Nursing & Health
NCLEX practice Practice for the NCLEX-RN with questions covering client needs and clinical judgment.
12 original sample questions with answers and explanations. This is a short practice set, not a full exam or an official past paper.
1. A nurse is assessing a client who reports chest pain. Which assessment finding requires immediate intervention? Blood pressure of 130/85 mmHg Oxygen saturation of 88% Pain rated 4 out of 10 Heart rate of 92 beats per minute
2. Which action demonstrates proper use of standard precautions? Using hand hygiene before and after client contact Wearing gloves only when handling blood Applying a gown only for clients in isolation Disposing of sharps in the regular trash
3. A client with diabetes has a blood glucose of 52 mg/dL and is conscious. What is the priority nursing action? Administer insulin Encourage the client to rest Give 15-20 grams of fast-acting carbohydrate Check blood glucose again in 15 minutes without intervention
4. When delegating tasks to unlicensed assistive personnel (UAP), which task is appropriate? Assessing a client's breath sounds Administering oral medications Developing the nursing care plan Measuring and recording vital signs
5. A client is receiving IV potassium chloride. Which assessment is most important before administration? Verifying the IV site is patent and assessing kidney function Checking the client's temperature Reviewing the client's diet preferences Asking about medication allergies to antibiotics
6. Which client should the nurse see first? A post-operative client requesting pain medication A client with diabetes whose blood glucose is 180 mg/dL A client scheduled for discharge who has questions A client with new-onset confusion and restlessness
7. A nurse is teaching a client about warfarin therapy. Which client statement indicates understanding? "I should double my dose if I miss one." "I need regular blood tests to check my INR." "I will avoid green leafy vegetables completely." "I can take aspirin whenever I have a headache."
8. Which intervention helps prevent pressure injuries in a bedridden client? Massaging reddened areas over bony prominences Using a donut-shaped cushion under the sacrum Repositioning the client every 2 hours Keeping the head of bed elevated at 45 degrees continuously
9. A client with depression tells the nurse, "I don't want to be a burden anymore." What is the nurse's priority response? "Don't worry, things will get better." "Let me get you something to help you relax." "Are you thinking about hurting yourself?" "Your family loves you very much."
10. A client is prescribed furosemide. Which electrolyte imbalance should the nurse monitor for? Hypokalemia Hyperkalemia Hypernatremia Hypercalcemia
11. A nurse receives a phone order from a physician. Which action is appropriate? Wait until the end of shift to document Refuse to accept any phone orders Ask the physician to text the order instead Have another nurse listen and witness the order
12. Which finding in a newborn requires immediate notification of the healthcare provider? Heart rate of 140 beats per minute Central cyanosis Respiratory rate of 50 breaths per minute Mild jaundice appearing on day 3
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