NURSING EXAM NCLEX QUESTIONS WITH ANSWERS
GRADED A+ 2022/2023 UPDATE
A 7 year old girl with type 1 insulin-dependent diabetes mellitus (IDDM) has been home sick for several
days and is brought to the ED by her parents. If the child is experiencing ketoacidosis, the nurse would
expect to see which of the following lab results?
1. Serum glucose 140 mg/dL
2. Serum creatinine 5.2 mg/dL
3. Blood pH 7.28
4. Hematocr
it 38% 3. Blood
pH 7.28
The nurse delivers external cardiac compressions to a client while performing cardiopulmonary
resuscitation (CPR). Which of the following actions by the nurse is BEST?
1. Maintain a position close the client's side with the nurse's knees apart
2. Maintain vertical pressure on the client's chest through the heel of the nurse's hand
3. Re-check the nurse's hand position after every 10 chest compressions
4. Check for a return of the client's pulse after every 8 breaths by the nurse
2. Maintain vertical pressure on the client's chest through the heel of the nurse's hand
The nurse obtains a health history form a client admitted with acute glomerulonephritis that is
associated with beta- hemolytic Streptococcus., The nurse expects which of the following to be significant
in the health history?
1. The client had a sore throat 3 weeks earlier
2. There is a family history of glomerulonephritis
3. The client had a renal calculus 2 year earlier
4. The client had an accident involving renal trauma
several years ago 1. The client had a sore throat 3 weeks
earlier
00:0201:27
The nurse plans care for a client diagnosed with an acute myocardial infarction (MI). An appropriate
nursing diagnosis is decreased cardiac output secondary to which of the following?
1. Ventricular dysrhythmias
2. Congestive heart failure
3. Recurrent myocardial infarction
,NURSING EXAM NCLEX QUESTIONS WITH ANSWERS
GRADED A+ 2022/2023 UPDATE
4. Hypertensive crisis
,NURSING EXAM NCLEX QUESTIONS WITH ANSWERS
GRADED A+ 2022/2023 UPDATE
1. Ventricular dysrhythmias
A client comes to the ER reporting nausea, vomiting, and severe right upper quadrant pain. His
temperature is 101.3, and an abdominal x-ray reveals an enlarged gallbladder. He is scheduled for
surgery. Which of the following actions should the nurse take FIRST?
1. Assess the client's need for dietary teaching
2. Evaluate the client's fluid and electrolyte status
3. Examine the client's health history for allergies to antibiotics
4. Determine whether the client has signed consent for surgery
2. Evaluate the client's fluid and electrolyte status
A client is being treated in the burn unit for second- and third-degree burns over 45% of his body. The
physician's orders include the application of silver sulfadiazine cream. The BEST way for the nurse to
apply this medication is to use which of the following?
1. Sterile 4x4 dressings soaked in saline
2. Sterile tongue depressor
3. Sterile gloved hand
4. Sterile cotton-tipped applicator
3. Sterile gloved hand
When caring for a client with anorexia nervosa, which of the following observations indicates to the
nurse that the client's condition is improving?
1. The client eats all the food on her meal tray
2. The client asks friends to bring her special foods
3. The client weighs herself daily
4. The client's weight has increased
4. The client's weight has increased
Which of the following symptoms observed by the nurse during the first 24 hrs after a percutaneous
liver biopsy would indicate a complication from the procedure?
1. Anorexia, nausea, and vomiting
2. Abdominal distention and discomfort
3. Pulse 112, blood pressure 100/60, respirations 20
4. Pain at the biopsy site
3. Pulse 112, blood pressure 100/60, respirations 20
The nurse is caring for a 56-year-old man receiving haloperidol (Haldol) 2 mg PO bid. The nurse assists
the client to choose which of the following menus?
, NURSING EXAM NCLEX QUESTIONS WITH ANSWERS
GRADED A+ 2022/2023 UPDATE
1. 3 oz. roast beef, baked potatoes, salad with dressing, dill pickle, baked apple pie, and milk
2. 3 oz. baked chicken, green beans, steamed rice, 1 slice of bread, banana, and milk
3. Cheeseburger on a bun, french fries with catsup, chocolate chip cookie, apple, and milk
4. 3 oz. baked fish, slice of bread, broccoli, ice cream, and pineapple drink taken 30-60 min after the
meal
2. 3 oz. baked chicken, green beans, steamed rice, 1 slice of bread, banana, and milk
An adolescent is seen in the ER for a fracture of the left femur sustained in a sledding accident. The
fracture is reduced and a cast is applied. The client is taught how to use crutches for ambulating
without bearing weight on the left leg. The nurse would expect the client to learn which of the following
crutch-walking gaits?
1. Two-point gait
2. Three-point gait
3. Four-point gait
4. Swing-through gait
2. Three-point gait
The nurse cares for a client diagnosed with a right-sided CVA with dysphagia. Which of the following
actions by the nurse reflects appropriate care for the client? Select all that apply.
1. The nurse assesses the client's ability to swallow
2. the nurse positions the client at a 45-degree angle
3. The nurse offers the client scrambled eggs
4. The nurse instructs the client to place food on the left side of the mouth
5. The nurse turns off the
television 1, 3, 5
The nurse plans care for a 4 year old girl who has been sexually abused by her father. Play therapy is
scheduled. The nurse knows that the PRIMARY goal of play therapy for a 4 year old is which of the
following?
1. Provide her with the opportunity to express anger and hostility by playing with dolls
2. Promote communication because she may lack the emotional and intellectual capacity to
express her perceptions verbally
3. Assess whether she is functioning at an age-appropriate developmental level
4. Reveal through direct observation of her at play what type of abuse has been experienced
2. Promote communication because she may lack the emotional and intellectual capacity to express her
perceptions verbally
A client is being treated for heart failure with diuretic therapy. Which of the following assessments
BEST indicates to the nurse that the client's condition is improving?
1. The client's weight has remained stable since admission
GRADED A+ 2022/2023 UPDATE
A 7 year old girl with type 1 insulin-dependent diabetes mellitus (IDDM) has been home sick for several
days and is brought to the ED by her parents. If the child is experiencing ketoacidosis, the nurse would
expect to see which of the following lab results?
1. Serum glucose 140 mg/dL
2. Serum creatinine 5.2 mg/dL
3. Blood pH 7.28
4. Hematocr
it 38% 3. Blood
pH 7.28
The nurse delivers external cardiac compressions to a client while performing cardiopulmonary
resuscitation (CPR). Which of the following actions by the nurse is BEST?
1. Maintain a position close the client's side with the nurse's knees apart
2. Maintain vertical pressure on the client's chest through the heel of the nurse's hand
3. Re-check the nurse's hand position after every 10 chest compressions
4. Check for a return of the client's pulse after every 8 breaths by the nurse
2. Maintain vertical pressure on the client's chest through the heel of the nurse's hand
The nurse obtains a health history form a client admitted with acute glomerulonephritis that is
associated with beta- hemolytic Streptococcus., The nurse expects which of the following to be significant
in the health history?
1. The client had a sore throat 3 weeks earlier
2. There is a family history of glomerulonephritis
3. The client had a renal calculus 2 year earlier
4. The client had an accident involving renal trauma
several years ago 1. The client had a sore throat 3 weeks
earlier
00:0201:27
The nurse plans care for a client diagnosed with an acute myocardial infarction (MI). An appropriate
nursing diagnosis is decreased cardiac output secondary to which of the following?
1. Ventricular dysrhythmias
2. Congestive heart failure
3. Recurrent myocardial infarction
,NURSING EXAM NCLEX QUESTIONS WITH ANSWERS
GRADED A+ 2022/2023 UPDATE
4. Hypertensive crisis
,NURSING EXAM NCLEX QUESTIONS WITH ANSWERS
GRADED A+ 2022/2023 UPDATE
1. Ventricular dysrhythmias
A client comes to the ER reporting nausea, vomiting, and severe right upper quadrant pain. His
temperature is 101.3, and an abdominal x-ray reveals an enlarged gallbladder. He is scheduled for
surgery. Which of the following actions should the nurse take FIRST?
1. Assess the client's need for dietary teaching
2. Evaluate the client's fluid and electrolyte status
3. Examine the client's health history for allergies to antibiotics
4. Determine whether the client has signed consent for surgery
2. Evaluate the client's fluid and electrolyte status
A client is being treated in the burn unit for second- and third-degree burns over 45% of his body. The
physician's orders include the application of silver sulfadiazine cream. The BEST way for the nurse to
apply this medication is to use which of the following?
1. Sterile 4x4 dressings soaked in saline
2. Sterile tongue depressor
3. Sterile gloved hand
4. Sterile cotton-tipped applicator
3. Sterile gloved hand
When caring for a client with anorexia nervosa, which of the following observations indicates to the
nurse that the client's condition is improving?
1. The client eats all the food on her meal tray
2. The client asks friends to bring her special foods
3. The client weighs herself daily
4. The client's weight has increased
4. The client's weight has increased
Which of the following symptoms observed by the nurse during the first 24 hrs after a percutaneous
liver biopsy would indicate a complication from the procedure?
1. Anorexia, nausea, and vomiting
2. Abdominal distention and discomfort
3. Pulse 112, blood pressure 100/60, respirations 20
4. Pain at the biopsy site
3. Pulse 112, blood pressure 100/60, respirations 20
The nurse is caring for a 56-year-old man receiving haloperidol (Haldol) 2 mg PO bid. The nurse assists
the client to choose which of the following menus?
, NURSING EXAM NCLEX QUESTIONS WITH ANSWERS
GRADED A+ 2022/2023 UPDATE
1. 3 oz. roast beef, baked potatoes, salad with dressing, dill pickle, baked apple pie, and milk
2. 3 oz. baked chicken, green beans, steamed rice, 1 slice of bread, banana, and milk
3. Cheeseburger on a bun, french fries with catsup, chocolate chip cookie, apple, and milk
4. 3 oz. baked fish, slice of bread, broccoli, ice cream, and pineapple drink taken 30-60 min after the
meal
2. 3 oz. baked chicken, green beans, steamed rice, 1 slice of bread, banana, and milk
An adolescent is seen in the ER for a fracture of the left femur sustained in a sledding accident. The
fracture is reduced and a cast is applied. The client is taught how to use crutches for ambulating
without bearing weight on the left leg. The nurse would expect the client to learn which of the following
crutch-walking gaits?
1. Two-point gait
2. Three-point gait
3. Four-point gait
4. Swing-through gait
2. Three-point gait
The nurse cares for a client diagnosed with a right-sided CVA with dysphagia. Which of the following
actions by the nurse reflects appropriate care for the client? Select all that apply.
1. The nurse assesses the client's ability to swallow
2. the nurse positions the client at a 45-degree angle
3. The nurse offers the client scrambled eggs
4. The nurse instructs the client to place food on the left side of the mouth
5. The nurse turns off the
television 1, 3, 5
The nurse plans care for a 4 year old girl who has been sexually abused by her father. Play therapy is
scheduled. The nurse knows that the PRIMARY goal of play therapy for a 4 year old is which of the
following?
1. Provide her with the opportunity to express anger and hostility by playing with dolls
2. Promote communication because she may lack the emotional and intellectual capacity to
express her perceptions verbally
3. Assess whether she is functioning at an age-appropriate developmental level
4. Reveal through direct observation of her at play what type of abuse has been experienced
2. Promote communication because she may lack the emotional and intellectual capacity to express her
perceptions verbally
A client is being treated for heart failure with diuretic therapy. Which of the following assessments
BEST indicates to the nurse that the client's condition is improving?
1. The client's weight has remained stable since admission
