NCLEX RN practice questions - 200 Free questions 2024

Welcome to your NCLEX-RN Practice Exam 2

This test is designed to prepare you mentally for the actual NCLEX-RN Exam with (100 questions).

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!

1.

[RN Management of Care,NCLEX-RN]

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

A. document all clinical changes in the medical record every two hours

B. seek out the nursing supervisor to resolve conflicts

C. apply the law to the patient's clinical condition

D. assess the patient's perspective and explain it when necessary

1 out of 100

2.

[RN Management of Care,NCLEX-RN]

A health care provider (HCP) writes a prescription for a client with a new diagnosis of conjunctivitis: "Gatifloxacin solution 1 gtt OD q4H." The client shows the script to the nurse. What is the nurse's BEST action?

A. Contact the HCP to clarify and rewrite the prescription

B. Educate the client to squeeze one drop into the left eye every 4 hours

C. Educate the client to squeeze one drop into the right eye every 4 hours

D. Contact the pharmacy to ensure that gatifloxacin is in stock

2 out of 100

3.

[RN Management of Care,NCLEX-RN]

If a nurse applies a restraint vest without the patient's permission or a physician's order, the nurse may be charged with

A. assault

B. neglect

C. battery

D. invasion of privacy

3 out of 100

4.

[RN Management of Care,NCLEX-RN]

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

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

B. We will tape the jewelry to you so it will remain secure during surgery

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

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

4 out of 100

5.

[RN Management of Care,NCLEX-RN]

After completing the interviews for a staff nurse position in a busy medical unit, the nurse manager recognizes that the most qualified candidate has disclosed a need for accommodation related to a sensory impairment. What is the nurse manager's MOST appropriate action?

A. Contact the corporate attorney to legally prevent hiring the nurse

B. Advise the nurse to apply for a position in a less challenging unit

C. Determine what types of accommodation the candidate requires

D. Inform the candidate that accommodation for nurses isn't possible

5 out of 100

6.

[RN Management of Care,NCLEX-RN]

When a nurse is assigning a task to an unlicensed assistive personnel (UAP), which is the most important factor in the nurse's decision?

A. The UAP's strengths and weaknesses

B. Where the UAP got their certification

C. The UAP's experience in the unit

D. Which tasks the UAP prefers

6 out of 100

7.

[RN Management of Care,NCLEX-RN]

Which of the following pediatric clients is at the GREATEST risk to develop pediatric acute respiratory distress syndrome (PARDS)?

A. A child with a near-drowning experience

B. The child with a known congenital heart defect

C. The child with a fractured femur

D. A child with a sudden fever of 103.4°F (39.7°C)

7 out of 100

8.

[RN Management of Care,NCLEX-RN]

The nurse is reviewing the health care provider's (HCP) admit orders for a client with a diagnosis of gastroesophageal reflux disease (GERD). The HCP has prescribed omeprazole daily, Maalox a.C., acid-reflux diet, and the bed to be maintained in Fowler's position. Which order should the nurse clarify with the HCP?

A. Reason for omeprazole

B. Bed position

C. Schedule for Maalox

D. Prescribed diet

8 out of 100

9.

[RN Management of Care,NCLEX-RN]

While transcribing a physician's orders, the unit secretary asks the nurse to decipher an illegible medication order. What should the nurse do?

A. Duplicate the previous medication order

B. Check the admission record medication list

C. Clarify the medication order by asking the pharmacist

D. Clarify the medication order by calling the physician

9 out of 100

10.

[RN Management of Care,NCLEX-RN]

Which of the following is NOT considered protected health information (PHI)?

A. Email addresses

B. Social Security number

C. Driver's license number

D. Pedometer log

10 out of 100

11.

[RN Management of Care,NCLEX-RN]

A female patient with a diagnosis of terminal cancer has a Do Not Resuscitate (DNR) order. She stops breathing. Her husband begs the nurse, "Save her!" What should the nurse do?

A. Inform the husband that she has a terminal diagnosis

B. Notify the physician of the patient's demise

C. Honor his wishes and proceed with a full code

D. Remind the husband that a DNR order is in place

11 out of 100

12.

[RN Management of Care,NCLEX-RN]

After the hospital Quality Improvement Team discovers a sudden increase in IV site infiltrations in a surgical unit, they implement a Plan-Do-Study-Act (PDSA) initiative. Which step will come first?

A. Implement a new IV insertion policy

B. Perform chart audits

C. Analyze the data

D. Monitor which IV needle gauges are used

12 out of 100

13.

[RN Management of Care,NCLEX-RN]

Many lawsuits involving a nursing professional happen when the nurse

A. abandons patients when going to lunch

B. follows an order that is incomplete or incorrect

C. documents the physician's errors

D. watches a new employee to verify the employee's skills level

13 out of 100

14.

[RN Safety and Infection Control,NCLEX-RN]

A pediatric nurse gets a call from the Emergency Department that a 2-year-old is being admitted with a diagnosis of febrile seizures. As the nurse prepares for his admission, which of the following is the most important nursing action?

A. Place a cooling mattress on the child's bed

B. Order a STAT admission CBC

C. Pad the side rails of the child's bed

D. Place a urine collection bag and specimen cup at the bedside

14 out of 100

15.

[RN Safety and Infection Control,NCLEX-RN]

What is the proper way to dispose of a used needle and syringe?

A. Separate the needle and syringe and place both in the sharps disposal container in the patient's room

B. Cut the needle at the hilt in a needle cutter before disposing of it in the sharps disposal container in the patient's room

C. Recap the needle and place the needle and syringe in the sharps disposal container in the patient's room

D. Immediately place the needle and syringe in the sharps disposal container in the patient's room

15 out of 100

16.

[RN Safety and Infection Control,NCLEX-RN]

After a patient's primary care physician has made the rounds, the nurse notices that the physician wrote an order for a medication at triple the normal dose. What should the nurse do?

A. Administer the medication as ordered

B. Contact the physician immediately

C. Ask the nurse supervisor for advice

D. Call the pharmacy to see if the dosage is safe

16 out of 100

17.

[RN Safety and Infection Control,NCLEX-RN]

After outpatient surgery, a client comes to the clinic for a follow-up appointment. The nurse documents the client's surgical incision as having red granulation tissue. This indicates that the wound is

A. necrotic

B. dehisced

C. Healing

D. infected

17 out of 100

18.

[RN Safety and Infection Control,NCLEX-RN]

The nurse is educating a client who is to receive brachytherapy for a diagnosis of prostate cancer. Which of the following instructions should the nurse include?

A. Children under age 18 and pregnant women may not visit the client

B. Visiting hours are limited to 4 hours a day per person

C. Visitors must stand at least 18 inches away from the client

D. The client may ambulate in the hall for 5 minutes at a time

18 out of 100

19.

[RN Safety and Infection Control,NCLEX-RN]

If a nurse is assigned to care for a patient with a Sengstaken-Blakemore tube, which item MUST be kept at the patient's bedside?

A. Sutures

B. Scissors

C. A Yankauer

D. A hemostat

19 out of 100

20.

[RN Safety and Infection Control,NCLEX-RN]

What precautions are necessary when caring for a patient with hepatitis A?

A. Wearing gloves for direct care

B. Placing the patient in a private room

C. Gowning before entering the room

D. Wearing a mask at all times

20 out of 100

21.

[RN Safety and Infection Control,NCLEX-RN]

A 2-year-old girl is admitted for 24-hour observation after she fell from her crib onto her head. The pediatric nurse should call the provider to report which of the following?

A. Drop in respirations from 36 to 28 per minute

B. Rise in temperature from 99.2 °F to 101.6 °F

C. Rise in B/P from 82/40 to 98/56 mmHg

D. Drop in heart rate from 120 to 100 bpm

21 out of 100

22.

[RN Safety and Infection Control,NCLEX-RN]

According to the CDC guidelines on hand hygiene, nurses who have direct contact with high-risk patients should not wear artificial nails, because the nails

A. do not meet professional dress codes

B. get torn off when changing bed linens

C. can transmit gram-negative pathogens

D. tend to puncture sterile gloves

22 out of 100

23.

[RN Safety and Infection Control,NCLEX-RN]

Shortly after the nurse enters a client's room, the client experiences a tonic-clonic seizure. What is the nurse's FIRST action?

A. Turn the client onto their side

B. Notify the rapid response team

C. Place a tongue blade in the client's mouth

D. Put the client's bed in Fowler's position

23 out of 100

24.

[RN Safety and Infection Control,NCLEX-RN]

A 12-year-old child has a near-drowning experience with submersion for about 10 minutes. EMS resuscitates and transports the child to the hospital. The nurse knows that the organ most likely to sustain irreversible damage is the

A. liver

B. heart

C. kidney

D. brain

24 out of 100

25.

[RN Safety and Infection Control,NCLEX-RN]

A nurse is instructing a newly diagnosed diabetic client and his wife about lispro (Humalog) insulin. The client is to receive 6 units by subcutaneous (SC) injection each morning at 7:30 a.m. At what time should the client and his wife be alert to a possible hypoglycemic reaction?

A. 8:30 a.m.

B. 11:30 a.m.

C. 7:45 a.m.

D. 10:45 a.m.

25 out of 100

26.

[RN Safety and Infection Control,NCLEX-RN]

While preparing a client for dialysis, the nurse should assess the client's arteriovenous (AV) fistula by

A. checking for discoloration

B. palpating for vibration

C. inspecting for leakage

D. observing for swelling

26 out of 100

27.

[RN Basic Care and Comfort,NCLEX-RN]

The nurse is educating the parents of a young child with a recent diagnosis of cystic fibrosis. The nurse tells the parents that the child will be at risk for which vitamin deficiencies?

A. Folic acid and biotin

B. B12, C, and E

C. B1 and pantothenic acid

D. A, D, and K

27 out of 100

28.

[RN Basic Care and Comfort,NCLEX-RN]

When instructing a patient with Addison's disease about nutrition, the healthcare provider should NOT recommend which of the following dietary modifications?

A. A diet high in grains

B. A restricted-sodium diet

C. A high-protein diet

D. A diet with adequate caloric intake

28 out of 100

29.

[RN Basic Care and Comfort,NCLEX-RN]

Before administering a scheduled 300 ml enteral feeding bolus to a comatose adult client, the nurse aspirates 100 mL of gastric residual volume. Which nursing action is MOST appropriate?

A. Flush the tubing with warm water.

B. Hold the feeding bolus for two hours.

C. Administer the bolus as prescribed.

D. Request a different enteral formula.

29 out of 100

30.

[RN Basic Care and Comfort,NCLEX-RN]

Despite frequent turning and skin assessment, occasional urinary incontinence has caused a bedridden resident to develop a reddened and tender area on the coccyx. The resident weighs 192 pounds. Which pressure-relieving device should be used for the client?

A. Natural sheepskin

B. Low air loss bed

C. Egg crate foam

D. Alternating overlay

30 out of 100

31.

[RN Basic Care and Comfort,NCLEX-RN]

During assessment, the home health nurse learns that the client has a fecal impaction. Before proceeding to manually remove the stool, what is the nurse's PRIORITY?

A. Advise the family to increase the client's fluid and fiber intake.

B. Teach family members to perform the disimpaction process.

C. Give an analgesic or sedative to make the client comfortable.

D. Recall that cardiac dysrhythmias are a possibility.

31 out of 100

32.

[RN Basic Care and Comfort,NCLEX-RN]

A father brings his 6-month-old son and 3year-old daughter for their routine check-ups. What is the nurse's best strategy?

A. Examine the 3-year-old first so she can show her brother.

B. Examine the 6-month-old first while his sister watches.

C. Let the 3-year-old play during the baby's examination.

D. Ask the father to step out with one child while the other child is examined.

32 out of 100

33.

[RN Basic Care and Comfort,NCLEX-RN]

While providing pre-operative education to a client, the nurse explains that the client will return from surgery with a sequential compression device (SCD). Which of the following statements by the nurse would be most correct?

A. You will wear the SCD when ambulating.

B. The SCD means you can stay on bed rest.

C. You won't have to do any other exercises.

D. The SCD imitates the action of walking.

33 out of 100

34.

[RN Basic Care and Comfort,NCLEX-RN]

A primigravida client comes to the prenatal clinic after missing three periods. After her pregnancy has been confirmed, the client tells the nurse that her last period started on June 10. Using Naegele's Rule, what is the client's estimated date of delivery (EDD)?

A. March 17

B. March 10

C. March 3

D. March 24

34 out of 100

35.

[RN Basic Care and Comfort,NCLEX-RN]

The nurse calculates the 1-minute Apgar score for a neonate with the following: 1. Respiratory effort: slow; 2. heart rate: 120 bpm; 3. muscle tone: some flexion of extremities; 4. reflex irritability: vigorous; 5. skin color: body pink, blue extremities. What score does the nurse assign?

A. 8

B. 9

C. 7

D. 10

35 out of 100

36.

[RN Basic Care and Comfort,NCLEX-RN]

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?

A. Stridor

B. Crackles

C. Rhonchi

D. Wheezes

36 out of 100

37.

[RN Basic Care and Comfort,NCLEX-RN]

During a routine check-up, a client asks the nurse to suggest a breakfast that can help prevent constipation. Which of the following would be the best food choices?

A. Fried eggs and bacon

B. Oatmeal and a banana

C. Plain bagel and cream cheese

D. Donut and orange juice

37 out of 100

38.

[RN Basic Care and Comfort,NCLEX-RN]

A client in the Emergency Department is experiencing the "fight-or-flight" response, a sympathetic nervous system reaction. Which of the following will the nurse expect to observe?

A. Increased urine output

B. Decreased pupil size

C. Decreased perspiration

D. Increased pulse rate

38 out of 100

39.

[RN Reduction of Risk Potential,NCLEX-RN]

The earliest identifying sign for a developing pressure sore is a localized

A. loss of sensation

B. change in color

C. edema

D. coolness to touch

39 out of 100

40.

[RN Reduction of Risk Potential,NCLEX-RN]

A patient with a fractured hip has been placed in Buck's traction. Which of the following statements about this treatment is true?

A. The purpose is to immobilize the leg(s)

B. Kirschner wires are inserted

C. It utilizes a Steinmann pin

D. It is primarily used to heal fractured hips

40 out of 100

41.

[RN Reduction of Risk Potential,NCLEX-RN]

Which of these would be most important to include in discharge teaching for a patient with a platelet count of 40,000/mcL (40 x 10^9/L)?

A. Use a soft toothbrush and floss gently

B. You should take a multivitamin daily

C. Be sure to take your aspirin with meals daily

D. You may continue shaving with a straight-edge razor

41 out of 100

42.

[RN Reduction of Risk Potential,NCLEX-RN]

A daughter takes her 85-year-old father to the clinic because he is confused and weak. She tells the nurse that his appetite is poor. The nurse also observes that his blood pressure is lower than normal. The provider orders blood work for the client. Which lab result should the nurse immediately report?

A. Potassium (K) 4.2 mEq/L

B. Sodium (Na) 115 mEq/L

C. Calcium (Ca) 9.6 mg/dL

D. Chloride (CI) 100 mEq/dL

42 out of 100

43.

[RN Reduction of Risk Potential,NCLEX-RN]

On reviewing the culture results of a newly admitted patient, the nurse notes that the patient has methicillin-resistant Staphylococcus aureus (MRSA). Which transmission-based precautions should be instituted for this patient?

A. Contact precautions

B. Enteric precautions

C. Droplet precautions

D. Airborne precautions

43 out of 100

44.

[RN Reduction of Risk Potential,NCLEX-RN]

The nurse is caring for a fresh postoperative cholecystectomy client with a T-tube in place. As the nurse records the output from the T-tube, what is the typical drainage for the first 24 hours?

A. More than 500 ml

B. Less than 100 mL

C. 300-500 mL

D. 100-300 ml

44 out of 100

45.

[RN Reduction of Risk Potential,NCLEX-RN]

The nurse is preparing a client for a liver biopsy. Which instruction regarding the procedure is correct?

A. The client will be placed on the right side after the procedure

B. The client will receive an enema to prevent bowel perforation

C. The client will be NPO for 12 hours before the procedure

D. The client will have to hold their breath for 15 minutes

45 out of 100

46.

[RN Reduction of Risk Potential,NCLEX-RN]

In the proper sequence for removing personal protective equipment (PPE), which item is removed last?

A. Goggles

B. Gloves

C. Gown

D. Mask

46 out of 100

47.

[RN Reduction of Risk Potential,NCLEX-RN]

On Thursday, January 1, following a motor vehicle crash, EMS transports a male named Robert to the Emergency Department. The nurse asks the client to state his name, where he is, and the date. Robert answers, "Robert, hospital, December." What verbal response score on the Glasgow Coma Scale does the nurse assign?

A. Words=3

B. Oriented = 5

C. Confused = 4

D. Sounds = 2

47 out of 100

48.

[RN Reduction of Risk Potential,NCLEX-RN]

The nurse is performing an assessment of a client who had major abdominal surgery 5 days ago. The client reports feeling a "pop where my surgery was" when the client coughed. On inspection, the nurse notes that the wound edges have separated at the incision line. What should the nurse do FIRST?

A. Notify the health care provider (HCP)

B. Stress the importance of splinting when coughing

C. Administer a cough suppressant medication STAT

D. Apply an antibiotic ointment and sterile dressing

48 out of 100

49.

[RN Reduction of Risk Potential,NCLEX-RN]

When a client is on warfarin therapy, which laboratory value should the nurse monitor?

A. International Normalized Ratio

B. Bleeding time

C. Factor V assay

D. Platelet count

49 out of 100

50.

[RN Reduction of Risk Potential,NCLEX-RN]

A client's arterial blood gas (ABG) values are pH 7.48, PO2 98 mmHg, PCO2 28 mmHg, HCO3 24 mEq/L. These results are consistent with which of the following clients' conditions?

A. Chronic obstructive pulmonary disease (COPD)

B. Type 1 diabetes with diabetic ketoacidosis (DKA)

C. Anxiety-related hyperventilation

D. Vomiting and diarrhea for the past two days

50 out of 100

51.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

The physician orders an IV theophylline drip at 40 mg/hr. The pharmacy sends a 250 ml bag of D5W mixed with 500 mg theophylline. What should the infusion rate on the pump be?

A. 80 mL/hr

B. 20 ml/hr

C. 60 mL/hr

D. 40 ml/hr

51 out of 100

52.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

When a drug's effect is increased after a second drug is administered, this interaction is called

A. synergism

B. antagonism

C. absolution

D. potentiation

52 out of 100

53.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

If a drug is 50% protein-bound, it means that

A. 50% of the drug is available

B. 50% will pass through the intestines

C. 50% less protein should be eaten

D. 50% of the drug destroys protein

53 out of 100

54.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

Celecoxib (Celebrex) can be prescribed for all of the following EXCEPT

A. juvenile rheumatoid arthritis

B. hereditary colon polyps

C. third-trimester pregnancy

D. severe menstrual pain

54 out of 100

55.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

IV lidocaine (Xylocaine) is contraindicated for which cardiac condition?

A. Coronary artery bypass

B. Ventricular arrhythmias

C. Third-degree heart block

D. Myocardial ischemia

55 out of 100

56.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

The health care provider (HCP) prescribes a beta blocker for a client with hypertension: "Atenolol 75 mg PO BID." The nurse notes that the medication comes as a scored 50 mg tablet. How many tablets will the nurse instruct the client to take each time?

A. 2/3 tablet each dose

B. 1.5 tablets each dose

C. Ask for a liquid form

D. 1 tablet in a.m., 2 tablets in p.m.

56 out of 100

57.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

The safe blood level range for lithium is

A. 0.25–1.0 mEq/L

B. 1.3-2.0 mEq/L

C. 2.1-2.5 mEq/L

D. 0.6-1.2 mEq/L

57 out of 100

58.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

The provider orders furosemide (Lasix) oral solution 0.5 mL stat. The pharmacy sends a bottle marked 10 mg/mL. What dosage will the nurse administer?

A. 0.5 mg

B. 5 mg

C. 0.05 mg

D. 1.5 mg

58 out of 100

59.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A postoperative client has developed thrombophlebitis in a leg. The physician has ordered heparin sodium 7500 units SC q 12 hours. Which lab value should the nurse report to the physician before administering the heparin?

A. Prothrombin time (PT)

B. Partial thromboplastin time (PTT)

C. Glycated hemoglobin (HbA1c)

D. Complete blood count (EBC)

59 out of 100

60.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

When a provider prescribes sodium polystyrene sulfonate (Kayexalate) for a client, the nurse can expect the client's subsequent lab values to show

A. a decrease in serum bicarbonate

B. a decrease in serum potassium

C. an increase in serum calcium

D. an increase in serum magnesium

60 out of 100

61.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A patient is receiving propranolol (Inderal) for a diagnosis of supraventricular tachycardia (SVT). When the nurse does an assessment, which finding would indicate an adverse reaction to the drug?

A. Paresthesia

B. Aphasia

C. Oliguria

D. Bradycardia

61 out of 100

62.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

The health care provider (HCP). prescribes 1/2 strength tube-feeding formula for a client who is restarting enteral nutrition. A standard can of formula contains 240 mL. How much water should the nurse add to obtain 1/2 strength?

A. 360 mL

B. 480 mL

C. 240 mL

D. 120 mL

62 out of 100

63.

[RN Pharmacological and Parenteral Therapies,NCLEX-RN]

A client receiving hemodialysis therapy weighs 78 kg today. The nurse notes that the client's previous weight was 76 kg. What is the percent change? Round to two decimal places.

A. 0.26%

B. 4.40%

C. 0.44%

D. 2.63%

63 out of 100

64.

[RN Physiological Adaptation,NCLEX-RN]

Which characteristic of a breast lump is most likely to indicate the possibility of cancer?

A. Immobile

B. Round

C. Soft

D. Painful

64 out of 100

65.

[RN Physiological Adaptation,NCLEX-RN]

A nurse's neighbor tells the nurse that the neighbor's provider recommended that they take docusate sodium (Colace). Which of the following statements by the nurse is correct?

A. You'll have regular bowel movements

B. You may experience mild headaches at first

C. You'll probably feel less anxious very soon

D. Your heartburn is going to go away

65 out of 100

66.

[RN Physiological Adaptation,NCLEX-RN]

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?

A. C

B. D

C. A

D. B

66 out of 100

67.

[RN Physiological Adaptation,NCLEX-RN]

Which of the following conditions most commonly causes acute glomerulonephritis?

A. A congenital condition leading to renal shutdown

B. Group A Streptococcus infection within the past 10-14 days

C. Chronic viral destruction of the glomeruli

D. End-stage renal disease

67 out of 100

68.

[RN Physiological Adaptation,NCLEX-RN]

An electrocardiogram strip shows that the PR interval is 6 small boxes in length. The nurse knows this indicates

A. a delay in AV node conduction

B. stress is causing sympathetic stimulation

C. an impending myocardial infarction

D. the interval is within normal limits

68 out of 100

69.

[RN Physiological Adaptation,NCLEX-RN]

A healthcare provider is teaching a group of students about the characteristics of type 1 diabetes mellitus. Which of the following is the underlying cause of this disease?

A. Destruction of pancreatic beta cells

B. Cellular resistance to insulin

C. Increased hepatic glycogenesis

D. Atrophy of pancreatic alpha cells

69 out of 100

70.

[RN Physiological Adaptation,NCLEX-RN]

A client is admitted to the unit with ascites secondary to a diagnosis of cirrhosis. The nurse knows that the cause of cirrhotic ascites is

A. decreased albumin production

B. decreased renal function

C. acute portal hypertension

D. acute electrolyte imbalance

70 out of 100

71.

[RN Physiological Adaptation,NCLEX-RN]

EMS transports a patient with a gunshot wound to the head. The patient is unresponsive and displaying decorticate posturing. Which area of the brain has been damaged?

A. Brainstem

B. Midbrain

C. Amygdala

D. Medulla

71 out of 100

72.

[RN Physiological Adaptation,NCLEX-RN]

A previously healthy 60-year-old female is transported by EMS for a complaint of chest pain. EMS places her on an 02 cannula at 2 L/min. On arrival at the Emergency Department, which nursing action is MOST important to address?

A. Complaints of nausea and indigestion

B. Inability to focus and complete assessment with the nurse

C. Restlessness and feelings of apprehension

D. Assessment of previous personal and family cardiac history

72 out of 100

73.

[RN Physiological Adaptation,NCLEX-RN]

A client is admitted with a diagnosis of central diabetes insipidus, related to insufficient secretion of antidiuretic hormone (ADH). Which urine specific gravity result supports the diagnosis?

A. 1.002

B. 1.02

C. 1.01

D. 1.04

73 out of 100

74.

[RN Physiological Adaptation,NCLEX-RN]

A new client tells the nurse that her previous provider told her she has endometriosis, but the client doesn't understand what that means. How should the nurse explain it to the client?

A. It's when tissue that normally lines the uterus grows in other places

B. It's the cause of pelvic inflammatory disease

C. It's a condition that increases the risk of ovarian cancer

D. It's the sharp pain that occurs in the mid-menstrual cycle

74 out of 100

75.

[RN Physiological Adaptation,NCLEX-RN]

In order for the nurse to accurately assess the progress of a client in a weight-loss program, which is most effective?

A. Weigh the client consistently

B. Follow serum protein lab results

C. Track daily food caloric values

D. Monitor intake and output

75 out of 100

76.

[RN Physiological Adaptation,NCLEX-RN]

Knowing that a client undergoing head and neck radiation will likely develop stomatitis, which daily routine measure should the nurse include in client teaching?

A. A glass of wine with dinner will be relaxing

B. Limit oral hygiene to the morning and evening

C. Omit fruits and vegetables until therapy is complete

D. A weak saltwater solution can soothe the mouth

76 out of 100

77.

[RN Psychosocial Integrity,NCLEX-RN]

The nurse in a mental health unit is caring for a 15-year-old who was admitted after a suicide attempt. Which of the following factors is MOST likely to contribute to an adolescent's risk of suicide?

A. Academic and homework difficulties

B. Peer pressure and bullying

C. The end of a romantic relationship

D. Increased financial stress at home

77 out of 100

78.

[RN Psychosocial Integrity,NCLEX-RN]

When a 5-year-old child is hospitalized, the nurse encourages the parents to bring in some of the child's favorite toys. The purpose of this is to

A. limit the spread of pathogens

B. help the child stay calm during procedures

C. minimize separation anxiety during the stay

D. create a trusting relationship with the staff.

78 out of 100

79.

[RN Psychosocial Integrity,NCLEX-RN]

A patient who overdosed on oxycodone is given naloxone. When assessing the patient, the healthcare provider should anticipate which of these clinical manifestations of opioid withdrawal?

A. Hyperthermia and euphoria

B. Depressed respirations and somnolence

C. Bradycardia and hypothermia

D. Irritability and nausea

79 out of 100

80.

[RN Psychosocial Integrity,NCLEX-RN]

A provider notifies the inpatient mental health unit that he is admitting a client with a diagnosis of severe anxiety disorder. The client arrives to the unit, crying hysterically. The most appropriate action for the nurse is to

A. ask her what her main problem is

B. invite her to join a group activity

C. give the client a tour of the unit

D. stand or sit calmly next to her

80 out of 100

81.

[RN Psychosocial Integrity,NCLEX-RN]

While reviewing the medical record of a patient diagnosed with Alzheimer's disease (AD), the healthcare provider notes that the patient is aphasic. Which behavior supports this finding?

A. Difficulty with motor function

B. Unable to speak

C. Unable to recognize objects

D. Difficulty swallowing

81 out of 100

82.

[RN Psychosocial Integrity,NCLEX-RN]

While the nurse is giving a client a bed bath, the client begins to cry. Which of the following nursing interventions is MOST appropriate?

A. After the bath, document signs of depression

B. Stop the bath, and allow the client private time

C. Continue the bath and remain silent

D. Pause the bath, cover the client, and sit with the person

82 out of 100

83.

[RN Psychosocial Integrity,NCLEX-RN]

A client with chronic migraine headaches tells the nurse that they are considering acupuncture therapy. The nurse responds, "Acupuncture is weird. No normal person would let someone poke needles into them like that." What behavior or belief is the nurse displaying?

A. Discrimination

B. Prejudice

C. Insensitivity

D. Ethnocentrism

83 out of 100

84.

[RN Psychosocial Integrity,NCLEX-RN]

A 17-year-old girl has been transported to the Emergency Department by EMS after she was in a motor vehicle accident. She starts to sob inconsolably, telling the nurse, "I just got my license, and I wrecked the car. My parents are going to kill me!" Which should be the nurse's first action?

A. Sit at eye level and tell her, "It's scary. Just take some deep breaths

B. Stand next to her and tell her, "Calm down. I'm sure it wasn't your fault.

C. Touch her arm and say, "When they see you're okay, they won't be mad

D. Hold her hand and say, "Relax. The police will explain everything

84 out of 100

85.

[RN Psychosocial Integrity,NCLEX-RN]

When a new client is admitted to the mental health unit, who should provide the client's history?

A. The client

B. The court

C. The physician

D. The family

85 out of 100

86.

[RN Psychosocial Integrity,NCLEX-RN]

A 4-year-old is admitted for a tonsillectomy and adenoidectomy. The pediatric nurse observes that the parents are reluctant to participate in their child's care. Which of the following might be a reason for their behavior?

A. The parents are fearful that child abuse is suspected

B. The parents feel anxious and intimidated

C. The parents do not have adequate schooling

D. The parents require support from their clergy

86 out of 100

87.

[RN Psychosocial Integrity,NCLEX-RN]

A client who has experienced chronic neck and back pain is diagnosed with pain disorder and depression. During a clinic appointment, she tells the nurse, "Nothing anyone has done here has helped me." Which of the following statements by the client requires IMMEDIATE intervention?

A. I'm hiring a malpractice attorney to sue all of you

B. Sometimes I think the pain is making me mentally ill

C. I'm going to finally find a way to end this terrible pain

D. Sometimes I buy or steal other people's pain pills

87 out of 100

88.

[RN Psychosocial Integrity,NCLEX-RN]

Parents discover their 8-month-old infant in his crib, not breathing. EMS is called to resuscitate, but the baby is pronounced dead on arrival (DOA) at the hospital, with a tentative cause of sudden infant death syndrome (SIDS). What is the nurse's most appropriate action?

A. Determine if the parents want to donate the baby's organs

B. Obtain the parents' signatures for consent to perform an autopsy.

C. Provide the parents with a list of funeral homes so they can plan the funeral

D. Take the parents to a private room to be with their baby

88 out of 100

89.

[RN Health Promotion and Maintenance,NCLEX-RN]

A new father tells the nurse that he wants to quit smoking to be healthy for his child. What should the nurse suggest as the first step for the client?

A. Make an "I Quit" plan to start the process

B. Throw away his cigarettes today

C. Sign a cessation contract with the nurse

D. Involve his family as a support system

89 out of 100

90.

[RN Health Promotion and Maintenance,NCLEX-RN]

A home health nurse is visiting a new client with COPD, who has just been discharged from the hospital. What is the most important topic for the nurse to teach the client?

A. The importance of maintaining social ties

B. Removing potential lung irritants from the home

C. Starting a gradual exercise and walking program

D. Better oxygenation and less CO2 retention

90 out of 100

91.

[RN Health Promotion and Maintenance,NCLEX-RN]

The nurse is caring for a 3-month-oldinfant with infectious gastroenteritis. The infant is lethargic, and the mucous membranes are dry. Which other finding would indicate moderate dehydration?

A. Loss of gag reflex

B. No urine output

C. Sunken fontanelle

D. Increased thirst

91 out of 100

92.

[RN Health Promotion and Maintenance,NCLEX-RN]

An 18-year-old male asks about using condoms to keep his girlfriend from becoming pregnant. What is the nurse's best response?

A. Condoms will commonly increase sensitivity of the penis

B. Be sure to get natural skin condoms. They prevent sexually transmitted infections.

C. You should know that the failure rate for condoms is about 25%

D. If you use a spermicide with the condom, you'll get more protection

92 out of 100

93.

[RN Health Promotion and Maintenance,NCLEX-RN]

The school nurse has been invited to participate in a workshop for parents on childhood nutrition. The nurse knows that the PRIMARY nutritional disorder for school-aged children is

A. childhood obesity

B. bulimia nervosa

C. picky eating

D. anorexia nervosa

93 out of 100

94.

[RN Health Promotion and Maintenance,NCLEX-RN]

Which of the following are the most appropriate toys for a five-month-old infant?

A. Teething objects

B. Plastic toy cars

C. Wooden puzzles

D. Stuffed animals

94 out of 100

95.

[RN Health Promotion and Maintenance,NCLEX-RN]

A nurse is assessing a new client who is being evaluated for hepatitis C. Which question should the nurse ask?

A. Did you drink any contaminated water?

B. Did you travel to India recently?

C. How often do you eat shellfish?

D. Have you ever gotten a tattoo?

95 out of 100

96.

[RN Health Promotion and Maintenance,NCLEX-RN]

The nurse reviews recent lab results with a new client. Which elevated test level is most important for the nurse to address to reduce the client's risk of coronary artery disease (CAD)?

A. Glucoamylase

B. Low-density lipoprotein

C. Triglyceride

D. High-density lipoprotein

96 out of 100

97.

[RN Health Promotion and Maintenance,NCLEX-RN]

A 17-year-old unmarried primigravida who is 9 weeks pregnant tells the nurse that her family doesn't have much money. Her dad just got laid off from his job. Which of the following actions would be most appropriate?

A. Determine whether the client qualifies for local assistance programs

B. Ask the client if she has a job and how much she earns

C. Refer her to a social worker to enroll her in a food assistance program

D. Teach the client ways to make low-cost, highly nutritious meals

97 out of 100

98.

[RN Health Promotion and Maintenance,NCLEX-RN]

When reviewing the lab results of a neonate born 12 hours ago, which serum value should the nurse immediately report?

A. WBC 22,000/mm3

B. Glucose 28 mg/dL

C. Platelets 180,000/mm2

D. Hemoglobin 18.1 g/dL

98 out of 100

99.

[RN Health Promotion and Maintenance,NCLEX-RN]

On the third postpartum day, the color of the lochia discharge is typically

A. alba

B. rubra

C. serosa

D. mucous

99 out of 100

100.

[RN Health Promotion and Maintenance,NCLEX-RN]

A mother brings her 3-month-old infant to the pediatric clinic for a routine checkup. She tells the nurse that breastfeeding has gone well until the past week. She doesn't seem to be producing enough milk to satisfy the baby. What is the nurse's best response?

A. Nurse more frequently during these growth spurts

B. Wait at least 4 hours between feedings, so your breasts can fill

C. It's now time to introduce solid foods to your baby

D. Alternate formula with nursing to provide enough nourishment

100 out of 100

Additional NCLEX RN practice tests and quizzes

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NCLEX RN practice questions – 200 Free questions 2024

Additional NCLEX RN practice tests and quizzes

NCLEX RN Practice Exam 3

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