Page 1
NCLEX-RN EXAM:
HIGH-YIELD PRACTICE
QUESTIONS WITH
ANSWERS AND
EXPLANATIONS (2025
UPDATE)
3/18/2026, 8:31:22 PM
,Page 2
Question 1
A nursing assistant has been delegated care of a patient in restraints. How frequently should
skin integrity be assessed?
A. Every 30 minutes
B. Every 2 hours
C. Every 3 hours
D. Every 4 hours
Correct Answer: A. Every 30 minutes
Explanation:
Patients in restraints require frequent monitoring to prevent complications such as skin
breakdown and impaired circulation. Assessment every 30 minutes ensures early
identification of potential issues.
Question 2
A tornado has struck the local area, and multiple casualties are expected. What is the
nurse’s priority action?
A. Prepare the triage room
B. Obtain additional supplies
C. Activate the agency disaster plan
D. Call in additional staff
Correct Answer: C. Activate the agency disaster plan
Explanation:
Activation of the disaster plan ensures coordinated response, resource allocation, and
effective management of mass casualties.
Question 3
An order prescribes 1000 mL of normal saline over 12 hours with a drop factor of 15 gtt/mL.
What is the correct flow rate?
A. 15 gtt/min
B. 17 gtt/min
C. 21 gtt/min
D. 23 gtt/min
Correct Answer: C. 21 gtt/min
Explanation:
Flow rate = (1000 mL × 15 gtt/mL) ÷ (12 × 60 minutes) = approximately 21 gtt/min.
3/18/2026, 8:31:22 PM
,Page 3
Question 4
A dose of 400,000 units of penicillin G benzathine is prescribed. The medication is available
as 300,000 units/mL. What volume should be administered?
A. 1.3 mL
B. 1.5 mL
C. 10 mL
D. 13 mL
Correct Answer: A. 1.3 mL
Explanation:
Required volume = 400,000 ÷ 300,000 = 1.33 mL (rounded to 1.3 mL).
Question 5
Potassium chloride 30 mEq is to be added to IV fluids. The solution contains 40 mEq per 20
mL. How many milliliters are required?
A. 10 mL
B. 15 mL
C. 20 mL
D. 50 mL
Correct Answer: B. 15 mL
Explanation:
40 mEq = 20 mL → 30 mEq = 15 mL.
Question 6
A patient is found unresponsive, without a pulse or respirations. After calling for help, what is
the next action?
A. Provide bag-mask ventilation
B. Initiate chest compressions
C. Administer oxygen
D. Open the airway
Correct Answer: B. Initiate chest compressions
Explanation:
According to current resuscitation guidelines, chest compressions should begin immediately
after confirming cardiac arrest.
3/18/2026, 8:31:22 PM
, Page 4
Question 7
Where should hands be placed during chest compressions in adults?
A. Lower third of sternum
B. Upper half of sternum
C. Upper third of sternum
D. Lower half of sternum
Correct Answer: D. Lower half of sternum
Explanation:
Proper hand placement ensures effective compressions and reduces risk of injury.
Question 8
What is the appropriate method for opening the airway in a trauma patient?
A. Head tilt–chin lift
B. Flexed position
C. Modified head tilt–chin lift
D. Jaw-thrust maneuver
Correct Answer: D. Jaw-thrust maneuver
Explanation:
The jaw-thrust technique minimizes cervical spine movement in trauma patients.
Question 9
Where should the pulse be assessed in a 1-month-old infant?
A. Brachial
B. Carotid
C. Popliteal
D. Radial
Correct Answer: A. Brachial
Explanation:
The brachial artery is the most reliable site for pulse assessment in infants.
Question 10
3/18/2026, 8:31:22 PM
NCLEX-RN EXAM:
HIGH-YIELD PRACTICE
QUESTIONS WITH
ANSWERS AND
EXPLANATIONS (2025
UPDATE)
3/18/2026, 8:31:22 PM
,Page 2
Question 1
A nursing assistant has been delegated care of a patient in restraints. How frequently should
skin integrity be assessed?
A. Every 30 minutes
B. Every 2 hours
C. Every 3 hours
D. Every 4 hours
Correct Answer: A. Every 30 minutes
Explanation:
Patients in restraints require frequent monitoring to prevent complications such as skin
breakdown and impaired circulation. Assessment every 30 minutes ensures early
identification of potential issues.
Question 2
A tornado has struck the local area, and multiple casualties are expected. What is the
nurse’s priority action?
A. Prepare the triage room
B. Obtain additional supplies
C. Activate the agency disaster plan
D. Call in additional staff
Correct Answer: C. Activate the agency disaster plan
Explanation:
Activation of the disaster plan ensures coordinated response, resource allocation, and
effective management of mass casualties.
Question 3
An order prescribes 1000 mL of normal saline over 12 hours with a drop factor of 15 gtt/mL.
What is the correct flow rate?
A. 15 gtt/min
B. 17 gtt/min
C. 21 gtt/min
D. 23 gtt/min
Correct Answer: C. 21 gtt/min
Explanation:
Flow rate = (1000 mL × 15 gtt/mL) ÷ (12 × 60 minutes) = approximately 21 gtt/min.
3/18/2026, 8:31:22 PM
,Page 3
Question 4
A dose of 400,000 units of penicillin G benzathine is prescribed. The medication is available
as 300,000 units/mL. What volume should be administered?
A. 1.3 mL
B. 1.5 mL
C. 10 mL
D. 13 mL
Correct Answer: A. 1.3 mL
Explanation:
Required volume = 400,000 ÷ 300,000 = 1.33 mL (rounded to 1.3 mL).
Question 5
Potassium chloride 30 mEq is to be added to IV fluids. The solution contains 40 mEq per 20
mL. How many milliliters are required?
A. 10 mL
B. 15 mL
C. 20 mL
D. 50 mL
Correct Answer: B. 15 mL
Explanation:
40 mEq = 20 mL → 30 mEq = 15 mL.
Question 6
A patient is found unresponsive, without a pulse or respirations. After calling for help, what is
the next action?
A. Provide bag-mask ventilation
B. Initiate chest compressions
C. Administer oxygen
D. Open the airway
Correct Answer: B. Initiate chest compressions
Explanation:
According to current resuscitation guidelines, chest compressions should begin immediately
after confirming cardiac arrest.
3/18/2026, 8:31:22 PM
, Page 4
Question 7
Where should hands be placed during chest compressions in adults?
A. Lower third of sternum
B. Upper half of sternum
C. Upper third of sternum
D. Lower half of sternum
Correct Answer: D. Lower half of sternum
Explanation:
Proper hand placement ensures effective compressions and reduces risk of injury.
Question 8
What is the appropriate method for opening the airway in a trauma patient?
A. Head tilt–chin lift
B. Flexed position
C. Modified head tilt–chin lift
D. Jaw-thrust maneuver
Correct Answer: D. Jaw-thrust maneuver
Explanation:
The jaw-thrust technique minimizes cervical spine movement in trauma patients.
Question 9
Where should the pulse be assessed in a 1-month-old infant?
A. Brachial
B. Carotid
C. Popliteal
D. Radial
Correct Answer: A. Brachial
Explanation:
The brachial artery is the most reliable site for pulse assessment in infants.
Question 10
3/18/2026, 8:31:22 PM
