🩺 NCLEX Practice Test Bank (100 MCQs)
1- A nurse is preparing to insert a Foley catheter. Which action is most important?
A. Use sterile technique
B. Lubricate the catheter tip
C. Provide privacy
D. Explain the procedure
2- Which patient should be placed on airborne precautions?
A. MRSA wound infection
B. Tuberculosis
C. Influenza
D. C. difficile
3- The nurse is teaching a patient about hand hygiene. Which statement shows correct understanding?
A. “I only need to wash if my hands look dirty.”
B. “I should wash for at least 20 seconds.”
C. “Hand sanitizer replaces soap and water always.”
D. “Gloves mean I don’t need to wash my hands.”
4- A nurse finds a patient on the floor. What is the first action?
A. Call for help
B. Assess for injury
C. Document the fall
D. Notify the provider
5- Which position is best for a patient with dyspnea?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Prone
6- The nurse is checking a radial pulse. Which finding should be reported?
A. 72 bpm, regular
B. 58 bpm, regular
C. 110 bpm, irregular
D. 88 bpm, regular
,7- A nurse is teaching about incentive spirometry. What is the purpose?
A. Prevent atelectasis
B. Improve circulation
C. Reduce pain
D. Increase appetite
8- Which patient needs immediate intervention?
A. BP 110/70 mmHg
B. HR 88 bpm
C. O₂ sat 82%
D. Temp 99°F
9- A nurse is caring for a patient with restraints. Which action is correct?
A. Tie restraints to bed rails
B. Check circulation every 2 hours
C. Remove restraints every 2 hours
D. Keep restraints continuously
10- Which principle is most important in patient teaching?
A. Use medical jargon
B. Assess readiness to learn
C. Provide all information at once
D. Focus only on written materials
11- A patient with heart failure reports sudden weight gain of 5 lbs in 2 days. What is the priority action?
A. Encourage exercise
B. Restrict fluids
C. Notify provider
D. Document findings
12- A nurse is caring for a patient with chest pain. Which intervention is priority?
A. Administer morphine
B. Provide oxygen
C. Obtain ECG
D. Start IV line
13- A patient with diabetes has a blood glucose of 40 mg/dL. What is the nurse’s first action?
, A. Give insulin
B. Provide orange juice
C. Notify provider
D. Document findings
14- Which lab result is most concerning in a patient on warfarin?
A. INR 1.0
B. INR 2.5
C. INR 4.5
D. INR 2.0
15- A patient with pneumonia is receiving antibiotics. Which finding shows improvement?
A. Temp 102°F
B. O₂ sat 95%
C. Productive cough
D. Crackles in lungs
16- A nurse is caring for a patient with renal failure. Which lab value is expected?
A. Elevated creatinine
B. Low potassium
C. Low BUN
D. Elevated calcium
17- A patient with cirrhosis has ascites. Which intervention is most appropriate?
A. Encourage fluids
B. Measure abdominal girth
C. Restrict sodium
D. Administer diuretics
18- A patient with COPD is receiving oxygen at 6 L/min. What is the nurse’s priority?
A. Continue therapy
B. Reduce flow rate
C. Encourage deep breathing
D. Notify provider
19- A patient with DVT is prescribed heparin. Which lab should be monitored?
A. PT/INR
B. aPTT
1- A nurse is preparing to insert a Foley catheter. Which action is most important?
A. Use sterile technique
B. Lubricate the catheter tip
C. Provide privacy
D. Explain the procedure
2- Which patient should be placed on airborne precautions?
A. MRSA wound infection
B. Tuberculosis
C. Influenza
D. C. difficile
3- The nurse is teaching a patient about hand hygiene. Which statement shows correct understanding?
A. “I only need to wash if my hands look dirty.”
B. “I should wash for at least 20 seconds.”
C. “Hand sanitizer replaces soap and water always.”
D. “Gloves mean I don’t need to wash my hands.”
4- A nurse finds a patient on the floor. What is the first action?
A. Call for help
B. Assess for injury
C. Document the fall
D. Notify the provider
5- Which position is best for a patient with dyspnea?
A. Supine
B. Trendelenburg
C. High Fowler’s
D. Prone
6- The nurse is checking a radial pulse. Which finding should be reported?
A. 72 bpm, regular
B. 58 bpm, regular
C. 110 bpm, irregular
D. 88 bpm, regular
,7- A nurse is teaching about incentive spirometry. What is the purpose?
A. Prevent atelectasis
B. Improve circulation
C. Reduce pain
D. Increase appetite
8- Which patient needs immediate intervention?
A. BP 110/70 mmHg
B. HR 88 bpm
C. O₂ sat 82%
D. Temp 99°F
9- A nurse is caring for a patient with restraints. Which action is correct?
A. Tie restraints to bed rails
B. Check circulation every 2 hours
C. Remove restraints every 2 hours
D. Keep restraints continuously
10- Which principle is most important in patient teaching?
A. Use medical jargon
B. Assess readiness to learn
C. Provide all information at once
D. Focus only on written materials
11- A patient with heart failure reports sudden weight gain of 5 lbs in 2 days. What is the priority action?
A. Encourage exercise
B. Restrict fluids
C. Notify provider
D. Document findings
12- A nurse is caring for a patient with chest pain. Which intervention is priority?
A. Administer morphine
B. Provide oxygen
C. Obtain ECG
D. Start IV line
13- A patient with diabetes has a blood glucose of 40 mg/dL. What is the nurse’s first action?
, A. Give insulin
B. Provide orange juice
C. Notify provider
D. Document findings
14- Which lab result is most concerning in a patient on warfarin?
A. INR 1.0
B. INR 2.5
C. INR 4.5
D. INR 2.0
15- A patient with pneumonia is receiving antibiotics. Which finding shows improvement?
A. Temp 102°F
B. O₂ sat 95%
C. Productive cough
D. Crackles in lungs
16- A nurse is caring for a patient with renal failure. Which lab value is expected?
A. Elevated creatinine
B. Low potassium
C. Low BUN
D. Elevated calcium
17- A patient with cirrhosis has ascites. Which intervention is most appropriate?
A. Encourage fluids
B. Measure abdominal girth
C. Restrict sodium
D. Administer diuretics
18- A patient with COPD is receiving oxygen at 6 L/min. What is the nurse’s priority?
A. Continue therapy
B. Reduce flow rate
C. Encourage deep breathing
D. Notify provider
19- A patient with DVT is prescribed heparin. Which lab should be monitored?
A. PT/INR
B. aPTT
