NCLEX RN & PN Practice Questions – Volume 1
100 Questions with Answers & Explanations
For expert assistance contact us on WhatsApp: +254700486651
,Q1. Which nursing action is most effective to prevent catheter-associated urinary tract
infections (CAUTIs)?
A) Routinely irrigating the catheter
B) Maintaining a closed drainage system
C) Using prophylactic antibiotics
D) Encouraging frequent fluid restriction
Answer: B) Maintaining a closed drainage system
Explanation: A closed system prevents bacterial entry and is the best prevention method
for CAUTIs.
Q2. A client receiving digoxin has an apical pulse of 48 bpm. What should the nurse do first?
A) Administer the medication as ordered
B) Notify the provider immediately
C) Withhold the medication and reassess pulse
D) Document and continue monitoring
Answer: C) Withhold the medication and reassess pulse
Explanation: Digoxin should be held if the apical pulse is below 60 bpm due to risk of
severe bradycardia.
Q3. Which lab value is most important to monitor for a client receiving loop diuretics?
A) Calcium
B) Sodium
C) Potassium
D) Magnesium
Answer: C) Potassium
Explanation: Loop diuretics cause potassium loss, increasing risk of arrhythmias.
Q4. Which action is the priority when a client develops shortness of breath after chest tube
insertion?
A) Reposition the client
B) Notify the healthcare provider
C) Assess respiratory status and oxygen saturation
D) Apply cold compress to insertion site
Answer: C) Assess respiratory status and oxygen saturation
Explanation: Airway and breathing are priorities; assessment guides interventions.
For expert assistance contact us on WhatsApp: +254700486651
, Q5. A client with type 1 diabetes is pale, shaky, and sweating. Which intervention should
the nurse perform first?
A) Administer insulin
B) Provide a high-protein snack
C) Give 15 g of fast-acting carbohydrate
D) Encourage rest and fluids
Answer: C) Give 15 g of fast-acting carbohydrate
Explanation: Hypoglycemia requires rapid glucose replacement such as juice or glucose
tablets.
Q6. Which instruction is correct when teaching a client about warfarin therapy?
A) Increase intake of green leafy vegetables
B) Take aspirin for mild headaches
C) Have INR levels monitored regularly
D) Double the dose if a dose is missed
Answer: C) Have INR levels monitored regularly
Explanation: INR monitoring ensures warfarin remains therapeutic to prevent bleeding or
clotting.
Q7. Which sign is most concerning in a client with pneumonia?
A) Productive cough with sputum
B) Temperature of 38.3°C (101°F)
C) Oxygen saturation of 82%
D) Fatigue and malaise
Answer: C) Oxygen saturation of 82%
Explanation: Severe hypoxemia requires immediate oxygen therapy.
Q8. Which isolation precaution is appropriate for a client with tuberculosis?
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Protective isolation
For expert assistance contact us on WhatsApp: +254700486651
100 Questions with Answers & Explanations
For expert assistance contact us on WhatsApp: +254700486651
,Q1. Which nursing action is most effective to prevent catheter-associated urinary tract
infections (CAUTIs)?
A) Routinely irrigating the catheter
B) Maintaining a closed drainage system
C) Using prophylactic antibiotics
D) Encouraging frequent fluid restriction
Answer: B) Maintaining a closed drainage system
Explanation: A closed system prevents bacterial entry and is the best prevention method
for CAUTIs.
Q2. A client receiving digoxin has an apical pulse of 48 bpm. What should the nurse do first?
A) Administer the medication as ordered
B) Notify the provider immediately
C) Withhold the medication and reassess pulse
D) Document and continue monitoring
Answer: C) Withhold the medication and reassess pulse
Explanation: Digoxin should be held if the apical pulse is below 60 bpm due to risk of
severe bradycardia.
Q3. Which lab value is most important to monitor for a client receiving loop diuretics?
A) Calcium
B) Sodium
C) Potassium
D) Magnesium
Answer: C) Potassium
Explanation: Loop diuretics cause potassium loss, increasing risk of arrhythmias.
Q4. Which action is the priority when a client develops shortness of breath after chest tube
insertion?
A) Reposition the client
B) Notify the healthcare provider
C) Assess respiratory status and oxygen saturation
D) Apply cold compress to insertion site
Answer: C) Assess respiratory status and oxygen saturation
Explanation: Airway and breathing are priorities; assessment guides interventions.
For expert assistance contact us on WhatsApp: +254700486651
, Q5. A client with type 1 diabetes is pale, shaky, and sweating. Which intervention should
the nurse perform first?
A) Administer insulin
B) Provide a high-protein snack
C) Give 15 g of fast-acting carbohydrate
D) Encourage rest and fluids
Answer: C) Give 15 g of fast-acting carbohydrate
Explanation: Hypoglycemia requires rapid glucose replacement such as juice or glucose
tablets.
Q6. Which instruction is correct when teaching a client about warfarin therapy?
A) Increase intake of green leafy vegetables
B) Take aspirin for mild headaches
C) Have INR levels monitored regularly
D) Double the dose if a dose is missed
Answer: C) Have INR levels monitored regularly
Explanation: INR monitoring ensures warfarin remains therapeutic to prevent bleeding or
clotting.
Q7. Which sign is most concerning in a client with pneumonia?
A) Productive cough with sputum
B) Temperature of 38.3°C (101°F)
C) Oxygen saturation of 82%
D) Fatigue and malaise
Answer: C) Oxygen saturation of 82%
Explanation: Severe hypoxemia requires immediate oxygen therapy.
Q8. Which isolation precaution is appropriate for a client with tuberculosis?
A) Contact precautions
B) Droplet precautions
C) Airborne precautions
D) Protective isolation
For expert assistance contact us on WhatsApp: +254700486651
