NCLEX NCSBN sample questions
NCLEX NCSBN sample questions
Study online at https://quizlet.com/_dbkv69
1. The charge nurse has received a change-of-shift re-
port on the following clients in labor. The charge nurse
should ask a staff member to first see the client in the
1. first stage of labor who has an oral temperature of
99.7° F (37.6° C) 2. first stage of labor whose contrac-
tions are occurring every 30 seconds 3. second stage
of labor who has respirations of 26 4. second stage of
labor whose contractions are lasting for 60 seconds
2. The nurse is observing a staff member caring for a
client who has chickenpox. Which of the following
actions by the staff member would require the nurse
to intervene? 1. placing the client in a private room
with monitored negative air pressure 2. placing a box
of disposable face shields outside the client's room 3.
placing an alcohol-based hand rub in the client's room
for hand hygiene 4. placing a surgical mask on the
client during transport out of the client's room
3. The nurse is caring for a client who reports feeling
faint and is experiencing the cardiac rhythm shown
in the electrocardiogram (ECG) strip below. 1. Admin-
ister the client's prescribed beta blocker. 2. Prepare
for transcutaneous pacing. 3. Instruct the client to
perform the Valsalva maneuver. 4. Begin chest com-
pressions. 5. Assess the client for angina.
4. The nurse is planning care for a client with moderate
Alzheimer's disease (AD). Which of the following inter-
ventions should the nurse include in the client's plan
of care? 1. Encourage the client to reminisce about
happy memories. 2. Confront the client when inap-
1
, NCLEX NCSBN sample questions
NCLEX NCSBN sample questions
Study online at https://quizlet.com/_dbkv69
propriate or agitated behaviors occur. 3. Administer to
the client the cholinesterase inhibitor to reverse the
course of AD. 4. Provide the client with information
about activity choices in the morning so the client can
make plans for the day.
5. The nurse is teaching a client how to ambulate using
crutches. Which of the following information should
the nurse include? 1. "Use your hands and arms to
support your body weight." 2. "Wear slippers when
ambulating with the crutches in your home." 3. "Main-
tain the crutches 12 in (30 cm) in front of your feet
while standing." 4. "Adjust the hand grips of the
crutches so that your elbows are fully extended."
6. The nurse has taught a client with multiple sclerosis
(MS). Which of the following statements by the client
would indicate a correct understanding of the teach-
ing? 1. "I will complete all of my household chores in
the morning when I am well rested." 2. "I have learned
how to massage my bladder to help empty my bladder
completely." 3. "I will take a hot bath in the evening to
help me relax if I have had a stressful day at work."
4. "I should expect the blurred vision to resolve after I
have received medications for several weeks."
7. The nurse in the emergency department (ED) is caring
for a 41-year-old male client. Click to highlight the
findings below that would require follow-up. Nurses'
Notes Emergency Department 1100: Client reports
nausea, loss of appetite, vomiting, fever, and consti-
pation for the past 2 weeks and abdominal pain rat-
2
, NCLEX NCSBN sample questions
NCLEX NCSBN sample questions
Study online at https://quizlet.com/_dbkv69
ed 7/10 on the Numerical Rating Scale for 1 week.
Client states, "The abdominal pain started after my
7-year-old child accidentally kicked me in the stom-
ach." Client plays soccer with the child once a week.
Vital signs: T 103.4° F (39.7° C), P 92, RR 22, BP 130/86,
pulse oximetry reading 98% on room air. No signifi-
cant past medical or surgical history. Body mass index
(BMI) of 32. Drinks alcohol only during social occa-
sions, usually 3 beverages. Smokes cigarettes during
social occasions.
8. The nurse in the emergency department (ED) is car-
ing for a 41-year-old male client. Nurses' Notes Emer-
gency Department 1100: Client reports nausea, loss
of appetite, vomiting, fever, and constipation for the
past 2 weeks and abdominal pain rated 7/10 on the
Numerical Rating Scale for 1 week. Client states, "The
abdominal pain started after my 7-year-old child acci-
dentally kicked me in the stomach." Client plays soccer
with the child once a week. Vital signs: T 103.4° F
(39.7° C), P 92, RR 22, BP 130/86, pulse oximetry read-
ing 98% on room air. No significant past medical or
surgical history. Body mass index (BMI) of 32. Drinks
alcohol only during social occasions, usually 3 bever-
ages. Smokes cigarettes during social occasions. For
each assessment finding below, click to specify if the
finding is consistent with the disease process of bow-
el obstruction, appendicitis, or ruptured spleen. Each
finding may support more than 1 disease process.
Assessment Findings Bowel Obstruction Appendicitis
Ruptured Spleen appetite pain level bowel pattern
3
, NCLEX NCSBN sample questions
NCLEX NCSBN sample questions
Study online at https://quizlet.com/_dbkv69
gastrointestinal symptoms Note: Each column must
have at least 1 response option selected.
9. The nurse has attended a staff education program
about caring for clients who are receiving positive
pressure mechanical ventilation. Which of the follow-
ing statements by the nurse would indicate a cor-
rect understanding of the teaching? 1. "Clients should
avoid range-of-motion (ROM) exercises until weaned
from ventilation." 2. "Clients may develop stress ul-
cers and gastrointestinal bleeding." 3. "Clients will
be chemically paralyzed to improve oxygenation." 4.
"Clients will experience diuresis and polyuria."
10. The charge nurse must transfer a female client from
the medical-surgical unit to the maternity unit to
make a bed available. It would be most appropriate
for the nurse to transfer the client who is 1. 28 years
old, had a right mastectomy and has a closed-wound
drainage system 2. 49 years old, has diabetes mellitus
(type 2) and has begun receiving insulin 3. 56 years
old, has hepatitis C (HCV) and has been afebrile for 24
hours 4. 70 years old, has a fractured left tibia and had
an external fixation device applied 48 hours ago
11. The nurse has been made aware of the following client
situations. The nurse should first assess the client with
1. heart failure who has a productive cough and is
anxious 2. regional enteritis (Crohn's disease) who is
reporting cramping abdominal pain and diarrhea 3.
idiopathic thrombocytopenic purpura (ITP) who has
petechiae on the trunk and is reporting heavy menses
4
NCLEX NCSBN sample questions
Study online at https://quizlet.com/_dbkv69
1. The charge nurse has received a change-of-shift re-
port on the following clients in labor. The charge nurse
should ask a staff member to first see the client in the
1. first stage of labor who has an oral temperature of
99.7° F (37.6° C) 2. first stage of labor whose contrac-
tions are occurring every 30 seconds 3. second stage
of labor who has respirations of 26 4. second stage of
labor whose contractions are lasting for 60 seconds
2. The nurse is observing a staff member caring for a
client who has chickenpox. Which of the following
actions by the staff member would require the nurse
to intervene? 1. placing the client in a private room
with monitored negative air pressure 2. placing a box
of disposable face shields outside the client's room 3.
placing an alcohol-based hand rub in the client's room
for hand hygiene 4. placing a surgical mask on the
client during transport out of the client's room
3. The nurse is caring for a client who reports feeling
faint and is experiencing the cardiac rhythm shown
in the electrocardiogram (ECG) strip below. 1. Admin-
ister the client's prescribed beta blocker. 2. Prepare
for transcutaneous pacing. 3. Instruct the client to
perform the Valsalva maneuver. 4. Begin chest com-
pressions. 5. Assess the client for angina.
4. The nurse is planning care for a client with moderate
Alzheimer's disease (AD). Which of the following inter-
ventions should the nurse include in the client's plan
of care? 1. Encourage the client to reminisce about
happy memories. 2. Confront the client when inap-
1
, NCLEX NCSBN sample questions
NCLEX NCSBN sample questions
Study online at https://quizlet.com/_dbkv69
propriate or agitated behaviors occur. 3. Administer to
the client the cholinesterase inhibitor to reverse the
course of AD. 4. Provide the client with information
about activity choices in the morning so the client can
make plans for the day.
5. The nurse is teaching a client how to ambulate using
crutches. Which of the following information should
the nurse include? 1. "Use your hands and arms to
support your body weight." 2. "Wear slippers when
ambulating with the crutches in your home." 3. "Main-
tain the crutches 12 in (30 cm) in front of your feet
while standing." 4. "Adjust the hand grips of the
crutches so that your elbows are fully extended."
6. The nurse has taught a client with multiple sclerosis
(MS). Which of the following statements by the client
would indicate a correct understanding of the teach-
ing? 1. "I will complete all of my household chores in
the morning when I am well rested." 2. "I have learned
how to massage my bladder to help empty my bladder
completely." 3. "I will take a hot bath in the evening to
help me relax if I have had a stressful day at work."
4. "I should expect the blurred vision to resolve after I
have received medications for several weeks."
7. The nurse in the emergency department (ED) is caring
for a 41-year-old male client. Click to highlight the
findings below that would require follow-up. Nurses'
Notes Emergency Department 1100: Client reports
nausea, loss of appetite, vomiting, fever, and consti-
pation for the past 2 weeks and abdominal pain rat-
2
, NCLEX NCSBN sample questions
NCLEX NCSBN sample questions
Study online at https://quizlet.com/_dbkv69
ed 7/10 on the Numerical Rating Scale for 1 week.
Client states, "The abdominal pain started after my
7-year-old child accidentally kicked me in the stom-
ach." Client plays soccer with the child once a week.
Vital signs: T 103.4° F (39.7° C), P 92, RR 22, BP 130/86,
pulse oximetry reading 98% on room air. No signifi-
cant past medical or surgical history. Body mass index
(BMI) of 32. Drinks alcohol only during social occa-
sions, usually 3 beverages. Smokes cigarettes during
social occasions.
8. The nurse in the emergency department (ED) is car-
ing for a 41-year-old male client. Nurses' Notes Emer-
gency Department 1100: Client reports nausea, loss
of appetite, vomiting, fever, and constipation for the
past 2 weeks and abdominal pain rated 7/10 on the
Numerical Rating Scale for 1 week. Client states, "The
abdominal pain started after my 7-year-old child acci-
dentally kicked me in the stomach." Client plays soccer
with the child once a week. Vital signs: T 103.4° F
(39.7° C), P 92, RR 22, BP 130/86, pulse oximetry read-
ing 98% on room air. No significant past medical or
surgical history. Body mass index (BMI) of 32. Drinks
alcohol only during social occasions, usually 3 bever-
ages. Smokes cigarettes during social occasions. For
each assessment finding below, click to specify if the
finding is consistent with the disease process of bow-
el obstruction, appendicitis, or ruptured spleen. Each
finding may support more than 1 disease process.
Assessment Findings Bowel Obstruction Appendicitis
Ruptured Spleen appetite pain level bowel pattern
3
, NCLEX NCSBN sample questions
NCLEX NCSBN sample questions
Study online at https://quizlet.com/_dbkv69
gastrointestinal symptoms Note: Each column must
have at least 1 response option selected.
9. The nurse has attended a staff education program
about caring for clients who are receiving positive
pressure mechanical ventilation. Which of the follow-
ing statements by the nurse would indicate a cor-
rect understanding of the teaching? 1. "Clients should
avoid range-of-motion (ROM) exercises until weaned
from ventilation." 2. "Clients may develop stress ul-
cers and gastrointestinal bleeding." 3. "Clients will
be chemically paralyzed to improve oxygenation." 4.
"Clients will experience diuresis and polyuria."
10. The charge nurse must transfer a female client from
the medical-surgical unit to the maternity unit to
make a bed available. It would be most appropriate
for the nurse to transfer the client who is 1. 28 years
old, had a right mastectomy and has a closed-wound
drainage system 2. 49 years old, has diabetes mellitus
(type 2) and has begun receiving insulin 3. 56 years
old, has hepatitis C (HCV) and has been afebrile for 24
hours 4. 70 years old, has a fractured left tibia and had
an external fixation device applied 48 hours ago
11. The nurse has been made aware of the following client
situations. The nurse should first assess the client with
1. heart failure who has a productive cough and is
anxious 2. regional enteritis (Crohn's disease) who is
reporting cramping abdominal pain and diarrhea 3.
idiopathic thrombocytopenic purpura (ITP) who has
petechiae on the trunk and is reporting heavy menses
4
