concerning?

Difficulty speaking

History of type 2 diabetes

Unplanned weight loss

Heart rate of 150

13.

Nurse Practice Acts are an example of

statutory law

common law

civil law

criminal law

14.

A preceptor is instructing a new nurse on the reasons for applying wrist or ankle restraints to a client. The preceptor realizes that further education is needed when the new nurse states,

A restraint can limit movement of an arm or leg

A restraint keeps the client in bed all night

A restraint prevents a client from hurting himself or herself or others

A restraint prevents a client from pulling out lines and catheters

15.

After instructing a client on how to provide a urine sample for a stat urinalysis, the nurse returns two hours later to find the specimen in the client's bathroom. What should the nurse do?

Discard the urine and obtain a fresh specimen

Immediately send the sample to the laboratory

Refrigerate the sample before sending it to the lab

Initiate an incident report for the delay

16.

When a nurse assesses the pin insertion site of a client in skeletal traction, which sign indicates normal healing?

Exudate

Crust

Edema

Colonization

17.

When you use a fire extinguisher, you should aim the nozzle at

the area around the flames

the top of the flames

the middle of the flames

the base of the fire

18.

For a client with frequent fainting spells, the doctor orders a 24-hour ambulatory electrocardiography using a Holter monitor. To obtain the most accurate record, the nurse should instruct the client to avoid all of the following EXCEPT

eating with metal utensils

shaving with an electric razor

standing close to a microwave

using a cellular telephone

19.

Before the nurse sends a client for a CT with contrast dye, what is the nurse's most important action?

Teach the client about the need for post-procedure hydration

Place the side rails of the bed up before transport

Verify that the informed consent is complete

Check the client's health record for allergies

20.

The nurse is caring for a client with a right-brain stroke with accompanying unilateral neglect (hemineglect). Which of the following actions is most appropriate?

Place the nightstand on the client's right side

Encourage the client to use the right side

Tell the client, "Look to your left."

Approach the client from the left side

21.

As the nurse completes a routine preoperative checklist before transporting the patient to surgery, the patient tells the nurse about an allergy that is not on the health record. What should the nurse do first?

Tape a note to the chart

Contact the anesthesiologist

Notify the OR charge nurse

Proceed to give the pre-operative medication

22.

The nurse is caring for an 84-year-old client with a Stage Il pressure ulcer on the coccyx. Which of the following is an appropriate action?

Elevate the head of the bed to 45 degrees

Obtain daily cultures of the pressure ulcer

Reposition the client every 2 hours

Leave the wound uncovered to dry out

23.

A second-day post-op client tells the day nurse, "I was in agony last night! couldn't sleep because of the pain!" Which of the following is the nurse's best response?

Did you tell the night nurse that you were in pain?

Why didn't you just ask for pain medication?

Oh, I'm so sorry. You must be exhausted

Your pain doesn't seem to be well controlled

24.

A client is admitted with a diagnosis of a respiratory infection and is placed on droplet precautions. What is the MINIMUM PPE required when caring for this client?

Face shield, mask, gloves, gown

Gloves, gown, N95 respirator mask

Gloves, disposable surgical mask

Face shield, mask, sterile gloves

25.

Which is the correct sequence for using a fire extinguisher?

1. Squeeze the handle. 2. Pull the pin. 3. Step back. 4. Sweep side to side

1. Aim the nozzle. 2. Pull the pin. 3. Squeeze the handle. 4. Sweep side to side

1. Pull the pin. 2. Aim the nozzle. 3. Squeeze the handle. 4. Sweep side to side

1. Pull the pin. 2. Squeeze the handle. 3. Aim the nozzle. 4. Sweep side to side

26.

One of the major safety concerns after a client receives conscious sedation (also called moderate or procedural sedation) is a risk of

hypertensive crisis

inability to swallow

falls or accidents

loss of hearing

27.

Contraindications for administering an enema include all of the following EXCEPT

recent colon surgery.

hypercalcemia treatment.

acute myocardial infarction.

suspected appendicitis

28.

The nurse is providing education for a client who has just been prescribed a transcutaneous electrical nerve stimulation (TENS) unit for relief of chronic back pain. Which of the following instructions to the client is correct?

Each TENS unit session lasts about 3 hours.

Muscle twitching means the TENS is working.

Don't go to sleep with the TENS unit on.

It will take several days to build up tolerance.

29.

A patient diagnosed with Crohn's disease has a new colostomy. When assessing the patient's stoma, which of these would alert the healthcare provider that the stoma has retracted?

Dry and reddish purple

Concave and bowl shaped

Narrowed and flattened

Pinkish red and moist

30.

A patient with a total hip replacement requires certain equipment for recovery. Which of the following will assist the patient with activities of daily living (ADL)?

Abduction pillow

Recliner

High-seat commode

TENS unit

31.

Of the following positions, which one facilitates maximum air exchange?

Orthopneic

Trendelenburg

Lithotomy

High Fowler's

32.

After a high school athlete sustains a fractured femur during a competition, a full leg plaster cast is applied. When the nurse provides discharge instructions to the athlete and their parents six hours later, which statement by the athlete indicates a need for further education?

I should walk around on my cast as soon as I get home.

I should call my doctor if my toes turn blue or become numb.

I'll put an ice pack over the cast to relieve itching.

I will prop my cast on two pillows when I lie down.

33.

A client with a severe ankle sprain will be using crutches. Which of the following indicates that the crutches have been fitted correctly?

The client's elbow is locked with the hand on the handgrip

The client's axilla rests on the erutch pad when the client ambulates.

The client's axilla is at the same level as the top of the crutch.

The client's elbow is at a 30-degree angle with the hand on the handgrip.

34.

The nurse is providing discharge instructions to parents of a 3-year-old who was hospitalized for severe croup. In the event of a future croup attack, what non-pharmacological intervention can the parents do at home?

Position the child on their back or side.

Place the child in a warm, dry room.

Encourage the child to cough and cry.

Take the child into a steamy bathroom.

35.

When providing postmortem care for a patient who will be an eye donor, which action is most appropriate?

Tape the eyes tightly and place the patient in a high Fowler's position.

Close the eyes and place the patient in a supine position.

Cover the eyes with saline-soaked pads and place the patient in a low Fowler's position.

Apply silver nitrate to the eyes and place the patient in a Trendelenburg position.

36.

Before administering a soap suds enema, which position is appropriate for the client?

Supine

Sims

Lithotomy

Prone

37.

The nurse is educating a client with cardiac disease who is taking furosemide and digoxin about eating foods rich in potassium. The client states, "I know need potassium, but I get tired of eating bananas." The nurse then suggests choosing any of the following foods EXCEPT

spinach.

blueberries.

potatoes.

avocados.

38.

A client has a nephrostomy tube. When the nurse assists the client to ambulate, which is the best way to keep the tube safe?

Ask the client to hold the drainage bag.

Clamp the tube during ambulation.

Attach the tube to a leg collection bag.

Use a walker and tie the drainage bag.

39.

The healthcare provider is assessing a patient recovering from a total knee replacement. Which of these assessment findings indicates the patient is at risk of developing a complication from the surgery?

Pale toenail beds

Incision site edema

Hemoglobin 12.5 g/dL

Homans' sign negative

40.

While doing admit for a male client, the nurse asks about possible allergies. The client denies any drug allergies but states he is allergic to bananas and avocados. The nurse knows these allergies put the client at risk for an allergy to

adhesive

betadine

latex

penicillin

41.

For a stroke patient, what is the best position for insertion of a nasogastric (NG) tube?

Low Fowler's

Supine

High Fowler's

Trendelenburg

42.

Before administering an intermittent enteral feeding by nasogastric tube (NGT), what is the nurse's FIRST action?

Measure any residual content

Place the client in the Low Fowler's position

Verify proper tube placement

Assess for active bowel sounds

43.

While providing post-operative care for a 7-year-old who has had a tonsillectomy and adenoidectomy, which is the appropriate nursing action?

Encourage the child to gargle and spit

Initiate coughing and deep breathing

Offer warm liquids as soon as possible

Observe for signs of post-op bleeding

44.

The nurse is teaching a client with emphysema how to do pursed-lip breathing. The nurse knows it will help the client because

it will help the client achieve maximum inhalation

it helps keep the small airways open and prevents air trapping

it increases the respiratory rate and oxygenation levels

it creates negative pressure in the airways

45.

Following a fall from a ladder, a patient is admitted to the ICU with a diagnosis of traumatic brain injury (TBI). The nurse observes that he is increasingly restless and has developed weakness in his right arm. He is also complaining of nausea. What is the nurse's BEST immediate action?

Elevate the head of the bed to 30 degrees

Measure the patient's blood pressure

Increase the IV rate and call the physician

Administer oxygen by face mask

46.

Seven months after birth, an infant is diagnosed with a persistent patent foramen ovale (PFO). The parents ask the nurse what this means. The nurse explains that before the infant was born, the purpose of the foramen ovale was to bypass

the superior vena cava

the pulmonary system

the left ventricle

the hepatic system

47.

A client with a diagnosis of congestive heart failure (CHF) is taking digoxin (Lanoxin) 0.25 mg po qd and furosemide (Lasix) 20 mg po bid. Which is the MOST important laboratory test result for the nurse to monitor?

Potassium

Chloride

Calcium

Magnesium

48.

A nurse educates a client who is scheduled for a lipid panel. Which of the client's statements would indicate a lack of understanding?

This test will check if I have fatty liver disease.

I won't drink alcohol for 24 hours before this lipid test.

This test will help check my risk of heart disease.

I will fast for 8-12 hours before my blood draw.

49.

The nurse is giving discharge instructions to a male client who had a total hip arthroplasty. Which statement by the client indicates a lack of understanding?

I shouldn't sit for longer than 45 minutes at a time.

I'll use a raised toilet seat for about the next six weeks.

I can bend over to pick up things I've dropped on the floor.

I'll tell my dentist that I've had a total hip replacement.

50.

For a client receiving chemotherapy, which laboratory value is MOST important for the nurse to monitor?

Serum creatinine

Prothrombin time

Electrolyte panel

White blood cell count

51.

Before administering a dose of furosemide (Lasix) to a 2-year-old with a congenital heart defect, the nurse should confirm the child's identity by checking the hospital ID band and

asking the child to state their name.

verifying the child's identity with a second nurse

verifying the child's room number

asking the parent for the child's name

52.

A patient is prescribed a thiazide diuretic for the treatment of hypertension. When teaching the patient about the medication, which of the following will the healthcare provider include?

Be sure to include a number of foods in your diet that are rich in potassium.

I'll teach you how to take your radial pulse before taking the medication.

Take this medication every day with a large glass of water after your evening meal.

Stop taking this medication if you notice changes in how much you urinate.

53.

When a provider prescribes an IV infusion medication to be titrated, which of the following elements is NOT required to be part of the order?

Objective clinical endpoint or patient response

Ability of the nurse to determine the units of incremental rate

Frequency for increasing or decreasing incremental dose

Initial or starting rate of the infusion (dose/minute)

54.

A client with a diagnosis of depression is placed on a monoamine oxidase inhibitor (MAOI) medication. When a nurse educates the client, which food should the nurse instruct the client to avoid?

Grapefruit

Peanut butter

Bacon

Cottage cheese

55.

A client with a urinary tract infection (UTI) is started on sulfamethoxazole/trimethoprim (Bactrim, Septra). When educating the client on the medication, which instruction is most appropriate?

Expect that urine will be orange

Drink 6-8 glasses of water every day

Measure and record urine output.

Always take the medication with a meal or snack.

56.

When counseling a client with a new diagnosis of hypothyroidism who is starting on levothyroxine (Synthroid), the nurse should inform the client about which possible side effect?

Weight gain

Weight loss

Photophobia

Hypersomnia

57.

The nurse receives an order to administer 65 mg of acetaminophen solution q 4-6 hrs prn for fever. The pharmacy sends a bottle labeled 80 mg per 5 mL. How much should the nurse administer per dose?

8 mL

16 mL

4 mL

12 mL

58.

A client with Irritable Bowel Syndrome (IBS) tells the nurse that they are using Complementary and Alternative Medicine (CAM) methods, including taking probiotics, peppermint oil, and herbal supplements. What is the nurse's BEST response?

None of these is harmful, but you're wasting your money.

There is no proof that these methods will relieve your IBS.

These are dangerous and you should stop taking them at once.

Be sure to tell your provider what you're taking.

59.

A client with a diagnosis of bacterial pneumonia is receiving erythromycin 500 mg PO q 6 hr. Which common side effect may be anticipated?

Nausea and vomiting

Weight gain

Muscle weakness

Brisk tendon reflexes

60.

Which of the following medications works by inhibiting platelet aggregation?

Coumadin

Warfarin

Aspirin

Neomycin

61.

The health care provider (HCP) prescribes 300,000 units Penicillin GIM q 6 hr. Pharmacy dispenses a vial with directions to add 10 mL of sterile water to reconstitute to a concentration of 100,000 units/mL. How many mL will be in each dose?

30 mL

0.3mL

1.3 mL

3 mL

62.

A morphine sulphate injection contains 10 mg/mL. What is the percentage concentration?

0.01%

0.10%

10%

63.

A pediatric nurse is educating the parents of a child with a new diagnosis of asthma about recognizing food triggers. Of the following, which is MOST likely to cause an allergic reaction?

Bananas

French fries

Apple juice

Salmon

64.

A patient who recently quit smoking asks a healthcare provider about the risks of developing lung cancer. Which of the following is the healthcare provider's best response?

In 8 months, the risk of developing lung cancer will be twice as high as for a nonsmoker

If lung cancer hasn't developed yet, the ongoing risk is the same as for a non-smoker

For someone who quits smoking, the risk of developing lung cancer will remain constant and higher than for nonsmokers

In 15 years, the risk of developing lung cancer will be the same as for a nonsmoker

65.

A 68-year-old male has a diagnosis of possible abdominal aortic aneurysm (AAA). When the nurse asks about signs and symptoms, which statement by the client would be most accurate?

I haven't really noticed anything unusual

My legs and feet always feel numb

I’m nauseated and sometimes I Vomit

I have a terrible pain in my stomach

66.

A client presents to the Emergency Department with signs of a myocardial infarction. The client is admitted to the cardiac unit. The next day, the client denies having chest pain. When the nurse reviews the ECG rhythm strip, the PR intervals are 0.16 seconds. How should the nurse interpret this rhythm?

This is within normal PR interval limits

The rhythm indicates a first-degree heart block

The nurse should immediately notify the provider

This is an early sign of reinfarction

67.

When a client suddenly experiences asystole or pulseless electrical activity (PEA), which vasopressor is administered FIRST?

Dopamine

Amiodarone

Epinephrine

Atropine

68.

A patient who has experienced a stroke is being monitored during the acute management phase. The clinician notes that the patient's intracranial pressure (ICP) is 30 mmHg. Which of the following interventions should be performed first?

Raise the head of the bed to 30°

Place the patient in a Sims' position

Obtain vital signs and measure urine output

Assess level of consciousness

69.

The healthcare provider is assessing a patient admitted with a diagnosis of hemorrhagic stroke affecting the right cranial hemisphere. Which assessment finding is consistent with this diagnosis?

Kernig's sign

Bilateral Babinski's sign

Left-sided flaccidity

Right-sided spasticity

70.

Soon after admission, a patient displays signs of possible pulmonary edema. Which position is most appropriate for this patient?

Sims'

Trendelenburg

Fowler's

Orthopneic

71.

A 52-year-old female client presents to the clinic with symptoms of abdominal swelling accompanied by weight loss. She tells the nurse that when she eats, she feels full quickly; also, sex has become painful. The nurse recognizes these symptoms as clinical indications of

heart failure

ovarian cancer

renal metastases

liver disease

72.

When the nurse observes an isolated premature ventricular contraction (PVC) on a patient's cardiac monitor, which action by the nurse is most appropriate?

Continue watching the client's rhythm.

Administer a calcium channel blocker

Immediately notify the primary care provider

Move the code cart to the bedside

73.

Which finding accurately describes Grade 3 pitting edema?

Pressure leaves an indentation of 5-6 mm that takes up to 30 seconds to rebound

Pressure leaves an indentation of 0-2 mm that rebounds immediately

Pressure leaves an indentation of 8 mm or deeper. It takes more than 20 seconds to rebound

Pressure leaves an indentation of 3-4 mm that rebounds in less than 15 seconds

74.

The nurse reviews the daily lab results for a patient with a serious bacterial infection. When reporting the WBC differential to the patient's physician, the physician notes, "There's been a shift to the left." The nurse knows this means

the infection is still progressing

the infection has been resolved

the patient requires platelets

the patient has acute leukemia

75.

A 43-year-old client makes an appointment at the OB clinic because she thinks she might be pregnant with her first child. An examination confirms the pregnancy. The client tells the nurse that her last period began on July 12. Using Naegele's Rule, the nurse tells her that her estimated date of delivery (EDD) is

March 5

April 19

March 19

April 5

76.

A parent brings a 3-year-old to the Emergency Department for a dislocated shoulder. The parent reports that the child fell down the stairs. Which of the following behaviors should raise suspicions that the child may have been abused?

The child doesn't cry when their shoulder is touched

The child doesn't make eye contact with the healthcare provider

The child sobs constantly throughout the examination

The child pulls away from contact with the healthcare provider.

77.

A client with bipolar disorder, manic phase, says to the nurse, "Hey, beautiful! You're sure looking pretty today." Which is the nurse's best response?

Stop. Go to your room and relax

I'm Tina, the nurse for this shift

Aren't you in a good mood today!

Thank you. I appreciate the compliment

78.

Parents take their 16-year-old daughter to the mental health clinic for treatment of self-harm from cutting. Which of the following statements about Nonsuicidal Self-Injury Disorder (NSSID) is FALSE?

The client is at a lower risk for suicidal behavior

The client is at greater risk for disordered eating

NSSID methods typically damage only the body surface

The client is trying to deal with unwanted feelings

79.

When a healthcare provider is caring for a patient who is having an acute panic attack, which of the following actions by the healthcare provider is most appropriate?

Offer the patient reassurance of safety and security

Ask open-ended questions to encourage communication

Explore common phobias associated with panic attacks

Use distraction techniques to change the patient's focus

80.

A parent brings their 3-year-old daughter to the pediatric clinic with a fever and cough. While assessing the child, the nurse notes that the girl's genitals are swollen and bruised. The girl also tells the nurse that "it hurts to walk." Which nursing intervention is MOST important?

Determine if her shoes are fitting properly

Perform a throat culture and administer Tylenol

Document all assessment findings

Notify authorities about suspected child abuse

81.

A patient diagnosed with generalized anxiety disorder (GAD) reports ongoing nausea and abdominal bloating. A physical examination fails to confirm a medical illness to explain these symptoms. The healthcare provider suspects these findings are a result of which of the following?

Dissociation

Dysthymia

Somatization

Derealization

82.

A hospice nurse is caring for a client who is actively dying. The client has been receiving high doses of opioids for pain management. When the client becomes unresponsive to verbal stimuli, what is the nurse's BEST action?

Double the dosage of the opioids

Continue the opioids at the current dose

Discontinue the opioids at once

Begin to wean the client off the opioids

83.

When a female presents to the Emergency Department, stating she has been raped, what is the nurse's first priority?

Instruct on future legal investigations

Notify a social worker for counseling

Initiate a report for the State Health Department

Get permission to obtain safe shelter

84.

The nurse is educating parents of a 7year-old girl who is about to start chemotherapy. The nurse tells them that their daughter will likely experience alopecia (loss of hair) from the treatment. The best approach for the nurse is to

advise them to get a wig for their daughter prior to starting treatment

reassure them that hair falls out gradually and won't be noticeable

tell them that they will soon adjust to their daughter's appearance

emphasize that children don't really care how they look

85.

A client is in a memory care unit because of advanced dementia. The client's spouse is invited to participate in the team meeting to discuss the client's plan of care. The client has recently started to display agitation, confusion, and aggression in the late afternoon. The spouse and team agree that the best INITIAL action is which of the following?

Involve the client in a new craft activity every afternoon

Restrict the client to their room each afternoon

Administer a mild sedative to the client with the afternoon snack

Allow the spouse to visit the client during late afternoons and evenings

86.

After a client has completed an inpatient treatment program for alcohol addiction, which statement by the client would indicate an understanding of the disease process?

From now on, I must avoid alcohol and go to AA meetings

This isn't really my fault. My father passed his alcoholism on to me

I have to stick to a couple of drinks so I can stay in control

If I hadn't lost my job and gotten a DUI, I would have been fine

87.

A healthcare provider is teaching pursed-lip breathing to a patient with emphysema. Pursed-lip breathing helps patients with emphysema because it

helps keep the small airways open and prevents air trapping

helps the patient achieve maximum inhalation

creates negative pressure in the airways

increases the respiratory rate and oxygenation

88.

A nurse is instructing a 53-year-old male client with newly diagnosed type 2 diabetes how to care for his feet at home. Which of the following statements would indicate that the client understands?

Every Sunday evening, I will carefully inspect my feet

If I cut my foot, I'll just apply antibiotic ointment

I'll dry my feet very well after every shower

It's okay to go barefoot in my own home

89.

At what age can the pediatric nurse accurately measure a radial pulse in a child?

Three years

One year

Four years

Two years

90.

A teen female client has iron-deficiency anemia. The nurse instructs her to take the prescribed oral iron supplement with

orange juice

ginger ale

whole milk

plain water

91.

The nurse is educating a postpartum mother on perineal self-care prior to her discharge to go home with her baby. The nurse should instruct the mother

to place and adjust the peri-pad from back to front

to always wear gloves when cleaning the perineum

that tampons can be used after the first few days

to clean and wipe the perineum from front to back

92.

A 29-year-old primigravida experiencing bleeding at 34 weeks is diagnosed with placenta previa. Which test does the provider perform to assess lung maturity of the fetus?

Lecithin-sphingomyelin ratio

Alpha-fetoprotein test

Transvaginal ultrasound

Human Chorionic Gonadotropin

93.

A female client asks her healthcare provider about the benefits of receiving the human papillomavirus (HPV) vaccine. Which statement is the most appropriate response by the healthcare provider?

The HPV vaccine will protect you from all types of the virus

You will no longer need to get a routine cervical exam

You will need to have a booster vaccination each year

The HPV vaccine can help prevent cervical cancer

94.

After assessing their speech development, which of the following children should the nurse refer for further evaluation?

A 12-month-old girl who can say 3-5 words A month

An 18-month-old boy who only says "No"

A 4-month-old girl who laughs out loud

A 10-month-old boy who says "Dada" and "Mama"

95.

The nurse is doing discharge education for a patient with newly diagnosed congestive heart failure (CHF). The nurse tells the client to weigh himself or herself every morning and notify the clinic if they have gained 2 pounds in a 24-hour period. The nurse knows that such a weight gain can indicate

impending liver failure

poor kidney function

decreased cardiac output

excessive calorie intake

96.

The community health nurse is developing a program for clients who are victims of intimate partner violence (IPV). The nurse knows that identifying IPV victims is challenging because

victims have no knowledge of IPV

IPV is a rare occurrence

clients worry about the costs of legal action

clients only express minor, vague complaints

97.

Before postpartum discharge of a Latina mother and her healthy newborn, the mother tells the nurse that she will soon begin to feed the infant pureed foods. The nurse recognizes that the most likely reason for this is

the mother has no role models to help her

the mother cannot afford the expense of baby formula

the mother is following her cultural beliefs

the mother has little formal education

98.

A nurse has instructed a 63-year-old female with a new prescription for captopril (Capoten) for her hypertension. The nurse realizes that the client needs further teaching when the client states,

I'll take my blood pressure every week

I shouldn't stand up too quickly

I will use a salt substitute

I'll call if I get a fever or sore throat

99.

An 82-year-old patient diagnosed with delirium approaches the nurse, worried that she is late for her dental appointment. "I never miss a check-up," she says. Which of the following is the nurse's most appropriate response?

You can't leave because the door is locked so you can't get lost

Let's go to your room, and I'll show you how to brush your teeth

You're in the hospital right now. My name is _________. I'm one of the nurses

It's nearly lunch time. You'll want to eat before your appointment

100.

A client with a diagnosis of schizophrenia comes to the mental health clinic for a routine appointment. The client has been compliant with chlorpromazine (Thorazine) therapy for six months. The nurse notifies the physician after observing signs that indicate tardive dyskinesia. Which signs did the nurse observe?

Blurred vision, drowsiness, constipation

Dry mouth, photosensitivity, orthostatic hypotension

Lip-smacking, blinking, lateral jaw movements

High fever, tachycardia, tachypnea, stupor

1 out of 100

Time is Up!

Time's up

Additional NCLEX RN practice tests and quizzes

For the parts that you scored poorly in, make sure to take our Practice Quizzes for the specific section. Here you can navigate all the NCLEX RN practice quizzes sections.

NCLEX RN full practice tests #2 and #3
NCLEX RN Management of Care quizzes
NCLEX RN Safety and Infection Control quizzes
NCLEX RN Basic Care and Comfort quizzes
NCLEX RN Reduction of Risk Potential quizzes
NCLEX RN Pharmacological and Parenteral Therapies quizzes
NCLEX RN Physiological Adaptation quizzes
NCLEX RN Psychosocial Integrity quizzes
NCLEX RN Health Promotion and Maintenance quizzes

NCLEX PN Practice Exams

NCLEX PN Practice Exam 1

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Welcome to your NCLEX-PN Practice Exam 1

This test is designed to prepare you mentally for the actual NCLEX-PN Exam with (100 questions) and the time allowed (120 minutes) as the actual exam.

The NCLEX-PN Exam is breakdown into Eight (8) Parts.

Here are the Eight (8) Domains of the NCLEX-PN Exam with the weightage and number of questions in this practice exam:

Domains	Weightage
1- Coordinated Care	18%–24%
2- Safety and Infection Control	10%–16%
3- Basic Care and Comfort	7%–13%
4- Reduction of Risk Potential	10%–16%
5- Pharmacological and Parenteral Therapies	9%–15%
6- Physiological Adaptation	7%–13%
7- Psychosocial Integrity	9%–15%
8- Health Promotion and Maintenance	6%–12%

Please click NEXT to start your Free NCLEX-PN PRACTICE EXAM right away.

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Which phase of the nursing process involves data collection and validation?

Diagnosis

Assessment

Implementation

Planning

A home health nurse visits a client with terminal cancer. The client asks the nurse to witness the advance directive. What is the nurse's BEST action?

Help the client find a third-party witness

Notify the home health agency at once

Agree to sign the directive as a witness

Tell the client that it's no longer necessary

A client wearing expensive jewelry reports for same-day surgery. What should the nurse tell the client?

We'll ask the supervisor to hold your jewelry until you're in the recovery room

We'll put the jewelry in an envelope. We'll both sign it and put it in our safe

We'll tape the jewelry to you so it will remain secure during surgery

We keep all expensive items in the narcotic box so no one will take them.

If a patient asks to see her chart, what should the nurse do?

Report the patient's request to the charge nurse

Call the doctor to get an order for the patient to read her chart

Give the patient the chart and answer her questions

Tell the patient she can see the chart when her physician is present

After a client has had major surgery, the nurse provides information about the client's condition to a visitor whom the nurse believes to be a family member. Later, the nurse finds out that the visitor was not a relative. Which legal violation has occurred?

Responsibilities beyond the scope of practice

Failure to follow the chain of command

Negligence in providing appropriate care

Disregard for client's right to privacy

While passing medications, a nurse overhears another LPN verbally abusing a patient. What should the nurse do?

Notify the unit charge nurse or supervisor

Call the facility's security department

Take the LPN aside and give the LPN a warning

Document the incident in the patient's chart

An experienced nurse is precepting a new graduate on the unit. As she teaches the new nurse to prioritize assignments, which task requires intervention by the experienced nurse?

Allowing time for unexpected events

Making a list of supplies for each duty

Documenting at the end of the shift

Asking for assistance with organization

Nurses agree to be advocates for their clients. The practice of advocacy calls for the nurse to

seek out the nursing supervisor to resolve conflicts

assess the client's perspective and explain it when necessary

apply the law to the client's clinical condition

document all clinical changes in the medical record every two hours

If a client cannot read or write, the nurse can read the consent form in front of two witnesses. What else should the nurse do?

Allow the Risk Management Supervisor to sign the consent

Ask the hospital lawyer to assist with the consent

Let a family member sign the consent form

Ask the patient to make an "X" as a signature

10.

Which of the following situations is considered an assault?

A patient seeks to be discharged but is physically forced to remain

A nurse threatens to put a resident in restraints

The supervisor shares a nurse's poor evaluation at a staff meeting

A doctor tells a client that the nurse is incompetent

11.

The following clients arrive for their appointments at the diabetic clinic. Whom should the nurse see first?

A type 2 diabetes client who has a headache and a fruity odor on his breath

A type 1 diabetes client who feels weak but is eating a simple-carb snack

A type 1 diabetes client who needs a dressing change for his foot ulcer

A type 2 diabetes client who is to receive education about her diet

12.

If a nurse posts comments or anecdotes on social media that include identifying information about clients, what are the grounds for firing the nurse?

The nurse violated a pledge

The nurse was unethical

The nurse was negligent

The nurse violated the law

13.

A 23-year-old with terminal brain cancer tells you that she has an Advance Directive for her end-of-life care. You know this can mean any of the following EXCEPT

her living will can indicate her wishes

she can choose to be a DNR patient

her family can direct the staff to keep her alive

she can designate who can make her medical decisions

14.

The nurse demonstrates knowledge of transmission-based standards by doing which of the following?

Wiping a thermometer with antiseptic after each use

Maintaining an adequate supply of masks in the patient's room

Sealing lab specimens in a ziplock biohazard bag

Assigning a patient to a semiprivate room

15.

What is the FIRST thing that a nurse should do in a fire emergency?

Contain the fire

Pull the fire alarm

Evacuate the building

Rescue patients in danger

16.

What is the meaning of this symbol?

Biohazard

Radioactive

Isolation

Poison

17.

After receiving the report from the previous shift, which assigned client should the nurse prioritize?

The post-op client waiting for a chest x-ray

The post-op client waiting for discharge teaching

The post-op client who needs a dressing change

The post-op client on 02 with dyspnea

18.

Following a stroke with left-sided weakness, a client is also diagnosed with hemianopia. Which intervention will be added to the client's care plan?

Approach the client from the unaffected side

Turn the client to the right side for visitors

Use the "clock method" when serving meals

Cover the affected eye during the day

19.

A pediatrician's office notifies the hospital that a 7-year-old child will be admitted with a diagnosis of measles. Which precautions should the nurse prepare for?

Reverse

Droplet

Enteric

Airborne

20.

A male patient undergoing chemotherapy develops white lesions on his tongue and inner cheeks. The nurse knows the condition is likely

alphthous ulcers

candidiasis

leukoplakia

herpes simplex

21.

A new resident at a long-term care facility has been diagnosed with herpes zoster. Which staff member should NOT be assigned to care for the resident?

A staff member who never had diphtheria or vaccination to prevent it

A staff member who never had chickenpox or vaccination to prevent it

A staff member who never had measles or vaccination to prevent it

A staff member who never had mumps or vaccination to prevent it

22.

Which client has the highest risk of falling?

A 22-year-old male with 3 fractured ribs and his right arm in a cast

A 36-year-old female with a fractured tibia

A 63-year-old male with angina pectoris

A 75-year-old female with episodes of syncope

23.

The nurse administers a dose of vitamin B12 to the wrong patient. What is the appropriate action for this medication error?

Contact the pharmacy to request an antidote

No action is necessary, because vitamin B12 is harmless

Document the error in the medication record

Notify the doctor and fill out an incident report

24.

A nurse is invited to speak to a high school sophomore health class about transmitting infectious mononucleosis. Which of the following statements has the most accurate information for the class?

Avoid holding hands or intimate touching

Remember to wash your hands frequently

Don't share food or drinks with others

You'll know if you have it a week later

25.

During an initial assessment of a new female resident in a long-term care facility, the nurse observes old and recent bruises on the arms, back, and buttocks of the woman. She tells the nurse that her family members hit her. What is the nurse's best response?

We can teach you how to defend yourself from abuse

You're safe now. I won't tell anyone what you said

I'll tell the nursing supervisor to limit family visits

I have a legal responsibility to report what I know

26.

What is the single most effective action that a nurse can perform to avoid spreading an infection?

Practice principles of asepsis

Adhere to proper hand hygiene

Use personal protective equipment

Follow standard precautions

27.

A client receiving chemotherapy is experiencing stomatitis. What should the nurse offer the client?

Warm saline rinses four times each day

Plenty of ice chips between meals

Vigorous oral care with a commercial mouthwash

Hot soup for lunch and dinner

28.

A client with Stage III lung cancer reports that he has nausea and loss of appetite caused by the chemotherapy. What should the nurse recommend to promote adequate nutrition?

Eat only your favorite foods

Eat small meals throughout the day

Eat only when you feel hungry

Eat a single large meal for lunch

29.

A patient diagnosed with Crohn's disease has a new colostomy. When assessing the patient's stoma, which of these would alert the nurse that the stoma has retracted?

Pinkish red and moist

Narrowed and flattened

Concave and bowl shaped

Dry and reddish purple

30.

When providing postmortem care for a patient who will be an eye donor, which action is most appropriate?

Tape the eyes tightly and place the patient in a high Fowler's position

Close the eyes and place the patient in a supine position

Cover the eyes with saline-soaked pads and place the patient in a low Fowler's position

Apply silver nitrate to the eyes and place the patient in a Trendelenburg position

31.

The nurse is preparing a patient for a total colectomy and the placement of an ileostomy. The patient asks where the stoma will be located. The nurse identifies which of the following areas as the correct stoma site?

32.

After their 12-year-old daughter is prescribed a brace for her scoliosis, the nurse provides instruction to the parents. Which statement by the mother indicates a need for more education?

It's important for her to stay active and do the prescribed exercises

She should wear a soft T-shirt with no side seams under the brace

The brace should be worn as snugly as possible

I'll put lotion on her skin before she puts on the brace

33.

A nurse is administering an enema solution to a client. The client tells the nurse that he feels pain and cramping in his abdomen. What is the nurse's BEST action?

Discontinue the enema and notify the physician

Pause for 1 minute, then restart slower

Explain that an enema can cause discomfort

Quickly administer the rest of the solution

34.

For a client with a surgical wound, which of the following meals will best promote healing?

Spaghetti with marinara sauce, pudding, and a glass of wine

Roast chicken, broccoli, cantaloupe, and a glass of milk

Spinach salad, buttered roll, gelatin, and coffee with cream

Hamburger, french fries, apple pie, and a large soft drink

35.

A client receiving chemotherapy has a poor appetite, so a liquid nutritional supplement is recommended. What is the BEST time for the client to drink the supplement?

Between breakfast and lunch

Along with lunch

Right before lunch

Right after lunch

36.

During the admission process, a client tells the nurse that he is lacto-vegetarian. The nurse knows that this means he cannot eat

eggs

cheese

broccoli

yogurt

37.

Following abdominal surgery, a client tells the nurse that he can't follow post-op instructions on coughing because of pain at the incision site. Which of the following is the BEST way to help reduce the client's discomfort?

Sit at the edge of the bed before he coughs

Administer pain medication after the client coughs

Hold a pillow on the incision while coughing

Flex both knees to the chest when coughing

38.

A pediatric patient has been admitted to the unit with a diagnosis of right lower lobe (RLL) pneumonia. When auscultating the RLL, which sound should the nurse expect to hear?

Stridor

Wheezes

Crackles

Rhonchi

39.

If a diabetic patient receives NPH insulin at 6:00 a.m., how soon might the patient show any signs of hypoglycemia?

9:00 a.m.

8:00 a.m.

7:00 AM

10:00 a.m.

40.

A neighbor complains to the nurse that her doctor refuses to prescribe an antibiotic to treat her head cold. How should the nurse respond?

Antibiotics don't work against any viral infections

Only people who have chronic

1800+ Free NCLEX practice questions – 6 Practice exams 2023

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NCLEX RN Practice Exams

NCLEX RN Practice Exam 1

Additional NCLEX RN practice tests and quizzes

NCLEX PN Practice Exams

NCLEX PN Practice Exam 1