50 Random NCLEX Practice Questions 27 50 Random NCLEX Style Practice Questions Questions Change Every Time 1 / 50 1. A client diagnosed with chronic kidney disease (CKD) has been told that hemodialysis will be required. The client becomes angry and states, “I’ll never be the same now.” Based on this information, which should the nurse identify as the client’s primary concern? A. Altered body image because of the physical changes that may occur B. Inability to think clearly because of the treatments needed C. Potential for noncompliance because of concerns about the disease D. Anxiety about the hemodialysis 2 / 50 2. The nurse provides information to a client who is scheduled for the implantation of an implantable cardioverter defibrillator (ICD) regarding care after implantation. The nurse tells the client that there is a need to keep a diary. What information should the nurse provide concerning the primary purpose of the diary? A. Document events that precipitate a countershock. B. Record a variety of data that are useful for the primary health care provider during medical management. C. Provide a count of the number of shocks delivered. D. Analyze which activities to avoid. 3 / 50 3. A client admitted to the hospital with a diagnosis of Pneumocystis jiroveci pneumonia is prescribed intravenous (IV) pentamidine. What intervention should the nurse plan to implement to safely administer the medication? A. Infuse over 1 hour and allow the client to ambulate. B. Administer by IV push over 15 minutes with the client in a supine position. C. Administer over 30 minutes with the client in a reclining position D. Infuse over 1 hour with the client in a supine position. 4 / 50 4. The nurse is caring for a client who is receiving total parenteral nutrition through a central venous catheter. Which action should the nurse plan to implement to decrease the risk of infection in this client? A. Administer antibiotics intravenously. B. Track the client’s oral temperature. C. Use sterile technique for dressing changes. D. Evaluate the differential of the leukocytes. 5 / 50 5. Which nursing assessment findings indicate normal vital signs in a newborn infant? A. Pulse, 112; respiratory rate, 24 B. Pulse, 144; respiratory rate, 48 C. Pulse, 124; respiratory rate, 28 D. Pulse, 164; respiratory rate, 55 6 / 50 6. The nurse is reviewing the results of the rubella screening (titer) with a pregnant client. The test results are positive, and the client asks if it is safe for her toddler to receive the vaccine. Which response by the nurse is most appropriate? A. “It is not advised for children of pregnant women to be vaccinated during their mother ’s pregnancy.” B. “You are still susceptible to rubella, so your toddler should receive the vaccine.” C. “Most children do not receive the vaccine until they are 5 years of age.” D. “Your titer supports your immunity to rubella, and it is safe for your toddler to receive the vaccine.” 7 / 50 7. The nurse has completed discharge teaching with a client who has had surgery for lung cancer. The nurse determines that the client needs additional teaching about the elements of home management if the client verbalizes the need to follow which instruction? A. Deal with any increases in pain independently. B. Call the primary health care provider if shortness of breath occurs. C. Sit up and lean forward to breathe more easily. D. Avoid exposure to crowds. 8 / 50 8. Allopurinol has been prescribed for a client to treat gouty arthritis. The nurse teaches the client to anticipate which prescription if an acute attack occurs? A. Adding colchicine or a nonsteroidal anti-inflammatory drug to the treatment plan B. Stopping the allopurinol and taking acetylsalicylic acid (aspirin) C. Stopping the allopurinol and taking a nonsteroidal anti-inflammatory drug D. Doubling the dose of the allopurinol 9 / 50 9. Which action by the new nurse when initiating continuous electrocardiogram (ECG) monitoring on a client should indicate to the registered nurse the need for further teaching? A. Cleansing the skin with povidone-iodine (Betadine) before applying the electrodes B. Clipping small areas of hair under the area planned for electrode placement C. Stating the need to change the electrodes and inspect the skin every 24 hours D. Stating the need to use hypoallergenic electrodes for clients who are sensitive 10 / 50 10. The nurse monitors a client for brachial plexus compromise after shoulder arthroplasty and is checking the status of the ulnar nerve. Which technique should the nurse use to assess the status of this nerve? A. Have the client grasp the nurse’s hand, and note the strength of the client’s first and second fingers. B. Have the client spread all of the fingers wide and resist pressure. C. Ask the client to raise the forearm above the head. D. Ask the client to move the thumb toward the palm and then back to the neutral position. 11 / 50 11. In preparing a plan of care, which is the priority intervention to address the needs of a client recently assaulted sexually? A. Exploring safety concerns by obtaining permission to notify significant others who can provide shelter B. Obtaining appropriate counseling for the victim C. Providing instructions for medical follow-up D. Providing anticipatory guidance for police investigations, medical questions, and court proceedings 12 / 50 12. The client prescribed phenelzine sulfate suddenly exhibits signs of hypertensive crisis. Which medication should the nurse plan to prepare? A. Vitamin K B. Protamine sulfate C. Phentolamine D. Calcium gluconate 13 / 50 13. The nurse provides home care instructions to the mother of a child with a diagnosis of chickenpox about preventing the transmission of the virus. Which is the best statement for the nurse to include in the instructions? A. Bring all household members to the clinic for a varicella vaccine. B. Isolate the child until the skin vesicles have dried and crusted. C. Ensure that the child uses a separate bathroom for elimination. D. Request a prescription for antibiotics for all household members. 14 / 50 14. The nurse developing a plan of care for a postterm small-for-gestational- age (SGA) newborn should identify which assessment as the priority to monitor? A. Total bilirubin levels B. Urinary output C. Blood glucose levels D. Hemoglobin and hematocrit 15 / 50 15. 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? A. Cognitive confusion as a result of shock B. Fear of loss and the death of the fetus C. Grief due to potential loss of the fetus D. Fear of hospitalization 16 / 50 16. The nurse providing care to a client with a leg fracture ensures that which intervention is first implemented before the fracture is reduced in the casting room? A. Notifying the operating room staff B. Obtaining an anesthesia consent C. Obtaining an informed consent for treatment D. Administering an opioid analgesic 17 / 50 17. The nurse has completed instructions regarding diet and fluid restriction for the client diagnosed with chronic kidney disease. The nurse determines that the client understands the information presented if the client selected which dessert from the dietary menu? A. Sherbet B. Ice cream C. Jell-O D. Angel food cake 18 / 50 18. After cardiac surgery to treat coronary artery disease, both the client and the family express anxiety regarding how to cope with the recovering process after discharge. Which available resource should the nurse plan to tell the client and family about to best address their concerns? A. The American Cancer Society Reach for Recovery B. The client’s local church C. The United Way D. The American Heart Association Mended Hearts Club 19 / 50 19. The home care nurse is evaluating a client’s understanding of the self- management of trigeminal neuralgia. Which client statement indicates that there is a need for further teaching? A. “I should chew on my good side.” B. “An analgesic will relieve my pain.” C. “Taking my carbamazepine will help control my pain.” D. “I should use warm mouthwash for oral hygiene.” 20 / 50 20. An adult client has undergone a lumbar puncture to obtain cerebrospinal fluid (CSF) for analysis. After reviewing the results of the analysis, the nurse recognizes that the CSF is normal when which element is negative? A. Glucose B. White blood cells C. Red blood cells D. Protein 21 / 50 21. A client with schizophrenia is admitted to the inpatient mental health unit. When asked her name, she responds, “I am Elizabeth, the Queen of England.” Which should the nurse recognize this client’s statement is indicating? A. Loose association B. Grandiose delusion C. Visual illusion D. Auditory hallucination 22 / 50 22. The home care nurse assesses the client’s environment for potential safety hazards. Which observation requires the nurse to counsel the client and family about the potential for injury? A. Extension cord tucked away between the seating area and wall B. Stairway with a landing that leads to bedrooms C. Trash can next to the client’s favorite chair D. Fluorescent light bulbs in every table lamp 23 / 50 23. A client has a prescription for valproic acid 250 mg once daily. To maximize the client’s safety, which time is best for the nurse to schedule administration of the medication? A. Before breakfast B. At bedtime with a snack C. With breakfast D. With lunch 24 / 50 24. A client has received a prescription for lisinopril. The nurse teaches the client that which frequent side effect may occur? A. Cough B. Polyuria C. Hypertension D. Hypothermia 25 / 50 25. The nurse in the newborn nursery is planning for the admission of a large for gestational age (LGA) infant. In preparing to care for this infant, the nurse should obtain equipment to perform which diagnostic test? A. Rh and ABO blood typing B. Serum insulin level C. Indirect and direct bilirubin levels D. Heel stick blood glucose 26 / 50 26. 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? A. “No, not this time and we will do our best to prevent a future heart attack.” B. “No. That is not why you are hospitalized.” C. “No, but it’s necessary to monitor you and control or eliminate your pain.” D. “No, but there could be some minimal damage to your heart.” 27 / 50 27. A client has received electroconvulsive therapy (ECT). What intervention should the nurse perform first in the posttreatment area and upon the client’s awakening? A. Assist the client from the stretcher to a wheelchair. B. Orient the client and monitor his or her vital signs. C. Offer the client frequent reassurance and repeat orientation statements. D. Assess for a gag reflex so that the client can eat and drink with safety. 28 / 50 28. A nursing student is preparing to conduct a clinical conference regarding cerebral palsy. Which characteristic related to this disorder should the student plan to include in the discussion? A. Cerebral palsy is an infectious disease of the central nervous system. B. Cerebral palsy is a congenital condition that results in moderate to severe retardation. C. Cerebral palsy is an inflammation of the brain as a result of a viral illness. D. Cerebral palsy is a chronic disability characterized by difficulty with muscle control. 29 / 50 29. The nurse has taught a client with a below-the-knee amputation about home care and about monitoring for and preventing complications related to prosthesis and residual limb care. The nurse determines that the client has understood the instructions if the client stated that which action should be taken? A. Wear a clean nylon sock over the residual limb every day. B. Use a mirror to inspect all areas of the residual limb each day. C. Toughen the skin of the residual limb by rubbing it with alcohol. D. Prevent cracking of the skin of the residual limb by applying lotion daily. 30 / 50 30. The nurse is developing a plan of care for a client scheduled for an above- the-knee leg amputation. Which action should the nurse include in the plan of care when addressing the psychosocial needs of the client? A. Advise the client to seek psychological treatment after surgery. B. Explain to the client that open grieving is abnormal. C. Encourage the client to express feelings about body changes. D. Discourage sharing with others who have had similar experiences. 31 / 50 31. The nurse has provided instructions to a client who is receiving external radiation therapy. Which statement by the client indicates a need for further teaching regarding self-care related to the radiation therapy? A. “I need to avoid exposure to sunlight.” B. “I need to apply pressure on the irritated area to prevent bleeding.” C. “I need to eat a high-protein diet.” D. “I need to wash my skin with a mild soap and pat it dry.” 32 / 50 32. The nurse is caring for a client with a diagnosis of pemphigus vulgaris. On assessment of the client, the nurse should look for which sign characteristic of this condition? A. Chvostek’s sign B. Trousseau’s sign C. Nikolsky’s sign D. Turner ’s sign 33 / 50 33. The nurse is reviewing the record of a client with a disorder involving the inner ear. Which finding should the nurse most likely note as an assessment finding in this client? A. Tinnitus B. Itching in the affected ear C. Severe pain in the affected ear D. Burning in the ear 34 / 50 34. The nurse is caring for a client during a precipitous labor. The nurse should anticipate that the client will require care for which emotional need? A. Fewer fears regarding the effect of labor on the newborn infant B. A sense of satisfaction regarding her quick labor C. Less pain and anxiety than with a normal labor D. Support in maintaining a sense of control 35 / 50 35. The nurse is caring for a postpartum client with thromboembolytic disease. Which intervention is most important to include when planning care to prevent the complication of pulmonary embolism? A. Administer prescribed anticoagulant therapy. B. Assess the breath sounds frequently. C. Enforce bed rest. D. Monitor the vital signs frequently. 36 / 50 36. A client who has a history of chronic ulcerative colitis is diagnosed with anemia. The nurse interprets that which factor is most likely responsible for the anemia? A. Intestinal hookworm B. Decreased intake of dietary iron C. Blood loss D. Intestinal malabsorption 37 / 50 37. The home health nurse is performing an initial assessment on a client who has been discharged after an insertion of a permanent pacemaker. Which client statement indicates that an understanding of self-care is evident? A. “I should expect occasional feelings of dizziness and fatigue.” B. “I will never be able to operate a microwave oven again. C. “Moving my arms and shoulders vigorously helps check pacemaker functioning.” D. “I will take my pulse in the wrist or neck daily and record it in a log.” 38 / 50 38. A client with the diagnosis of leukemia is receiving chemotherapy. When the registered nurse (RN) notes that the white blood cell (WBC) count is 4000 mm3 (4 × 109/L), the new nurse caring for the client is informed about the results. Which intervention identified by the new nurse indicates a need for further teaching? A. Placing the client on a low-bacteria diet that excludes raw foods and vegetables B. Removing all live plants, flowers, and stuffed animals in the client’s room C. Padding the side rails and removing all hazardous and sharp objects from the room D. Restricting visitors with colds or respiratory infections 39 / 50 39. A client prescribed albuterol sulfate by inhalation cannot cough up secretions. The nurse should teach the client which action to best help clear the bronchial secretions? A. Administer an extra dose before bedtime. B. Increase the amount of fluids consumed every day C. Use a dehumidifier in the home. D. Get more exercise each day. 40 / 50 40. The registered nurse (RN) planning the assignments for the day is leading a team composed of a licensed practical nurse (LPN) and an unlicensed assistive personnel (UAP). Based on licensure, which client is most appropriate to assign to the LPN? A. A client who requires some assistance with ambulation B. A client diagnosed with dementia C. A client who requires some assistance with bathing D. A 1-day postoperative mastectomy client 41 / 50 41. The nurse is planning interventions for counseling a maternal client who has been newly diagnosed with sickle cell anemia. Which would be the most important psychosocial intervention at this time? A. Avoid discussing the details of the disease. B. Allow the client to be alone if she is crying. C. Help the client identify her concerns. D. Encourage family and friends to visit the client frequently. 42 / 50 42. In preparation to administer an intermittent tube feeding, the nurse aspirates 40 mL of undigested formula from the client’s nasogastric tube. Which intervention should the nurse implement as a result of this finding? A. Mix with new formula to administer the feeding. B. Dilute with water and inject into the nasogastric tube. C. Reinstill the aspirate through the nasogastric tube via gravity and syringe. D. Discard the aspirate and record as client output. 43 / 50 43. 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? A. “Does being exposed to heat seem to cause the episodes?” B. “Have you experienced any injuries that have limited your activity levels lately?” C. “Do the signs and symptoms occur while you are asleep?” D. “Does drinking coffee or ingesting chocolate seem related to the episodes?” 44 / 50 44. Which action by the nursing student, caring for a child who sustained a head injury from a fall, indicates a need for further teaching? A. Keeping the child in a sitting-up position B. Keeping the child awake as much as possible C. Forcing fluids D. Performing neurological assessments 45 / 50 45. A female victim of a sexual assault is being seen in the crisis center for a third visit. She states that although the rape occurred nearly 2 months ago, she still feels “as though the rape just happened yesterday.” Which statement is most appropriate for the nurse to use as a response? A. “What can you do to alleviate some of your fears about being assaulted again?” B. “In reality, the rape did not just occur. It has been over 2 months now.” C. “Tell me more about those aspects of the rape that cause you to feel like the rape just occurred.” D. “In time, our goal will be to help you move on from these strong feelings about your rape.” 46 / 50 46. A client diagnosed with multiple myeloma is receiving intravenous hydration at 100 mL per hour. Which finding indicates to the nurse that the client is experiencing a positive response to the treatment plan? A. Creatinine of 1.0 mg/dL (88 mcmol/L) B. Weight increase of 1 kilogram C. Respirations of 18 breaths per minute D. White blood cell count of 6000 mm3(6 × 109/L) 47 / 50 47. A client with the diagnosis of mania is placed in a seclusion room after an outburst of violent behavior that involved a physical assault on another client. Which intervention should the nurse include in the plan of care before seclusion? A. Inform the client that she is being secluded to help regain her self-control. B. Remain silent because verbal interaction would be too stimulating. C. Ask the client if she understands why the seclusion is necessary. D. Tell the client that she will be allowed to come out when she can behave. 48 / 50 48. The nurse is assessing a client with a lower leg cast who has just been measured and fitted for crutches. Which observation should help the nurse determine if the client’s crutches are fitted correctly? A. The elbow is at a 30-degree angle when the hand is on the handgrip. B. The elbow is straight when the hand is on the handgrip. C. The top of the crutch is even with the axilla. D. The client’s axilla is resting on the crutch pad during ambulation. 49 / 50 49. A client who experienced repeated pleural effusions from inoperable lung cancer is to undergo pleurodesis. What intervention should the nurse plan to implement after the primary health care provider injects the sclerosing agent through the chest tube to help assure the effectiveness of the procedure? A. Ask the client to cough and deep breathe. B. Clamp the chest tube. C. Ambulate the client. D. Ask the client to remain in a side-lying position 50 / 50 50. A client’s telemetry monitor displays ventricular tachycardia. Upon reaching the client’s bedside, which action should the nurse take first? A. Call a code. B. Check the client’s level of consciousness. C. Prepare for cardioversion. D. Prepare to defibrillate the client. Your score is The average score is 17% Restart quiz Home/Practice NCLEX Questions/50 Random NCLEX Questions