Twelve FREE NCLEX-RN Questions

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Twelve Free NCLEX-RN Practice Questions

Five FREE NCLEX-RN Questions

Printable PDF Version
Five Free NCLEX-RN Practice Questions

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NCLEX-RN Practice Question Challenge!

Correct Answer: 3

1: Symptom of acute asthma attack, doesn't indicate deterioration of status
2: Expected with acute asthmatic attack, doesn't indicate deterioration of status
3: CORRECT | Pulse increase is due to decrease in oxygenation of tissues
4: Subjective symptom, unreliable indicator of deterioration of status

NCLEX-RN Practice Question Challenge!

Correct Answer: 2 

1: Febrile reaction, symptoms include fever, chills, nausea and headache. Treatment is to stop blood and administer aspirin
2: CORRECT | Hemolytic reaction, most dangerous type of transfusion reaction. Symptoms include N/V, lower back pain and hematuria. Treatment is to stop blood, obtain urine specimen, maintain blood volume and renal perfusion
3: Allergic reaction, symptoms include urticaria, pruritus and fever. Treatment is to stop blood, give Benadryl and administer oxygen
4: Circulatory overload, treatment is to stop blood, position in an upright position and administer oxygen

NCLEX-RN Practice Question Challenge!

Correct Answer: 1, 2 & 5

1: CORRECT | Right-sided failure caused by failure of right ventricle, which causes backup for circulation
2: CORRECT | Caused by increased venous pressure
3: Indicates left-sided heart failure. Caused by failure of left ventricle, which causes pulmonary congestion
4: Found in left-sided failure
5: CORRECT | Due to fluid retention

NCLEX-RN Practice Question Challenge!

Correct Answer: 4

1: Transient changes in LOC can be due to hypotension, check neurological function every 2 to 4 hours
2: Priority is patient safety
3: No information to indicate oxygenation issues, more important to put client back to bed
4: CORRECT | Cold, pale client needs to be reclining in bed. Patient safety is an issue due to decreased perfusion

NCLEX-RN Practice Question Challenge!

Correct Answer: 1

1: CORRECT |  Headaches are a common side effect of a lumber puncture procedures. However, assessing for leakage of cerebrospinal fluid or the presence of a hematoma (that may increase the likelihood of complications) is required to determine if further interventions are indicated at this time
2: Appropriate action, assess before intervening
3: Assessment of BP is appropriate, but assessing the site takes precedence because it may be directly linked to symptoms
4: Appropriate action if the patient is not following the pre-procedure and post-procedure instructions, assess before intervening

NCLEX-RN Practice Question Challenge!

Correct Answer: 3

1: Port selection should be the one closest to the IV insertion site for three reasons: less dilution of the medication, the medication will move into the vascular system more readily and it is easier to assess if the catheter placement is correct by blood return
2: Tubing above the port should be occluded by pinching the tubing, thus stopping the IV solution flow while the medication is given
3: CORRECT | This ensures safe drug infusion ideally. The watch should have a second hand or digital readout. Many medications which are ordered as IV push or bolus need to be given slowly over several minutes
4: Not most important, patient teaching should be done regarding purpose of the medication and side effects to report

NCLEX-RN Practice Question Challenge!

Correct Answer: 4

1: Seen with CNS involvement, not hypoxemia
2: Pulses will increase with hypoxemia
3: Not related to hypoxemia, seen with electrolyte imbalances - especially calcium
4: CORRECT | Confusion and agitation suggest hypoxemia. Nurse should assess for hypoxemia and manually ventilate with 100% oxygen. Other indications include cyanosis, anxiety, tachycardia and increased respiratory rate

NCLEX-RN Practice Question Challenge!

Correct Answer: 2

1: Positive during the first 6 months of life, includes dorsiflexion of the great toe when sole is stroked
2: CORRECT | One of the first signs of increased intracranial pressure. Other signs include irritability, poor feeding and increased frontal occipital circumference
3: Posterior fontanelle closes at 2 months
4: Pupils respond slowly to light

Weekend NCLEX Questions Challenge!

Correct Answer: 2, 5 & 6

1: Habitual cigarette smoking is a risk factor for pneumonia
2: CORRECT | Underlying lung disease is a risk factor. CF causes chronic obstructive pulmonary disease
3: Hyposecretion of adrenal hormones, not a risk factor
4: Not a risk factor
5: CORRECT | Pain of fractured rib causes shallow breathing pattern
6: CORRECT | Clients of advanced age are at risk to develop pneumonia. Bedrest decrease lung expansion

NCLEX-RN Practice Question Challenge!

Correct Answer: 1

1: CORRECT | Staph infection that causes vomiting, diarrhea and shock. Early diagnosis is critical to avoid involvement with other organ systems. Assign to the RN
2: Stable client with an expected outcome
3: Degeneration anomaly of chorionic villi, curettage done to completely remove all molar tissues. Assign to nursing assistant
4: Monitor pain, hemorrhage and ability to void. Assign to LPN/LVN

NCLEX-RN Practice Question Challenge!

Correct Answer: 4

1: Obtain an order for an antipyretic and monitor patient until patient can be evaluated by MD
2: Assess the neurovascular status of the effected extremity, then ice, splint and elevate it until patient can be evaluated by MD
3: Average healthy young adult's body can adequately compensate for dehydration over the short term
4: CORRECT | Compromised circulation take precedence

NCLEX-RN Practice Question Challenge!

Correct Answer: 2

1: Appropriate action, but glucose should be rechecked 15 minutes after treatment
2: CORRECT | If the client is able to take oral fluids, a high carbohydrate beverage should be given
3: Increased protein in a beverage does not improve glucose response
4: Not a priority at this time

NCLEX-RN Practice Question Challenge!

Correct Answer: 4

1: Requires standard precautions in adults
2: Requires standard precautions in client with intact immune system
3: Requires standard precautions
4: CORRECT | Requires droplet precautions for 5 days, longer for immunocompromised clients

NCLEX-RN Practice Question Challenge!

Correct Answer: 1

1: CORRECT | Assess whether client is experiencing side effects
2: Should ask client if incision is red or if there is any drainage
3: Second call to be returned, ensure that skin sealant does not contain alcohol and instruct client to use stoma powder or paste
4: Stable client

NCLEX-RN Practice Question Challenge!

Correct Answer: 2

1: Proper positioning, assess for postoperative bleeding
2: CORRECT | Patients with closed head injuries are prone to increased intracranial pressure. Elevate head of bed 30 to 45 degrees to promote venous drainage
3: 72 hours post-BKA, the primary concern is the development of contractures. The prone position will stretch the hip flexors/quadriceps muscle and help to prevent contractures
4: Although usually most comfortable in a 60 to 90 degree position, a 45 degree position is acceptable

NCLEX-RN Practice Question Challenge!

Correct Answer: 4

1: No sounds heard in 3 to 5 minutes, indicates late intestinal obstruction
2: 1 or 2 sounds heard in 2 minutes, indicates decreased motility of bowel
3: 5 to 30 sounds per minute

4: CORRECT | Greater than 30 sounds per minute, indicates ↑ motility due to gastroenteritis, diarrhea and laxative use

NCLEX-RN Practice Question Challenge!

Correct Answer: 3

1: Implementation: Need to assess first
2: Implementation: Need to assess first
3: CORRECT | Assess unconsciousness. Open airway with head tilt (jaw thrust if neck injury is suspected), look, listen and feel for signs of breathing
4: Assessment: Should not be done first

NCLEX-RN Practice Question Challenge!

Correct Answer: 4

1: Body is unable to store excess proteins, proteins breakdown into wastes that can't be excreted by the compromised kidneys
2: 1 to 2 liters are recommended to maintain fluid balance and avoid fluid retention that can't be excreted by compromised kidneys
3: Many salt substitutes are high in potassium, which may not be adequately excreted by the compromised kidneys
4: CORRECT | Increasing carbohydrate intake helps patients to maintain energy requirements