NCLEX-RN
Question 1: The nurse is caring for a client exposed to Mycobacterium tuberculosis. The nurse provides
what instruction to the client?
1. "You will take a single drug such as isoniazid (INH) by mouth every day for 6 to 12 months."
2. "You will be on at least two drugs effective against the tubercle bacillus for three months."
3. "You will be on combination therapy to prevent the development of drug resistance."
4. "You will need to learn to give yourself subcutaneous injections."
Question 2: The nurse delegates an unlicensed assistive person (UAP) to assist a client with a clean
urinary catheterization procedure. The client had formerly been able to do the procedure but has been
unable due to arthritis. What must the nurse emphasize to the UAP?
1. Let the client do most of the procedure and report the expected output.
2. Report immediately any unusual observations, such as bleeding.
3. Complete in proper order the steps of the procedure.
4. Perform health teaching while performing the procedure.
Question 3: The client is in the operating room for a surgical procedure. The nurse in the operating room
is monitoring the physiological integrity of the client. Which of the following activities is most
appropriate?
1. Determine client satisfaction with care received.
2. Assess client's emotional status.
3. Monitor asepsis in the environment.
4. Calculate fluid loss and its effects.
Question 4: The clinic nurse is conducting health screenings. Which of the following client assessment
findings indicates that client teaching is needed about the risk for stroke? (Select all that apply)
1. Weight 205 lbs and height 5 feet 4 inches.
2. Blood pressure 164/92 mmHg.
3. Eats bran for breakfast daily.
4. Smokes 1/2 pack of cigarettes per day.
5. Serum cholesterol level is 172 mg/dL.
Question 5: Which of the following actions would the nurse take to maintain medical asepsis when
caring for a client with diabetes mellitus on the medical unit who requires irrigation of a leg ulcer and
insulin injections? (Select all that apply)
, 1. Wash hands before and after client care.
2. Wear personal protective equipment during the dressing change.
3. Recap a needle after administering insulin.
4. Change the dressing for a diabetic ulcer using sterile gloves.
5. Wipe the rubber stopper on the insulin vial before withdrawing a dose.
Question 6: Laboratory test results indicate a client is in the nadir period that follows administration of a
chemotherapy drug. Which drug should the nurse avoid administering to this client at this time?
1. Acetaminophen (Tylenol)
2. Ibuprofen (Motrin)
3. Diphenhydramine (Benadryl)
4. Guanefesin (Robitussin)
Question 7: The newborn nursery has recently formed a unit policy and procedure committee. The
nurse, while attending and participating in the meetings, determines that which nurse exemplifies a
situational leader?
1. The nurse who offers suggestions, asks questions, and guides the group toward achieving group
goals.
2. The nurse who recognizes the group’s need for autonomy and abdicates responsibility.
3. The nurse who relies on the organization’s rules, policies, and procedures to direct the group’s
work.
4. The nurse who recognizes that leadership style depends on the readiness and willingness of the
group or the individuals to perform the assigned tasks.
Question 8: The nurse places highest priority on taking which of the following actions to reduce the
spread of microorganisms when caring for a client at risk for infection?
1. Wash hands before and after client care.
2. Use clean gloves when implementing client care.
3. Institute transmission-based precautions.
4. Place the client in a private room.
Question 9: The nurse would report to the physician which of the following abnormal laboratory values
for a 58-year-old client newly admitted to the nursing unit with fever and diarrhea? (Select all that apply)
1. White blood cell count 12,260/mm³
2. Sodium 142 mEq/L
, 3. Potassium 3.9 mEq/L
4. Blood urea nitrogen 38 mg/dL
5. Serum creatinine 0.9 mg/dL
Question 10: The mental health nurse working with children anticipates that unrealistic expectations or a
sense of failure to meet standards would cause a 10-year-old child to develop a sense of which of the
following?
1. Shame
2. Guilt
3. Inferiority
4. Role confusion
Question 11: A postoperative client who has an order for 5,000 units of heparin SubQ for three doses
wants to know why this drug is being ordered. What information would the nurse provide to the client to
best answer the question?
1. "Heparin is used as a common medication in many clients who have surgery."
2. "Heparin is essential during the postoperative period to maintain adequate blood clotting
levels."
3. "The injections will be given in the abdomen and are not usually associated with discomfort."
4. "Heparin is being used to prevent blood clots from forming as a result of surgery or decreased
mobility."
Question 12: The Emergency Department has recently experienced a significant increase in client visits.
The year-to-date census reveals a 20% increase in admission from the same period last year. In an effort
to reduce staff stress and burnout by empowering the staff, the nurse manager uses which of the
following approaches to demonstrate shared leadership?
1. Encourages the formation of self-directed work teams.
2. Encourages the group to try out nursing approaches that are evidence-based.
3. Suggests that staff who have demonstrated charting excellence be given opportunities for
professional development activities.
4. Provides constructive criticism and facilitates the group to meet their goals.
Question 13: A 56-year-old client reports to the nurse that his sleep patterns are different than when he
was younger. The nurse anticipates that this client is likely to be experiencing which normal
developmental pattern?
1. 6 to 8 hours of sleep per night with about 20 to 25% of rapid eye movement (REM) sleep and a
marked decrease in Stage IV non-REM (NREM) sleep.
Question 1: The nurse is caring for a client exposed to Mycobacterium tuberculosis. The nurse provides
what instruction to the client?
1. "You will take a single drug such as isoniazid (INH) by mouth every day for 6 to 12 months."
2. "You will be on at least two drugs effective against the tubercle bacillus for three months."
3. "You will be on combination therapy to prevent the development of drug resistance."
4. "You will need to learn to give yourself subcutaneous injections."
Question 2: The nurse delegates an unlicensed assistive person (UAP) to assist a client with a clean
urinary catheterization procedure. The client had formerly been able to do the procedure but has been
unable due to arthritis. What must the nurse emphasize to the UAP?
1. Let the client do most of the procedure and report the expected output.
2. Report immediately any unusual observations, such as bleeding.
3. Complete in proper order the steps of the procedure.
4. Perform health teaching while performing the procedure.
Question 3: The client is in the operating room for a surgical procedure. The nurse in the operating room
is monitoring the physiological integrity of the client. Which of the following activities is most
appropriate?
1. Determine client satisfaction with care received.
2. Assess client's emotional status.
3. Monitor asepsis in the environment.
4. Calculate fluid loss and its effects.
Question 4: The clinic nurse is conducting health screenings. Which of the following client assessment
findings indicates that client teaching is needed about the risk for stroke? (Select all that apply)
1. Weight 205 lbs and height 5 feet 4 inches.
2. Blood pressure 164/92 mmHg.
3. Eats bran for breakfast daily.
4. Smokes 1/2 pack of cigarettes per day.
5. Serum cholesterol level is 172 mg/dL.
Question 5: Which of the following actions would the nurse take to maintain medical asepsis when
caring for a client with diabetes mellitus on the medical unit who requires irrigation of a leg ulcer and
insulin injections? (Select all that apply)
, 1. Wash hands before and after client care.
2. Wear personal protective equipment during the dressing change.
3. Recap a needle after administering insulin.
4. Change the dressing for a diabetic ulcer using sterile gloves.
5. Wipe the rubber stopper on the insulin vial before withdrawing a dose.
Question 6: Laboratory test results indicate a client is in the nadir period that follows administration of a
chemotherapy drug. Which drug should the nurse avoid administering to this client at this time?
1. Acetaminophen (Tylenol)
2. Ibuprofen (Motrin)
3. Diphenhydramine (Benadryl)
4. Guanefesin (Robitussin)
Question 7: The newborn nursery has recently formed a unit policy and procedure committee. The
nurse, while attending and participating in the meetings, determines that which nurse exemplifies a
situational leader?
1. The nurse who offers suggestions, asks questions, and guides the group toward achieving group
goals.
2. The nurse who recognizes the group’s need for autonomy and abdicates responsibility.
3. The nurse who relies on the organization’s rules, policies, and procedures to direct the group’s
work.
4. The nurse who recognizes that leadership style depends on the readiness and willingness of the
group or the individuals to perform the assigned tasks.
Question 8: The nurse places highest priority on taking which of the following actions to reduce the
spread of microorganisms when caring for a client at risk for infection?
1. Wash hands before and after client care.
2. Use clean gloves when implementing client care.
3. Institute transmission-based precautions.
4. Place the client in a private room.
Question 9: The nurse would report to the physician which of the following abnormal laboratory values
for a 58-year-old client newly admitted to the nursing unit with fever and diarrhea? (Select all that apply)
1. White blood cell count 12,260/mm³
2. Sodium 142 mEq/L
, 3. Potassium 3.9 mEq/L
4. Blood urea nitrogen 38 mg/dL
5. Serum creatinine 0.9 mg/dL
Question 10: The mental health nurse working with children anticipates that unrealistic expectations or a
sense of failure to meet standards would cause a 10-year-old child to develop a sense of which of the
following?
1. Shame
2. Guilt
3. Inferiority
4. Role confusion
Question 11: A postoperative client who has an order for 5,000 units of heparin SubQ for three doses
wants to know why this drug is being ordered. What information would the nurse provide to the client to
best answer the question?
1. "Heparin is used as a common medication in many clients who have surgery."
2. "Heparin is essential during the postoperative period to maintain adequate blood clotting
levels."
3. "The injections will be given in the abdomen and are not usually associated with discomfort."
4. "Heparin is being used to prevent blood clots from forming as a result of surgery or decreased
mobility."
Question 12: The Emergency Department has recently experienced a significant increase in client visits.
The year-to-date census reveals a 20% increase in admission from the same period last year. In an effort
to reduce staff stress and burnout by empowering the staff, the nurse manager uses which of the
following approaches to demonstrate shared leadership?
1. Encourages the formation of self-directed work teams.
2. Encourages the group to try out nursing approaches that are evidence-based.
3. Suggests that staff who have demonstrated charting excellence be given opportunities for
professional development activities.
4. Provides constructive criticism and facilitates the group to meet their goals.
Question 13: A 56-year-old client reports to the nurse that his sleep patterns are different than when he
was younger. The nurse anticipates that this client is likely to be experiencing which normal
developmental pattern?
1. 6 to 8 hours of sleep per night with about 20 to 25% of rapid eye movement (REM) sleep and a
marked decrease in Stage IV non-REM (NREM) sleep.
