NCLEX-RN EXAM QUESTIONS FINAL VERSION
1. A client diagnosed with a peptic ulcer undergoes an upper gastrointestinal endoscopy to help the
physician visualize the ulcer's location and severity. Immediately after the endoscopy, what would be a
priority for the nurse to assess?
A. Return of the gag reflex.
B. Bowel sounds.
C. Peripheral pulses.
D. Intake and output.
2. The nurse identifies a client's responses to actual or potential health problems during which step of
the nursing process? A. Assessment.
B. Analysis.
C. Planning.
D. Evaluation.
3. The nurse is administering sublingual nitroglycerin (Nitrostat) to the client. Immediately afterward, the
client may experience which of the following
symptoms?
A. Nervousness or paresthesia.
B. Throbbing headache or dizziness.
C. Drowsiness or blurred vision.
D. Tinnitus or diplopia.
4. A client who is a gravida 1 para 0 has been admitted to the perinatal admission unit and is in early
labor. The client's cervical examination would reveal which of the following?
A. 2 cm dilated; 100% effaced at 0 station.
B. 4 to 5 cm dilated; 80% effaced at -1 station.
C. 2 cm dilated; 50% effaced at +1 station.
D. 3 cm dilated; 50% effaced at 0 station.
5. A client who suffered blunt chest trauma in a car accident complains of chest pain, which is
exacerbated by deep inspiration. On auscultation, the nurse detects a pericardial friction rub--a classic
sign of acute pericarditis. To relieve chest pain associated with pericarditis, the nurse should encourage
the client to assume which position? A. Semi-Fowler's.
B. Leaning forward while sitting.
C. Supine.
,D. Prone.
6. Which of the following would be most appropriate for the nurse to include in the plan of care for a
dying child to meet the child's emotional needs during the last days of life?
A. Restrict visitors to the parents to avoid overtaxing the child.
B. Answer the child's questions about illness and death honestly.
C. Focus on the child's physical needs to attempt to prevent sadness.
D. Encourage the child to play quietly with a roommate to provide pleasure.
7. The skin lesions evident in herpes zoster are similar to those seen in which disease?
A. Impetigo.
B. Syphilis.
C. Varicella.
D. Rubella.
8. A client with newly diagnosed type 1 diabetes mellitus is learning about diabetic foot care. Which of
the following statements by the client indicates further instruction is needed? A. "I should use lotions. "
B. "I should use antiperspirants. "
C. "I should use foot soaks. "
D. "I should use nail files. "
9. The nurse is teaching a client and his family about dietary practices related to Parkinson's disease. A
priority for the nurse to address is risk of A. fluid overload and drooling.
B. aspiration and anorexia.
C. choking and diarrhea.
D. dysphagia and constipation.
10. While inspecting the client's chest, the nurse notes that the chest wall contracts on inspiration and
bulges on expiration. The nurse suspects which of the following problem from this assessment? A.
Hemothorax.
B. Flail chest.
C. Pneumothorax.
D. Tension pneumothorax.
11. Which assessment finding would lead the nurse to suspect dehydration in a preterm neonate?
A. Bulging fontanels.
, B. Excessive weight gain.
C. Urine specific gravity below 1.012.
D. Urine output below 1 mL/hour.
12. The client is taking lithium (Lithobid). Which instruct should the nurse give to the client?
A. Drink at least six to eight glasses of water per day and to avoid caffeine.
B. Limit the use of salt in his diet.
C. Discontinue medicine when feeling better.
D. Increase the amount of sodium in his diet.
13. During the first 24 hours after a client is diagnosed with addisonian crisis, which of the following
should the nurse perform frequently? A. Weigh the client.
B. Test urine for ketones.
C. Assess vital signs.
D. Administer oral hydrocortisone.
14. A 68-year-old woman is admitted to the general surgical unit for removal of a breast mass
malignancy. In the presurgical assessment of the client, which of the following choices would be most
appropriate for the nurse to ask when assessing her self-concept?
A. "Let's talk about what you'd like to do that you haven't done. " B. "List for me your accomplishments
and achievements in life. "
C. "Tell me how this breast surgery will make you feel about yourself. "
D. "What does your husband say when he compliments you?"
15. Promethazine hydrochloride (Phenergan) 35 mg IM is ordered for a client who is experiencing nausea
and vomiting after surgery. The ampule's label reads 25 mg/mL. How many mL should the nurse prepare
to administer? A. 0.7 mL. B. 1.0 mL.
C. 1.4 mL.
D. 1.8 mL.
16. Which of the following would the nurse expect to find in a client diagnosed with
hyperparathyroidism? A. Hypocalcemia.
B. Hypercalcemia.
C. Hyperphosphatemia.
D. Hypophosphaturia.
17. Which of the following home regimens should the nurse suggest to relieve itching in children with
chicken pox?
1. A client diagnosed with a peptic ulcer undergoes an upper gastrointestinal endoscopy to help the
physician visualize the ulcer's location and severity. Immediately after the endoscopy, what would be a
priority for the nurse to assess?
A. Return of the gag reflex.
B. Bowel sounds.
C. Peripheral pulses.
D. Intake and output.
2. The nurse identifies a client's responses to actual or potential health problems during which step of
the nursing process? A. Assessment.
B. Analysis.
C. Planning.
D. Evaluation.
3. The nurse is administering sublingual nitroglycerin (Nitrostat) to the client. Immediately afterward, the
client may experience which of the following
symptoms?
A. Nervousness or paresthesia.
B. Throbbing headache or dizziness.
C. Drowsiness or blurred vision.
D. Tinnitus or diplopia.
4. A client who is a gravida 1 para 0 has been admitted to the perinatal admission unit and is in early
labor. The client's cervical examination would reveal which of the following?
A. 2 cm dilated; 100% effaced at 0 station.
B. 4 to 5 cm dilated; 80% effaced at -1 station.
C. 2 cm dilated; 50% effaced at +1 station.
D. 3 cm dilated; 50% effaced at 0 station.
5. A client who suffered blunt chest trauma in a car accident complains of chest pain, which is
exacerbated by deep inspiration. On auscultation, the nurse detects a pericardial friction rub--a classic
sign of acute pericarditis. To relieve chest pain associated with pericarditis, the nurse should encourage
the client to assume which position? A. Semi-Fowler's.
B. Leaning forward while sitting.
C. Supine.
,D. Prone.
6. Which of the following would be most appropriate for the nurse to include in the plan of care for a
dying child to meet the child's emotional needs during the last days of life?
A. Restrict visitors to the parents to avoid overtaxing the child.
B. Answer the child's questions about illness and death honestly.
C. Focus on the child's physical needs to attempt to prevent sadness.
D. Encourage the child to play quietly with a roommate to provide pleasure.
7. The skin lesions evident in herpes zoster are similar to those seen in which disease?
A. Impetigo.
B. Syphilis.
C. Varicella.
D. Rubella.
8. A client with newly diagnosed type 1 diabetes mellitus is learning about diabetic foot care. Which of
the following statements by the client indicates further instruction is needed? A. "I should use lotions. "
B. "I should use antiperspirants. "
C. "I should use foot soaks. "
D. "I should use nail files. "
9. The nurse is teaching a client and his family about dietary practices related to Parkinson's disease. A
priority for the nurse to address is risk of A. fluid overload and drooling.
B. aspiration and anorexia.
C. choking and diarrhea.
D. dysphagia and constipation.
10. While inspecting the client's chest, the nurse notes that the chest wall contracts on inspiration and
bulges on expiration. The nurse suspects which of the following problem from this assessment? A.
Hemothorax.
B. Flail chest.
C. Pneumothorax.
D. Tension pneumothorax.
11. Which assessment finding would lead the nurse to suspect dehydration in a preterm neonate?
A. Bulging fontanels.
, B. Excessive weight gain.
C. Urine specific gravity below 1.012.
D. Urine output below 1 mL/hour.
12. The client is taking lithium (Lithobid). Which instruct should the nurse give to the client?
A. Drink at least six to eight glasses of water per day and to avoid caffeine.
B. Limit the use of salt in his diet.
C. Discontinue medicine when feeling better.
D. Increase the amount of sodium in his diet.
13. During the first 24 hours after a client is diagnosed with addisonian crisis, which of the following
should the nurse perform frequently? A. Weigh the client.
B. Test urine for ketones.
C. Assess vital signs.
D. Administer oral hydrocortisone.
14. A 68-year-old woman is admitted to the general surgical unit for removal of a breast mass
malignancy. In the presurgical assessment of the client, which of the following choices would be most
appropriate for the nurse to ask when assessing her self-concept?
A. "Let's talk about what you'd like to do that you haven't done. " B. "List for me your accomplishments
and achievements in life. "
C. "Tell me how this breast surgery will make you feel about yourself. "
D. "What does your husband say when he compliments you?"
15. Promethazine hydrochloride (Phenergan) 35 mg IM is ordered for a client who is experiencing nausea
and vomiting after surgery. The ampule's label reads 25 mg/mL. How many mL should the nurse prepare
to administer? A. 0.7 mL. B. 1.0 mL.
C. 1.4 mL.
D. 1.8 mL.
16. Which of the following would the nurse expect to find in a client diagnosed with
hyperparathyroidism? A. Hypocalcemia.
B. Hypercalcemia.
C. Hyperphosphatemia.
D. Hypophosphaturia.
17. Which of the following home regimens should the nurse suggest to relieve itching in children with
chicken pox?
