NCLEX-RN EXAM QUESTIONS WITH ANSWERS
1. Which of the following clients is at a higher risk of developing oral health problems?
a. A pregnant client
b. A client with diabetes
c. A client receiving chemotherapy
d. Both b and c
2. Which nursing intervention is most appropriate to reduce environmental stimuli that
may cause discomfort for a client?
a. Loosen pressure dressings on wounds
b. Use assistance to pull a client up in bed
c. Check temperature of water used in a sponge bath
d. Position the client prone
3. A client has developed a vitamin C deficiency. Which of the following symptoms might
the nurse most likely see with this condition?
a. Cracks at the corners of the mouth
b. Altered mental status
c. Bleeding gums and loose teeth
d. Anorexia and diarrhea
4. Which of the following interventions should a nurse perform for a female client who
is incontinent with impaired skin integrity?
a. Turn the client at least every 8 hours
b. Apply lotion to the skin before a bath
c. Provide perineal care after the client uses the bathroom
d. Bathe the client every 3 days
,5. A nurse is caring for a client who died approximately one hour ago. The nurse notes
that the client's temperature has decreased in the last hour since his death. Which of
the following processes explains this phenomenon?
a. Rigor mortis
b. Postmortem decomposition
c. Algor mortis
d. Livor mortis
6. A nurse is calculating a client's intake and output. During the last shift, the client has
had ½ cup of gelatin, a skinless chicken breast, 1 cup of green beans, and 300 cc of
water. The client has urinated 250 cc and has had 2 bowel movements. What is this
client's intake and output for this shift?
a. 420 cc intake, 250 cc output
b. 300 cc intake, 250 cc output
c. 550 cc intake, 550 cc output
d. 300 cc intake, 550 cc output
7. A nurse is caring for a client with ariboflavinosis. Which of the following foods should
the nurse serve this client?
a. Citrus fruits
b. Milk
c. Fish
d. Potatoes
8. A client is taking a walk down the hallway when she suddenly realizes that she needs
to use the restroom. Although she tries to make it to the bathroom on time, she is
incontinent of urine before reaching the toilet. What type of incontinence does this
situation represent?
a. Reflex incontinence
b. Urge incontinence
,c. Total incontinence
d. Functional incontinence
9. Which of the following is an example of a positive effect of exercise on a client?
a. Decreased basal metabolic rate
b. Decreased venous return
c. Decreased work of breathing
d. Decreased gastric motility
10. You have taken the vital signs for your patient. They are normal for the patient.
What should you do next?
a. Report the vital signs to the doctor
b. Write the vital signs on a scrap paper
c. Call the family members
d. Document them on the graphic VS form
11. Penny Thornton has had a stroke, or CVA. She is having difficulty eating on her own.
Soon, she will be getting some assistive devices for eating meals.
Which healthcare worker will be getting Penny these assistive devices?
a. A physical therapist
b. A speech therapist
c. A social worker
d. An occupational therapist
12. Which of the following is an example of emotional abuse?
a. A slap to the person's hand
b. Threatening the person
c. Ignoring and isolating a person
, d. Leaving a patient soiled for hours
13. Which of the following is an example of emotional neglect?
a. A slap to the person's hand
b. Threatening the person
c. Ignoring and isolating a person
d. Leaving a patient soiled for hours
14. The duodenum:
a. is the third section of the small intestine, which leads immediately to the colon.
b. is the section of the stomach where the gall bladder delivers bile.
c. is the section of the small intestine where the pancreas delivers insulin.
d. None of the above.
15. The nurse is performing discharge teaching for Mrs. S after cardiac angioplasty. Her
husband is present for the teaching. While explaining the prescription for antiplatelet
medication to use at home, Mrs. S's husband states, "I don't think I can afford to refill
that medication." What is the most appropriate response of the nurse?
a. Don't worry, your insurance will cover it."
b. I'll ask the physician if he can prescribe a medication that is more affordable."
c. You should apply for Medicare to see if they can help you."
d. This medication is essential for her care and should be given priority over all
others that she is taking."
16. The discharge planning team is discussing plans for the dismissal of a 16- year old
admitted for complications associated with asthma. The client's mother has not
participated in any of the discharge planning process, but has stated that she wants to
be involved. Which of the following reasons might prohibit this mother from
participating in discharge planning?
1. Which of the following clients is at a higher risk of developing oral health problems?
a. A pregnant client
b. A client with diabetes
c. A client receiving chemotherapy
d. Both b and c
2. Which nursing intervention is most appropriate to reduce environmental stimuli that
may cause discomfort for a client?
a. Loosen pressure dressings on wounds
b. Use assistance to pull a client up in bed
c. Check temperature of water used in a sponge bath
d. Position the client prone
3. A client has developed a vitamin C deficiency. Which of the following symptoms might
the nurse most likely see with this condition?
a. Cracks at the corners of the mouth
b. Altered mental status
c. Bleeding gums and loose teeth
d. Anorexia and diarrhea
4. Which of the following interventions should a nurse perform for a female client who
is incontinent with impaired skin integrity?
a. Turn the client at least every 8 hours
b. Apply lotion to the skin before a bath
c. Provide perineal care after the client uses the bathroom
d. Bathe the client every 3 days
,5. A nurse is caring for a client who died approximately one hour ago. The nurse notes
that the client's temperature has decreased in the last hour since his death. Which of
the following processes explains this phenomenon?
a. Rigor mortis
b. Postmortem decomposition
c. Algor mortis
d. Livor mortis
6. A nurse is calculating a client's intake and output. During the last shift, the client has
had ½ cup of gelatin, a skinless chicken breast, 1 cup of green beans, and 300 cc of
water. The client has urinated 250 cc and has had 2 bowel movements. What is this
client's intake and output for this shift?
a. 420 cc intake, 250 cc output
b. 300 cc intake, 250 cc output
c. 550 cc intake, 550 cc output
d. 300 cc intake, 550 cc output
7. A nurse is caring for a client with ariboflavinosis. Which of the following foods should
the nurse serve this client?
a. Citrus fruits
b. Milk
c. Fish
d. Potatoes
8. A client is taking a walk down the hallway when she suddenly realizes that she needs
to use the restroom. Although she tries to make it to the bathroom on time, she is
incontinent of urine before reaching the toilet. What type of incontinence does this
situation represent?
a. Reflex incontinence
b. Urge incontinence
,c. Total incontinence
d. Functional incontinence
9. Which of the following is an example of a positive effect of exercise on a client?
a. Decreased basal metabolic rate
b. Decreased venous return
c. Decreased work of breathing
d. Decreased gastric motility
10. You have taken the vital signs for your patient. They are normal for the patient.
What should you do next?
a. Report the vital signs to the doctor
b. Write the vital signs on a scrap paper
c. Call the family members
d. Document them on the graphic VS form
11. Penny Thornton has had a stroke, or CVA. She is having difficulty eating on her own.
Soon, she will be getting some assistive devices for eating meals.
Which healthcare worker will be getting Penny these assistive devices?
a. A physical therapist
b. A speech therapist
c. A social worker
d. An occupational therapist
12. Which of the following is an example of emotional abuse?
a. A slap to the person's hand
b. Threatening the person
c. Ignoring and isolating a person
, d. Leaving a patient soiled for hours
13. Which of the following is an example of emotional neglect?
a. A slap to the person's hand
b. Threatening the person
c. Ignoring and isolating a person
d. Leaving a patient soiled for hours
14. The duodenum:
a. is the third section of the small intestine, which leads immediately to the colon.
b. is the section of the stomach where the gall bladder delivers bile.
c. is the section of the small intestine where the pancreas delivers insulin.
d. None of the above.
15. The nurse is performing discharge teaching for Mrs. S after cardiac angioplasty. Her
husband is present for the teaching. While explaining the prescription for antiplatelet
medication to use at home, Mrs. S's husband states, "I don't think I can afford to refill
that medication." What is the most appropriate response of the nurse?
a. Don't worry, your insurance will cover it."
b. I'll ask the physician if he can prescribe a medication that is more affordable."
c. You should apply for Medicare to see if they can help you."
d. This medication is essential for her care and should be given priority over all
others that she is taking."
16. The discharge planning team is discussing plans for the dismissal of a 16- year old
admitted for complications associated with asthma. The client's mother has not
participated in any of the discharge planning process, but has stated that she wants to
be involved. Which of the following reasons might prohibit this mother from
participating in discharge planning?
