NCLEX-PN Practice Questions
1. The nurse is giving instructions to a client who's going home with a caston his leg. Which
point is most critical?: Reporting signs of impaired circulation
2. A client undergoes a surgical procedure that requires the use of general anesthesia.
Following general anesthesia, the client is most at risk for:: atelectasis.
3. The nurse is caring for a client who recently underwent a tracheostomy.The first priority
when caring for a client with a tracheostomy is:: keeping hisairway patent.
4. The nurse is working on a surgical floor. The nurse must logroll a clientfollowing a::
laminectomy.
5. A client underwent cataract removal with an intraocular lens implant. Thenurse is giving
the client discharge instructions. These instructions should include which of the following?:
Avoid straining during bowel movements.
6. When caring for a client with a nursing diagnosis of Impaired swallowingrelated to
neuromuscular impairment, the nurse should:: elevate the head of the bed 90 degrees during
meals.
7. When performing an assessment, the nurse collects the following data: impaired
coordination, decreased muscle strength, limited range of motion, and the client's reluctance to
move.This data indicates which nursing diagno-sis?: Impaired mobility
8. The nurse is teaching a client with genital herpes. Education for this client should include
an explanation of:: the importance of informing his partner of thedisease.
9. A 25-year-old client asks the nurse how often and when she should perform breast self-
examinations. The nurse should tell her:: every month, 7 to 10 daysafter menses starts.
10. A male client should be taught about testicular examinations:: before age20.
11. When performing an abdominal assessment, the nurse should follow which examination
sequence?: Inspection, auscultation, percussion, and palpa-tion
12. The nurse is providing teaching to a client who's at risk for coronary arterydisease (CAD).
The nurse tells the client that CAD has many risk factors. Riskfactors that can be controlled or
modified include:: obesity, inactivity, diet, andsmoking.
13. The nurse is collecting data on a client admitted with a diagnosis of small bowel
obstruction. When assessing the client's pulse rate, the nurseshould:: count the apical or radial
pulse for 60 seconds.
14. When inserting a urinary catheter, the nurse can facilitate the insertion byasking the client
to:: breathe deeply.
15. The nurse is caring for a client with a colostomy. The client tells the nursethat he makes
small pin holes in the drainage bag to help relieve gas. The nurse should teach him that this
action:: destroys the odor-proof seal.
, 16. A client is prescribed transcutaneous electrical nerve stimulation (TENS) for pain relief.
The rationale for using TENS is to:: block painful stimuli travelingover small nerve fibers.
17. The nurse must assess skin turgor of an elderly client. When evaluating skin turgor, the
nurse should remember that:: inelastic skin turgor is a normalpart of aging.
18. The nurse is assessing a client who may be in the early stages of dehydra-tion. Early
manifestations of dehydration include:: thirst or confusion.
19. A client who recently had a stroke requires a cane to ambulate. When teaching about cane
use, the rationale for holding a cane on the uninvolvedside is to:: distribute weight away from
the involved side.
20. The nurse is developing a teaching plan for a client who must undergo an above-the-knee
amputation of the left leg. After a leg amputation, exercise of the remaining limb:: should
begin the day after surgery.
21. The nurse is preparing to remove a previously applied topical medication from a client.
The rationale for removing previously applied topical medica-
tions before applying new medications is to:: avoid administering more than the prescribed
dose.
22. The nurse is administering eyedrops to a client with glaucoma. To achieve maximum
absorption, the nurse should instill the eyedrop into the:: conjunctival sac.
23. The nurse is administering sublingual nitroglycerin to a client. Immediatelyafterward, the
client may experience:: throbbing headache or dizziness.
24. A client with iron deficiency anemia has been admitted to the medical-sur-gical unit.
Which assessment findings are characteristic of this type of ane- mia?: Dyspnea, tachycardia,
and pallor
25. The nurse is caring for a client taking an anticoagulant. Which instruction regarding
anticoagulant therapy should the nurse give the client?: Limit foodshigh in vitamin K.
26. The nurse delivers a client's 10 a.m. medications. The client is away from his room for a
diagnostic study. Which action is most appropriate for the nurse to take?: Lock the medications
in the medicine preparation area until the client returns.
27. The nurse is caring for a client receiving patient-controlled analgesia (PCA) for pain
management. Which statement about PCA is true?: Pain relief is initiat- ed by the client as
needed.
28. The nurse is caring for a client with type 1 diabetes mellitus who exhibitsconfusion,
light-headedness, and aberrant behavior. The client is still con- scious. The nurse should first
administer:: 15 to 20 g of a fast-acting carbohy-drate such as orange juice.
29. The nurse is caring for an elderly female with osteoporosis. When teaching the client, the
nurse should include information about which major complica-tion?: Bone fracture
30. The nurse is speaking to a group of women about early detection of breastcancer. The
average age of the women in the group is 47. Following the American Cancer Society
1. The nurse is giving instructions to a client who's going home with a caston his leg. Which
point is most critical?: Reporting signs of impaired circulation
2. A client undergoes a surgical procedure that requires the use of general anesthesia.
Following general anesthesia, the client is most at risk for:: atelectasis.
3. The nurse is caring for a client who recently underwent a tracheostomy.The first priority
when caring for a client with a tracheostomy is:: keeping hisairway patent.
4. The nurse is working on a surgical floor. The nurse must logroll a clientfollowing a::
laminectomy.
5. A client underwent cataract removal with an intraocular lens implant. Thenurse is giving
the client discharge instructions. These instructions should include which of the following?:
Avoid straining during bowel movements.
6. When caring for a client with a nursing diagnosis of Impaired swallowingrelated to
neuromuscular impairment, the nurse should:: elevate the head of the bed 90 degrees during
meals.
7. When performing an assessment, the nurse collects the following data: impaired
coordination, decreased muscle strength, limited range of motion, and the client's reluctance to
move.This data indicates which nursing diagno-sis?: Impaired mobility
8. The nurse is teaching a client with genital herpes. Education for this client should include
an explanation of:: the importance of informing his partner of thedisease.
9. A 25-year-old client asks the nurse how often and when she should perform breast self-
examinations. The nurse should tell her:: every month, 7 to 10 daysafter menses starts.
10. A male client should be taught about testicular examinations:: before age20.
11. When performing an abdominal assessment, the nurse should follow which examination
sequence?: Inspection, auscultation, percussion, and palpa-tion
12. The nurse is providing teaching to a client who's at risk for coronary arterydisease (CAD).
The nurse tells the client that CAD has many risk factors. Riskfactors that can be controlled or
modified include:: obesity, inactivity, diet, andsmoking.
13. The nurse is collecting data on a client admitted with a diagnosis of small bowel
obstruction. When assessing the client's pulse rate, the nurseshould:: count the apical or radial
pulse for 60 seconds.
14. When inserting a urinary catheter, the nurse can facilitate the insertion byasking the client
to:: breathe deeply.
15. The nurse is caring for a client with a colostomy. The client tells the nursethat he makes
small pin holes in the drainage bag to help relieve gas. The nurse should teach him that this
action:: destroys the odor-proof seal.
, 16. A client is prescribed transcutaneous electrical nerve stimulation (TENS) for pain relief.
The rationale for using TENS is to:: block painful stimuli travelingover small nerve fibers.
17. The nurse must assess skin turgor of an elderly client. When evaluating skin turgor, the
nurse should remember that:: inelastic skin turgor is a normalpart of aging.
18. The nurse is assessing a client who may be in the early stages of dehydra-tion. Early
manifestations of dehydration include:: thirst or confusion.
19. A client who recently had a stroke requires a cane to ambulate. When teaching about cane
use, the rationale for holding a cane on the uninvolvedside is to:: distribute weight away from
the involved side.
20. The nurse is developing a teaching plan for a client who must undergo an above-the-knee
amputation of the left leg. After a leg amputation, exercise of the remaining limb:: should
begin the day after surgery.
21. The nurse is preparing to remove a previously applied topical medication from a client.
The rationale for removing previously applied topical medica-
tions before applying new medications is to:: avoid administering more than the prescribed
dose.
22. The nurse is administering eyedrops to a client with glaucoma. To achieve maximum
absorption, the nurse should instill the eyedrop into the:: conjunctival sac.
23. The nurse is administering sublingual nitroglycerin to a client. Immediatelyafterward, the
client may experience:: throbbing headache or dizziness.
24. A client with iron deficiency anemia has been admitted to the medical-sur-gical unit.
Which assessment findings are characteristic of this type of ane- mia?: Dyspnea, tachycardia,
and pallor
25. The nurse is caring for a client taking an anticoagulant. Which instruction regarding
anticoagulant therapy should the nurse give the client?: Limit foodshigh in vitamin K.
26. The nurse delivers a client's 10 a.m. medications. The client is away from his room for a
diagnostic study. Which action is most appropriate for the nurse to take?: Lock the medications
in the medicine preparation area until the client returns.
27. The nurse is caring for a client receiving patient-controlled analgesia (PCA) for pain
management. Which statement about PCA is true?: Pain relief is initiat- ed by the client as
needed.
28. The nurse is caring for a client with type 1 diabetes mellitus who exhibitsconfusion,
light-headedness, and aberrant behavior. The client is still con- scious. The nurse should first
administer:: 15 to 20 g of a fast-acting carbohy-drate such as orange juice.
29. The nurse is caring for an elderly female with osteoporosis. When teaching the client, the
nurse should include information about which major complica-tion?: Bone fracture
30. The nurse is speaking to a group of women about early detection of breastcancer. The
average age of the women in the group is 47. Following the American Cancer Society
