A.L.L.
coyura Academy
THE
NCLEX-RN
MOCK EXAM
Full-Length Practice Examination
85 Questions | Answer Key | Complete Rationales
Covers all NCLEX-RN client needs categories: Management of Care, Safety & Infection Control,
Health Promotion, Pharmacological Therapies, Physiological Adaptation, and Psychosocial Integrity.
— What's Inside: — — How to Use This Exam: —
+ 85 NCLEX-style questions + Set a timer for 1 hour 42 minutes (72 sec/Q)
+ All client needs categories covered + Work through without looking ahead
+ Proportional category distribution + Circle unsure answers to blind review
+ Questions only — no answers visible + Score using the answer key
+ Complete answer key (page ~45) + Read ALL rationales — not just correct
+ Full rationales for every choice + Log wrong answers in your Error Log
Treat this exam as real. Timer on. No references. One question at a time.
Mgmt of Care Safety & IC Health Promo Pharmacology Physio Adapt Psychosocial
~17–23% ~9–15% ~6–12% ~13–19% ~11–17% ~6–12%
Created by ALLcoyura Academy
,A.L.L.
coyura Academy
NCLEX-RN MOCK EXAMINATION
85 Questions | All Client Needs Categories | Allow 1 Hour 42 Minutes
INSTRUCTIONS: Select the single best answer. Each question has one correct answer. Do not look ahead.
Q1 Management of Care
A nurse is triaging four clients in the emergency department. Which client requires IMMEDIATE assessment?
A 45-year-old with a fractured radius reporting pain of 6/10
A
A 60-year-old with chest pain radiating to the left arm and diaphoresis
B
A 30-year-old with a laceration on the forearm that has stopped bleeding
C
A 22-year-old with a fever of 38.6°C and sore throat
D
Q2 Safety & Infection Control
A nurse is caring for a client with Clostridium difficile (C. diff) diarrhea. Which infection control measure is MOST
important?
Wearing an N95 respirator when entering the room
A
Placing the client in a negative-pressure room
B
Using soap and water for hand hygiene rather than alcohol-based sanitiser
C
Wearing a surgical mask and gloves only
D
Q3 Health Promotion
A nurse is teaching a client about colorectal cancer screening. Which statement is CORRECT?
Average-risk adults should begin colonoscopy screening at age 40
A
A colonoscopy is recommended every 5 years for average-risk adults
B
Average-risk adults should begin colorectal screening at age 45
C
Annual fecal occult blood testing eliminates the need for colonoscopy
D
Created by ALLcoyura Academy Page 2
,A.L.L.
coyura Academy
NCLEX-RN MOCK EXAMINATION (continued)
Q4 Pharmacological Therapies
A nurse prepares to administer morphine 4 mg IV to a post-operative client. Before administration, which assessment
is PRIORITY?
Blood pressure
A
Pain level using a 0–10 scale
B
Respiratory rate
C
Urine output for the past 8 hours
D
Q5 Reduction of Risk Potential
A nurse is reviewing post-operative orders for a client who had a thyroidectomy. Which equipment should the nurse
keep at the bedside?
A crash cart and defibrillator
A
Calcium gluconate and a tracheotomy set
B
A Foley catheter and urinary drainage bag
C
Suction equipment and a nasogastric tube
D
Q6 Physiological Adaptation
A client with heart failure has the following assessment findings: BP 88/52, HR 124, RR 28, O2 sat 88% on room air,
bilateral crackles. What is the nurse's PRIORITY action?
Administer furosemide 40 mg IV as ordered
A
Elevate the head of the bed to 90° and apply supplemental oxygen
B
Obtain a 12-lead ECG
C
Administer digoxin 0.125 mg orally as ordered
D
Q7 Psychosocial Integrity
A nurse is caring for a client who was just diagnosed with multiple sclerosis. The client says, 'Why even bother with
treatment? My life is over.' Which response by the nurse is MOST therapeutic?
'Don't worry — many people with MS live normal lives.'
A
'Your doctor is an expert. You should trust the treatment plan.'
B
'It sounds like you're feeling hopeless right now. Tell me more about what you're thinking.'
C
'You need to stay positive. Attitude makes a huge difference in outcomes.'
D
Created by ALLcoyura Academy Page 3
, A.L.L.
coyura Academy
NCLEX-RN MOCK EXAMINATION (continued)
Q8 Management of Care
A nurse is planning care for four clients. Which task should the nurse assign to a licensed practical nurse (LPN)?
Performing the initial admission assessment for a newly admitted client
A
Developing the plan of care for a client with new-onset diabetes
B
Administering a scheduled oral antibiotic to a stable client
C
Providing discharge education to a client going home after hip replacement
D
Q9 Pharmacological Therapies
A client is receiving IV vancomycin. The nurse notes flushing, erythema, and pruritus on the client's face, neck, and
upper chest. What is the FIRST nursing action?
Administer diphenhydramine IV as ordered
A
Stop the infusion and notify the provider
B
Slow the infusion rate
C
Assess the client's blood pressure and pulse
D
Q10 Physiological Adaptation
A nurse is caring for a client in diabetic ketoacidosis (DKA). Which laboratory finding is CONSISTENT with this
diagnosis?
pH 7.48, HCO3– 30, PaCO2 48
A
pH 7.22, HCO3– 12, PaCO2 28, glucose 480 mg/dL
B
pH 7.38, HCO3– 24, PaCO2 40, glucose 220 mg/dL
C
pH 7.30, HCO3– 28, PaCO2 52, glucose 90 mg/dL
D
Q11 Safety & Infection Control
A nurse is preparing to administer blood to a client. Which action by the nurse requires intervention from the charge
nurse?
Verifying the blood product with another registered nurse at the bedside
A
Priming the blood tubing with normal saline
B
Administering the blood through an existing IV line that has dextrose running
C
Taking the client's vital signs 15 minutes after beginning the transfusion
D
Created by ALLcoyura Academy Page 4
coyura Academy
THE
NCLEX-RN
MOCK EXAM
Full-Length Practice Examination
85 Questions | Answer Key | Complete Rationales
Covers all NCLEX-RN client needs categories: Management of Care, Safety & Infection Control,
Health Promotion, Pharmacological Therapies, Physiological Adaptation, and Psychosocial Integrity.
— What's Inside: — — How to Use This Exam: —
+ 85 NCLEX-style questions + Set a timer for 1 hour 42 minutes (72 sec/Q)
+ All client needs categories covered + Work through without looking ahead
+ Proportional category distribution + Circle unsure answers to blind review
+ Questions only — no answers visible + Score using the answer key
+ Complete answer key (page ~45) + Read ALL rationales — not just correct
+ Full rationales for every choice + Log wrong answers in your Error Log
Treat this exam as real. Timer on. No references. One question at a time.
Mgmt of Care Safety & IC Health Promo Pharmacology Physio Adapt Psychosocial
~17–23% ~9–15% ~6–12% ~13–19% ~11–17% ~6–12%
Created by ALLcoyura Academy
,A.L.L.
coyura Academy
NCLEX-RN MOCK EXAMINATION
85 Questions | All Client Needs Categories | Allow 1 Hour 42 Minutes
INSTRUCTIONS: Select the single best answer. Each question has one correct answer. Do not look ahead.
Q1 Management of Care
A nurse is triaging four clients in the emergency department. Which client requires IMMEDIATE assessment?
A 45-year-old with a fractured radius reporting pain of 6/10
A
A 60-year-old with chest pain radiating to the left arm and diaphoresis
B
A 30-year-old with a laceration on the forearm that has stopped bleeding
C
A 22-year-old with a fever of 38.6°C and sore throat
D
Q2 Safety & Infection Control
A nurse is caring for a client with Clostridium difficile (C. diff) diarrhea. Which infection control measure is MOST
important?
Wearing an N95 respirator when entering the room
A
Placing the client in a negative-pressure room
B
Using soap and water for hand hygiene rather than alcohol-based sanitiser
C
Wearing a surgical mask and gloves only
D
Q3 Health Promotion
A nurse is teaching a client about colorectal cancer screening. Which statement is CORRECT?
Average-risk adults should begin colonoscopy screening at age 40
A
A colonoscopy is recommended every 5 years for average-risk adults
B
Average-risk adults should begin colorectal screening at age 45
C
Annual fecal occult blood testing eliminates the need for colonoscopy
D
Created by ALLcoyura Academy Page 2
,A.L.L.
coyura Academy
NCLEX-RN MOCK EXAMINATION (continued)
Q4 Pharmacological Therapies
A nurse prepares to administer morphine 4 mg IV to a post-operative client. Before administration, which assessment
is PRIORITY?
Blood pressure
A
Pain level using a 0–10 scale
B
Respiratory rate
C
Urine output for the past 8 hours
D
Q5 Reduction of Risk Potential
A nurse is reviewing post-operative orders for a client who had a thyroidectomy. Which equipment should the nurse
keep at the bedside?
A crash cart and defibrillator
A
Calcium gluconate and a tracheotomy set
B
A Foley catheter and urinary drainage bag
C
Suction equipment and a nasogastric tube
D
Q6 Physiological Adaptation
A client with heart failure has the following assessment findings: BP 88/52, HR 124, RR 28, O2 sat 88% on room air,
bilateral crackles. What is the nurse's PRIORITY action?
Administer furosemide 40 mg IV as ordered
A
Elevate the head of the bed to 90° and apply supplemental oxygen
B
Obtain a 12-lead ECG
C
Administer digoxin 0.125 mg orally as ordered
D
Q7 Psychosocial Integrity
A nurse is caring for a client who was just diagnosed with multiple sclerosis. The client says, 'Why even bother with
treatment? My life is over.' Which response by the nurse is MOST therapeutic?
'Don't worry — many people with MS live normal lives.'
A
'Your doctor is an expert. You should trust the treatment plan.'
B
'It sounds like you're feeling hopeless right now. Tell me more about what you're thinking.'
C
'You need to stay positive. Attitude makes a huge difference in outcomes.'
D
Created by ALLcoyura Academy Page 3
, A.L.L.
coyura Academy
NCLEX-RN MOCK EXAMINATION (continued)
Q8 Management of Care
A nurse is planning care for four clients. Which task should the nurse assign to a licensed practical nurse (LPN)?
Performing the initial admission assessment for a newly admitted client
A
Developing the plan of care for a client with new-onset diabetes
B
Administering a scheduled oral antibiotic to a stable client
C
Providing discharge education to a client going home after hip replacement
D
Q9 Pharmacological Therapies
A client is receiving IV vancomycin. The nurse notes flushing, erythema, and pruritus on the client's face, neck, and
upper chest. What is the FIRST nursing action?
Administer diphenhydramine IV as ordered
A
Stop the infusion and notify the provider
B
Slow the infusion rate
C
Assess the client's blood pressure and pulse
D
Q10 Physiological Adaptation
A nurse is caring for a client in diabetic ketoacidosis (DKA). Which laboratory finding is CONSISTENT with this
diagnosis?
pH 7.48, HCO3– 30, PaCO2 48
A
pH 7.22, HCO3– 12, PaCO2 28, glucose 480 mg/dL
B
pH 7.38, HCO3– 24, PaCO2 40, glucose 220 mg/dL
C
pH 7.30, HCO3– 28, PaCO2 52, glucose 90 mg/dL
D
Q11 Safety & Infection Control
A nurse is preparing to administer blood to a client. Which action by the nurse requires intervention from the charge
nurse?
Verifying the blood product with another registered nurse at the bedside
A
Priming the blood tubing with normal saline
B
Administering the blood through an existing IV line that has dextrose running
C
Taking the client's vital signs 15 minutes after beginning the transfusion
D
Created by ALLcoyura Academy Page 4
