NCLEX RN practice questions - 200 Free questions 2023

Welcome to our additional NCLEX RN practice questions article. In this article, you will have 2 full practice tests.

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.

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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

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NCLEX RN Practice Exam 2

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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) 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!

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

document all clinical changes in the medical record every two hours

seek out the nursing supervisor to resolve conflicts

apply the law to the patient's clinical condition

assess the patient's perspective and explain it when necessary

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?

Contact the HCP to clarify and rewrite the prescription

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

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

Contact the pharmacy to ensure that gatifloxacin is in stock

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

assault

neglect

battery

invasion of privacy

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

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

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

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

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

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?

Contact the corporate attorney to legally prevent hiring the nurse

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

Determine what types of accommodation the candidate requires

Inform the candidate that accommodation for nurses isn't possible

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

The UAP's strengths and weaknesses

Where the UAP got their certification

The UAP's experience in the unit

Which tasks the UAP prefers

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

A child with a near-drowning experience

The child with a known congenital heart defect

The child with a fractured femur

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

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?

Reason for omeprazole

Bed position

Schedule for Maalox

Prescribed diet

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

Duplicate the previous medication order

Check the admission record medication list

Clarify the medication order by asking the pharmacist

Clarify the medication order by calling the physician

10.

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

Email addresses

Social Security number

Driver's license number

Pedometer log

11.

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?

Inform the husband that she has a terminal diagnosis

Notify the physician of the patient's demise

Honor his wishes and proceed with a full code

Remind the husband that a DNR order is in place

12.

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?

Implement a new IV insertion policy

Perform chart audits

Analyze the data

Monitor which IV needle gauges are used

13.

Many lawsuits involving a nursing professional happen when the nurse

abandons patients when going to lunch

follows an order that is incomplete or incorrect

documents the physician's errors

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

14.

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?

Place a cooling mattress on the child's bed

Order a STAT admission CBC

Pad the side rails of the child's bed

Place a urine collection bag and specimen cup at the bedside

15.

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

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

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

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

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

16.

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?

Administer the medication as ordered

Contact the physician immediately

Ask the nurse supervisor for advice

Call the pharmacy to see if the dosage is safe

17.

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

necrotic

dehisced

Healing

infected

18.

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?

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

Visiting hours are limited to 4 hours a day per person

Visitors must stand at least 18 inches away from the client

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

19.

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?

Sutures

Scissors

A Yankauer

A hemostat

20.

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

Wearing gloves for direct care

Placing the patient in a private room

Gowning before entering the room

Wearing a mask at all times

21.

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?

Drop in respirations from 36 to 28 per minute

Rise in temperature from 99.2 °F to 101.6 °F

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

Drop in heart rate from 120 to 100 bpm

22.

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

do not meet professional dress codes

get torn off when changing bed linens

can transmit gram-negative pathogens

tend to puncture sterile gloves

23.

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

Turn the client onto their side

Notify the rapid response team

Place a tongue blade in the client's mouth

Put the client's bed in Fowler's position

24.

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

liver

heart

kidney

brain

25.

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?

8:30 a.m.

11:30 a.m.

7:45 a.m.

10:45 a.m.

26.

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

checking for discoloration

palpating for vibration

inspecting for leakage

observing for swelling

27.

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?

Folic acid and biotin

B12, C, and E

B1 and pantothenic acid

A, D, and K

28.

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

A diet high in grains

A restricted-sodium diet

A high-protein diet

A diet with adequate caloric intake

29.

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?

Flush the tubing with warm water.

Hold the feeding bolus for two hours.

Administer the bolus as prescribed.

Request a different enteral formula.

30.

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?

Natural sheepskin

Low air loss bed

Egg crate foam

Alternating overlay

31.

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?

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

Teach family members to perform the disimpaction process.

Give an analgesic or sedative to make the client comfortable.

Recall that cardiac dysrhythmias are a possibility.

32.

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

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

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

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

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

33.

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?

You will wear the SCD when ambulating.

The SCD means you can stay on bed rest.

You won't have to do any other exercises.

The SCD imitates the action of walking.

34.

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)?

March 17

March 10

March 3

March 24

35.

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?

36.

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

Crackles

Rhonchi

Wheezes

37.

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?

Fried eggs and bacon

Oatmeal and a banana

Plain bagel and cream cheese

Donut and orange juice

38.

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?

Increased urine output

Decreased pupil size

Decreased perspiration

Increased pulse rate

39.

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

loss of sensation

change in color

edema

coolness to touch

40.

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

The purpose is to immobilize the leg(s)

Kirschner wires are inserted

It utilizes a Steinmann pin

It is primarily used to heal fractured hips

41.

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)?

Use a soft toothbrush and floss gently

You should take a multivitamin daily

Be sure to take your aspirin with meals daily

You may continue shaving with a straight-edge razor

42.

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?

Potassium (K) 4.2 mEq/L

Sodium (Na) 115 mEq/L

Calcium (Ca) 9.6 mg/dL

Chloride (CI) 100 mEq/dL

43.

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?

Contact precautions

Enteric precautions

Droplet precautions

Airborne precautions

44.

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?

More than 500 ml

Less than 100 mL

300-500 mL

100-300 ml

45.

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

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

The client will receive an enema to prevent bowel perforation

The client will be NPO for 12 hours before the procedure

The client will have to hold their breath for 15 minutes

46.

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

Goggles

Gloves

Gown

Mask

47.

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?

Words=3

Oriented = 5

Confused = 4

Sounds = 2

48.

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?

Notify the health care provider (HCP)

Stress the importance of splinting when coughing

Administer a cough suppressant medication STAT

Apply an antibiotic ointment and sterile dressing

49.

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

International Normalized Ratio

Bleeding time

Factor V assay

Platelet count

50.

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?

Chronic obstructive pulmonary disease (COPD)

Type 1 diabetes with diabetic ketoacidosis (DKA)

Anxiety-related hyperventilation

Vomiting and diarrhea for the past two days

51.

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?

80 mL/hr

20 ml/hr

60 mL/hr

40 ml/hr

52.

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

synergism

antagonism

absolution

potentiation

53.

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

50% of the drug is available

50% will pass through the intestines

50% less protein should be eaten

50% of the drug destroys protein

54.

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

juvenile rheumatoid arthritis

hereditary colon polyps

third-trimester pregnancy

severe menstrual pain

55.

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

Coronary artery bypass

Ventricular arrhythmias

Third-degree heart block

Myocardial ischemia

56.

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?

2/3 tablet each dose

1.5 tablets each dose

Ask for a liquid form

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

57.

The safe blood level range for lithium is

0.25–1.0 mEq/L

1.3-2.0 mEq/L

2.1-2.5 mEq/L

0.6-1.2 mEq/L

58.

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?

0.5 mg

5 mg

0.05 mg

1.5 mg

59.

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?

Prothrombin time (PT)

Partial thromboplastin time (PTT)

Glycated hemoglobin (HbA1c)

Complete blood count (EBC)

60.

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

a decrease in serum bicarbonate

a decrease in serum potassium

an increase in serum calcium

an increase in serum magnesium

61.

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?

Paresthesia

Aphasia

Oliguria

Bradycardia

62.

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?

360 mL

480 mL

240 mL

120 mL

63.

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.

0.26%

4.40%

0.44%

2.63%

64.

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

Immobile

Round

Soft

Painful

65.

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?

You'll have regular bowel movements

You may experience mild headaches at first

You'll probably feel less anxious very soon

Your heartburn is going to go away

66.

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?

67.

Which of the following conditions most commonly causes acute glomerulonephritis?

A congenital condition leading to renal shutdown

Group A Streptococcus infection within the past 10-14 days

Chronic viral destruction of the glomeruli

End-stage renal disease

68.

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

a delay in AV node conduction

stress is causing sympathetic stimulation

an impending myocardial infarction

the interval is within normal limits

69.

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?

Destruction of pancreatic beta cells

Cellular resistance to insulin

Increased hepatic glycogenesis

Atrophy of pancreatic alpha cells

70.

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

decreased albumin production

decreased renal function

acute portal hypertension

acute electrolyte imbalance

71.

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?

Brainstem

Midbrain

Amygdala

Medulla

72.

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?

Complaints of nausea and indigestion

Inability to focus and complete assessment with the nurse

Restlessness and feelings of apprehension

Assessment of previous personal and family cardiac history

73.

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?

1.002

1.02

1.01

1.04

74.

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?

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

It's the cause of pelvic inflammatory disease

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

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

75.

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

Weigh the client consistently

Follow serum protein lab results

Track daily food caloric values

Monitor intake and output

76.

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 glass of wine with dinner will be relaxing

Limit oral hygiene to the morning and evening

Omit fruits and vegetables until therapy is complete

A weak saltwater solution can soothe the mouth

77.

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?

Academic and homework difficulties

Peer pressure and bullying

The end of a romantic relationship

Increased financial stress at home

78.

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

limit the spread of pathogens

help the child stay calm during procedures

minimize separation anxiety during the stay

create a trusting relationship with the staff.

79.

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?

Hyperthermia and euphoria

Depressed respirations and somnolence

Bradycardia and hypothermia

Irritability and nausea

80.

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

ask her what her main problem is

invite her to join a group activity

give the client a tour of the unit

stand or sit calmly next to her

81.

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?

Difficulty with motor function

Unable to speak

Unable to recognize objects

Difficulty swallowing

82.

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

After the bath, document signs of depression

Stop the bath, and allow the client private time

Continue the bath and remain silent

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

83.

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?

Discrimination

Prejudice

Insensitivity

Ethnocentrism

84.

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?

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

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

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

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

85.

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

The client

The court

The physician

The family

86.

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?

The parents are fearful that child abuse is suspected

The parents feel anxious and intimidated

The parents do not have adequate schooling

The parents require support from their clergy

87.

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?

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

Sometimes I think the pain is making me mentally ill

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

Sometimes I buy or steal other people's pain pills

88.

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?

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

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

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

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

89.

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?

Make an "I Quit" plan to start the process

Throw away his cigarettes today

Sign a cessation contract with the nurse

Involve his family as a support system

90.

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?

The importance of maintaining social ties

Removing potential lung irritants from the home

Starting a gradual exercise and walking program

Better oxygenation and less CO2 retention

91.

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?

Loss of gag reflex

No urine output

Sunken fontanelle

Increased thirst

92.

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

Condoms will commonly increase sensitivity of the penis

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

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

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

93.

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

childhood obesity

bulimia nervosa

picky eating

anorexia nervosa

94.

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

Teething objects

Plastic toy cars

Wooden puzzles

Stuffed animals

95.

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

Did you drink any contaminated water?

Did you travel to India recently?

How often do you eat shellfish?

Have you ever gotten a tattoo?

96.

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)?

Glucoamylase

Low-density lipoprotein

Triglyceride

High-density lipoprotein

97.

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?

Determine whether the client qualifies for local assistance programs

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

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

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

98.

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

WBC 22,000/mm3

Glucose 28 mg/dL

Platelets 180,000/mm2

Hemoglobin 18.1 g/dL

99.

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

alba

rubra

serosa

mucous

100.

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?

Nurse more frequently during these growth spurts

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

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

Alternate formula with nursing to provide enough nourishment

1 out of 100

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NCLEX RN Practice Exam 3

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Welcome to your NCLEX-RN Practice Exam 3

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!

A client with a history of chronic cirrhosis of the liver was admitted two days ago to treat an infection. Today, during the initial shift assessment, the nurse notes that the client appears lethargic and their breath has a sweet, musty odor. Which assessment should the nurse perform NEXT?

Measure client's abdominal girth

Observe for flapping hand tremors

Obtain a full set of vital signs

Review recent serum bilirubin result

A healthcare provider is planning care for four patients. Which patient is most in need of interventions aimed at preventing anemia?

The patient who is a vegetarian

The patient with renal failure on hemodialysis

The patient with a Jackson-Pratt drain

The patient who has been NPO for 3 days

The team leader assigns a new nurse to change a client's tracheostomy tube. The new nurse has never performed this procedure before. What should the nurse do?

Ask another nurse to trade assignments

Request the team leader's assistance

Check the procedure manual before starting

Watch the procedure on YouTube first

The nursing instructor is preparing a lecture on medical billing. What is the purpose of the Diagnosis Related Group (DRG) Manual?

To correlate the client's health history with nursing care plans

To assist in identifying symptoms of the medical condition

To establish nurse case manager coordination protocols

To determine reimbursement for a specific diagnosis

As a preceptor, the RN helps a graduate nurse learn to organize and prioritize tasks. Which action by the graduate nurse requires intervention by the preceptor?

The graduate nurse prioritizes client needs for the shift

The graduate nurse waits to document until the end of the shift

The graduate nurse makes lists of supplies for tasks

The graduate nurse allows time for unexpected situations

An unlicensed assistive personnel (UAP) who works in a rehab unit is floated to the pediatric unit for the shift. Which question should the charge nurse ask the UAP before making an assignment?

What is your favorite kind of client to care for in the rehab unit?

How long have you been working as a UAP at this hospital?

Can you wait a minute so we can review your competency checklist?

Will you feel comfortable caring for sick babies and children?

A staff nurse approaches the nurse manager to complain that an unlicensed assistive personnel (UAP) is not completing assignments. What is the nurse manager's BEST action?

Ask the staff nurse if they have already spoken with the UAP

Add communication tips to the next staff meeting agenda

Arrange for a 3-way meeting with the nurse and the UAP

Assure the staff nurse that their complaints are noted

A client has been transported to the preop area when the surgical nurse discovers that the client has not signed the informed consent. What is the most appropriate action for the nurse?

Bring the client a new consent form to sign

Notify the nurse manager of the situation

Ask for the surgery to be rescheduled

Contact the surgeon to receive guidance

When the nurse is assigning care of a newly admitted client to an unlicensed assistive personnel (UAP), which instruction is BEST?

Starting at 9 a.m., empty the Foley every hour and write the output on the board by his bed

Before you go to lunch, give him a bath and put the sequential compression device on

Put his compression stockings on and try to get him up to ambulate a couple of times

Take his vital signs often and let me know if anything else seems to be abnormal

10.

The nurse working in a long-term care facility is assigning tasks for a 77-year-old resident who is experiencing hyperglycemia. Which of the following tasks is appropriate for the unlicensed assistive personnel (UAP)?

Revise the resident's care plan to reflect the current status

Record the resident's food and fluid intake during the shift

Monitor the resident for changes in level of consciousness

Assess the resident's ankle edema after giving the person a bed bath

11.

Parents bring their 7-year-old son to the Emergency Department, because they think he has a fractured ankle. During the physical assessment, the nurse notes multiple bruises and cigarette burns on the boy's arms and trunk. Which is the nurse's most appropriate action?

Notify the supervisor to report suspected child abuse

Inform the parents they may not take their son home

Demand that the parents explain the cigarette burns

Privately ask the boy what happened to cause his injuries

12.

On reporting to his Med-Surg unit, a nurse is told that he has been pulled to the ICU. The nurse has never worked in the ICU and is hesitant to "float" for his shift. What should he do?

Refuse to float in the ICU

Check with the hospital's attorney

Go to the ICU and perform safe tasks

Call the nursing supervisor

13.

A client with a previous diagnosis of early-onset Alzheimer's disease is scheduled for a common surgical procedure. If the nurse is concerned about the client's ability to give informed consent, which of the following actions would be most appropriate?

Contact administration for hospital policy

Ask two other nurses to witness the signature

Allow the client to sign the informed consent

Notify the surgeon to countersign the consent

14.

The caregiver of a 2-year-old calls the Poison Center to report that the child has swallowed a lithium "coin" battery. The caregiver is instructed to immediately go to the Emergency Department. What other instruction is indicated?

Use a finger to induce vomiting

Make the child drink a glass of milk

Give the child 2 teaspoons of honey

Administer syrup of ipecac

15.

After assisting a physician with insertion of a central line, what is the nurse's first priority?

Label the dressing with the date and time of insertion

Prepare the client for a chest x-ray

Administer saline to check for patency

Assess the insertion site for infection

16.

During a staff meeting, the supervisor reports on a recent infection control audit. Which finding indicates a need for staff training?

A patient with active tuberculosis wears a mask when going to another department for testing

A certified nursing assistant does not wear gloves when feeding an elderly patient

A lab technician puts on a mask, gown, and gloves before entering the room of a patient on strict isolation

A nurse with open lesions on her hands puts on gloves before giving direct patient care

17.

A small plane carrying the football team from the local university crashed. Survivors are being transported to the hospital. Four team members died in the crash. Before the survivors reach the hospital, what should the nurse anticipate being asked to do?

Call the hospital's volunteer office

Call the nearest crisis response team

Alert the local news stations

Notify the university of the crash

18.

The nurse is providing discharge instructions to a client who was admitted with a diagnosis of acute pancreatitis. Which of the following statements by the client would indicate that the client understands how to prevent another episode?

I will attend Alcoholics Anonymous meetings from now on

I'll call the clinic if I get constipated

I'll avoid eating uncooked vegetables

I will only drink two beers every day

19.

A neighbor brings her 10-year-old son to your house because he has a nosebleed. After you sit him down, what is the most appropriate way to care for him?

Tilt his head back and place an ice pack on his nose

Wipe off the blood and administer saline nose drops

Pack his nostrils with clean cotton balls or gauze

Lean him forward and gently pinch above his nostrils

20.

_________ are the most common cause of accidents in the home.

Falls

Burns

Lacerations

Abrasions

21.

A home health nurse does an assessment of a client with mid-stage Alzheimer's disease who lives with his son and the son's family. Which of the nurse's observations should be addressed first?

Stove burners are turned on remotely

Extension cords are placed behind furniture

Area rugs are in place, but secured to the floor

The front door has a lock with a bolt

22.

The health care provider (HCP) prescribed ambulation q.i.d. for a client who had undergone major abdominal surgery two days ago. The nurse assisted the client on the first postoperative day. Today, the nurse assigns the task to the unlicensed assistive personnel (UAP). Which of the following instructions to the UAP is CORRECT?

Have the client stand for 2 minutes before ambulating

Allow the client to dangle before he stands up

Use a gait belt to support the client if he gets dizzy

Stand the client up quickly to reduce incision pain

23.

An oncology nurse is with an adult client when a Code Pink (infant abduction) is called. What is the nurse's BEST action?

Watch for someone with a large package

Remain with the client; it's not a pediatric unit

Check all empty rooms and closets at once

Evacuate all visitors to the hospital lobby

24.

The pediatric nurse is caring for a 5-year-old boy with a diagnosis of a subdural hematoma, secondary to falling out of his top bunk bed. The nurse observes that he has a runny nose. What is the nurse's best action?

Place him on his right side

Test the discharge for glucose

Help him gently blow his nose

Call the neurologist immediately

25.

When a nurse enters a client's room to administer medications, the nurse notices black smoke coming from the client's television. What should the nurse do FIRST?

Smother the smoke with wet towels

Remove the client from the room

Activate the nearest fire alarm

Use a fire extinguisher from the hall

26.

All of the following are signs of an infected wound EXCEPT

loss of movement

swelling at the site

temperature over 101 °F

blanching of the wound

27.

A nurse working at a community health fair is administering intramuscular injections of influenza vaccine. Which injection technique will avoid leakage into subcutaneous tissue?

Injection by the Z-track method

Massaging the injection site

Aspiration prior to injection

Injection at a 45-degree angle

28.

A client comes to the clinic, complaining of severe gastrointestinal distress. Which abdominal physical assessment step does the nurse do first?

Inspection

Auscultation

Palpation

Percussion

29.

A patient receiving chemotherapy is experiencing stomatitis. Which of the following should the healthcare provider offer the patient?

Hot soup for lunch and dinner

Warm saline rinses four times each day

Plenty of ice chips between meals

Vigorous oral care with a commercial mouthwash

30.

The nurse teaching a 14-year-old client about her cervico-thoracolumbosacral orthosis (CTLSO) brace. Which statement by the client would indicate a lack of understanding about the brace?

I can take it off in hot weather.

I can remove it when take a shower.

I should wear loose clothing underneath it.

I must wear it all day and night.

31.

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

32.

After your patient dies, the patient's family gathers at the bedside and asks you to step out while their clergy performs a religious rite for the deceased. As the patient's nurse, what is your most appropriate course of action?

Allow the ceremony but remain as a witness.

Inform the family that religious rites are not allowed.

Educate the family about custody of care and stay in the room.

Allow the ceremony and step out of the room.

33.

The nurse in the prenatal clinic is teaching a client who is a vegetarian how to avoid iron-deficiency anemia during her pregnancy. Which food choice by the client indicates a need for further instruction?

Black bean burger and tomato juice

Lentil stew and strawberries

Instant oatmeal and orange juice

Scrambled eggs and wheat toast

34.

The nurse is educating a client with primary adrenal insufficiency (Addison's disease) on diet and nutrition changes needed to manage the client's disease. Which statement by the client would indicate that the nurse's instructions have been effective?

I should increase sodium and fluids, but limit potassium

I will increase sodium and potassium, but limit fluids.

I should increase fluids, but limit sodium and potassium.

I will increase potassium and fluids, but limit sodium.

35.

A client who sustained a fractured femur in a construction accident is admitted to the orthopedic unit directly from surgery. The client is in skeletal traction. Which nursing action is the PRIORITY?

Maintain strict and proper body alignment

Perform frequent neurovascular checks.

Attach an overhead trapeze to the bed.

Provide meticulous care at pin insertion sites.

36.

A 32-year-old female with no significant history comes to the clinic for a routine check-up. Where is the most appropriate spot to measure this client's pulse?

Apical

Radial

Carotid

Femoral

37.

The nurse is instructing a client with a new sigmoid colostomy about caring for the colostomy. The nurse explains that to best regulate the bowel, the client should perform colostomy irrigation at the same time every day. What is the optimal time for doing this?

Two hours before bedtime

An hour before a meal

An hour after a meal

Every two hours all day

38.

After a client was diagnosed with gastroesophageal reflux disease (GERD), the nurse educates the client about diet. Which of the following foods should the client avoid?

White bread

NCLEX RN practice questions – 200 Free questions 2023

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