NCLEX RN & PN Practice Questions – Volume 1
50 Questions with Answers & Explanations
Prepared for NCLEX Exam Success
, ■ NCLEX Practice Questions
Q1. Which action should the nurse take first when a client reports new-onset chest pain?
Call the physician
Apply oxygen
Assess pain location, quality, and intensity
Give nitroglycerin
Explanation: Assessment comes before interventions to guide safe, targeted care.
Q2. What is the single most effective method to prevent healthcare-associated infections?
Using sterile gloves for all care
Disinfecting the room daily
Wearing a mask at all times
Performing proper hand hygiene
Explanation: Hand hygiene is the primary defense against transmission of pathogens.
Q3. A blood transfusion has just started. The client reports chills and back pain. What is the priority action?
Slow the infusion rate
Notify the provider
Stop the transfusion and keep IV line open with normal saline
Recheck the client’s temperature in 30 minutes
Explanation: Suspected acute hemolytic reaction → stop transfusion immediately and maintain IV access with
NS.
Q4. Which method best confirms correct nasogastric (NG) tube placement at the bedside?
Air bolus auscultation
Observe for gastric drainage
Aspirate gastric contents and check pH
Ask the client to speak
Explanation: pH testing of aspirate is the preferred bedside verification (X■ray is gold standard at initial
placement).
Q5. Which isolation is appropriate for a client with Clostridioides difficile?
50 Questions with Answers & Explanations
Prepared for NCLEX Exam Success
, ■ NCLEX Practice Questions
Q1. Which action should the nurse take first when a client reports new-onset chest pain?
Call the physician
Apply oxygen
Assess pain location, quality, and intensity
Give nitroglycerin
Explanation: Assessment comes before interventions to guide safe, targeted care.
Q2. What is the single most effective method to prevent healthcare-associated infections?
Using sterile gloves for all care
Disinfecting the room daily
Wearing a mask at all times
Performing proper hand hygiene
Explanation: Hand hygiene is the primary defense against transmission of pathogens.
Q3. A blood transfusion has just started. The client reports chills and back pain. What is the priority action?
Slow the infusion rate
Notify the provider
Stop the transfusion and keep IV line open with normal saline
Recheck the client’s temperature in 30 minutes
Explanation: Suspected acute hemolytic reaction → stop transfusion immediately and maintain IV access with
NS.
Q4. Which method best confirms correct nasogastric (NG) tube placement at the bedside?
Air bolus auscultation
Observe for gastric drainage
Aspirate gastric contents and check pH
Ask the client to speak
Explanation: pH testing of aspirate is the preferred bedside verification (X■ray is gold standard at initial
placement).
Q5. Which isolation is appropriate for a client with Clostridioides difficile?
