NCLEX Practice Questions 500+ Exam
With Correct Answers
A client who's paralyzed on the left side has been receiving physical
therapy and attending teaching sessions about safety. Which behavior
indicates that the client accurately understands safety measures related to
paralysis? - ANSWER The client uses a mirror to inspect the skin.
The nurse meets with the client and his wife to discuss depression and the
client's medication. Which comment by the wife would indicate that the
nurse's teaching about disease process and medications has been
effective? - ANSWER "It is important for him to take his medication so that
the depression will not return or get worse."
A person calls the neonatal intensive care unit stating that his son is
receiving care there. He tells the nurse that he and the mother "aren't
together," and requests information about his son's condition. The nurse
should: - ANSWER obtain more data before giving the caller any
confidential information.
A client is to have a below-the-knee amputation. Prior to surgery, the
circulating nurse in the operating room should: - ANSWER initiate a time-
out.
The nurse is reviewing a client's prenatal history. Which of the following is a
significant factor in anticipating complications in labor and birth? -
ANSWER History of postpartum hemorrhage (PPH)
,The nurse is to check a client's gag reflex. The most effective technique for
testing the gag reflex is to: - ANSWER touch the back of the client's throat
with a tongue blade.
A client scheduled for a total laryngectomy and radical neck dissection
begins talking rapidly, commenting, "I'm really nervous and scared about
the operation." What is the most therapeutic action by the nurse? -
ANSWER The nurse should listen attentively and provide realistic verbal
reassurance.
Which use of restraints in a school-age child should the nurse question? -
ANSWER To substitute for observation
A client has been diagnosed with hypothyroidism. Which statement by the
client would demonstrate appropriate teaching by the nurse? - ANSWER "I
will increase fiber and fluids in my diet."
A client is admitted to the emergency department following an overdose of
barbiturates. What should the nurse do first? - ANSWER Assess ventilation
and assist ventilation as needed.
A 12-year-old with asthma wants to exercise. Which activity should the
nurse suggest to improve breathing? - ANSWER swimming
The nurse should dispose of a used needle and syringe by: - ANSWER
Placing uncapped, used needles and syringes immediately in the universal
precaution container in the client's room.
While examining a 12-month-old child, the nurse notes that the child can
stand independently but cannot walk without support. The nurse should: -
ANSWER do nothing because this is a normal finding in a child this age.
A client is transferred from the emergency department to the locked
psychiatric unit after attempting suicide by taking 200 acetaminophen
tablets. The client is now awake and alert but refuses to speak with the
nurse. In this situation, the nurse's first priority is to: - ANSWER ensure
safety by initiating suicide precautions.
,To prepare the community for the possible threat of anthrax, a nurse must
teach that: - ANSWER anthrax can infect the integumentary, GI, and
respiratory systems.
A client who has a history of Crohn's disease is admitted to the hospital
with fever, diarrhea, cramping, abdominal pain, and weight loss. The nurse
should monitor the client for: - ANSWER hypokalemia.
The nurse should assess the client for digoxin toxicity if serum levels
indicate that the client has a: - ANSWER low potassium level.
A client has been taking furosemide for 2 days. The nurse should assess
the client for: - ANSWER a decreased potassium level.
When preparing a teaching plan for a client who is to receive a rubella
vaccine during the postpartum period, the nurse should include which
information? - ANSWER Pregnancy should be avoided for 4 weeks after
the immunization.
While shopping, a nurse meets a neighbor who asks about a friend
receiving treatment at the nurse's clinic. What is the nurse's most
appropriate response? - ANSWER "I'm sorry, I can't disclose client
information."
A client is admitted to the hospital for diagnostic testing to rule out
colorectal cancer. Which intervention should the nurse include on the plan
of care? - ANSWER Test all stools for occult blood.
What data indicates to the nurse that placental detachment is occurring? -
ANSWER An abrupt lengthening of the cord
A nurse is assessing a 15-year-old girl who has lost 30 lb (13.6 kg) over 3
months. What other finding is the nurse likely to assess? - ANSWER
amenorrhea.
A charge nurse enters a client's room and observes a physician instructing
another nurse on how to insert a central line into the client's neck. The
nurse is holding the cannula and inserting the line. What would be the
appropriate response by the charge nurse? - ANSWER Stop the procedure
, and inform the nurse that he/she is practicing outside of a nurse's legal
scope of practice.
The nurse is teaching a client with rheumatoid arthritis about how to
manage the fatigue associated with this disease. Which statement by the
client indicates she understands how to manage the fatigue? - ANSWER "I
schedule afternoon rest periods for myself in addition to sleeping 10 hours
every night."
A registered nurse (RN) is supervising an unlicensed assistive personnel
(UAP). Which principle would the nurse follow when delegating tasks? -
ANSWER The RN delegates a task based on the UAP's skill set
A client with a personality disorder is upset and calls the nurse a "stupid
cow." Which of the following is the most effective initial response by the
nurse to this client's behavior? - ANSWER Calmly discuss the
inappropriateness of displacing anger to others.
The nurse is caring for a client with bipolar disorder who was recently
admitted to an inpatient unit and is experiencing a manic episode. What is
a priority nursing intervention for this client? - ANSWER Closely monitor the
client's eating and sleeping habits.
A client is recovering from an infected abdominal wound. Which foods
should the nurse encourage the client to eat to support wound healing and
recovery from the infection? - ANSWER chicken and orange slices
When instilling erythromycin ointment into the eyes of a neonate 1 hour old,
the nurse would explain to the parents that the medication is used to
prevent which problem? - ANSWER blindness secondary to gonorrhea
A nurse meets his/her neighbor and new baby at the local market. The
neighbor states that she received outstanding nursing care from one of the
nurse's colleagues during her labor and childbirth. What is the best way for
the nurse to recognize her nursing colleague's professional efforts? -
ANSWER Share the feedback with the nursing colleague directly.
What should a nurse do when administering pilocarpine? - ANSWER Apply
pressure on the inner canthus to prevent systemic absorption.
With Correct Answers
A client who's paralyzed on the left side has been receiving physical
therapy and attending teaching sessions about safety. Which behavior
indicates that the client accurately understands safety measures related to
paralysis? - ANSWER The client uses a mirror to inspect the skin.
The nurse meets with the client and his wife to discuss depression and the
client's medication. Which comment by the wife would indicate that the
nurse's teaching about disease process and medications has been
effective? - ANSWER "It is important for him to take his medication so that
the depression will not return or get worse."
A person calls the neonatal intensive care unit stating that his son is
receiving care there. He tells the nurse that he and the mother "aren't
together," and requests information about his son's condition. The nurse
should: - ANSWER obtain more data before giving the caller any
confidential information.
A client is to have a below-the-knee amputation. Prior to surgery, the
circulating nurse in the operating room should: - ANSWER initiate a time-
out.
The nurse is reviewing a client's prenatal history. Which of the following is a
significant factor in anticipating complications in labor and birth? -
ANSWER History of postpartum hemorrhage (PPH)
,The nurse is to check a client's gag reflex. The most effective technique for
testing the gag reflex is to: - ANSWER touch the back of the client's throat
with a tongue blade.
A client scheduled for a total laryngectomy and radical neck dissection
begins talking rapidly, commenting, "I'm really nervous and scared about
the operation." What is the most therapeutic action by the nurse? -
ANSWER The nurse should listen attentively and provide realistic verbal
reassurance.
Which use of restraints in a school-age child should the nurse question? -
ANSWER To substitute for observation
A client has been diagnosed with hypothyroidism. Which statement by the
client would demonstrate appropriate teaching by the nurse? - ANSWER "I
will increase fiber and fluids in my diet."
A client is admitted to the emergency department following an overdose of
barbiturates. What should the nurse do first? - ANSWER Assess ventilation
and assist ventilation as needed.
A 12-year-old with asthma wants to exercise. Which activity should the
nurse suggest to improve breathing? - ANSWER swimming
The nurse should dispose of a used needle and syringe by: - ANSWER
Placing uncapped, used needles and syringes immediately in the universal
precaution container in the client's room.
While examining a 12-month-old child, the nurse notes that the child can
stand independently but cannot walk without support. The nurse should: -
ANSWER do nothing because this is a normal finding in a child this age.
A client is transferred from the emergency department to the locked
psychiatric unit after attempting suicide by taking 200 acetaminophen
tablets. The client is now awake and alert but refuses to speak with the
nurse. In this situation, the nurse's first priority is to: - ANSWER ensure
safety by initiating suicide precautions.
,To prepare the community for the possible threat of anthrax, a nurse must
teach that: - ANSWER anthrax can infect the integumentary, GI, and
respiratory systems.
A client who has a history of Crohn's disease is admitted to the hospital
with fever, diarrhea, cramping, abdominal pain, and weight loss. The nurse
should monitor the client for: - ANSWER hypokalemia.
The nurse should assess the client for digoxin toxicity if serum levels
indicate that the client has a: - ANSWER low potassium level.
A client has been taking furosemide for 2 days. The nurse should assess
the client for: - ANSWER a decreased potassium level.
When preparing a teaching plan for a client who is to receive a rubella
vaccine during the postpartum period, the nurse should include which
information? - ANSWER Pregnancy should be avoided for 4 weeks after
the immunization.
While shopping, a nurse meets a neighbor who asks about a friend
receiving treatment at the nurse's clinic. What is the nurse's most
appropriate response? - ANSWER "I'm sorry, I can't disclose client
information."
A client is admitted to the hospital for diagnostic testing to rule out
colorectal cancer. Which intervention should the nurse include on the plan
of care? - ANSWER Test all stools for occult blood.
What data indicates to the nurse that placental detachment is occurring? -
ANSWER An abrupt lengthening of the cord
A nurse is assessing a 15-year-old girl who has lost 30 lb (13.6 kg) over 3
months. What other finding is the nurse likely to assess? - ANSWER
amenorrhea.
A charge nurse enters a client's room and observes a physician instructing
another nurse on how to insert a central line into the client's neck. The
nurse is holding the cannula and inserting the line. What would be the
appropriate response by the charge nurse? - ANSWER Stop the procedure
, and inform the nurse that he/she is practicing outside of a nurse's legal
scope of practice.
The nurse is teaching a client with rheumatoid arthritis about how to
manage the fatigue associated with this disease. Which statement by the
client indicates she understands how to manage the fatigue? - ANSWER "I
schedule afternoon rest periods for myself in addition to sleeping 10 hours
every night."
A registered nurse (RN) is supervising an unlicensed assistive personnel
(UAP). Which principle would the nurse follow when delegating tasks? -
ANSWER The RN delegates a task based on the UAP's skill set
A client with a personality disorder is upset and calls the nurse a "stupid
cow." Which of the following is the most effective initial response by the
nurse to this client's behavior? - ANSWER Calmly discuss the
inappropriateness of displacing anger to others.
The nurse is caring for a client with bipolar disorder who was recently
admitted to an inpatient unit and is experiencing a manic episode. What is
a priority nursing intervention for this client? - ANSWER Closely monitor the
client's eating and sleeping habits.
A client is recovering from an infected abdominal wound. Which foods
should the nurse encourage the client to eat to support wound healing and
recovery from the infection? - ANSWER chicken and orange slices
When instilling erythromycin ointment into the eyes of a neonate 1 hour old,
the nurse would explain to the parents that the medication is used to
prevent which problem? - ANSWER blindness secondary to gonorrhea
A nurse meets his/her neighbor and new baby at the local market. The
neighbor states that she received outstanding nursing care from one of the
nurse's colleagues during her labor and childbirth. What is the best way for
the nurse to recognize her nursing colleague's professional efforts? -
ANSWER Share the feedback with the nursing colleague directly.
What should a nurse do when administering pilocarpine? - ANSWER Apply
pressure on the inner canthus to prevent systemic absorption.
