NCLEX RN Multiple choice Pretest Exam Questions
with correct Solutions for Entry-Level Success
2025/2026
All of the following clients are using morphine patient-controlled analgesia (PCA) pumps
and are two days post-op.
Which client should the nurse check first?
A. 70 year old following surgical repair of a femur fracture, no bowel movement since
before surgery
B. 79 year old following tumor resection of shoulder head, whose reported pain level is
8 out of 10
C. 62 year old following knee replacement surgery, BP 120/68, pulse 68, respirations 8
D. 67 year old following hip surgery, who just had a wound drain removed, with some
bloody drainage on the dressing - correct answer C
The nurse receives an order for a med from the hospitalist. Knowing the drug is
contraindicated for the pt, the nurse twice verbalizes concerns about the
contraindication to the hospitalist, who doesn't change the order.
What action should the nurse take next?
A. Request a consult with the in house pharmacist
B. Page the attending physician to express the same concerns
C. Ask another staff nurse to discuss the same concerns with the hospitalist
D. Administer the medication as ordered - correct answer B
The pt, who is diagnosed with dementia, wanders throughout the long term care facility.
How can the nurse best ensure the safety of a pt who wanders?
A. Attach a monitoring band to the pt's wrist
, B. Explain the risk of walking with no purpose
C. Frequently reorient the pt to time, person, and place
D. Apply a restraint to keep the pt in a chair when awake - correct answer A
A wander management system is used to give people with dementia and other "at risk"
pts the ability to move freely where they live.
Mass casualty survivors are brought to the ED after a disaster. The nurse is assigned to
4 pts who were triaged in the field and have just arrived in the ED.
Which pt will the nurse care for first?
A. The person with multiple wounds and an open fracture
B. The person with hypotension and a sucking chest wound
C. The person with head trauma requiring mechanical ventilation
D. The person with an undisplaced fracture of the radius - correct answer B
A client is being prepped for a surgical procedure and the nurse is reviewing the
informed consent with the client. The client asks, "Is there any other way to take care of
this without have surgery?" The nurse has a duty to first:
A. Reassure the client that the surgery is the best treatment option
B. Tell the client if they don't want they surgery, they don't have to have it
C. Notify the surgeon that the client has additional question about alternatives to
surgery
D. Call the surgeon and cancel the surgery until the consent form is signed - correct
answer C
A nurse has unintentionally given an incorrect dose of medication to their client. No
harm was done to the client. What is the next action, if any, required by the nurse?
A. The nurse is not required to report the mistake because the client was not harmed
with correct Solutions for Entry-Level Success
2025/2026
All of the following clients are using morphine patient-controlled analgesia (PCA) pumps
and are two days post-op.
Which client should the nurse check first?
A. 70 year old following surgical repair of a femur fracture, no bowel movement since
before surgery
B. 79 year old following tumor resection of shoulder head, whose reported pain level is
8 out of 10
C. 62 year old following knee replacement surgery, BP 120/68, pulse 68, respirations 8
D. 67 year old following hip surgery, who just had a wound drain removed, with some
bloody drainage on the dressing - correct answer C
The nurse receives an order for a med from the hospitalist. Knowing the drug is
contraindicated for the pt, the nurse twice verbalizes concerns about the
contraindication to the hospitalist, who doesn't change the order.
What action should the nurse take next?
A. Request a consult with the in house pharmacist
B. Page the attending physician to express the same concerns
C. Ask another staff nurse to discuss the same concerns with the hospitalist
D. Administer the medication as ordered - correct answer B
The pt, who is diagnosed with dementia, wanders throughout the long term care facility.
How can the nurse best ensure the safety of a pt who wanders?
A. Attach a monitoring band to the pt's wrist
, B. Explain the risk of walking with no purpose
C. Frequently reorient the pt to time, person, and place
D. Apply a restraint to keep the pt in a chair when awake - correct answer A
A wander management system is used to give people with dementia and other "at risk"
pts the ability to move freely where they live.
Mass casualty survivors are brought to the ED after a disaster. The nurse is assigned to
4 pts who were triaged in the field and have just arrived in the ED.
Which pt will the nurse care for first?
A. The person with multiple wounds and an open fracture
B. The person with hypotension and a sucking chest wound
C. The person with head trauma requiring mechanical ventilation
D. The person with an undisplaced fracture of the radius - correct answer B
A client is being prepped for a surgical procedure and the nurse is reviewing the
informed consent with the client. The client asks, "Is there any other way to take care of
this without have surgery?" The nurse has a duty to first:
A. Reassure the client that the surgery is the best treatment option
B. Tell the client if they don't want they surgery, they don't have to have it
C. Notify the surgeon that the client has additional question about alternatives to
surgery
D. Call the surgeon and cancel the surgery until the consent form is signed - correct
answer C
A nurse has unintentionally given an incorrect dose of medication to their client. No
harm was done to the client. What is the next action, if any, required by the nurse?
A. The nurse is not required to report the mistake because the client was not harmed
