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NCLEX-RN Exam Questions and Answers: A Comprehensive Review, Exams of Nursing

University of St AndrewsNursing

A valuable resource for nursing students preparing for the nclex-rn exam. it features a series of multiple-choice questions covering various aspects of nursing practice, including nutrition, medication administration, patient care, and ethical considerations. the inclusion of answers allows for self-assessment and identification of areas needing further study. the questions are designed to test knowledge and critical thinking skills essential for safe and effective nursing care.

Typology: Exams

2024/2025

Available from 05/02/2025

Expert-Hannah
Expert-Hannah 🇬🇧

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NCLEX-RN EXAM QUESTIONS AND ANSWERS
1. Which of the following signs or symptoms indicates a possible
nutritional deficiency?
Pale conjunctiva
2. A nurse is preparing to insert a small-bore nasogastric feeding tube for a
client's enteral feedings. In which method does the nurse measure the
correct length of the tube?
From the tip of the nose to the earlobe to the xiphoid process
3. In which of the following ways can a nurse promote sleep for a
client who is experiencing insomnia?
Give the client a pair of socks to wear if his feet become cold
4. A client is complaining of pain that starts in the shoulder and travels
down the length of his arm. This type of pain is referred to as:
Radiating pain
5. A client with an enlarged prostate is having trouble starting his flow
of urine when using
the bathroom. Another name for this condition is:
Hesitancy
6. A nurse is preparing to irrigate a client's colostomy. Which of the
following situations is a contraindication for this type of irrigation?
The client has diverticulitis
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NCLEX-RN EXAM QUESTIONS AND ANSWERS

  1. Which of the following signs or symptoms indicates a possible nutritional deficiency? Pale conjunctiva
  2. A nurse is preparing to insert a small-bore nasogastric feeding tube for a client's enteral feedings. In which method does the nurse measure the correct length of the tube? From the tip of the nose to the earlobe to the xiphoid process
  3. In which of the following ways can a nurse promote sleep for a client who is experiencing insomnia? Give the client a pair of socks to wear if his feet become cold
  4. A client is complaining of pain that starts in the shoulder and travels down the length of his arm. This type of pain is referred to as: Radiating pain
  5. A client with an enlarged prostate is having trouble starting his flow of urine when using the bathroom. Another name for this condition is: Hesitancy
  6. A nurse is preparing to irrigate a client's colostomy. Which of the following situations is a contraindication for this type of irrigation? The client has diverticulitis
  1. The nurse hears a client calling out for help, hurries down the hallway to the client's room, and finds the client lying on the floor. The nurse performs an assessment, assists the client back to bed, notifies the health care provider of the incident, and completes an incident report. Which statement should the nurse document on the incident report? The client was found lying on the floor.
  2. A client is brought to the emergency department by emergency medical services (EMS) after being hit by a car. The name of the client is unknown, and the client has sustained a severe head injury and multiple fractures and is unconscious. An emergency craniotomy is required. Regarding informed consent for the surgical procedure, which is the best action? Transport the victim to the operating room for surgery.
  3. Which of the following statements best describes substance P? Substance P is found in the dorsal horn of the spinal column
  4. The primary purpose of a patient care meeting or conference is to determine which of the following? How the healthcare team can best meet the patient's needs.
  5. Who should be members of a patient care conference? ALL members of the healthcare team and the patient/resident.
  6. The nurse has just assisted a client back to bed after a fall. The nurse
  1. The nurse arrives at work and is told to report (float) to the intensive care unit (ICU) for the day because the ICU is understaffed and needs additional nurses to care for the clients. The nurse has never worked in the ICU. The nurse should take which best action? Clarify with the team leader to make a safe ICU client assignment.
  2. The nurse who works on the night shift enters the medication room and finds a co-worker with a tourniquet wrapped around the upper arm. The co- worker is about to insert a needle, attached to a syringe containing a clear liquid, into the antecubital area. Which is the most appropriate action by the nurse? Call the nursing supervisor.
  3. A hospitalized client tells the nurse that an instructional directive is being prepared and that the lawyer will be bringing the document to the hospital today for witness signatures. The client asks the nurse for assistance in obtaining a witness to the will. Which is the most appropriate response to the client? "I will call the nursing supervisor to seek assistance regarding your request."
  4. The nurse has made an error in a narrative documentation of an assessment finding on a client and obtains the client's record to correct the error. The nurse should take which actions to correct the error? Select all that apply. i. Document the correct information and end with the nurse's signature and title. ii. Draw 1 line through the error, initialing and dating it.
  1. Who is legally able to make decisions for the patient or resident during a patient care conference when the patient is not mentally able to make decisions on their
  1. The nurse is caring for a restless client who is beginning nutritional therapy with parenteral nutrition (PN). The nurse should plan to ensure that which action is

taken to prevent the client from sustaining injury? Secure all connections in the PN system.

  1. A client receiving parenteral nutrition (PN) complains of a headache. The nurse notes that the client has an increased blood pressure, bounding pulse, jugular vein distention, and crackles bilaterally. The nurse determines that the client is experiencing which complication of PN therapy? Hypervolemia
  2. A client had a 1000-mL bag of 5% dextrose in 0.9% sodium chloride hung at 1500. The nurse making rounds at 1545 finds that the client is complaining of a pounding headache and is dyspneic, experiencing chills, and apprehensive, with an increased pulse rate. The intravenous (IV) bag has 400 mL remaining. The nurse should take which action first? Slow the IV infusion.
  3. The nurse has a prescription to hang a 1000-mL intravenous (IV) bag of 5% dextrose in water with 20 mEq of potassium chloride. The nurse also needs to hang an IV infusion of piperacillin/tazobactam. The client has one IV site. The nurse should plan to take which action first? Check compatibility of the medication and IV fluids.
  4. The nurse is completing a time tape for a 1000-mL intravenous (IV) bag that is scheduled to infuse over 8 hours. The nurse has just placed the 1100 marking at the 500-mL level. The nurse would place the mark for 1200 at which numerical level (mL) on the time tape? Fill in the blank.
  1. Patients have a right to. ALL of their health related information
  2. You are working the 8 am to 4 pm shift. You begin to vomit at 3 pm and you do not think that you are able to continue working. You decide to immediately go home without notifying your RN supervisor. You have Seriously abandoned the patients
  3. A patient has a goal of eating at least 50% of each meal. The patient refuses to eat so a nurse force feeds the patient in order for them to reach their goal of eating at least 50% of the meal. The nurse has committed against this patient. Battery
  4. You see a patient lying on the floor of the bathroom. You are NOT assigned to this patient. What is the first thing that you should do? Observe the patient for any injuries and call out for help.
  5. You are taking care of 5 patients today. One of your patients wants water; another needs help walking to the bathroom; another just stated that they have chest pain; and another is crying because his daughter did not visit him today. Which patient care problem must you deal with first? The chest pain
  6. Which identifies accurate nursing documentation notations? Select all that apply. i. The client slept through the night. ii. Abdominal wound dressing is dry and intact without drainage. iii. The client's left lower medial leg wound is 3 cm in length without

redness, drainage, or edema.

  1. The nurse is teaching a client who has iron deficiency anemia about foods she should include in the diet. The nurse determines that the client understands the

dietary modifications if which items are selected from the menu? Oranges and dark green leafy vegetables

40. The nurse is planning to teach a client with malabsorption syndrome about the necessity of following a low-fat diet. The nurse develops a list of high- fat foods to avoid and should include which food items on the list? Select all that apply. i. Margarine ii. Cream cheese iii. Luncheon meats

  1. The nurse instructs a client with chronic kidney disease who is receiving hemodialysis about dietary modifications. The nurse determines that the client understands these dietary modifications if the client selects which items from the dietary menu? Cream of wheat, blueberries, coffee
  2. The nurse is conducting a dietary assessment on a client who is on a vegan diet. The nurse provides dietary teaching and should focus on foods high in which vitamin that may be lacking in a vegan diet? Vitamin B 12
  3. A client with hypertension has been told to maintain a diet low in sodium. The nurse who is teaching this client about foods that are allowed should include which food item in a list provided to the client? Summer squash

i. Broth ii. Coffee iii. Gelatin

  1. The supervising RN asks you to bring the unit's collected lab specimens to the lab "stat". You should. Run this errand immediately and without delay.
  2. You are working the 4 pm to 12 midnight evening shift. You are taking care of a group of patients. The supervising RN identifies 5 patients who get a medication at "HS". When will you give this medication? At the patient's bedtime
  3. An 87-year-old woman is brought to the emergency department for treatment of a fractured arm. On physical assessment, the nurse notes old and new ecchymotic areas on the client's chest and legs and asks the client how the bruises were sustained. The client, although reluctant, tells the nurse in confidence that her son frequently hits her if supper is not prepared on time when he arrives home from work. Which is the most appropriate nursing response? "As a nurse, I am legally bound to report abuse. I will stay with you while you give the report and help find a safe place for you to stay."
  4. The nurse calls the heath care provider (HCP) regarding a new medication prescription because the dosage prescribed is higher than the recommended dosage. The nurse is unable to locate the HCP, and

the medication is due to be administered. Which action should the nurse take? Contact the nursing supervisor.

session, the client continuously turns away from the nurse. The nurse should implement which best action? Answers-Continue with the instructions, verifying client understanding.

  1. A critically ill Hispanic client tells the nurse through an interpreter that she is Roman Catholic and firmly believes in the rituals and traditions of the Catholic faith. Based on the client's statements, which actions by the nurse demonstrate cultural sensitivity and spiritual support? Select all that apply. (1,2,5) i. Answers-Ensures that a close relative stays with the client ii. Makes a referral for a Catholic priest to visit the client iii. Offers to provide a means for praying the rosary if the client wishes.
  2. Which clients have a high risk of obesity and diabetes mellitus? Select all that apply.(1,2,4,5) i. Latino American Man ii. Native American man iii. Hispanic American man iv. African American woman
  3. The nurse is preparing a plan of care for a client, and is asking the client about religious preferences. The nurse considers the client's religious preferences as being characteristic of a Jehovah's Witness if which client statement is made? "I cannot have any food containing or prepared with blood."
  4. The ambulatory care nurse is discussing preoperative procedures with a Japanese American client who is scheduled for surgery the following week. During the discussion, the client continually smiles and nods the