NCLEX-RN® Practice Exam 1
Total Questions: 165
About This Test
This printable version does not include all the features and functionality of the online version
and may o er fewer questions. For a complete experience, take the online version.
© 2021 EBSCO LearningExpress
,1. A client diagnosed with pneumonia states di culty in producing a productive cough. The
nurse should instruct the client to complete which of the following to maintain airway
clearance?
A. decrease uid intake
B. pursed-lip breathing technique
C. splint the chest when coughing
D. deliver oxygen via nasal cannula
2. A client requiring prolonged mechanical ventilation has the following arterial blood gas
(ABG) results: pH: 7.49; PaO2: 85 mm Hg; PaCO2: 30 mm Hg; HCO3: 25 mEq/L. The nurse
interprets these results as
A. metabolic acidosis.
B. metabolic alkalosis.
C. respiratory acidosis.
D. respiratory alkalosis.
3. A client is diagnosed with angina pectoris. The nurse has instructed the client on the
proper use of a nitroglycerin sublingual. The nurse also informs the client that which of the
following adverse e ects may be caused by this medication?
A. ushing, dizziness, headache, and pedal edema
B. headache, hypotension, dizziness, and ushing
C. nausea, vomiting, depression, fatigue, and impotence
D. sedation, nausea, vomiting, and constipation
,4. A nurse is teaching a client how to administer Proventil to the client’s child using a metered
dose inhaler with a chamber. The nurse explains that the medication should be
administered
A. just prior to the child’s inhaling.
B. as the child is inhaling.
C. as the child is exhaling.
D. just after the child exhales.
5. A nurse is working in an alcohol rehabilitation facility. A client she is caring for asks for a
referral to a support group in the community that can help him maintain his sobriety. How
should the nurse respond?
A. "Here are the phone numbers and meeting locations for Alcoholics Anonymous
and SMART Recovery."
B. "I will help you enlist support from your loved ones."
C. "I will refer you to a primary care physician knowledgeable in caring for
alcoholics."
D. "You will need to have your friends’ support."
6. A nurse is caring for a client who is scheduled for heart surgery the following week. The
client wishes to appoint her spouse to make medical decisions for her in the event that
something happens during the surgery. Which document should the nurse suggest to the
client?
A. Living will
B. Health care proxy
C. Do not resuscitate order
D. Power of attorney
, 7. A nurse is observing a student perform care for a client with hearing aids in both ears.
Which student action should be corrected by the nurse?
A. Exaggerating mouth movements when speaking to the client
B. Standing directly in front of the client when speaking with the client
C. Keeping hands away from the face while speaking with the client
D. Making sure that the room light is on before administering care
8. A nurse is caring for an elderly client who lives alone. Upon assessment, the nurse notes
that the client has poor hygiene. Which is the most appropriate referral for this client?
A. Adult protective services
B. Primary care physician
C. Social worker
D. Psychologist
9. A client is admitted to the orthopedic unit with a diagnosis of acute osteomyelitis. The
osteomyelitis developed after an open fracture of the left femur. Which of the following
nursing measures should the nurse anticipate completing in the treatment of this client?
A. administering large dosages of IV (intravenous) antibiotics
B. ambulating the client up and down the hallway twice daily
C. maintaining the client’s NPO (nothing by mouth) status
D. providing the client with oral antibiotics four times daily
Total Questions: 165
About This Test
This printable version does not include all the features and functionality of the online version
and may o er fewer questions. For a complete experience, take the online version.
© 2021 EBSCO LearningExpress
,1. A client diagnosed with pneumonia states di culty in producing a productive cough. The
nurse should instruct the client to complete which of the following to maintain airway
clearance?
A. decrease uid intake
B. pursed-lip breathing technique
C. splint the chest when coughing
D. deliver oxygen via nasal cannula
2. A client requiring prolonged mechanical ventilation has the following arterial blood gas
(ABG) results: pH: 7.49; PaO2: 85 mm Hg; PaCO2: 30 mm Hg; HCO3: 25 mEq/L. The nurse
interprets these results as
A. metabolic acidosis.
B. metabolic alkalosis.
C. respiratory acidosis.
D. respiratory alkalosis.
3. A client is diagnosed with angina pectoris. The nurse has instructed the client on the
proper use of a nitroglycerin sublingual. The nurse also informs the client that which of the
following adverse e ects may be caused by this medication?
A. ushing, dizziness, headache, and pedal edema
B. headache, hypotension, dizziness, and ushing
C. nausea, vomiting, depression, fatigue, and impotence
D. sedation, nausea, vomiting, and constipation
,4. A nurse is teaching a client how to administer Proventil to the client’s child using a metered
dose inhaler with a chamber. The nurse explains that the medication should be
administered
A. just prior to the child’s inhaling.
B. as the child is inhaling.
C. as the child is exhaling.
D. just after the child exhales.
5. A nurse is working in an alcohol rehabilitation facility. A client she is caring for asks for a
referral to a support group in the community that can help him maintain his sobriety. How
should the nurse respond?
A. "Here are the phone numbers and meeting locations for Alcoholics Anonymous
and SMART Recovery."
B. "I will help you enlist support from your loved ones."
C. "I will refer you to a primary care physician knowledgeable in caring for
alcoholics."
D. "You will need to have your friends’ support."
6. A nurse is caring for a client who is scheduled for heart surgery the following week. The
client wishes to appoint her spouse to make medical decisions for her in the event that
something happens during the surgery. Which document should the nurse suggest to the
client?
A. Living will
B. Health care proxy
C. Do not resuscitate order
D. Power of attorney
, 7. A nurse is observing a student perform care for a client with hearing aids in both ears.
Which student action should be corrected by the nurse?
A. Exaggerating mouth movements when speaking to the client
B. Standing directly in front of the client when speaking with the client
C. Keeping hands away from the face while speaking with the client
D. Making sure that the room light is on before administering care
8. A nurse is caring for an elderly client who lives alone. Upon assessment, the nurse notes
that the client has poor hygiene. Which is the most appropriate referral for this client?
A. Adult protective services
B. Primary care physician
C. Social worker
D. Psychologist
9. A client is admitted to the orthopedic unit with a diagnosis of acute osteomyelitis. The
osteomyelitis developed after an open fracture of the left femur. Which of the following
nursing measures should the nurse anticipate completing in the treatment of this client?
A. administering large dosages of IV (intravenous) antibiotics
B. ambulating the client up and down the hallway twice daily
C. maintaining the client’s NPO (nothing by mouth) status
D. providing the client with oral antibiotics four times daily
