NCLEX Practice Questions – Batch 1 (Safe and Effective Care Environment & Health Promotion)
Topic 1: Management of Care (10 questions)
1.A nurse is caring for four patients. Which patient should the nurse assess first?
A. A patient requesting pain medication after surgery
B. A patient with a blood pressure of 90/60 mmHg and a heart rate of 120 bpm
C. A patient scheduled for discharge
D. A patient asking questions about diet
Answer: B
Rationale: The patient with hypotension and tachycardia shows signs of hemodynamic instability, which
is life-threatening and takes priority over routine needs or education.
2.Which task can a registered nurse (RN) delegate to a licensed practical nurse (LPN)?
A. Develop a nursing care plan
B. Administer oral medications
C. Perform initial patient assessment
D. Perform triage in the emergency room
Answer: B
Rationale: LPNs can administer oral medications and perform basic care. Assessment, care planning, and
triage require RN judgment.
3.A patient refuses a blood transfusion due to religious beliefs. What should the nurse do first?
A. Explain the risks of refusing treatment
B. Notify the healthcare provider
C. Document the patient’s refusal
D. Respect the patient’s decision
Answer: D
Rationale: Patients have the right to refuse treatment. The nurse’s first action is to respect autonomy,
then document and notify providers.
4.Which statement best reflects a patient’s right to informed consent?
,A. “You must sign this form before surgery.”
B. “You have the right to refuse treatment even after signing.”
C. “The doctor decides what is best for you.”
D. “Consent is not needed for emergency procedures.”
Answer: B
Rationale: Informed consent means patients can make autonomous decisions and refuse treatment at
any time.
5.A nurse is prioritizing care using Maslow’s hierarchy. Which need is the highest priority?
A. Safety
B. Love and belonging
C. Physiological needs
D. Self-actualization
Answer: C
Rationale: Physiological needs (airway, breathing, circulation) take priority over safety, social, or self-
fulfillment needs.
6.Which action is considered an example of advocacy?
A. Administering medications on schedule
B. Explaining a patient’s request to the healthcare provider
C. Assisting with ambulation
D. Updating the patient’s chart
Answer: B
Rationale: Advocacy involves supporting the patient’s rights and wishes, especially when communicating
with other healthcare providers.
7.During a disaster drill, which patient should the nurse evacuate first?
A. Stable patient on oxygen
B. Postoperative patient on telemetry
C. Patient in cardiac arrest
, D. Ambulatory patient ready for discharge
Answer: C
Rationale: Life-threatening emergencies take first priority, even during disaster scenarios.
8.A nurse notices a medication error that caused no harm. What is the nurse’s responsibility?
A. Ignore it since the patient is safe
B. Document and report according to policy
C. Blame the pharmacy
D. Wait to see if symptoms develop
Answer: B
Rationale: All medication errors must be reported and documented, regardless of patient outcome.
9.Which factor indicates a patient is at high risk for falls?
A. Age 28, diabetic
B. Age 65, recent hip replacement, uses walker
C. Age 45, mild hypertension
D. Age 50, smoker
Answer: B
Rationale: Older age, recent surgery, and mobility aids increase fall risk.
10.A new RN is unsure about a patient’s care order. What should the nurse do?
A. Administer the order anyway
B. Ask the patient for instructions
C. Clarify the order with the healthcare provider
D. Wait until next shift
Answer: C
Rationale: Clarifying unclear orders is essential to ensure patient safety and avoid errors.
Topic 2: Health Promotion and Maintenance (10 questions)
Topic 1: Management of Care (10 questions)
1.A nurse is caring for four patients. Which patient should the nurse assess first?
A. A patient requesting pain medication after surgery
B. A patient with a blood pressure of 90/60 mmHg and a heart rate of 120 bpm
C. A patient scheduled for discharge
D. A patient asking questions about diet
Answer: B
Rationale: The patient with hypotension and tachycardia shows signs of hemodynamic instability, which
is life-threatening and takes priority over routine needs or education.
2.Which task can a registered nurse (RN) delegate to a licensed practical nurse (LPN)?
A. Develop a nursing care plan
B. Administer oral medications
C. Perform initial patient assessment
D. Perform triage in the emergency room
Answer: B
Rationale: LPNs can administer oral medications and perform basic care. Assessment, care planning, and
triage require RN judgment.
3.A patient refuses a blood transfusion due to religious beliefs. What should the nurse do first?
A. Explain the risks of refusing treatment
B. Notify the healthcare provider
C. Document the patient’s refusal
D. Respect the patient’s decision
Answer: D
Rationale: Patients have the right to refuse treatment. The nurse’s first action is to respect autonomy,
then document and notify providers.
4.Which statement best reflects a patient’s right to informed consent?
,A. “You must sign this form before surgery.”
B. “You have the right to refuse treatment even after signing.”
C. “The doctor decides what is best for you.”
D. “Consent is not needed for emergency procedures.”
Answer: B
Rationale: Informed consent means patients can make autonomous decisions and refuse treatment at
any time.
5.A nurse is prioritizing care using Maslow’s hierarchy. Which need is the highest priority?
A. Safety
B. Love and belonging
C. Physiological needs
D. Self-actualization
Answer: C
Rationale: Physiological needs (airway, breathing, circulation) take priority over safety, social, or self-
fulfillment needs.
6.Which action is considered an example of advocacy?
A. Administering medications on schedule
B. Explaining a patient’s request to the healthcare provider
C. Assisting with ambulation
D. Updating the patient’s chart
Answer: B
Rationale: Advocacy involves supporting the patient’s rights and wishes, especially when communicating
with other healthcare providers.
7.During a disaster drill, which patient should the nurse evacuate first?
A. Stable patient on oxygen
B. Postoperative patient on telemetry
C. Patient in cardiac arrest
, D. Ambulatory patient ready for discharge
Answer: C
Rationale: Life-threatening emergencies take first priority, even during disaster scenarios.
8.A nurse notices a medication error that caused no harm. What is the nurse’s responsibility?
A. Ignore it since the patient is safe
B. Document and report according to policy
C. Blame the pharmacy
D. Wait to see if symptoms develop
Answer: B
Rationale: All medication errors must be reported and documented, regardless of patient outcome.
9.Which factor indicates a patient is at high risk for falls?
A. Age 28, diabetic
B. Age 65, recent hip replacement, uses walker
C. Age 45, mild hypertension
D. Age 50, smoker
Answer: B
Rationale: Older age, recent surgery, and mobility aids increase fall risk.
10.A new RN is unsure about a patient’s care order. What should the nurse do?
A. Administer the order anyway
B. Ask the patient for instructions
C. Clarify the order with the healthcare provider
D. Wait until next shift
Answer: C
Rationale: Clarifying unclear orders is essential to ensure patient safety and avoid errors.
Topic 2: Health Promotion and Maintenance (10 questions)
