Prepare for your test with realistic questions.
The NCLEX-RN exam is a standardized test designed to determine if a candidate
is prepared for entry-level nursing practice. It assesses a nurse's knowledge, skills,
and abilities required for safe and effective patient care. The exam covers various
topics including physiological adaptation, pharmacology, health promotion, and
maintenance, among others. It utilizes computerized adaptive testing, meaning the
difficulty of the Questions adjusts based on the test-taker's responses.
Preparation is key. Reviewing content from reputable sources, practicing with
NCLEX-style Questions, and familiarizing oneself with test format and strategies
are crucial. Many find success through dedicated study plans and resources like
review books, online courses, and practice exams. Ultimately, success on the
NCLEX-RN requires a solid grasp of nursing principles, critical thinking skills,
and the ability to apply knowledge in clinical scenarios.
1. Question
Category: Reduction of Risk Potential
Nurse Sarah expects to note an elevated serum glucose level in a client with
hyperosmolar hyperglycemic nonketotic syndrome (HHNS). Which other
laboratory finding should the nurse anticipate?
A. Elevated serum acetone level.
B. Serum ketone bodies.
C. Serum alkalosis.
D. Below-normal serum potassium level.
Correct Answer: D. Below-normal serum potassium level.
A client with HHNS has an overall body deficit of potassium resulting from
diuresis, which occurs secondary to the hyperosmolar, hyperglycemic state caused
by the relative insulin deficiency.
2. Question
,Category: Basic Care and Comfort
For a client with Graves’ disease, which nursing intervention promotes comfort?
A. Restricting intake of oral fluids.
B. Placing extra blankets on the client’s bed.
C. Limiting intake of high-carbohydrate foods.
D. Maintaining room temperature in the low-normal range.
Correct Answer: D. Maintaining room temperature in the low-normal range.
Graves’ disease causes signs and symptoms of hypermetabolism, such as heat
intolerance, diaphoresis, excessive thirst and appetite, and weight loss. To reduce
heat intolerance and diaphoresis, the nurse should keep the client’s room
temperature in the low-normal range.
3. Question
Category: Physiological Adaptation
Patrick is treated in the emergency department for a Colles’ fracture sustained
during a fall. What is a Colles’ fracture?
A. Fracture of the distal radius.
B. Fracture of the olecranon.
C. Fracture of the humerus.
D. Fracture of the carpal scaphoid.
Correct Answer: A. Fracture of the distal radius.
Colles’ fracture is a fracture of the distal radius, such as from a fall on an
outstretched hand. It’s most common in women.
4. Question
Category: Physiological Adaptation
, Cleo is diagnosed with osteoporosis. Which electrolytes are involved in the
development of this disorder?
A. Calcium and sodium
B. Calcium and phosphorous
C. Phosphorus and potassium
D. Potassium and sodium
Correct Answer: B. Calcium and phosphorous
In osteoporosis, bones lose calcium and phosphate salts, becoming porous, brittle,
and abnormally vulnerable to fracture.
5. Question
Category: Physiological Adaptation
Johnny, a firefighter, was involved in extinguishing a house fire and is being
treated for smoke inhalation. He developed severe hypoxia 48 hours after the
incident, requiring intubation and mechanical ventilation. He most likely has
developed which of the following conditions?
A. Adult respiratory distress syndrome (ARDS)
B. Atelectasis
C. Bronchitis
D. Pneumonia
Correct Answer: A. Adult respiratory distress syndrome (ARDS)
Severe hypoxia after smoke inhalation is typically related to ARDS.