NCLEX FULL MOCK EXAM (100 QUESTIONS)
Question 1
A nurse receives report on four clients. Which client should be assessed first?
A. The client with oxygen saturation of 85% on room air.
B. The client with a temperature of 38.2°C and stable vital signs.
C. The client requesting assistance with hygiene care.
D. The client scheduled for routine medication administration.
Question 2
A postoperative client reports sudden dyspnea and chest pain. What is the nurse’s first action?
A. The nurse administers prescribed analgesics.
B. The nurse assesses airway, breathing, and circulation.
C. The nurse documents the symptoms in the chart.
D. The nurse encourages deep breathing exercises.
Question 3 (SATA)
A client with hypoglycemia is being assessed. Which findings are expected? (Select all that apply)
A. The client is diaphoretic and shaky.
B. The client is confused and irritable.
C. The client has warm dry skin.
D. The client has tachycardia.
E. The client is lethargic.
Question 4
Which intervention is priority for a client at risk for aspiration?
A. The nurse places the client flat during feeding.
B. The nurse elevates the head of the bed during meals.
C. The nurse provides large rapid feedings.
D. The nurse delays swallowing assessment.
Question 5
A nurse identifies a medication error. What is the first nursing action?
A. The nurse completes an incident report.
B. The nurse assesses the client for adverse effects.
C. The nurse notifies the family immediately.
D. The nurse documents only the error.
Question 6
Which client requires immediate intervention?
A. The client with stridor and labored breathing.
B. The client with mild nausea after medication.
C. The client requesting a blanket.
D. The client with a low-grade fever.
,Question 7
Which task is appropriate to delegate to a nursing assistant?
A. The assistant administers oral medications.
B. The assistant performs a full assessment.
C. The assistant assists a stable client with bathing.
D. The assistant develops the care plan.
Question 8 (SATA)
Which interventions reduce fall risk in hospitalized clients? (Select all that apply)
A. Keeping the bed in the lowest position.
B. Ensuring the call light is within reach.
C. Encouraging independent ambulation without supervision.
D. Providing non-slip footwear.
E. Maintaining adequate lighting.
Question 9
A client with heart failure has crackles and edema. What is the priority intervention?
A. The nurse encourages fluid intake.
B. The nurse administers prescribed diuretics.
C. The nurse provides discharge teaching.
D. The nurse delays medication administration.
Question 10
Which finding requires immediate reporting to the provider?
A. Oxygen saturation of 82% on room air.
B. Temperature of 37.5°C.
C. Mild headache rating 2 out of 10.
D. Client requesting diet change.
Question 11
A nurse is caring for a client with tuberculosis. Which precaution is required?
A. Airborne precautions with N95 respirator.
B. Droplet precautions only.
C. Contact precautions only.
D. Standard precautions only.
Question 12
Which client should be prioritized using the ABC framework?
A. The client with airway obstruction and cyanosis.
B. The client with chronic back pain.
C. The client awaiting laboratory results.
D. The client requesting discharge instructions.
, Question 13
A nurse finds a client unresponsive. What is the first action?
A. The nurse checks responsiveness and breathing.
B. The nurse documents the finding.
C. The nurse calls the provider immediately.
D. The nurse obtains vital signs equipment.
Question 14 (SATA)
Which findings indicate respiratory distress? (Select all that apply)
A. Use of accessory muscles.
B. Nasal flaring.
C. Oxygen saturation of 88%.
D. Regular unlabored breathing.
E. Tachypnea.
Question 15
A client with suspected stroke arrives at the emergency unit. What is the priority action?
A. The nurse performs a focused neurological assessment.
B. The nurse provides routine education.
C. The nurse delays assessment until imaging is done.
D. The nurse encourages ambulation.
Question 16
Which ethical principle is followed when a nurse respects a client’s refusal of treatment?
A. Autonomy.
B. Beneficence.
C. Justice.
D. Fidelity.
Question 17
A nurse is administering insulin. What is the safest action?
A. The nurse verifies the blood glucose level before administration.
B. The nurse administers insulin without checking glucose.
C. The nurse skips documentation.
D. The nurse estimates the dosage.
Question 18
A client reports severe abdominal pain post-surgery. What is the priority assessment?
A. The nurse assesses vital signs and pain characteristics.
B. The nurse documents the complaint only.
C. The nurse offers fluids first.
D. The nurse delays assessment.
Question 1
A nurse receives report on four clients. Which client should be assessed first?
A. The client with oxygen saturation of 85% on room air.
B. The client with a temperature of 38.2°C and stable vital signs.
C. The client requesting assistance with hygiene care.
D. The client scheduled for routine medication administration.
Question 2
A postoperative client reports sudden dyspnea and chest pain. What is the nurse’s first action?
A. The nurse administers prescribed analgesics.
B. The nurse assesses airway, breathing, and circulation.
C. The nurse documents the symptoms in the chart.
D. The nurse encourages deep breathing exercises.
Question 3 (SATA)
A client with hypoglycemia is being assessed. Which findings are expected? (Select all that apply)
A. The client is diaphoretic and shaky.
B. The client is confused and irritable.
C. The client has warm dry skin.
D. The client has tachycardia.
E. The client is lethargic.
Question 4
Which intervention is priority for a client at risk for aspiration?
A. The nurse places the client flat during feeding.
B. The nurse elevates the head of the bed during meals.
C. The nurse provides large rapid feedings.
D. The nurse delays swallowing assessment.
Question 5
A nurse identifies a medication error. What is the first nursing action?
A. The nurse completes an incident report.
B. The nurse assesses the client for adverse effects.
C. The nurse notifies the family immediately.
D. The nurse documents only the error.
Question 6
Which client requires immediate intervention?
A. The client with stridor and labored breathing.
B. The client with mild nausea after medication.
C. The client requesting a blanket.
D. The client with a low-grade fever.
,Question 7
Which task is appropriate to delegate to a nursing assistant?
A. The assistant administers oral medications.
B. The assistant performs a full assessment.
C. The assistant assists a stable client with bathing.
D. The assistant develops the care plan.
Question 8 (SATA)
Which interventions reduce fall risk in hospitalized clients? (Select all that apply)
A. Keeping the bed in the lowest position.
B. Ensuring the call light is within reach.
C. Encouraging independent ambulation without supervision.
D. Providing non-slip footwear.
E. Maintaining adequate lighting.
Question 9
A client with heart failure has crackles and edema. What is the priority intervention?
A. The nurse encourages fluid intake.
B. The nurse administers prescribed diuretics.
C. The nurse provides discharge teaching.
D. The nurse delays medication administration.
Question 10
Which finding requires immediate reporting to the provider?
A. Oxygen saturation of 82% on room air.
B. Temperature of 37.5°C.
C. Mild headache rating 2 out of 10.
D. Client requesting diet change.
Question 11
A nurse is caring for a client with tuberculosis. Which precaution is required?
A. Airborne precautions with N95 respirator.
B. Droplet precautions only.
C. Contact precautions only.
D. Standard precautions only.
Question 12
Which client should be prioritized using the ABC framework?
A. The client with airway obstruction and cyanosis.
B. The client with chronic back pain.
C. The client awaiting laboratory results.
D. The client requesting discharge instructions.
, Question 13
A nurse finds a client unresponsive. What is the first action?
A. The nurse checks responsiveness and breathing.
B. The nurse documents the finding.
C. The nurse calls the provider immediately.
D. The nurse obtains vital signs equipment.
Question 14 (SATA)
Which findings indicate respiratory distress? (Select all that apply)
A. Use of accessory muscles.
B. Nasal flaring.
C. Oxygen saturation of 88%.
D. Regular unlabored breathing.
E. Tachypnea.
Question 15
A client with suspected stroke arrives at the emergency unit. What is the priority action?
A. The nurse performs a focused neurological assessment.
B. The nurse provides routine education.
C. The nurse delays assessment until imaging is done.
D. The nurse encourages ambulation.
Question 16
Which ethical principle is followed when a nurse respects a client’s refusal of treatment?
A. Autonomy.
B. Beneficence.
C. Justice.
D. Fidelity.
Question 17
A nurse is administering insulin. What is the safest action?
A. The nurse verifies the blood glucose level before administration.
B. The nurse administers insulin without checking glucose.
C. The nurse skips documentation.
D. The nurse estimates the dosage.
Question 18
A client reports severe abdominal pain post-surgery. What is the priority assessment?
A. The nurse assesses vital signs and pain characteristics.
B. The nurse documents the complaint only.
C. The nurse offers fluids first.
D. The nurse delays assessment.
