25 Random NCLEX Practice Questions

1. A client has been diagnosed with terminal cancer and is using opioid analgesics for pain relief. Which action by the home care nurse would best allay the client’s anxiety about becoming addicted to the pain medication?

2. The nurse is teaching a community group about violence in the family. Which statement by a group member about abusers would indicate a need for further teaching?

3. 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?

4. A clinic nurse is assessing a prenatal client who has been diagnosed with heart disease. The nurse carefully assesses the client’s vital signs, weight, and fluid and nutritional status to detect for complications caused by which pregnancy-related concern?

5. The nurse is giving medication instructions to a client who is receiving furosemide. Which client statement indicates a need for further teaching?

6. The nurse, caring for a client with Buck’s traction, is monitoring the client for complications of the traction. Which assessment finding indicates a complication of this form of traction?

7. A client has been prescribed metoprolol for hypertension. The nurse monitors client compliance carefully because of which common side effect of the medication?

8. Which important parameter should the nurse assess on a daily basis for a client diagnosed with nephrotic syndrome?

9. The nurse is preparing to measure the fundal height of a client whose fetus is 28 weeks’ gestation. In what position should the nurse place the client to perform the procedure?

10. The nurse has given instructions about site care to a hemodialysis client who had an implantation of an arteriovenous (AV) fistula in the right arm. Which statement by the client indicates a need for further teaching?

11. The nurse has implemented a plan of care for a client diagnosed with a cervical 5 (C5) spinal cord injury to promote health maintenance. Which client outcome indicates the effectiveness of the plan?

12. The nurse is monitoring a client diagnosed with hypercalcemia. Which assessment finding indicates a need for follow-up?

13. When a daily dose of fluoxetine hydrochloride is prescribed for a client, the nurse provides instructions regarding its administration. Which statement by the client indicates an understanding regarding the administration of the medication?

14. The nurse caring for a postpartum client should suspect that the client is experiencing endometritis if which is noted?

15. A client is prescribed lansoprazole for the chronic management of Zollinger-Ellison syndrome. The nurse determines that the client best understands this disorder and the medication regimen when the client reports taking which product for pain?

16. A client is admitted to the hospital with a diagnosis of right lower lobe pneumonia. The nurse auscultates the right lower lobe, expecting to note which type of breath sounds?

17. A client is diagnosed with pernicious anemia. The nurse reviews the client’s health history for disorders involving which organ responsible for vitamin B12 absorption?

18. The nurse is monitoring a client who was recently prescribed total parenteral nutrition (TPN). Which action should the nurse take when obtaining a finger stick glucose reading of 425 mg/dL (24.28 mmol/L)?

19. A client has been taking benzonatate as prescribed. The nurse should tell the client this medication performs which action?

20. A primipara is being evaluated in the clinic during her second trimester of pregnancy. The nurse checks the fetal heart rate (FHR) and notes that it is 190 beats/min. What is the appropriate initial nursing action?

21. The nurse is preparing to assess the respirations of several newborns in the nursery. The nurse performs the procedure and determines that the respiratory rate is normal if which finding is noted?

22. A perinatal home care nurse has just assessed the fetal status of a client with a diagnosis of partial placental abruption of 20 weeks’ gestation. The client is experiencing new bleeding and reports less fetal movement. The nurse informs the client that the primary health care provider will be contacted for possible hospital admission. The client begins to cry quietly while holding her abdomen with her hands. She murmurs, “No, no, you can’t go, my little man.” The nurse should recognize the client’s behavior as an indication of which psychosocial reaction?

23. A client diagnosed with pneumonia reports a decreased sense of taste that has greatly affected the motivation to eat and drink. Which intervention should the nurse implement to help increase the client’s appetite?

24. The nurse is assisting a client with a chest tube to get out of bed, when the chest tubing accidentally gets caught in the bed rail and disconnects. While trying to reestablish the connection, the Pleur-Evac drainage system falls over and cracks. The nurse should take which action to minimize the client’s risk for injury?

25. A client is experiencing diabetes insipidus as a result of cranial surgery. Which anticipated therapy should the nurse plan to implement?