January 28, 2026

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NCLEX RN Exam #01

jaswantkaurm@gmail.com141 mins
Drug Dose Calculations Challenge 1

NCLEX RN Exam #01

NCLEX RN Exam #1 The NCLEX-RN practice exam is a free resource that you should use before starting your preparation. Make sure you have approximately 5 hours available to complete it.
This practice exam will evaluate your knowledge and help you determine whether you are adequately prepared for the actual NCLEX-RN exam.

The NCLEX-RN practice exam is a free resource that you should use before starting your preparation. Make sure you have approximately 5 hours available to complete it. This practice exam will evaluate your knowledge and help you determine whether you are adequately prepared for the actual NCLEX-RN exam.

NCLEX RN Exam # 01

NCLEX RN Exam 150 - 1

1 / 150

1. A 60-year-old client wanders away during halftime at a football game and is found 48 hours later sleeping on a park bench, 100 miles from home. The client is brought to the emergency department by the police. The client can state the name and address but has no recollection of the past 2 days. What is the priority nursing action?

2 / 150

2. The nurse cares for a client who returns from the operating room after a tracheostomy tube placement procedure. Which of the following is the nurse's priority when caring for a client with a new tracheostomy?

2.  3.  4.

3 / 150

3. The nurse is assessing a 4-day-old, term neonate who is breastfed exclusively. Which assessment finding should the nurse report to the health care provider for further assessment regarding possible formula supplementation?

4 / 150

4. The labor and delivery nurse is caring for a Japanese client who has declined epidural anesthesia. The client has been very stoic and quiet throughout labor. Which nursing action represents the most appropriate care for this client?

 

5 / 150

5. During a routine assessment of a developmentally normal 18-month-old, the parent expresses concern about the small amount of food the child consumes. What is the nurse's priority intervention?

6 / 150

6. A 55-year-old male client has a 16-Fr indwelling urethral catheter with a 5-ml balloon inserted to relieve postoperative urinary retention. The nurse observes urine leaking from the insertion site, past the catheter. What is the nurse's first action?

7 / 150

7. A critically ill client receiving vasopressor therapy for hypotension requires continuous blood pressure monitoring via an arterial catheter. The nurse sets up the pressure monitoring system and correctly places the transducer at the phlebostatic axis. Where on the chest does the nurse mark this reference point?

8 / 150

8. A young adult with obesity comes to the free clinic for a 2-week post-antibiotic follow-up visit for a superficial abdominal skin abscess. The client has a history of major depressive disorder and was hospitalized twice in the past 6 months for attempted suicide. The client now reports feeling "emotionally upset, alone, and at the end of my rope, due to difficulty finding a job and inability to qualify for medical insurance. The client is currently prescribed fluoxetine but has not been able to follow up with the prescribing health care provider (HCP). What is the priority nursing diagnosis (ND) at this time

9 / 150

9. The nurse assesses 4 children in the clinic. Which assessment finding requires the nurse's priority action?

10 / 150

10. The nurse cares for a client with type I diabetes mellitus. Which action, by the nurse, best assesses the chronic complication of autonomic neuropathy?

11 / 150

11. An obese 85-year-old client, who is an avid gardener and eats only home-grown fruits, legumes, and vegetables, is admitted to the hospital with pneumonia after having an upper respiratory tract infection for a week. Which factor puts the client at greatest risk for developing pneumonia?

12 / 150

12. The emergency department nurse is triaging clients. Which neurologic presentation is most concerning for a serious etiology and should be given priority for definitive treatment?

 

13 / 150

13. A client with diabetes visits the clinic reporting breast tenderness, vaginal discharge, and urinary frequency. Which action is most important for the nurse to perform?

14 / 150

14. The nurse accidentally sticks him/herself in the finger with a client's contaminated needle. The client has HIV infection. Place in order the steps the nurse should take. All options must be used

1. Step 1
2. Step 2
3. Step 3
4. Step 4
5. Step 5

15 / 150

15. A nurse is performing a dressing change for a hospitalized client with an infected surgical incision. Which actions should the nurse take?

16 / 150

16. The nurse reviews laboratory data for a client admitted to the emergency department with chest pain. Which serum value requires the most immediate action by the nurse?

1. 2.  3.  4.

17 / 150

17. The home health nurse prepares to give benztropine to a 70-year-old client with Parkinson disease. Which client statement is most concerning and would warrant health care provider notification?

 

18 / 150

18. The nurse in the pediatric clinic is triaging telephone messages. The nurse should call the parent of which child first?

19 / 150

19. A client with primary hypothyroidism has been taking levothyroxine for a year. Laboratory results today show high levels of TSH. Which statement by the nurse to the client is appropriate?

 

20 / 150

20. The nurse is precepting a new graduate nurse (GN) who is administering a prefilled enoxaparin injection to an obese client. Which action by the GN indicates the need for further education from the nurse preceptor?

1.  2.  3.  4.

21 / 150

21. A charge nurse suspects that the unlicensed assistive personnel (UAP) is falsifying the documentation of clients' capillary glucose results rather than performing the test. What is the best action by the charge nurse to handle this situation?

22 / 150

22. An unconscious client is brought to the emergency department by the paramedics after being hit by a car. An emergency craniotomy is required. The client has no identification. What action should be taken next?

1. 2.  3.  4.

23 / 150

23. The nurse is eating lunch in the hospital cafeteria, which is crowded with visitors and other staff. A health care provider approaches the nurse and asks, "How is my client Mrs. Jones in Room 312 doing?" Which response by the nurse is appropriate?

24 / 150

24. A nurse is discussing parallel play with the parent of a 2-year-old. Which statement by the parent indicates understanding of the discussion?

25 / 150

25. Which actions are appropriate for the registered nurse to delegate to an experienced licensed practical nurse? Select all that apply

26 / 150

26. The nurse is providing teaching to the parents of a child with Marfan syndrome. Which topic is the priority for the nurse to address?

27 / 150

27. The clinic nurse is caring for a 3-year-old client. Which task, if not observed or reported by the parents as accomplished, will cause the nurse concern?

28 / 150

28. A client comes to the emergency department with crushing, substernal chest pain. Temperature is 98.6 F (37 C), blood pressure is 173/84 mm Hg, pulse is 92/min, and respirations are 24/min. Oxygen saturation is 95% on room air. What is the nurse's next priority action?

29 / 150

29. A graduate nurse is reinforcing education to a pregnant client with hepatitis B who expresses concern about transmitting the virus to the newborn after birth. Which statement about newbom care made by the graduate nurse should cause the precepting nurse to intervene?

30 / 150

30.  

1. intramuscular
2. immediately
3. Capsule
4. intravenous
5. Presecription
6. Orally
7. Daily
8. sub-q or subcutaneous
9. twice a day
10. every 2 hours
11. tablet
12. hour of sleep (bedtime)
13. four times a day
14. three times a day
15. as necessary
16. every
17. after meals
18. sterile water injectable
19. sublingual
20. before meals
21. hour
22. kilograms
23. grams
24. milligrams
25. micrograms
26. nanograms
27. litres
28. mililitres

31 / 150

31. The doctor's order reads, Digoxin 0.125 mg. The drug label reads, Digoxin 0.25 mg. The nurse will prepare tablet(s).

32 / 150

32. If someone weighs 154 lbs, the correct conversion is kg.

33 / 150

33. The doctor's order reads: Meperidine 75 - 100 mg IM q4h prn. The patient rates his pain as severe (8 / 10). The nurse decides to give the maximun dose. The ampule label reads: Meperidine 50 mg/ml. The nurse will prepare mL

34 / 150

34. A person is 5' tall, the correct conversion is cm.

35 / 150

35. 50 ml = L

36 / 150

36. The doctor's order reads, "Gentamycin 120 mg IV, q8h". The medication is available in vials labeled, "Gentamycin 80 mg / 2 ml." The directions from the pharmacy read, "Dilute up to 320 mg in 50 ml of NS or D5W, infuse over 30 - 60 minutes." Which of the following is correct?

37 / 150

37. Prednisone is available in 5 mg tablets. Your patient is ordered Prednisone 20 mg. You should give tablets

38 / 150

38. The doctor's order reads: loratadine 10 mg po. The label reads: loratadine 5 mg/5 ml. The nurse will prepare ml.

39 / 150

39. 6.5 g = mg

40 / 150

40. 200 mcg = mg

41 / 150

41. A student nurse prepares to change a large wet-to-damp sterile wound dressing and uses a disposable moisture-proof sterile drape to set up the sterile field. The precepting nurse intervenes when the student performs which action?

42 / 150

42. A client with coronary artery disease is being seen in the clinic for a follow-up examination. During medication reconciliation, the nurse identifies which reported medication as requiring further investigation?

43 / 150

43. A newborn client is seen in the emergency department for vomiting. Which assessment finding indicates a possible emergency?

 

44 / 150

44. The nurse taught the caregiver of a child with a ventriculoperitoneal (VP) shunt about when to contact the health care provider (HCP). The caregiver shows understanding of the instructions by contacting the HCP about which symptom?

45 / 150

45. A primigravid woman comes to the clinic for her initial prenatal visit. She is at 32 weeks’ gestation and says that she has just moved from out of state. The client says that she has had periodic headaches during her pregnancy, and that she is continually bumping into things. The nurse notes numerous bruises in various stages of healing around the client’s breasts and abdomen. Vital signs are: BP 120/80, pulse 72, resp 18, and FHT 142. Which of the following responses by the nurse is BEST?

46 / 150

46. The registered nurse supervises a student nurse who is caring for a client newly prescribed lithium for the treatment of bipolar disorder. Which action by the student indicates a need for further teaching?

47 / 150

47. The nurse receives handoff report on 4 clients. Which client should the nurse assess first?

48 / 150

48. A client with type 2 diabetes, coronary artery disease, and peripheral arterial disease developed hospital-acquired pneumonia (HAP) and has been receiving intravenous (IV) antibiotics for 4 days. Which parameter monitored by the nurse best indicates the effectiveness of treatment?

 

49 / 150

49. A client is diagnosed with a small thoracic aortic aneurysm during a routine chest x-ray and follows up 6 months later with the health care provider (HCP). Which assessment data is most important for the nurse to report to the HCP?

50 / 150

50. The nurse is caring for a client receiving mechanical ventilation via tracheostomy 2 weeks following a tracheotomy. The nurse enters the client's room to address a ventilator alarm and notes the tracheostomy tube dislodged and lying on the client's chest. Which action by the nurse is appropriate? Click on the exhibit button for additional information.

Vital Signs

Heart rate    -132/min

Respirations -     40/min

O2 Saturation or SpO2 - 80 %

51 / 150

51. The nurse is caring for an exclusively breastfed, small-for-gestational age, term newborn at 6 hours of life. The newborn has a capillary blood glucose (BG) of 30 mg/dL (1.67 mmol/L) and is asymptomatic. Which action is most appropriate for the nurse to take at this time?

52 / 150

52. The registered nurse is counseling the parent of a child recently diagnosed with attention- deficit hyperactivity disorder (ADHD), combined type. Which statement by the parent requires an intervention?

53 / 150

53. A client is taking morphine sulfate for acute pain. Which statement will best assist the client worried about nausea and vomiting while taking this medication?

54 / 150

54. The public health nurse conducts a program at the community senior citizen center about preventing falls at home. Which statement made by a participant indicates that further education is needed?

55 / 150

55.
The nurse is assessing a client diagnosed with tuberculosis who started taking rifapentine a week ago. Which statement by the client warrants further assessment and intervention by the nurse?

56 / 150

56. A nurse is caring for a client on a mechanical ventilator. The ventilator is sounding an alarm and displaying an alert about low tidal volumes. The nurse has checked all connections and the endotracheal tube, but the alarm persists and the client's oxygen saturation is dropping. What should the nurse do next?

57 / 150

57. The nurse receives report on several postpartum clients who gave birth at term gestation. Which client should the nurse assess first?

58 / 150

58. The health care provider has just informed a client who has diabetes and chronic kidney disease of the need to start dialysis. The client tearfully says to the nurse, "I don't know what I'm going to do; everything was so overwhelming before, and now there is this." How should the nurse respond?

.  2.  3.  4.

59 / 150

59. During shift change, the night nurse notices that the graduate nurse administered IV dopamine instead of the prescribed norepinephrine for a client with sepsis. What should the night nurse do first?

1.  2.  3.  4.

60 / 150

60. In working with a rape victim, which of the following is most important?

61 / 150

61. A client tells the nurse that she has been raped but has not reported it to the police. After determining whether the client was injured, whether it is still possible to collect evidence, and whether to file a report, the nurse's next priority is to offer which of the following to the client?

62 / 150

62. When caring for a client who was a victim of a crime, the nurse is aware that recovery from any crime can be a long and difficult process depending on the meaning it has for the client. Which of the following should the nurse establish as a victim's ultimate goal in reconstructing his or her life?
1.
2.
3.
4.

63 / 150

63. The mother of a school-aged child tells the nurse that, “For most of the past year, my husband was unemployed and I worked a second job. Twice during the year I spanked my son repeatedly when he refused to obey. It has not happened again. Our family is back to normal.” After assessing the family, the nurse decides that the child is still at risk for abuse. Which of the following observations best supports this conclusion?

64 / 150

64. A third-grade child is referred to the mental health clinic by the school nurse because he is fearful, anxious, and socially isolated. After meeting with the client, the nurse talks with his mother, who says, “It's that school nurse again. She's done nothing but try to make trouble for our family since my son started school. And now you're in on it.” The nurse should respond by saying:

65 / 150

65. After months of counseling, a client abused by her husband tells the nurse that she has decided to stop treatment. There has been no abuse during this time, and she feels better able to cope with the needs of her husband and children. In discussing this decision with the client, the nurse should:
1.
2.
3.
4.

66 / 150

66. When planning the care for a client who is being abused, which of the following measures is most important to include?

67 / 150

67. A client with suspected abuse describes her husband as a good man who works hard and provides well for his family. She does not work outside the home and states that she is proud to be a wife and mother just like her own mother. The nurse interprets the family pattern described by the client as best illustrating which of the following as characteristic of abusive families?

68 / 150

68. A married female client has been referred to the mental health center because she is depressed. The nurse notices bruises on her upper arms and asks about them. After denying any problems, the client starts to cry and says, “He didn't really mean to hurt  me, but I hate for the kids to see this. I'm so worried about them.” Which of the following is the most crucial information for the nurse to determine?

69 / 150

69. The nurse is providing first aid at an outdoor festival when a client reports dizziness and weakness. The client is flushed, sweating, nauseated, and slightly tachycardic. Which action is most appropriate at this time?

70 / 150

70. A legally blind client is being prepared to ambulate 1 day after an appendectomy. What is the most appropriate action by the nurse?

71 / 150

71. A client with latent tuberculosis has been taking oral isoniazid (INH) 300 mg daily for 2 months. The client tells the nurse that for the past week she has had numbness, a burning sensation, and tingling in her hands and feet. Additional intake of which of the following would most likely have prevented this?

1. Folic acid 2. Vitamin B 3.  4.

72 / 150

72. The nurse is conducting a health-screening clinic at an industrial work site. The nurse should be most concerned about which client's risk for metabolic syndrome?

73 / 150

73. A client with massive trauma and possible spinal cord injury is admitted to the emergency department following a motorcycle collision. Which assessment finding leads the nurse to suspect neurogenic shock?

74 / 150

74. A client's lab results show a blood urea nitrogen (BUN) level of 25 mg/dL and a creatinine level of 1.8 mg/dL. What do these findings suggest?

75 / 150

75. A client’s lab results indicate a white blood cell (WBC) count of 15,000/mm³. What might this lab value suggest?

76 / 150

76. The nurse notes that a client's platelet count is 90,000/µL. Which is the most appropriate intervention?

77 / 150

77. A client's laboratory results show a fasting blood glucose level of 130 mg/dL. What condition does this value indicate?

78 / 150

78. The nurse is assessing a client with a calcium level of 6.5 mg/dL. Which symptom should the nurse expect to find?

79 / 150

79. A client has an INR of 4.5 while on warfarin therapy. Which action should the nurse take?

80 / 150

80. A client’s complete blood count (CBC) shows a hemoglobin level of 7.8 g/dL. Which clinical manifestation should the nurse anticipate?

81 / 150

81. The nurse is reviewing the lab results of a client with pancreatitis. Which of the following serum amylase levels is consistent with this diagnosis?

82 / 150

82. A client’s laboratory results show a serum sodium level of 128 mEq/L. Which of the following findings should the nurse expect?

83 / 150

83. A client with chronic kidney disease has a serum potassium level of 6.2 mEq/L. Which action should the nurse take first?

84 / 150

84. A client with chronic heart failure developed an intractable cough and an incident of angioedema after starting enalapril. Which prescription does the nurse anticipate for this client?

85 / 150

85. The nurse assessing a client notices pearly white plaque-like lesions on the mouth mucosa. The nurse understands that which client is at highest risk for oral candidiasis?

 

 

86 / 150

86. The hospital nurse coming on duty notifies the unit of a delay due to a motor vehicle accident. The off-going nurse has an important appointment and must leave on time. How should the off-going nurse handle the situation?

87 / 150

87. The nurse is teaching a class of expectant parents about infant safety. Which statement by a class participant indicates a need for further instruction?

88 / 150

88. The nurse is conducting a pain assessment on a client with dysuria. Which pain description is most likely associated with pyelonephritis?

89 / 150

89. The student nurse and the registered nurse are caring for a mechanically ventilated client with an acute lung injury. Which statement by the student nurse indicates a need for further education?

90 / 150

90. The parents of a 5-year-old ask the school nurse for advice on how to tell their child about being adopted. Which developmentally appropriate thought about adoption by the child does the nurse counsel the parents to anticipate?

91 / 150

91. A nurse in a pediatric clinic is preparing to administer ear drops to a 5-year-old. Which is an appropriate action by the nurse?

2.  3.  4.

92 / 150

92. A client with a mandibular fracture who has the upper and lower teeth wired together begins to choke on excessive oral secretions. What is the nurse's immediate action?

93 / 150

93. The charge nurse is preparing for the admission of an elderly client with delirium and agitation associated with urinary tract infection. To promote client safety, which intervention is most important for the charge nurse to implement?

94 / 150

94. A client is brought to the emergency department after the spouse finds the client locked in the car inside their garage with the motor running. The spouse says to the nurse, "If I hadn't come home early from work, my spouse would be dead. I can't believe this is happening." What is the best response by the nurse?

95 / 150

95. The nurse just administered routine immunizations to a healthy 15-month-old. What information should the nurse provide the caregivers before they leave the clinic?

96 / 150

96. Yesterday, the client was weaned from the mechanical ventilator and an intravenous infusion of lorazepam. The client has been alert and oriented for 24 hours but is now experiencing confusion. The nurse now evaluates new-onset confusion by assessing the client's sense of place and time, difficulty focusing, short-term memory loss, and increasing lethargy. The nurse suspects which condition in this client?

97 / 150

97. A nurse is teaching a postpartum client about cord care for the newborn. Which statement by the client indicates a need for further teaching?

98 / 150

98. A client diagnosed with trigeminal neuralgia is given a prescription of carbamazepine by the health care provider. Which intervention does the nurse add to this client's care plan?

99 / 150

99. What is a common symptom of hyperphosphatemia in a patient with TLS?

100 / 150

100. Which of the following is a key nursing intervention for a patient at risk of TLS?

101 / 150

101. Which medication is used to treat hyperkalemia by shifting potassium into cells?

102 / 150

102. What is the primary purpose of administering IV fluids to a patient with TLS?

103 / 150

103. The presence of which symptom suggests that a patient with TLS might be experiencing hypocalcemia?

104 / 150

104. Which laboratory test result is most indicative of TLS?

105 / 150

105. What is the first-line treatment for hyperuricemia in TLS?

106 / 150

106. A patient with TLS is at risk for which of the following cardiac complications?

107 / 150

107. Which electrolyte imbalance is most commonly associated with Tumor Lysis Syndrome?

108 / 150

108. What is the primary cause of Tumor Lysis Syndrome?

109 / 150

109. The nurse notes muffled heart tones in a client with a pericardial effusion. How would the nurse assess for a pulsus paradoxus?

 

110 / 150

110. The nurse assesses a newborn with skin discoloration in the lumbar area, as shown in the exhibit. What would be an appropriate action for the nurse to complete? Click the exhibit button for additional information.

Exhibit

Birthmarks in babies, children and teens | Raising Children Network

 

 

 

 

111 / 150

111. A client is being seen in the clinic after receiving an external breast prosthesis after a mastectomy. What question from the nurse best evaluates the effectiveness of the prosthesis on body image

 

112 / 150

112. A client with AIDS treated for intractable seizures is transferred from the intensive care unit to the medical unit. There are 4 semiprivate room beds available. Which room assignment does the charge nurse choose as the best option for this client?

 

 

 

 

 

113 / 150

113. The nurse is caring for a client newly prescribed crutches. Which finding indicates the need for further teaching?

114 / 150

114. The oncology nurse is caring for a client with tumor lysis syndrome. Which prescription should the nurse question?

115 / 150

115. The oncoming nurse is receiving report on 4 clients. Which should be the priority assessment?

2. 3. 4.

116 / 150

116. The charge registered nurse (RN) on a medical-surgical unit is responsible for making assignments. Which assignment made by the RN is most appropriate?

1. 2.  3.  4.

117 / 150

117. A female client with liver cirrhosis and chronic anemia is hospitalized for a deep venous thrombosis. The client is receiving a heparin infusion and suddenly develops epistaxis. Which laboratory value would indicate that the heparin infusion needs to be turned off?

118 / 150

118. The nurse is teaching the home health client how to perform colostomy irrigation. Which client action reveals that further teaching is required?

119 / 150

119. The nurse has provided education for a client newly prescribed alprazolam for generalized anxiety disorder. Which client statement indicates that teaching has been effective?

1. "Eliminating aged cheeses and processed meats from my diet is essential." 2.  3. 4.

120 / 150

120. The initial prenatal laboratory screening results of a client at 12 weeks gestation indicate a rubella titer status of nonimmune. What will the nurse anticipate as the plan of care for this client?

121 / 150

121. The nurse is preparing to administer IV cefazolin to a client with cellulitis. The client's allergies are listed as amoxicillin, ciprofloxacin, and sulfa drugs. What should the nurse do first?

 

122 / 150

122. During a routine clinic visit, the nurse is providing education to a 24-year-old female client with Marfan syndrome and aortic root dilation. Which statement made by the nurse is appropriate ?

1.  2.  3.  4.

123 / 150

123. The nurse is assessing a 70-year-old client with a long history of type 2 diabetes mellitus for sudden, severe nausea, diaphoresis, dizziness, and fatigue in the emergency department. Which hospital protocol would be the most appropriate to follow initially?

 

 

1.  2.  3.  4.

124 / 150

124. The nurse on the medical unit finishes receiving the change of shift hand-off report at 7:30 AM. Which assigned client should the nurse see first?

 

125 / 150

125. The nurse in an outpatient clinic is caring for a client with Addison disease who has been taking hydrocortisone 20 mg daily for the last 8 years. Which client data is most important to report to the health care provider?

126 / 150

126. Which client does the nurse assess first after receiving morning report?

 

127 / 150

127. The nurse is supervising a graduate nurse (GN) on a telemetry unit. An assigned client develops asystole with no pulse, and emergency care interventions are initiated. Which action by the GN would cause the supervising nurse to intervene?

128 / 150

128. A client is brought to the emergency department by emergency medical services with a flaccid right arm and leg and lack of verbal response. The stroke alert team is initiated. The nurse takes which priority action?

129 / 150

129. The triage nurse is assessing an unvaccinated 4-month-old infant for fever, irritability, and open-mouthed drooling. After the infant is successfully treated for epiglottitis, the parents wonder how this could have been avoided. Which response by the nurse would be most appropriate?

1. 2.  3.  4. "There is nothing you could have done; the important thing is that your child is safe now."

130 / 150

130. Upon arrival in the post-anesthesia care unit, the nurse performs the initial assessment of a client who had surgery under general anesthesia. Which assessment finding prompts the nurse to notify the health care provider immediately?

131 / 150

131. The unlicensed assistive personnel (UAP) reports finding a reddened area on a client's sacrum during a bath. What is the nurse's priority action?

132 / 150

132. The nurse plans teaching for an adolescent client being discharged home with a Boston brace for treatment of scoliosis. Which instruction will the nurse include in the discharge teaching plan

133 / 150

133. A client has been on long-term therapy with esomeprazole. What is essential for the nurse to ask the client?

134 / 150

134. The charge nurse on a telemetry unit is training a new registered nurse (RN). The charge nurse assists the new RN in prioritizing assessments of multiple clients. Which client should be assessed first?

135 / 150

135.
When a drug's effect is increased after a second drug is administered, this interaction is called

 

 

 

 

136 / 150

136.
A client with a history of ulcers is starting on propantheline. When the nurse provides instructions with the client, which instruction is CORRECT?

137 / 150

137.
During an acute exacerbation of inflammatory bowel disease, a patient is to receive total parenteral nutrition (TPN) and lipids. Which of these interventions is the priority when caring for this patient?

138 / 150

138.
Before administering a dose of furosemide (Lasix) to a 2-year-old with a congenital heart defect, the nurse should confirm the child's identity by checking the hospital ID band and

139 / 150

139.
The healthcare provider would anticipate which of the following as a treatment option for pneumonitis?

140 / 150

140.
Before administering penicillin IM to a client with"NKDA" on his medical record, the nurse asks the client if he has any drug allergies. The client responds, "I'm not sure. I may have had a rash one time after I had a shot when I was sick." Which is the appropriate action for the nurse?

141 / 150

141.
At 6:00 a.m., the healthcare provider administers NPH insulin to a patient with diabetes. How soon may the patient show any signs of hypoglycemia?

142 / 150

142.
A health care provider (HCP) prescribes an intravenous medication to be administered 25 mcg/kg/min. The client weighs 52 kg. How many milligrams (mg) will the client receive in one hour?

143 / 150

143.
The health care provider (HCP) prescribes aluminum hydroxide suspension tid between meals and at bedtime for a client with severe heartburn. When the client returns for a follow-up appointment, which side effect is MOST important for the nurse to ask about?

144 / 150

144.
A patient is prescribed a thiazide diuretic for the treatment of hypertension. When teaching the patient about the medication, which of the following will the healthcare provider include?

145 / 150

145.
A provider has prescribed isotretinoin (Accutane) for a 22-year-old female with a diagnosis of severe cystic acne. Before the nurse gives the client instructions for taking the medication, which of the following is the MOST important question that the nurse should ask the client?

146 / 150

146.
A patient presents to the emergency department with a complaint of watery diarrhea for the past three days. Assessment findings include blood pressure 100/60, pulse 98, and dry mucous membranes. The healthcare provider would anticipate intravenous therapy administration with which of the following fluids?

147 / 150

147.
A clinician is teaching inhaled corticosteroid technique. Which of the following should be included in teaching?

148 / 150

148.
While monitoring a client receiving fresh frozen plasma (FFP) the nurse notes that the client suddenly complains of shortness of breath. Vital signs indicate elevated heart rate and blood pressure. The nurse auscultates crackles at the base of the client's lungs. What complication is the client MOST likely experiencing?

 

 

 

 

149 / 150

149.
The purpose of holding a sterile gauze pad on the site of an IM injection while removing the needle is to

150 / 150

150.
A health care provider (HCP) prescribes metronidazole PO bid x 7 days for a client with a diagnosis of bacterial vaginosis (BV). When the nurse reviews information about the medication with the client, which statement by the client indicates a need for FURTHER instruction?

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NCLEX RN Exam #01

 

NCLEX RN Exam #01
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Drug Dose Calculations Challenge # 2
Drug Dose Calculations Challenge # 2

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			14 thoughts on “NCLEX RN Exam #01”		


		
		
    
					
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