January 28, 2026

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NCLEX RN Exam #02

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Drug Dose Calculations Challenge 1

NCLEX RN Exam #02

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.

NCLEX RN Exam # 02

NCLEX RN Exam 150 - 2

1 / 150

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

 

 

 

 

2 / 150

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

3 / 150

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?

4 / 150

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

5 / 150

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

6 / 150

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?

7 / 150

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?

8 / 150

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?

9 / 150

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?

10 / 150

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?

11 / 150

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?

12 / 150

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?

13 / 150

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

14 / 150

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?

 

 

 

 

15 / 150

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

16 / 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?

17 / 150

If a drug is 50% protein-bound, it means that

18 / 150

A client with deep vein thrombosis (DVT) is receiving heparin therapy by continuous intravenous infusion. Prior to initiating the heparin infusion, the client's activated partial thromboplastin time (aPTT) was 32 seconds. The nurse notes that the most recent aPTT result is 70 seconds. What is the nurse's BEST action?

19 / 150

While a healthcare provider is caring for a patient following a laryngectomy, the patient suddenly becomes pale and nonresponsive with a BP of 90/40. What should be done first?

20 / 150

The healthcare provider prepares to administer a corticosteroid to a patient with a diagnosis of asthma. What is the rationale for administering this drug to this patient?

21 / 150

A healthcare provider is caring for a patient receiving intravenous chemotherapy for cancer. The healthcare provider will plan to administer the prescribed antiemetic to the patient

22 / 150

A patient with a history of atrial fibrillation is scheduled for a left hip hemiarthroplasty at 09:00. A health professional is administering medications at 08:00. Which of these medication orders should the health professional question?

23 / 150

Following a client's intentional benzodiazepine overdose, the Emergency Department physician prescribes flumazenil 200 mcg IV push STAT. The stock vial contains 0.5 mg flumazenil in 5 mL solution. How many mL should the nurse draw up and administer? Provide an answer to one decimal place.

24 / 150

A client asks the nurse why their health care provider (HCP) has prescribed phenazopyridine for their urinary tract infection. What is the nurse's BEST response?

25 / 150

A patient with a diagnosis of hepatic coma is admitted to the ICU. The provider orders neomycin 300mg q6h to be administered via the NG tube. The nurse knows the rationale for this drug order is

26 / 150

A healthcare provider is performing an assessment of a patient who is taking propranolol (Inderal) for supraventricular tachycardia. Which assessment finding is an indication that the patient is experiencing an adverse effect of this drug?

27 / 150

The health care provider (HCP) prescribes "250 mg/5 mL amoxicillin PO q8h for 10 days" for a child's ear infection. The child's parent asks the nurse how much amoxicillin to give the child in each dose. Which of the following is the equivalent of 5 mL?

28 / 150

The doctor orders Zofran 8 mg PO t.i.d. The pharmacy sends a 100 mL bottle, labeled 4 mg/tsp. How many mL should be given for each dose?

29 / 150

A client with a history of severe alcohol abuse is admitted to the medical unit for alcohol withdrawal and detoxification. The client admits to having a drink 2 hours before their admission. Which of the following medications will the health care provider (HCP) prescribe for this client?

30 / 150

A patient is prescribed a calcium channel blocker to treat primary hypertension. When teaching the patient about the medication, which of these foods will the healthcare provider advise the patient to avoid?

31 / 150

Marfan syndrome is most commonly inherited in which pattern?

32 / 150

Which of the following is a common clinical feature of Marfan syndrome?

33 / 150

What is a significant cardiovascular risk associated with Marfan syndrome?

34 / 150

A patient with Marfan syndrome may develop which ocular condition?

35 / 150

Which musculoskeletal abnormality is frequently observed in patients with Marfan syndrome?

36 / 150

Which genetic test is used to confirm the diagnosis of Marfan syndrome?

37 / 150

Which medication is commonly used to slow aortic dilation in patients with Marfan syndrome?

38 / 150

How does losartan benefit patients with Marfan syndrome?

39 / 150

Which surgical procedure might be required for a patient with Marfan syndrome who has severe aortic dilation?

40 / 150

What should be emphasized in patient education for someone with Marfan syndrome?

41 / 150

Which of the following is the normal range for serum potassium levels?

42 / 150

A patient’s serum sodium level is 152 mEq/L. What condition is most consistent with this finding?

43 / 150

Which lab value would be most indicative of renal failure?

  • A)
  • B)
  • C)
  • D)

44 / 150

The nurse is reviewing a patient’s lab results. Which value should be reported immediately?

  • A)
  • B)
  • C)
  • D)

45 / 150

Which of the following is the normal range for serum calcium levels?

46 / 150

A patient’s blood glucose level is 250 mg/dL. Which condition is this most indicative of?

47 / 150

What is the normal range for a white blood cell (WBC) count?

48 / 150

Which lab value is associated with liver dysfunction?

49 / 150

Which lab value indicates a risk for bleeding?

50 / 150

What is the normal range for serum bicarbonate (HCO3-) levels?

51 / 150

A patient has a hemoglobin level of 8 g/dL. What is the most likely clinical manifestation?

52 / 150

Which lab test result is crucial for managing patients on anticoagulant therapy?

53 / 150

Which of the following lab values would indicate a potential risk for hypocalcemia?

54 / 150

A patient with chronic kidney disease would most likely have which abnormal lab value?

55 / 150

Which of the following is the normal range for serum phosphate levels?

56 / 150

A patient’s serum albumin level is 3.0 g/dL. What condition could this indicate?

57 / 150

Which lab value is typically monitored in patients with heart failure?

58 / 150

What is the normal range for serum magnesium levels?

59 / 150

Which condition is most likely associated with an elevated serum uric acid level?

60 / 150

A patient’s platelet count is 30,000/µL. What is the most appropriate nursing action?

61 / 150

A patient has the following ABG results: pH 7.30, PaCO2 50 mmHg, HCO3- 24 mEq/L. What is the primary acid-base disturbance?

62 / 150

The nurse is interpreting ABG results: pH 7.50, PaCO2 30 mmHg, HCO3- 24 mEq/L. What condition is indicated?

63 / 150

A patient with diabetic ketoacidosis has the following ABG results: pH 7.25, PaCO2 30 mmHg, HCO3- 15 mEq/L. What is the primary acid-base imbalance?

64 / 150

ABG results show: pH 7.48, PaCO2 42 mmHg, HCO3- 30 mEq/L. What does this indicate?

65 / 150

A patient presents with confusion and lethargy. ABG analysis reveals pH 7.34, PaCO2 55 mmHg, HCO3- 26 mEq/L. Which of the following interventions is the priority?

66 / 150

ABG results show: pH 7.38, PaCO2 48 mmHg, HCO3- 26 mEq/L. This indicates which type of compensation?

67 / 150

A patient’s ABG indicates a pH of 7.50, what should the nurse suspect?

68 / 150

ABG results show: pH 7.40, PaCO2 32 mmHg, HCO3- 19 mEq/L. Which acid-base balance does this indicate?

69 / 150

A patient’s ABG shows: pH 7.45, PaCO2 48 mmHg, HCO3- 36 mEq/L. What condition does this most likely indicate?

70 / 150

A nurse reviews an ABG report: pH 7.35, PaCO2 55 mmHg, HCO3- 22 mEq/L. Which nursing diagnosis is appropriate?

71 / 150

The nurse is caring for a patient with COPD. Which ABG result would indicate respiratory acidosis?

72 / 150

In which condition would you expect to see a decreased HCO3- level?

73 / 150

A patient has a pH of 7.30, PaCO2 30 mmHg, HCO3- 18 mEq/L. What is the most likely diagnosis?

74 / 150

A patient is hyperventilating due to anxiety. What would you expect their ABG results to show?

75 / 150

Which of the following ABG results would indicate metabolic acidosis?

76 / 150

A patient has a pH of 7.39, PaCO2 of 52 mmHg, and HCO3- of 28 mEq/L. This patient is likely experiencing:

77 / 150

A patient has a pH of 7.39, PaCO2 of 52 mmHg, and HCO3- of 28 mEq/L. This patient is likely experiencing:

78 / 150

ABG results show: pH 7.47, PaCO2 38 mmHg, HCO3- 29 mEq/L. The nurse should assess for which of the following?

79 / 150

A patient with chronic kidney disease has a pH of 7.35 and HCO3- of 18 mEq/L. What is the likely diagnosis?

80 / 150

What is the normal range for arterial blood pH?

81 / 150

A patient is hypoventilating after a drug overdose. What would their ABG likely show?

82 / 150

If a patient’s ABG shows a pH of 7.28, what should the nurse suspect?

83 / 150

ABG results show: pH 7.45, PaCO2 35 mmHg, HCO3- 21 mEq/L. What is the interpretation?

84 / 150

A patient with renal failure presents with ABG results: pH 7.32, PaCO2 42 mmHg, HCO3- 16 mEq/L. What does this indicate?

85 / 150

Which of the following can lead to metabolic alkalosis?

86 / 150

A patient presents with tachypnea and lightheadedness. Which ABG finding would be expected?

87 / 150

If a patient is experiencing metabolic acidosis, what would you expect the respiratory compensation to be?

88 / 150

A patient with a history of COPD is experiencing respiratory acidosis. Which intervention is most appropriate?

89 / 150

In a patient with respiratory acidosis, what is the expected change in the kidneys?

90 / 150

A nurse is assessing a patient with potential metabolic acidosis. Which sign would be most indicative?

91 / 150

A patient with chronic respiratory acidosis may develop:

92 / 150

A patient with an acute asthma attack is likely to have which of the following ABG results?

93 / 150

What is a common cause of metabolic acidosis?

94 / 150

A patient presents with a high HCO3- level and a pH of 7.50. What could this indicate?

95 / 150

Which of the following ABG values would indicate respiratory alkalosis?

96 / 150

In a patient with a suspected pulmonary embolism, what ABG changes might you expect?

97 / 150

Which patient condition would most likely cause metabolic alkalosis?

98 / 150

A patient in renal failure presents with pH 7.30 and HCO3- 15 mEq/L. What is the expected respiratory response?

99 / 150

A patient presents with tachycardia and muscle cramps. ABG analysis shows: pH 7.50, PaCO2 38 mmHg, HCO3- 30 mEq/L. What should the nurse assess for?

100 / 150

A nurse is reviewing ABG results: pH 7.35, PaCO2 50 mmHg, HCO3- 25 mEq/L. Which condition is most likely?

101 / 150

If a patient is experiencing metabolic alkalosis, which ABG result might be expected?

102 / 150

A patient with severe dehydration would likely exhibit which of the following ABG results?

103 / 150

A patient with a history of excessive alcohol consumption presents with ABG results: pH 7.30, PaCO2 40 mmHg, HCO3- 15 mEq/L. What is the likely diagnosis?

104 / 150

A patient presents with confusion and fatigue. Their ABG results show: pH 7.28, PaCO2 58 mmHg, HCO3- 22 mEq/L. What condition do these findings suggest?

105 / 150

A patient is experiencing respiratory distress and has an ABG result of pH 7.32, PaCO2 52 mmHg, HCO3- 24 mEq/L. What does this indicate?

106 / 150

A patient with renal failure shows ABG results of pH 7.25, PaCO2 40 mmHg, HCO3- 16 mEq/L. This indicates:

107 / 150

A nurse notices a patient has rapid, shallow breathing. The patient’s ABG shows: pH 7.45, PaCO2 30 mmHg, HCO3- 22 mEq/L. What is the likely diagnosis?

108 / 150

A patient with chronic kidney disease shows signs of acidosis. What ABG change would be expected?

109 / 150

Which of the following scenarios would likely lead to respiratory alkalosis?

110 / 150

A patient with diabetes presents with a fruity odor on their breath. ABG results show: pH 7.25, PaCO2 40 mmHg, HCO3- 15 mEq/L. What condition is this indicative of?

111 / 150

The nurse is providing care for a patient diagnosed with laryngeal cancer who is receiving radiation therapy. The patient tells the nurse that he is experiencing hoarseness and difficulty with speaking. What is the nurse's best response?

 

 

112 / 150

The nurse is supervising a nursing student providing care for a patient with shortness of breath who has expressed interest in smoking cessation. Which questions would the nurse suggest the student ask to determine nicotine dependence? Select all that apply.

113 / 150

The RN clinical instructor is discussing a patient's oxygen-hemoglobin dissociation curve with a student. The student states that the patient's oral body temperature is elevated at 100.8°F (38.2°C). Which statement by the
student indicates correct understanding of this patient's curve shift?

114 / 150

An experienced LPN/LVN, under the supervision of the team leader RN, is assigned to provide nursing care for a patient with a respiratory problem. Which actions are appropriate to the scope of practice of an experienced LPN/LVN? Select all that apply.

115 / 150

The nurse is evaluating and assessing a patient with a diagnosis of chronic emphysema. The patient is receiving oxygen at a flow rate of 5 L/min by nasal cannula. Which finding concerns the nurse immediately?

 

116 / 150

The unlicensed assistive personnel (UAP) tells the nurse that a patient who is receiving oxygen at a flow rate of 6 L/min by nasal cannula is reporting nasal passage discomfort. What intervention should the nurse suggest to the UAP to improve the patient's comfort for this problem?

117 / 150

The nurse is caring for a patient after thoracentesis. Which actions can be delegated from the nurse to the unlicensed assistive personnel (UAP)? Select all that apply.

118 / 150

The nurse is supervising a student nurse who is performing tracheostomy care for a patient. Which action by the student would cause the nurse to intervene?

119 / 150

The nurse is supervising an RN who floated from the medical-surgical unit to the emergency department. The float nurse is providing care for a patient admitted with anterior epistaxis (nosebleed). Which directions would the supervising nurse clearly provide to the RN? Select all that apply.

120 / 150

A patient with a diagnosis of sleep apnea has a problem with sleep deprivation related to a disrupted sleep cycle. Which action should the nurse delegate to the unlicensed assistive personnel (UAP)?

 

121 / 150

The nurse is acting as preceptor for a newly-graduated RN during the second week of orientation. The nurse would assign and supervise the new RN to provide nursing care for which patients? Select all that apply.

122 / 150

The nurse is providing care for a patient with recently diagnosed asthma. Which key points would the nurse be sure to include in the teaching plan for this patient? Select all that apply.

123 / 150

he nurse is the team leader RN working with a student nurse. The student nurse is to teach a patient how to use a metered-dose inhaler (MDI) without a spacer. Put in correct order the steps that the student nurse should teach the patient.

Remove the inhaler cap and shake the inhaler.
Open your mouth and place the mouthpiece 1 to 2 inches (2.5 to 5.0 cm) away.
Breathe out completely.
Hold your breath for at least 10 seconds.
Press down firmly on the canister and breathe deeply through your mouth.
Wait at least 1 minute between puffs.

124 / 150

A patient has chronic obstructive pulmonary disease (COPD). Which intervention for airway management should the nurse delegate to the unlicensed assistive personnel (UAP)?

125 / 150

A patient with chronic obstructive pulmonary disease (COPD) has rapid shallow respirations. Which is an appropriate action to assign to the experienced LPN/LVN under RN supervision?

126 / 150

A patient with chronic obstructive pulmonary disease (COPD) tells the unlicensed assistive personnel (UAP) that he did not get his annual flu shot this year and has not had a pneumonia vaccination. Which vital sign change will be most important for the nurse to instruct the UAP to report?

127 / 150

The nurse is responsible for the care of a postoperative patient with a thoracotomy. Which action should the nurse delegate to the unlicensed assistive personnel (UAP)?

128 / 150

The nurse is supervising a nursing student who is providing care for a thoracotomy patient with a chest tube. What finding would the nurse clearly instruct the nursing student to report immediately?

129 / 150

After change of shift, the nurse is assigned to care for the following patients. Which patient should the nurse assess first?

130 / 150

The nurse is initiating a nursing care plan for a patient with pneumonia. Which intervention for cough enhancement should the nurse delegate to the unlicensed assistive personnel (UAP)?

131 / 150

The unlicensed assistive personnel (UAP) is assisting with feeding for a patient with severe end-stage chronic obstructive pulmonary disease (COPD). Which instruction will the nurse provide the UAP?

132 / 150

The charge nurse is making assignments for the next shift. Which patient should be assigned to the fairly new nurse (6 months of experience) floated from the surgical unit to the medical unit?

133 / 150

When a patient with tuberculosis (TB) is being prepared for discharge, which statement by the patient indicates a need for further teaching?

134 / 150

The nurse is admitting a patient for whom a diagnosis of pulmonary embolus must be ruled out. The patient's history and assessment reveal all of these findings. Which finding supports the diagnosis of pulmonary embolus?

135 / 150

Which intervention for a patient with a pulmonary embolus would the RN assign to the LPN/LVN on the patient care team?

136 / 150

A patient with a pulmonary embolus is receiving anticoagulation with IV heparin. What instructions would the nurse give the unlicensed assistive personnel (UAP) who will help the patient with activities of daily living (ADLs)? Select all that apply.

137 / 150

A patient with chronic obstructive pulmonary disease (COPD) tells the nurse that he is always tired. What advice would the nurse give this patient to cope with his fatigue? Select all that apply.

138 / 150

A patient with acute respiratory distress syndrome (ARDS) is receiving oxygen by nonrebreather mask, but arterial blood gas measurements continue to show poor oxygenation. Which action does the nurse anticipate that the health care provider will prescribe?

139 / 150

The nurse is the preceptor for an RN who is undergoing orientation to the intensive care unit. The RN is providing care for a patient with acute respiratory distress syndrome (ARDS) who has just been intubated in preparation for mechanical ventilation. The preceptor observes the RN performing all of these actions. For which action must the preceptor intervene immediately?

140 / 150

The nurse is assigned to provide nursing care for a patient receiving mechanical ventilation. Which action should the nurse delegate to an experienced unlicensed assistive personnel (UAP)?

141 / 150

After the respiratory therapist performs suctioning on a patient who is intubated, the unlicensed assistive personnel (UAP) measures vital signs for the patient. Which vital sign value should the UAP be instructed to report to the RN immediately?

142 / 150

The nurse is making a home visit to a 50-year-old patient who was recently hospitalized with a right leg deep vein thrombosis and a pulmonary embolism (venous thromboembolism). The patient's only medication is enoxaparin subcutaneously. Which assessment information will the nurse need to communicate to the health care provider?

143 / 150

The high-pressure alarm on a patient's ventilator goes off. When the nurse enters the room to assess the patient, who has acute respiratory distress syndrome (ARDS), the oxygen saturation monitor reads 87% and the patient is struggling to sit up. Which action should the nurse take first?

144 / 150

When assessing a 22-year-old patient who required emergency surgery and multiple transfusions 3 days ago, the nurse finds that the patient looks anxious and has labored respirations at a rate of 38 breaths/min. The oxygen saturation is 90% with the oxygen delivery at 6 L/min via nasal cannula. Which action is most appropriate?

145 / 150

The nurse has just finished assisting the health care provider with a thoracentesis for a patient with recurrent left pleural effusion caused by lung cancer. The thoracentesis removed 1800 mL of fluid. Which patient assessment information is most important to report to the health care provider (HCP)?

146 / 150

The nurse is caring for a patient with emphysema and respiratory failure who is receiving mechanical ventilation through an endotracheal tube. To prevent ventilator-associated pneumonia (VAP), which action is most important to include in the plan of care?

147 / 150

The critical care charge nurse is responsible for the care of four patients receiving mechanical ventilation. Which patient is most at risk for failure to wean and ventilator dependence?

148 / 150

After extubation of a patient, which finding would the nurse report to the health care provider immediately?

149 / 150

The RN is supervising a nursing student who will suction a patient on a mechanical ventilator. Which actions indicate that the student has a correct understanding of this procedure? Select all that apply.

150 / 150

The RN is teaching an unlicensed assistive personnel (UAP) to check oxygen saturation by pulse oximetry. What will the nurse be sure to tell the UAP about patients with darker skin?

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NCLEX RN Exam #01

 

NCLEX RN Exam #02
NCLEX RN Exam #1

NCLEX RN Exam #1

NCLEX Exam Prep Questions

Drug Dose Calculations Challenge # 2
Drug Dose Calculations Challenge # 2

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