lOMoARcPSD| 5422489
NCLEX-RN EXAM QUESTIONS AND ANSWERS 2024
Answers at the end of this document
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.
, lOMoARcPSD| 5422489
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.
, lOMoARcPSD| 5422489
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.
, lOMoARcPSD| 5422489
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.
NCLEX-RN EXAM QUESTIONS AND ANSWERS 2024
Answers at the end of this document
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.
, lOMoARcPSD| 5422489
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.
, lOMoARcPSD| 5422489
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.
, lOMoARcPSD| 5422489
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.
