Nclex Rn NEW Generation Nclex Questions
FOR 2023 EXAM - Nclex-Rn 2023/2024
1. A nurse is caring for a client with a new diagnosis of tuberculosis. Which action is most
important for the nurse to take to prevent the spread of infection?
• A) Place the client in a negative-pressure room.
• B) Wear an N95 respirator when entering the room.
• C) Ensure the client wears a surgical mask when leaving the room.
• D) Administer prescribed antibiotics as ordered.
Correct Answer: A
Rationale: While all options are important, placing the client in a negative-pressure room is the
most critical intervention for airborne precautions. This prevents infectious particles from
escaping the room and spreading to other areas. Wearing an N95 respirator is also essential but
is a measure to protect the nurse, while the negative-pressure room protects the broader
environment.
2. The nurse is preparing to administer a medication via a nasogastric tube. Which action is
most important to ensure patient safety?
• A) Verify tube placement by aspirating gastric contents and checking pH.
• B) Flush the tube with 30 mL of water before and after each medication.
• C) Crush all medications to prevent tube clogging.
• D) Mix all medications together in a single syringe.
Correct Answer: A
Rationale: Verifying tube placement is the most critical step to prevent accidental
administration into the lungs. Aspiration of gastric contents with a pH of 5 or less is a reliable
method of checking placement. Flushing is a good practice but not the most important safety
measure. Crushing all medications or mixing them together can lead to interactions or clogging
and is not recommended.
3. A nurse is planning care for a client who is at risk for falls. Which intervention is a priority
to include in the plan?
, • A) Keep the bed in the lowest position.
• B) Place the call light within reach.
• C) Use a bed alarm system.
• D) Encourage the client to use the bathroom independently.
Correct Answer: A
Rationale: Keeping the bed in the lowest position is the single most important physical safety
measure to reduce injury if a fall occurs. While placing the call light within reach and using a bed
alarm are helpful, they do not prevent the fall itself as effectively as the bed position.
Encouraging independence without supervision may increase fall risk.
Health Promotion and Maintenance
4. The nurse is teaching a prenatal class about healthy pregnancy weight gain. A client who is
at a normal pre-pregnancy weight should be advised to gain approximately how much
weight?
• A) 15-25 pounds
• B) 25-35 pounds
• C) 35-45 pounds
• D) 10-15 pounds
Correct Answer: B
Rationale: The recommended weight gain for a woman with a normal BMI is 25-35 pounds. A
gain of 15-25 pounds is recommended for overweight women, and 35-45 pounds for
underweight women. A 10-15 pound gain is considered too low for a normal-weight woman and
may indicate inadequate nutrition.
5. The nurse is providing discharge teaching to a new mother about infant car seat safety.
Which statement by the mother indicates a need for further teaching?
• A) "I will place the car seat in the back seat, facing the rear."
• B) "I will ensure the harness straps are at or below my baby's shoulders."
• C) "I will place the car seat in the front seat so I can keep an eye on her."
, • D) "I will make sure the car seat is installed at a 45-degree angle."
Correct Answer: C
Rationale: Infants should never be placed in the front seat of a car with a passenger-side airbag
due to the risk of serious injury or death if the airbag deploys. The back seat is the safest
location. Rear-facing, appropriate strap placement, and correct angle are all crucial safety
measures.
6. The nurse is performing a developmental assessment on a 12-month-old child. Which
finding should the nurse expect?
• A) Walks independently.
• B) Builds a tower of two cubes.
• C) Scribbles spontaneously.
• D) Says two to three words.
Correct Answer: A
Rationale: Most 12-month-olds can walk independently or with one hand held. Building a tower
of two cubes and scribbling spontaneously are skills seen at 15 months. Saying two to three
words is a 12-month milestone (e.g., "mama," "dada," "bye-bye"), but walking is a more
prominent gross motor milestone, making it the expected finding.
7. The nurse is teaching a client about the importance of immunizations for their 2-year-old
child. Which immunization is recommended at this age?
• A) DTaP (Diphtheria, Tetanus, and Pertussis)
• B) MMR (Measles, Mumps, and Rubella)
• C) Varicella (Chickenpox)
• D) All of the above
Correct Answer: D
Rationale: The CDC recommends a DTaP booster, MMR vaccine, and varicella vaccine for
children at 12-15 months, with a second dose of MMR and varicella at 4-6 years. While the first
doses are given by 15 months, the 2-year-old may not yet be due for a booster. However, all
these vaccines are part of the recommended schedule for a 2-year-old; thus, D is the correct
answer as it includes all the vaccines recommended at this age.
, Psychosocial Integrity
8. The nurse is caring for a client who is experiencing acute anxiety. Which approach is most
therapeutic?
• A) Encourage the client to discuss the source of their anxiety.
• B) Provide a quiet environment and stay with the client.
• C) Use distraction techniques, such as watching television.
• D) Administer a PRN sedative medication.
Correct Answer: B
Rationale: During an acute anxiety attack, the client may have difficulty processing thoughts.
Providing a quiet environment and staying with the client offers a sense of safety and security
without demanding cognitive effort. Encouraging discussion may increase anxiety; distraction
may not be effective; and medication is not the first-line intervention.
9. A nurse is providing care for a client who recently lost their spouse. Which statement by the
nurse best demonstrates empathy?
• A) "I know how you feel. I lost my grandmother last year."
• B) "You are still young; you can find someone else."
• C) "This must be a very difficult time for you."
• D) "It was God's will; you must accept it."
Correct Answer: C
Rationale: Empathy involves acknowledging the client's feelings and situation without
minimizing them or shifting the focus to the nurse. "This must be a very difficult time" validates
the client's experience. Saying "I know how you feel" is not empathetic because the nurse
cannot truly know the client's unique grief. The other responses are dismissive or provide
unwanted advice.
10. The nurse is assessing a client who is demonstrating signs of post-traumatic stress disorder
(PTSD) after a motor vehicle accident. Which symptom is characteristic of PTSD?
• A) Persistent avoidance of reminders of the event.
FOR 2023 EXAM - Nclex-Rn 2023/2024
1. A nurse is caring for a client with a new diagnosis of tuberculosis. Which action is most
important for the nurse to take to prevent the spread of infection?
• A) Place the client in a negative-pressure room.
• B) Wear an N95 respirator when entering the room.
• C) Ensure the client wears a surgical mask when leaving the room.
• D) Administer prescribed antibiotics as ordered.
Correct Answer: A
Rationale: While all options are important, placing the client in a negative-pressure room is the
most critical intervention for airborne precautions. This prevents infectious particles from
escaping the room and spreading to other areas. Wearing an N95 respirator is also essential but
is a measure to protect the nurse, while the negative-pressure room protects the broader
environment.
2. The nurse is preparing to administer a medication via a nasogastric tube. Which action is
most important to ensure patient safety?
• A) Verify tube placement by aspirating gastric contents and checking pH.
• B) Flush the tube with 30 mL of water before and after each medication.
• C) Crush all medications to prevent tube clogging.
• D) Mix all medications together in a single syringe.
Correct Answer: A
Rationale: Verifying tube placement is the most critical step to prevent accidental
administration into the lungs. Aspiration of gastric contents with a pH of 5 or less is a reliable
method of checking placement. Flushing is a good practice but not the most important safety
measure. Crushing all medications or mixing them together can lead to interactions or clogging
and is not recommended.
3. A nurse is planning care for a client who is at risk for falls. Which intervention is a priority
to include in the plan?
, • A) Keep the bed in the lowest position.
• B) Place the call light within reach.
• C) Use a bed alarm system.
• D) Encourage the client to use the bathroom independently.
Correct Answer: A
Rationale: Keeping the bed in the lowest position is the single most important physical safety
measure to reduce injury if a fall occurs. While placing the call light within reach and using a bed
alarm are helpful, they do not prevent the fall itself as effectively as the bed position.
Encouraging independence without supervision may increase fall risk.
Health Promotion and Maintenance
4. The nurse is teaching a prenatal class about healthy pregnancy weight gain. A client who is
at a normal pre-pregnancy weight should be advised to gain approximately how much
weight?
• A) 15-25 pounds
• B) 25-35 pounds
• C) 35-45 pounds
• D) 10-15 pounds
Correct Answer: B
Rationale: The recommended weight gain for a woman with a normal BMI is 25-35 pounds. A
gain of 15-25 pounds is recommended for overweight women, and 35-45 pounds for
underweight women. A 10-15 pound gain is considered too low for a normal-weight woman and
may indicate inadequate nutrition.
5. The nurse is providing discharge teaching to a new mother about infant car seat safety.
Which statement by the mother indicates a need for further teaching?
• A) "I will place the car seat in the back seat, facing the rear."
• B) "I will ensure the harness straps are at or below my baby's shoulders."
• C) "I will place the car seat in the front seat so I can keep an eye on her."
, • D) "I will make sure the car seat is installed at a 45-degree angle."
Correct Answer: C
Rationale: Infants should never be placed in the front seat of a car with a passenger-side airbag
due to the risk of serious injury or death if the airbag deploys. The back seat is the safest
location. Rear-facing, appropriate strap placement, and correct angle are all crucial safety
measures.
6. The nurse is performing a developmental assessment on a 12-month-old child. Which
finding should the nurse expect?
• A) Walks independently.
• B) Builds a tower of two cubes.
• C) Scribbles spontaneously.
• D) Says two to three words.
Correct Answer: A
Rationale: Most 12-month-olds can walk independently or with one hand held. Building a tower
of two cubes and scribbling spontaneously are skills seen at 15 months. Saying two to three
words is a 12-month milestone (e.g., "mama," "dada," "bye-bye"), but walking is a more
prominent gross motor milestone, making it the expected finding.
7. The nurse is teaching a client about the importance of immunizations for their 2-year-old
child. Which immunization is recommended at this age?
• A) DTaP (Diphtheria, Tetanus, and Pertussis)
• B) MMR (Measles, Mumps, and Rubella)
• C) Varicella (Chickenpox)
• D) All of the above
Correct Answer: D
Rationale: The CDC recommends a DTaP booster, MMR vaccine, and varicella vaccine for
children at 12-15 months, with a second dose of MMR and varicella at 4-6 years. While the first
doses are given by 15 months, the 2-year-old may not yet be due for a booster. However, all
these vaccines are part of the recommended schedule for a 2-year-old; thus, D is the correct
answer as it includes all the vaccines recommended at this age.
, Psychosocial Integrity
8. The nurse is caring for a client who is experiencing acute anxiety. Which approach is most
therapeutic?
• A) Encourage the client to discuss the source of their anxiety.
• B) Provide a quiet environment and stay with the client.
• C) Use distraction techniques, such as watching television.
• D) Administer a PRN sedative medication.
Correct Answer: B
Rationale: During an acute anxiety attack, the client may have difficulty processing thoughts.
Providing a quiet environment and staying with the client offers a sense of safety and security
without demanding cognitive effort. Encouraging discussion may increase anxiety; distraction
may not be effective; and medication is not the first-line intervention.
9. A nurse is providing care for a client who recently lost their spouse. Which statement by the
nurse best demonstrates empathy?
• A) "I know how you feel. I lost my grandmother last year."
• B) "You are still young; you can find someone else."
• C) "This must be a very difficult time for you."
• D) "It was God's will; you must accept it."
Correct Answer: C
Rationale: Empathy involves acknowledging the client's feelings and situation without
minimizing them or shifting the focus to the nurse. "This must be a very difficult time" validates
the client's experience. Saying "I know how you feel" is not empathetic because the nurse
cannot truly know the client's unique grief. The other responses are dismissive or provide
unwanted advice.
10. The nurse is assessing a client who is demonstrating signs of post-traumatic stress disorder
(PTSD) after a motor vehicle accident. Which symptom is characteristic of PTSD?
• A) Persistent avoidance of reminders of the event.
