NClex Readiness Test Part 1 Newest
2026-2027. Questions & Correct
Answers. Graded A
A 15-year-old parent brings a 4-month-old infant for a well-baby checkup.
The parent tells the nurse that the baby cries all the time; the parent has
tried everything to keep the infant quiet but nothing works. What is the
priority nursing action?
1. Advise the parent to give a pacifier whenever the infant cries
2. Ask the parent to describe what is done to "keep the baby quiet"
3. Assess the infant's pattern and frequency of crying
4. Explore the parent's support system - ANS3. Assess the infant's pattern
and frequency of crying
A 24-year-old female client has been prescribed isotretinoin for severe
nodulocystic acne that has been resistant to other therapies. Which
instruction is most important for the nurse to reinforce with this client?
1. "Apply lubricating eye drops when wearing contacts."
2. "Swallow capsules whole."
3. "Use sunscreen routinely."
4. "Use 2 forms of contraception." - ANS4. "Use 2 forms of contraception."
A 25-year-old client is about to undergo a unilateral orchiectomy for
treatment of testicular cancer. The client says to the nurse, "I'm so worried
1
,that my future spouse is going to call off our engagement." What is the best
response by the nurse?
1. "Are you concerned about how the surgery will affect your sexuality?"
2. "If you are concerned about infertility, you could always bank your
sperm."
3. "The cancer is at an early stage. You are going to be fine."
4. "What have you and your future spouse discussed about your
condition?" - ANS4. "What have you and your future spouse discussed
about your condition?"
A 3-month-old client has stopped breathing. Identify the area where the
nurse should check the client's pulse. - ANSBrachial artery
The brachial pulse can be located by feeling the bicep tendon in the area of
the antecubital fossa.
A 37-weeks-pregnant woman comes to the emergency department with a
fractured ankle. Which assessment finding is mostconcerning and requires
the nurse to follow up?
1. Fetal heart rate remains 206/min
2. Fetus kicked 4 times in the past hour
3. Mother reports feeling 2 contractions every hour
4. Mother's hemoglobin is 11 g/dL (110 g/L) - ANS1. Fetal heart rate
remains 206/min
A 55-year-old client on a medical-surgical unit has just received a diagnosis
of pancreatic
2
,cancer. The client says to the nurse, "Is this disease going to kill me?"
What is the best response by the nurse?
1. "Hearing this diagnosis must have been difficult for you. What are your
thoughts?"
2. "We will do everything possible to prevent that from happening."
3. "Well, we're all going to die sometime."
4. "You should concentrate on getting better rather than thinking about
death." - ANS1. "Hearing this diagnosis must have been difficult for you.
What are your thoughts?"
A 9-year-old has terminal cancer, but the parents do not want the child to
know the
prognosis. The child has been asking questions such as what dying is like
and whether the child will die. Which action by the nurse is most
appropriate?
1. Encourage the child to ask the parents these questions
2. Notify the health care provider (HCP) about the child's questions
3. Reassure the child that everyone is trying to help the child get better
4. Tell the parents about the child's questions - ANS4. Tell the parents
about the child's questions
A charge nurse is monitoring a newly licensed registered nurse. What
action by the new nurse would warrant intervention by the charge nurse?
1. Administers hydromorphone 1 mg to a client who rates pain at 7 on a 1
to 10 scale
2. Notifies physician of occasional premature ventricular beats in a client
with myocardial infarction
3
, 3. Positions a postoperative pneumonectomy client on the affected side
4. Prepares to administer IVPB potassium chloride via gravity infusion for a
client with hypokalemia - ANS4. Prepares to administer IVPB potassium
chloride via gravity infusion for a client with hypokalemia
A child on the playground is experiencing an anaphylactic reaction. The
school nurse arrives with an EpiPen. The weather is cold and the child is
wearing several layers of clothing. How should the nurseproceed with the
EpiPen?
1. Inject into the upper arm where the sleeve can be pulled up
2. Inject into the most accessible vein
3. Inject through the clothing into thigh and hold in place for 10 seconds
4. Take the child inside, remove excess clothing, and inject into the thigh -
ANS3. Inject through the clothing into thigh and hold in place for 10
seconds
A child received the varicella immunization. The day after the injection, the
parent calls the nurse to say that the child has discomfort, slight redness,
and 2 vesicles at the injection
site. What instruction would be appropriate for the nurse to provide to this
parent?
1. Administer aspirin to decrease discomfort
2. Cover the vesicles with a small bandage until they are dry
3. Isolate the child from other children for 21 days to avoid exposure
4. Make an appointment with the health care provider (HCP) as soon as
possible - ANS2. Cover the vesicles with a small bandage until they are dry
4
2026-2027. Questions & Correct
Answers. Graded A
A 15-year-old parent brings a 4-month-old infant for a well-baby checkup.
The parent tells the nurse that the baby cries all the time; the parent has
tried everything to keep the infant quiet but nothing works. What is the
priority nursing action?
1. Advise the parent to give a pacifier whenever the infant cries
2. Ask the parent to describe what is done to "keep the baby quiet"
3. Assess the infant's pattern and frequency of crying
4. Explore the parent's support system - ANS3. Assess the infant's pattern
and frequency of crying
A 24-year-old female client has been prescribed isotretinoin for severe
nodulocystic acne that has been resistant to other therapies. Which
instruction is most important for the nurse to reinforce with this client?
1. "Apply lubricating eye drops when wearing contacts."
2. "Swallow capsules whole."
3. "Use sunscreen routinely."
4. "Use 2 forms of contraception." - ANS4. "Use 2 forms of contraception."
A 25-year-old client is about to undergo a unilateral orchiectomy for
treatment of testicular cancer. The client says to the nurse, "I'm so worried
1
,that my future spouse is going to call off our engagement." What is the best
response by the nurse?
1. "Are you concerned about how the surgery will affect your sexuality?"
2. "If you are concerned about infertility, you could always bank your
sperm."
3. "The cancer is at an early stage. You are going to be fine."
4. "What have you and your future spouse discussed about your
condition?" - ANS4. "What have you and your future spouse discussed
about your condition?"
A 3-month-old client has stopped breathing. Identify the area where the
nurse should check the client's pulse. - ANSBrachial artery
The brachial pulse can be located by feeling the bicep tendon in the area of
the antecubital fossa.
A 37-weeks-pregnant woman comes to the emergency department with a
fractured ankle. Which assessment finding is mostconcerning and requires
the nurse to follow up?
1. Fetal heart rate remains 206/min
2. Fetus kicked 4 times in the past hour
3. Mother reports feeling 2 contractions every hour
4. Mother's hemoglobin is 11 g/dL (110 g/L) - ANS1. Fetal heart rate
remains 206/min
A 55-year-old client on a medical-surgical unit has just received a diagnosis
of pancreatic
2
,cancer. The client says to the nurse, "Is this disease going to kill me?"
What is the best response by the nurse?
1. "Hearing this diagnosis must have been difficult for you. What are your
thoughts?"
2. "We will do everything possible to prevent that from happening."
3. "Well, we're all going to die sometime."
4. "You should concentrate on getting better rather than thinking about
death." - ANS1. "Hearing this diagnosis must have been difficult for you.
What are your thoughts?"
A 9-year-old has terminal cancer, but the parents do not want the child to
know the
prognosis. The child has been asking questions such as what dying is like
and whether the child will die. Which action by the nurse is most
appropriate?
1. Encourage the child to ask the parents these questions
2. Notify the health care provider (HCP) about the child's questions
3. Reassure the child that everyone is trying to help the child get better
4. Tell the parents about the child's questions - ANS4. Tell the parents
about the child's questions
A charge nurse is monitoring a newly licensed registered nurse. What
action by the new nurse would warrant intervention by the charge nurse?
1. Administers hydromorphone 1 mg to a client who rates pain at 7 on a 1
to 10 scale
2. Notifies physician of occasional premature ventricular beats in a client
with myocardial infarction
3
, 3. Positions a postoperative pneumonectomy client on the affected side
4. Prepares to administer IVPB potassium chloride via gravity infusion for a
client with hypokalemia - ANS4. Prepares to administer IVPB potassium
chloride via gravity infusion for a client with hypokalemia
A child on the playground is experiencing an anaphylactic reaction. The
school nurse arrives with an EpiPen. The weather is cold and the child is
wearing several layers of clothing. How should the nurseproceed with the
EpiPen?
1. Inject into the upper arm where the sleeve can be pulled up
2. Inject into the most accessible vein
3. Inject through the clothing into thigh and hold in place for 10 seconds
4. Take the child inside, remove excess clothing, and inject into the thigh -
ANS3. Inject through the clothing into thigh and hold in place for 10
seconds
A child received the varicella immunization. The day after the injection, the
parent calls the nurse to say that the child has discomfort, slight redness,
and 2 vesicles at the injection
site. What instruction would be appropriate for the nurse to provide to this
parent?
1. Administer aspirin to decrease discomfort
2. Cover the vesicles with a small bandage until they are dry
3. Isolate the child from other children for 21 days to avoid exposure
4. Make an appointment with the health care provider (HCP) as soon as
possible - ANS2. Cover the vesicles with a small bandage until they are dry
4
