50 Random NCLEX Practice Questions 106 50 Random NCLEX Style Practice Questions Questions Change Every Time 1 / 50 1. A client diagnosed with acquired immunodeficiency syndrome (AIDS) is reporting fatigue. The nurse educates the client on ways to conserve energy. Which statement indicates that the teaching was effective? A. “Group all tasks to be performed early in the morning.” B. “Stand in the shower instead of taking a bath.” C. “Bathe before eating breakfast.” D. “Sit for as many activities as possible.” 2 / 50 2. The nurse provides discharge teaching to a client after a vasectomy. Which statement by the client indicates the need for further teaching? A. “I can resume sexual intercourse whenever I want.” B. “I can use an ice bag and take an analgesic for pain or swelling.” C. “I don’t need to practice birth control any longer.” D. I can use a scrotal support if I need to.” 3 / 50 3. Which clinical situation should justifiably be viewed as an assault A. 1. The charge nurse sends an email to a staff member that includes a poor performance evaluation about another person. B. The nurse threatens to apply restraints to a client who is exhibiting aggressive behavior C. 1. The client requests a medical discharge, but the nurse physically forces the client to stay. D. 1. The nurse overhears the primary health care provider making derogatory remarks to the client about the nurse’s level of competency. 4 / 50 4. The nurse provides dietary instruction to the parents of a child with a diagnosis of cystic fibrosis. The nurse should tell the parents that which diet plan should be followed? A. Low in sodium B. Fat free C. High in calories D. Low in protein 5 / 50 5. The nurse is caring for a client with a diagnosis of terminal cancer of the throat. The family tells the nurse that they have spoken to the primary health care provider regarding taking their loved one home. The nurse plans to coordinate discharge planning. Which service would be most supportive to the client and the family? A. Local religious and social organizations B. Hospice care C. The American Lung Association D. The American Cancer Society 6 / 50 6. When a client’s nasogastric (NG) tube stops draining, which intervention should the nurse implement to maintain client safety? A. Clamp the tube for 2 hours to allow the drainage to accumulate. B. Verify the tube placement according to agency procedure. C. Retract the tube by 2 inches to be above and possible obstruction. D. Instill 10 to 20 mL of fluid to dislodge any clots. 7 / 50 7. The client is prescribed sotalol 80 mg orally twice daily. Which assessment finding indicates that the client is experiencing an adverse effect of the medication? A. Dry mouth B. Palpitations C. Diaphoresis D. Difficulty swallowing 8 / 50 8. A client is scheduled to have surgery. The nurse should place priority on determining whether the surgeon wants which medications held in the preoperative period to assure client safety? A. Furosemide B. Famotidine C. Multivitamin with minerals D. Warfarin 9 / 50 9. A client diagnosed with Parkinson’s disease has begun therapy with levodopa. The nurse determines that the client understands the action of the medication if the client verbalizes that results may not be apparent for what period of time? A. 2 to 3 weeks B. 24 hours C. 5 to 7 days D. 1 week 10 / 50 10. The nurse provides discharge instructions to a client after implantation of a permanent pacemaker. The nurse should instruct the client to avoid exposure to which item? A. Airport metal detectors B. Hair dryers C. Electric blankets D. Electric toothbrushes 11 / 50 11. 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? A. “I will get help immediately if I start having trouble breathing.” B. “I will use the throat lozenges as directed by my doctor until my sore throat goes away.” C. “I can expect to cough up bright red blood.” D. “I will stop smoking my cigarettes.” 12 / 50 12. The nurse is caring for an infant after a pyloromyotomy is performed to treat hypertrophic pyloric stenosis. In which position should the nurse place the infant after surgery? A. Flat on the operative side B. Flat on the unoperative side C. Prone with the head of the bed elevated D. Supine with the head of the bed elevated 13 / 50 13. The nurse has finished suctioning the tracheostomy of a client. Which parameter should the nurse monitor to determine the effectiveness of the procedure? A. Breath sounds B. Oxygen saturation level C. Capillary refill D. Respiratory rate 14 / 50 14. The nurse has conducted a stress management seminar for clients in an ambulatory care setting. Which statement by a client would indicate a need for further teaching? A. “Biofeedback might be nice, but I don’t like the idea of having to use equipment.” B. “Using confrontation with coworkers should solve my problems at work quickly.” C. “The progressive muscle relaxation technique should ease my tension headaches.” D. “I can use those guided imagery techniques I’ve learned anywhere and anytime.” 15 / 50 15. What action should the nurse take to assess the pharyngeal reflex on a child? A. Stimulate the back of the throat with a tongue depressor. B. Pull down on the lower eyelid. C. Ask the client to swallow. D. Shine a light toward the bridge of the nose. 16 / 50 16. The nurse in the newborn nursery is caring for a preterm infant. Which is the best method the nurse can implement to assist the parents with developing attachment behaviors? A. Provide information regarding infant development and stimulation. B. Report only positive qualities and progress to the parents. C. Support visits by family and friends. D. Encourage the parents to touch and speak to their infant. 17 / 50 17. The nurse is going to suction an adult client with a tracheostomy who has respiratory secretions. Which intervention should the nurse implement to perform this procedure safely? A. Occluding the Y-port of the suction catheter while advancing it B. Setting the suction pressure range between 160 and 180 mm Hg C. Applying continuous suction in the airway for up to 20 seconds D. Hyperoxygenating the client by asking the client to take 4 to 5 deep breaths 18 / 50 18. A newborn infant is diagnosed with imperforate anus. Which description of this disorder should the nurse provide to the parents? A. The infrequent and difficult passage of dry stools B. The presence of fecal incontinence C. Incomplete development of the anus D. Invagination of a section of the intestine into the distal bowel 19 / 50 19. A client who is to be discharged to home with a temporary colostomy states to the nurse, “I know I’ve changed this thing once, but I just don’t know how I’ll do it by myself when I’m home alone. Can’t I stay here until the surgeon puts it back?” Which therapeutic response should the nurse make to best deal with the client’s concerns? A. “So you’re saying that, although you’ve practiced changing your colostomy bag once, you don’t feel comfortable on your own yet?” B. “This is only temporary, but with your level of anxiety you need to hire a nurse companion until your surgery.” C. “Going home to care for yourself still feels pretty overwhelming? I will schedule you for home visits until you’re feeling more comfortable.” D. “Well, your insurance will not pay for a longer stay just to practice changing your colostomy, so you’ll have to fight it out with them.” 20 / 50 20. The nurse interprets that which observation is related to the dysfunction of cranial nerve III (oculomotor nerve)? A. Less frequent spontaneous speech B. Mild drowsiness C. Diminished mental acuity D. Unilateral ptosis 21 / 50 21. The nurse receives a telephone call from a client who states that he wants to kill himself and has a loaded gun on the table. Which intervention best assures the client’s safety? A. Engaging the client while another staff member contacts the police for their assistance B. Encouraging him to unload the gun and go to the hospital C. Using therapeutic communication techniques, especially the reflection of feelings D. Telling the client that suicide is not the way to deal with his problem 22 / 50 22. 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? A. Identify the manifestations related to the panic disorder. B. Encourage the client to use relaxation techniques. C. Assess the client’s vital signs. D. Determine what the client’s activity involved when the pain started. 23 / 50 23. Chemical cardioversion is prescribed for the client diagnosed with atrial fibrillation. The nurse who is assisting in preparing the client should expect that which medication specific for chemical cardioversion would be prescribed? A. Nifedipine B. Lidocaine C. Nitroglycerin D. Amiodarone 24 / 50 24. An infant diagnosed with spina bifida cystica (meningomyelocele type) has had the sac surgically removed. The nurse plans which intervention in the postoperative period to maintain the infant’s safety? A. Elevating the head with the infant in the prone position B. Strapping the infant in a baby seat sitting up C. Covering the back dressing with a binder D. Placing the infant in a head-down position 25 / 50 25. The nurse is performing an otoscopic examination on a client with a suspected diagnosis of mastoiditis. Which finding should the nurse expect to note if this disorder was present? A. A pearly colored tympanic membrane B. A mobile tympanic membrane C. A dull red tympanic membrane D. A transparent tympanic membrane 26 / 50 26. The significant other of a client diagnosed with Graves’ disease expresses concern regarding the client’s bursts of temper, nervousness, and an inability to concentrate on even trivial tasks. On the basis of this information, the nurse should identify which concern for the client? A. Issues related to sensory perception B. Trouble with coping with a disease process C. Grief D. Socialization issues 27 / 50 27. 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 top of the crutch is even with the axilla. B. The elbow is at a 30-degree angle when the hand is on the handgrip. C. The client’s axilla is resting on the crutch pad during ambulation. D. The elbow is straight when the hand is on the handgrip. 28 / 50 28. The nurse assessing the apical heart rates of several different newborn infants notes that which heart rate is normal for this newborn population? A. 140 beats per minute B. 90 beats per minute C. 190 beats per minute D. 180 beats per minute 29 / 50 29. 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? A. Ask the client to report suicidal thoughts immediately. B. Check the client’s location every 15 minutes. C. Begin suicide precautions with 30-minute checks. D. Initiate one-to-one suicide precautions immediately. 30 / 50 30. Skin closure with heterograft will be performed on a client with a burn injury. When the client asks the nurse where the heterograft comes from, the nurse should explain it is from which source? A. Another animal species B. The burned client themselves C. A cadaver D. A man-made synthetic source 31 / 50 31. An older client had an open reduction with internal fixation (ORIF) for a hip fracture 4 days ago. Which measure should the nurse implement to provide safe care? A. Tell the client to roll to the affected side first before getting up. B. Instruct the client to call for help before getting up. C. Minimize opioid administration to prevent dizziness. D. Provide ice chips instead of drinking water. 32 / 50 32. A client with the diagnosis of pneumonia experiences dyspnea when engaging activities. Which action should the nurse implement to help address client safety? A. Schedule activities before giving respiratory medications or treatments. B. Observe vital signs and oxygen saturation periodically during activity. C. Provide stimulation in the environment to maintain client alertness. D. Encourage deep, rapid breathing during activity. 33 / 50 33. A client is prescribed glipizide once daily. What intended effect of this medication should the nurse observe for? A. Resolution of infection B. Decreased blood glucose C. Decreased blood pressure D. Weight loss 34 / 50 34. A home care nurse is instructing a mother of a child diagnosed with cystic fibrosis (CF) about the appropriate dietary measures. Which diet should the nurse tell the mother that the child needs to consume? A. High-calorie, high-protein diet B. Low-calorie, low-protein diet C. High-calorie, restricted fat D. Low-calorie, low-fat diet 35 / 50 35. A client is experiencing diabetes insipidus as a result of cranial surgery. Which anticipated therapy should the nurse plan to implement? A. Administering diuretics B. Intravenous (IV) replacement of fluid losses C. Fluid restriction D. Increased sodium intake 36 / 50 36. The nurse is planning activities for a client diagnosed with depression who was just admitted to the hospital. Which therapeutic action should be implemented as part of the nurse’s plan? A. Plan nothing until the client asks to participate in the milieu. B. Provide an activity that is quiet and solitary in nature. C. Provide a structured daily program of activities and encourage the client to participate. D. Offer the client a menu of activities and insist that the client participate in all of them. 37 / 50 37. The home-care nurse visits an older client diagnosed with Parkinson’s disease who requires instillation of multiple eye drops. Which instruction for the administration of eye drops should the nurse plan to provide to this client who demonstrates signs/symptoms of this diagnosis? A. Administer the eye drops rapidly. B. Keep the eye drops in the refrigerator so that they will thicken. C. Lie down on a bed or sofa to instill the eye drops. D. Have a family member instill the eye drops. 38 / 50 38. A client diagnosed with gastritis asks the nurse at a screening clinic about analgesics that will not cause epigastric distress. The nurse should tell the client to take which medication? A. Acetaminophen B. Naproxen C. Aspirin D. Ibuprofen 39 / 50 39. A coronary care unit (CCU) nurse is caring for a client admitted with acute myocardial infarction (MI). The nurse should monitor the client for which most common complication of MI? A. Heart failure B. Cardiogenic shock C. Recurrent myocardial infarction D. Cardiac dysrhythmias 40 / 50 40. The nurse monitors a client diagnosed with silicosis for emotional reactions related to the chronic respiratory disease. Which emotional reaction, when expressed by the client, indicates a need for immediate intervention? A. Suicidal ideation B. Depression C. Ineffective coping D. Anxiety 41 / 50 41. A client with a diagnosis of valvular heart disease is being considered for mechanical valve replacement. Which circumstance is essential to assess before the surgery is performed? A. The likelihood of the client experiencing body image problems B. The ability to comply with anticoagulant therapy for life C. The ability to participate in a cardiac rehabilitation program D. The physical demands of the client’s lifestyle 42 / 50 42. A pregnant client diagnosed with mitral valve prolapse is prescribed anticoagulant therapy during pregnancy. The nurse reviews the client’s medical record, expecting to note that which medication therapy is prescribed daily? A. Intravenous infusion of heparin sodium B. Oral warfarin C. Subcutaneous administration of heparin sodium D. Subcutaneous administration of terbutaline 43 / 50 43. The nurse is caring for a client at risk for suicide. Which client behavior best indicates that the client may be contemplating suicide? A. Reporting a variety of sleep pattern disturbances B. Sharing that she or he is finally happy C. Preferring to spend long periods of time alone D. Sitting and crying for long periods of time 44 / 50 44. 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? A. “What if I have no help at home after going through this awful surgery?”” B. “I’ll never feel like myself if I can’t go to the bathroom normally.” C. “I’m so afraid that I won’t live through all this.” D. “I wish I’d never gone to the doctor at all.” 45 / 50 45. The nurse is teaching a mother diagnosed with diabetes mellitus who delivered a large-for-gestational-age (LGA) infant about the care of the infant. The nurse tells the mother that LGA infants appear to be more mature because of their large size, but that, in reality, these infants frequently need to be aroused to facilitate nutritional intake and attachment. Which statement by the mother indicates the need for additional teaching about the care of the infant? A. “I will watch my baby closely because I know that he may not be as mature in his motor development.” B. “I will allow my baby to sleep through the night because he needs his rest.” C. I will talk to my baby when he is in a quiet, alert state.” D. “I will breast-feed my baby every 2½ to 3 hours and will use arousal techniques.” 46 / 50 46. The nurse is giving medication instructions to a client who is receiving furosemide. Which client statement indicates a need for further teaching? A. “I need to talk to my primary health care provider about the use of alcohol.” B. “I need to avoid the use of salt substitutes because they contain potassium.” C. “I need to change positions slowly.” D. “I need to be careful to not get overheated in warm weather.” 47 / 50 47. A client has a prescription to begin short-term therapy with enoxaparin. The nurse explains to the client that this medication is being prescribed for which action? A. Relieve migraine headaches B. Stop progression of multiple sclerosis C. Reduce the risk of deep vein thrombosis D. Dissolve urinary calculi 48 / 50 48. A client experiencing a mild panic attack has the following arterial blood gas (ABG) results: pH 7.49, Pco2 31 mm Hg, Pao2 97 mm Hg, HCO3 22 mEq/L. The nurse reviews the results and determines that the client has which acid- base disturbance? A. Respiratory acidosis B. Metabolic alkalosis C. Metabolic acidosis D. Respiratory alkalosis 49 / 50 49. A child diagnosed with a malignant brain tumor is admitted for removal of the tumor. The nurse should include which action in the plan of care to ensure a safe environment for the child? A. Minimizing contact with other children on the nursing unit B. Assisting the child with ambulation at all times C. Initiating seizure precautions D. Using a wheelchair for out-of-bed activities 50 / 50 50. Upon transfer from the post-anesthesia care unit (PACU) after spinal fusion, which technique should the nurse use to transfer the client from the stretcher to the bed? A. A transfer board and the assistance of four people B. A bath blanket and the assistance of four people C. A transfer board and the assistance of two people D. A bath blanket and the assistance of three people Your score is The average score is 24% Restart quiz Home/Practice NCLEX Questions/50 Random NCLEX Questions