100 Random NCLEX Practice Questions

1. The registered nurse (RN) is reviewing a plan of care developed by a new nurse for a child who is being admitted to the pediatric unit with a diagnosis of seizures. The RN determines that the new nurse needs further teaching and should revise the plan of care if which incorrect intervention is documented

2. A client who has a history of depression has been prescribed nadolol for the management of angina pectoris. Which consideration is most important when the nurse plans to counsel this client about the effects of this medication?

3. The nurse is preparing a plan of care for a child diagnosed with leukemia who is beginning chemotherapy. Which intervention should the nurse include?

4. The nurse is preparing to suction an adult client with a tracheostomy who has copious amounts of secretions. Which action should the nurse take to accomplish this procedure safely and effectively?

5. The nurse is performing an assessment on a 16-year-old client who has been diagnosed with anorexia nervosa. Which statement by the client should the nurse identify as a priority requiring a need for further teaching

6. The home care nurse is preparing to visit a client diagnosed with Ménière’s disease. The nurse reviews the primary health care provider prescriptions and expects to educate the client on which dietary measure?

7. A client diagnosed with cancer of the bladder is fearful of the potential outcomes of an upcoming cystectomy and urinary diversion. Which statement made to the nurse indicates the client’s fear?

8. A client just been diagnosed with acute kidney injury has a serum potassium level of 6.1 mEq/L (6.1 mmol/L). Which action should the nurse take immediately?

9. A client has had same-day surgery to insert a ventilating tube into the tympanic membrane. Which statement assures the nurse that the client understands the discharge instructions?

10. A teenager returns to the gynecological clinic for a follow-up visit for a sexually transmitted infection (STI). Which statement by the teenager indicates the need for further teaching?

11. A client is admitted to the hospital with the diagnosis of Cushing’s disease. The nurse should monitor the client’s laboratory studies for which associated disorder?

12. Which assessment finding should the nurse expect to note in the child hospitalized with a diagnosis of nephrotic syndrome?

13. A client asks the home care nurse to witness the client’s signature on a living will with the client’s attorney in attendance. Which action is most appropriate for the nurse to implement?

14. A client who sustained a thoracic cord injury a year ago returns to the clinic for a follow-up visit, and the nurse notes a small reddened area on the coccyx. The client is not aware of the reddened area. After counseling the client to relieve pressure on the area by adhering to a turning schedule, which action by the nurse is most appropriate?

15. The nurse prepares to admit a newborn born with spina bifida, myelomeningocele. Which nursing action is most important for the care for this infant?

16. When assessing the client with a wrist restraint at the beginning of the day shift, which observation by the charge nurse should indicate that the nurse who placed the restraint on the client failed to follow safety guidelines?

17. A 12-year-old client is seen in the health care clinic. During the assessment, which finding would suggest to the nurse that the client is experiencing a disruption in the development of self-concept?

18. A client with a diagnosis of urolithiasis is scheduled for extracorporeal shock wave lithotripsy. Which information should the nurse provide to ensure that the client understands the procedure?

19. The nurse working in the mental health unit is collecting data on a newly admitted client. Which data is a primary type of subjective data collection?

20. A goal for a postpartum client states, “The client will remain free of infection during her hospital stay.” Which assessment data would support that the goal has been met?

21. The nurse prepares the client for the removal of a nasogastric tube. During the tube removal, the nurse instructs the client to take which action?

22. The nurse is teaching a client how to mix regular and NPH insulins in the same syringe. Which action should the nurse instruct the client to take?

23. A client develops an irregular heart rate. Which statement made by the client who has developed an irregular heart rate indicates to the nurse that the client is ready for learning?

24. The nurse should question which medication if prescribed for a client diagnosed with an inoperable ruptured intracranial aneurysm?

25. A postoperative client has been vomiting and has absent bowel sounds, and paralytic ileus has been diagnosed. The primary health care provider prescribes the insertion of a nasogastric tube. The nurse explains the purpose of the tube and the insertion procedure to the client. The client says to the nurse, “I’m not sure I can take any more of this treatment.” Which therapeutic response should the nurse make to the client?

26. The registered nurse instructs the new nurse that a variance analysis is performed on all clients with respect to which time frame?

27. The nurse is developed a teaching plan for a client prescribed spironolactone. On which psychosocial side effect of the medication should the nurse base the teaching plan?

28. A client is admitted to the hospital after sustaining a fall from a roof. The client has multiple lacerations and a right leg fracture, which has been treated with a plaster cast. How should the nurse position the client’s leg to promote optimal circulation?

29. A client manages peptic ulcer disease (PUD) with excessive amounts of oral antacids. Signs/symptoms of which acid–base imbalance should the nurse assess for?

30. The nurse is caring for a client who has experienced a thoracic spinal cord injury. In the event that spinal shock occurs, which intravenous (IV) fluid should the nurse anticipate being prescribed?

31. A client diagnosed with angina pectoris appears to be very anxious and states, “So, I had a heart attack, right?” Which response should the nurse make to the client?

32. The parents of a child with mumps express concern that their child will develop orchitis as a result of having mumps. What characteristic of this complication should the nurse discuss with the parents?

33. The nurse teaches a preoperative client about the nasogastric (NG) tube that will be inserted in preparation for surgery. The nurse determines that the client understands when the tube will be removed during the postoperative period based on which statement by the client?

34. A client is to undergo pleural biopsy at the bedside. Knowing the potential complications of the procedure, what equipment should the nurse plan to have available at the bedside?

35. The nurse is caring for a client diagnosed with heart failure who has a magnesium level of 0.75 Eq/L (0.375 mmol/L). Which action should the nurse take?

36. The nurse determines that a client understands the purpose of a phytonadione injection for her newborn when she is heard making which statement to the baby’s father?

37. The nurse has given instructions to a client who is returning home after an arthroscopy of the knee. The nurse determines that the client understands the home care instructions if the client states the need to follow which instruction

38. The nurse has developed a plan of care for a client with a diagnosis of anterior cord syndrome. Which intervention should the nurse include in the plan of care to minimize the client’s long-term risk for injury?

39. The student nurse is listening to a lecture on caring for clients with thrombophlebitis. Which statement by the student nurse indicates that the teaching has been effective?

40. The nurse provides a class to new mothers on newborn care. When teaching cord care, the nurse should instruct mothers to take which action?

41. The nurse has explained the reason that the primary health care provider has chosen laser surgery to treat a client’s cervical cancer. Which statement by the client indicates an understanding of the explanation?

42. The nurse caring for a client immediately following transurethral resection of the prostate (TURP) notices that the client has suddenly become confused and disoriented. The nurse determines that this may be a result of which potential complication of this surgical procedure?

43. A client is being discharged from the hospital after a bronchoscopy that was performed a day earlier. After the discharge teaching, the client makes the following statements to the nurse. Which statement should the nurse identify as indicating a need for further teaching?

44. The nursing student is listening to a lecture on correcting errors in a written narrative on a medical record. Which statement by the nursing student indicates that the teaching has been effective?

45. A client is admitted to a mental health unit with a diagnosis of anorexia nervosa. When planning care for this client, which primary intervention should health promotion focus on?

46. A client is receiving intravenous (IV) antibiotic therapy at home via an intermittent IV catheter. In order to facilitate the early detection of IV therapy complications, which intervention should be included in the client’s education?

47. A client scheduled for pulmonary angiography is fearful about the procedure and asks the nurse if the procedure involves significant pain and radiation exposure. Which therapeutic response should the nurse make to the client to provide reassurance?

48. A client with a diagnosis of depression states to the nurse, “I should have died. I’ve always been a failure.” Which therapeutic response should the nurse make to the client?

49. A client has been experiencing muscle weakness for a period of several months. The health care provider suspects polymyositis, and the client asks the nurse about the disorder. The nurse explains to the client that which occurs in this disorder?

50. An English-speaking Hispanic client has a newly applied long leg cast to stabilize a right proximal fractured tibia. During rounds at night, the nurse finds the client restless, withdrawn, and unusually quiet. Which nursing statement would be most appropriate?

51. The nurse is teaching health education classes to a group of expectant parents, and the topic is preventing cognitive impairment caused by congenital hypothyroidism. What should the nurse tell the parents is the most effective means of promoting early intervention?

52. The nurse is about to administer a prescribed intravenous dose of tobramycin when the client reports vertigo and ringing in the ears. Which action should the nurse take next?

53. The nurse is assigned to care for an infant on the first postoperative day after a surgical repair of a cleft lip. Which nursing intervention is appropriate when caring for this child’s surgical incision?

54. The nurse is planning a discharge teaching plan for a client who sustained a spinal cord injury. To provide for a safe environment regarding home care, which option should be the priority in the discharge teaching plan?

55. The nurse admits a client with a suspected diagnosis of bulimia nervosa. While performing the admission assessment, the nurse expects to elicit which data about the client’s beliefs?

56. The nurse is developing a plan of care for a client in Buck’s (extension) traction. The nurse should determine that which is a priority client problem?

57. A preschooler with a history of cleft palate repair comes to the clinic for a routine well-child checkup. To determine whether this child is experiencing a long-term effect of cleft palate, which question should the nurse ask the parent?

58. The nurse working on a medical nursing unit during an external disaster is called to assist with care for clients coming into the emergency department. Using principles of triage, the nurse should implement immediate care for a client with which injury?

59. A client has a scheduled office visit due to a new diagnosis of diabetes mellitus. The client tells the nurse that he has trouble maintaining proper health due to anxiety regarding the self-administration of insulin. Which teaching/learning strategy should the nurse initially plan to implement?

60. The school nurse planning to give a class on testicular self-examination (TSE) at a local high school should include which instruction to the participants?

61. The nurse is performing an assessment on a postterm infant. Which physical characteristic should the nurse expect to observe in this infant?

62. The nurse is planning care for a suicidal client who is hallucinating and delusional. Which intervention should the nurse incorporate into the nursing care plan to best assure client safety?

63. The nurse administers digoxin 0.25 mg by mouth rather than the prescribed dose of 0.125 mg to the client. After assessing the client and notifying the health care provider, which action should the nurse implement first?

64. A client diagnosed with type 2 diabetes mellitus is being discharged from the hospital after an occurrence of hyperglycemic hyperosmolar state (HHS). The nurse creates a discharge teaching plan for the client and identifies which intervention as a priority?

65. A mother of a child with mumps calls the health care clinic to tell the nurse that the child has been lethargic and vomiting. What instruction should the nurse give to the mother?

66. The nurse has just finished assisting the primary health care provider in placing a central intravenous (IV) line. Which is a priority intervention to assure the client’s safety?

67. The nurse is assessing a client with gestational hypertension who was admitted to the hospital 48 hours ago. Which current assessment data would indicate that the condition has not yet resolved?

68. A client who recently had a gastrostomy feeding tube inserted refuses to participate in the plan of care, will not make eye contact, and does not speak to family or visitors. Which type of coping mechanism should the nurse assess the client is using?

69. The nurse is providing medication instructions to a client who is prescribed imipramine daily. Which statement by the client indicates a need for further teaching?

70. The nurse is providing home care instructions to a client recovering from an acute inferior myocardial infarction (MI) with recurrent angina. What instruction should the nurse provide to this client?

71. The nurse is caring for a client who says, “I don’t want to talk with you because you’re only the nurse. I’ll wait for my doctor.” Which statement should the nurse say in response to the client?

72. After assisting with a vaginal delivery, what should the nurse do to prevent heat loss via conduction in the newborn?

73. A client had a positive Papanicolaou smear and underwent cryosurgery with laser therapy. What information should the nurse provide the client as a part of discharge teaching?

74. The nurse caring for a client prescribed clozapine reviews the client’s laboratory studies. Which laboratory study is the priority to monitor for an adverse effect associated with the use of this medication?

75. The nurse is preparing to assess a client admitted with a diagnosis of trigeminal neuralgia (tic douloureux). On review of the client’s record, which symptom should the nurse expect the client is experiencing?

76. Which is a sign of depression that a client could exhibit when recovering from a myocardial infarction?

77. A client with a diagnosis of acquired immunodeficiency syndrome and cytomegalovirus retinitis is receiving ganciclovir. Which action should the nurse plan to take while the client is taking this medication?

78. The nurse is caring for a client taking memantine. Which data should the nurse monitor for this client?

79. While obtaining the vital signs on a mother who delivered a healthy newborn 2 hours ago the nurse notes that the mother ’s temperature is 102° F. Which is the appropriate nursing action at this time?

80. A hospitalized client wants to leave the hospital before being discharged by the primary health care provider (PHCP). Which action should be the next intervention for the nurse to implement?

81. A child diagnosed with seizures is being treated with carbamazepine. The nurse reviews the laboratory report for the results of the drug plasma level and determines that the plasma level is in a therapeutic range if which is noted?

82. The nurse is preparing to care for a child with anemia from a culture that is different from the nurse’s. Which is the best way to address the cultural needs of the child and family when the child is admitted to the health care facility?

83. The nurse is performing a respiratory assessment on a client being treated for an asthma attack. The nurse determines that the client’s respiratory status is worsening based upon which finding?

84. A client with a known history of panic disorder comes to the emergency department and states to the nurse, “Please help me. I think I’m having a heart attack.” What is the priority nursing action?

85. The nurse provides home care instructions to a client diagnosed with cancer who has an implanted vascular access port. Which statement by the client indicates the need for further teaching?

86. A community health nurse is caring for a group of homeless people. What is the most immediate concern when planning for the potential needs of this group?

87. Cyclophosphamide is prescribed for the client diagnosed with breast cancer, and the nurse provides instructions to the client regarding the medication. Which statement by the client indicates the need for further teaching?

88. The maternity nurse is teaching a pregnant client about the physiological effects and hormone changes that occur in pregnancy. Which information should the nurse provide to the client about the purpose of estrogen?

89. A client who had a total knee replacement with a metal prosthesis is being prepared for discharge to home. Which statement by the client indicates to the nurse a need for further teaching?

90. Which client should the nurse safely assign to the unlicensed assistive personnel (UAP)?

91. A client receiving total parenteral nutrition (TPN) through a subclavian catheter suddenly develops dyspnea, tachycardia, cyanosis, and decreased level of consciousness. Based on these findings, which is the best intervention for the nurse to implement for the client?

92. The nurse is caring for a child diagnosed with Reye’s syndrome. The nurse monitors for manifestations of which condition associated with this syndrome?

93. A client is admitted to the hospital in myasthenic crisis. The nurse should ask the client about which precipitating factor for this event?

94. A client with a diagnosis of leukemia asks the nurse questions about preparing a living will. Which recommendation from the nurse should be the best method of preparing this document?

95. The nurse is receiving a client from the emergency department who has a diagnosis of Guillain-Barré syndrome. The client’s chief sign/symptom is an ascending paralysis that has reached the level of the waist. Which items should the nurse plan to have available for emergency use?

96. When planning the care of the client diagnosed with thromboangiitis obliterans (Buerger ’s disease), the nurse incorporates information on which support service to best help the client cope with the lifestyle changes that are needed to control the disease process?

97. A client seeks medical attention for intermittent signs and symptoms that suggest a diagnosis of Raynaud’s disease. The nurse should assess the trigger of these signs/symptoms by asking which question?

98. Carbamazepine is prescribed for the management of generalized tonic- clonic seizures. The nurse instructs the client to inform the primary health care provider if which sign/symptom occurs?

99. A client states to the nurse, “I’m going to die, and I wish my family would stop hoping for a cure! I get so angry when they carry on like this! After all, I’m the one who’s dying.” Which therapeutic response should the nurse make to the client?

100. Fluoxetine hydrochloride is prescribed for a client with a diagnosis of depression. The nurse provides instructions to the client regarding the administration of the medication. Which statement by the client indicates an understanding about administration of the medication?