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NCLEX RN Questions and Answers: 290 whole questions with an A+ grade

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NCLEX RN Questions and Answers graded A+/ 290 complete question

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Course
NCLEX-RN

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Q1: What makes this NCLEX-RN practice question effective?
It simulates real exam scenarios, tests clinical reasoning, and provides a detailed rationale to support your understanding of core
nursing principles.

Q2: Is this question based on the 2026 NCLEX-RN format?
Yes. It is updated to reflect the latest NGN-style exam format, helping you prepare for what you’ll encounter on the current NCLEX.

Q3: Do I need to sign up to access the free question?
No sign-up is required. The question is freely accessible so you can begin testing your knowledge immediately.

Q4: How can one practice question be helpful?
A single high-quality question can reveal knowledge gaps, reinforce key concepts, and improve critical thinking skills—key
components of NCLEX success.

Q5: Who should use this free practice question?
It’s ideal for nursing students, recent grads, retake candidates, and anyone beginning their NCLEX-RN test prep journey.

Q6: Will more questions be available after this one?
Yes. This question is part of a larger pool of exam-style content. Once you’re ready, you can access full practice tests for deeper
preparation.




NCLEX RN Questions and Answers
A client with congestive heart failure is receiving furosemide. Which electrolyte should the nurse monitor most closely?

Sodium
B. Potassium
C. Calcium
D. Magnesium

,Answer: B. Potassium
Explanation: Furosemide is a loop diuretic that increases the excretion of potassium, putting the client at risk for hypokalemia.
Monitoring potassium is essential to prevent complications like arrhythmias.

The nurse is assessing a client who just received morphine. Which assessment is the highest priority?

Bowel sounds
B. Respiratory rate
C. Blood pressure
D. Pain level

Answer: B. Respiratory rate
Explanation: Morphine is an opioid analgesic and can cause respiratory depression. Monitoring respiration is the highest priority to
ensure safety.

Which intervention is appropriate for a client experiencing a tonic-clonic seizure?

Restrain the client
B. Insert an oral airway
C. Turn the client to the side
D. Apply a cool compress

Answer: C. Turn the client to the side
Explanation: Turning the client to the side helps maintain airway patency and reduces the risk of aspiration. Never restrain or insert
objects in the mouth during a seizure.

A client with diabetes reports shakiness, sweating, and irritability. What is the nurse’s initial action?

Administer insulin
B. Notify the healthcare provider
C. Give 4 oz of orange juice
D. Recheck blood glucose in 30 minutes

,Answer: C. Give 4 oz of orange juice
Explanation: These are signs of hypoglycemia. The nurse should provide a quick source of glucose, like juice, to raise blood sugar
levels.

A postpartum client complains of calf pain and warmth. What is the nurse’s priority action?

Massage the calf
B. Encourage ambulation
C. Elevate the leg
D. Notify the healthcare provider

Answer: D. Notify the healthcare provider
Explanation: These are signs of a possible deep vein thrombosis (DVT). Massaging the leg could dislodge a clot. Immediate
provider notification is necessary.

The nurse is caring for a child with epiglottitis. Which action is most appropriate?

Obtain throat culture
B. Inspect the throat with a tongue blade
C. Prepare for possible intubation
D. Encourage oral fluids

Answer: C. Prepare for possible intubation
Explanation: Epiglottitis can cause airway obstruction. Throat inspection or culture may worsen the obstruction. Emergency airway
management must be available.

A client is prescribed lithium. Which statement indicates the need for further teaching?

“I will drink plenty of fluids each day.”
B. “I can continue taking ibuprofen for headaches.”
C. “I will have my blood levels checked regularly.”
D. “I should avoid becoming dehydrated.”

, Answer: B. “I can continue taking ibuprofen for headaches.”
Explanation: NSAIDs like ibuprofen can increase lithium levels and cause toxicity. The client should consult the provider before
using such medications.

What is the primary concern when caring for a client with a nasogastric (NG) tube to suction?

Risk of constipation
B. Risk of dehydration
C. Risk of electrolyte imbalance
D. Risk of gastric bleeding

Answer: C. Risk of electrolyte imbalance
Explanation: NG suction removes stomach contents, leading to loss of electrolytes like potassium and chloride, increasing the risk of
imbalances.

The nurse is teaching a client with a new colostomy. Which action shows understanding?

Eating a low-fiber diet for life
B. Cleaning the stoma with alcohol
C. Using soap and water to clean around the stoma
D. Changing the appliance every 10 days

Answer: C. Using soap and water to clean around the stoma
Explanation: Soap and water are safe and effective for cleaning around the stoma. Alcohol is too harsh and can cause irritation.

A client is having a panic attack. What is the nurse’s best initial response?

“You’re going to be fine. Just relax.”
B. “Tell me what caused this.”
C. “Focus on taking slow, deep breaths with me.”
D. “Let’s figure out what you’re afraid of.”

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