NCLEX-RN EXAM PRACTICE QUESTIONS
AND ANSWERS
You have delegated care of a patient in restraints to a nursing assistant. How often should the nursing
assistant inspect skin integrity for this patient?
a. Every 30 minutes
b. Every 2 hours
c. Every 3 hours
d. Every 4 hours
a. Every 30 minutes
You are working in the emergency department and find out that a tornado has hit the local area.
Numerous casualties are being sent to the emergency department. What action should you take at this
time?
a. Prepare the triage room.
b. Obtain additional supplies.
c. Activate the agency disaster plan.
d. Call in additional staff.
c. Activate the agency disaster plan.
You receive an order for 1000 mL of normal saline over 12 hours. The drop factor is 15 drops per 1 mL.
You prepare to set the flow rate at how many drops per minute?
a. 15 drops a minute
b. 17 drops a minute
c. 21 drops a minute
d. 23 drops a minute
c. 21 drops a minute
You are preparing to administer an intravenous dose of 400,000 units of penicillin G benzathine (Bicillin).
The 10 mL ampule label reads penicillin G benzathine 300,000 units per mL. You prepare to administer
how much of the medication?
,a. 1.3 ml
b. 1.5 ml
c. 10 ml
d. 13 ml
a. 1.3 ml
You are preparing to give potassium chloride 30 mEq in 1000 ml of normal saline over 10 hours. The
medication label reads 40 mEq per 20 mL. How many milliliters of potassium chloride do you need to
administer the correct dose?
a. 10 ml
b. 15 ml
c. 20 ml
d. 50 ml
b. 15 ml
You enter a patients room and find the patient not breathing, no pulse, and unresponsive. You have
called for help. What is the next step?
a. Bag mask ventilations
b. Chest compressions
c. Oxygen
d. Open airway
b. Chest compressions
The correct hand placement for chest compressions is the:
a. Lower third of sternum
b. Upper half of the sternum
c. Upper third of the sternum
d. Lower half of the sternum
d. Lower half of the sternum
What is the proper technique for opening the airway on a trauma patient?
a. Head tilt-chin lift
b. Flexed position
c. Modified head tilt-chin lift
d. Jaw thrust maneuver
d. Jaw thrust maneuver
,The most appropriate place to check the pulse on a 1-month-old infant is:
a. Brachial
b. Carotid
c. Popliteal
d. Radial
a. Brachial
You are encouraging your postoperative patient to cough and take deep breaths. The patient questions
why it is so important to do this. Your response would include the understanding that retaining
pulmonary secretions can lead to:
a. Fluid imbalance
b. Carbon dioxide retention
c. Pulmonary edema
d.Pneumonia
d.Pneumonia
Which of the following would you want to include in an education session to the staff on HIV and AIDS?
a. Newborn infants of HIV positive mothers usually test positive
b. The hematological system is usually attacked by HIV.
c. With AIDS, T4 cells cannot form protective antibodies due to depleted B cells.
d. T lymphocytes are destroyed because the virus attacks the immune system.
d. T lymphocytes are destroyed because the virus attacks the immune system.
You are conducting a teaching session for mothers at a local school on rubeola (measles). Which of the
following would you not want to include in this education?
a. Profuse runny nose, coughing and fever occur before the rash develops.
b. The child may develop small, blue-white spots with a red base in the mouth
c. Ears usually develop a rash first, which then spreads toward the feet.
d. The communicable period usually ranges from 10 to 15 days after the rash appears.
, d. The communicable period usually ranges from 10 to 15 days after the rash appears.
The communicable period for Rubeola (measles) is 4 to 5 days after the rash appears. The incubation
period is 10-15 days. The blue-white spots found in the mouth during Rubeola are called Koplik's spots.
You are providing a teaching session to a group of patients regarding skin cancer. Which of the following
statements would you not want to include in this education?
a. Wear sunscreen when engaged in outdoor activities.
b. The body should be examined monthly for any lesions that appear suspicious.
c. A hat, opaque clothing, and sunglasses should be worn when in the sun.
d. Avoid sun exposure after 3pm.
d. Avoid sun exposure after 3pm.
you should avoid the sun from 11am-3pm
You are teaching a group of mothers how to apply permethrin (Elimite, Nix) for pediculosis capitus.
Which of the following would be the correct application technique?
a.Apply at bedtime and wash out in the morning
b. Apply before washing hair
c. Apply to hair avoiding scalp
d. Apply to hair for 10 mins and then rinse
d. Apply to hair for 10 mins and then rinse
You are preparing a teaching session on tuberculosis. What is one of the first symptoms that the group
might notice in someone who has tuberculosis?
a.Bloody, productive cough
b. Cough with mucoid sputum
c. Chest pain
d. Dyspnea
b. Cough with mucoid sputum
AND ANSWERS
You have delegated care of a patient in restraints to a nursing assistant. How often should the nursing
assistant inspect skin integrity for this patient?
a. Every 30 minutes
b. Every 2 hours
c. Every 3 hours
d. Every 4 hours
a. Every 30 minutes
You are working in the emergency department and find out that a tornado has hit the local area.
Numerous casualties are being sent to the emergency department. What action should you take at this
time?
a. Prepare the triage room.
b. Obtain additional supplies.
c. Activate the agency disaster plan.
d. Call in additional staff.
c. Activate the agency disaster plan.
You receive an order for 1000 mL of normal saline over 12 hours. The drop factor is 15 drops per 1 mL.
You prepare to set the flow rate at how many drops per minute?
a. 15 drops a minute
b. 17 drops a minute
c. 21 drops a minute
d. 23 drops a minute
c. 21 drops a minute
You are preparing to administer an intravenous dose of 400,000 units of penicillin G benzathine (Bicillin).
The 10 mL ampule label reads penicillin G benzathine 300,000 units per mL. You prepare to administer
how much of the medication?
,a. 1.3 ml
b. 1.5 ml
c. 10 ml
d. 13 ml
a. 1.3 ml
You are preparing to give potassium chloride 30 mEq in 1000 ml of normal saline over 10 hours. The
medication label reads 40 mEq per 20 mL. How many milliliters of potassium chloride do you need to
administer the correct dose?
a. 10 ml
b. 15 ml
c. 20 ml
d. 50 ml
b. 15 ml
You enter a patients room and find the patient not breathing, no pulse, and unresponsive. You have
called for help. What is the next step?
a. Bag mask ventilations
b. Chest compressions
c. Oxygen
d. Open airway
b. Chest compressions
The correct hand placement for chest compressions is the:
a. Lower third of sternum
b. Upper half of the sternum
c. Upper third of the sternum
d. Lower half of the sternum
d. Lower half of the sternum
What is the proper technique for opening the airway on a trauma patient?
a. Head tilt-chin lift
b. Flexed position
c. Modified head tilt-chin lift
d. Jaw thrust maneuver
d. Jaw thrust maneuver
,The most appropriate place to check the pulse on a 1-month-old infant is:
a. Brachial
b. Carotid
c. Popliteal
d. Radial
a. Brachial
You are encouraging your postoperative patient to cough and take deep breaths. The patient questions
why it is so important to do this. Your response would include the understanding that retaining
pulmonary secretions can lead to:
a. Fluid imbalance
b. Carbon dioxide retention
c. Pulmonary edema
d.Pneumonia
d.Pneumonia
Which of the following would you want to include in an education session to the staff on HIV and AIDS?
a. Newborn infants of HIV positive mothers usually test positive
b. The hematological system is usually attacked by HIV.
c. With AIDS, T4 cells cannot form protective antibodies due to depleted B cells.
d. T lymphocytes are destroyed because the virus attacks the immune system.
d. T lymphocytes are destroyed because the virus attacks the immune system.
You are conducting a teaching session for mothers at a local school on rubeola (measles). Which of the
following would you not want to include in this education?
a. Profuse runny nose, coughing and fever occur before the rash develops.
b. The child may develop small, blue-white spots with a red base in the mouth
c. Ears usually develop a rash first, which then spreads toward the feet.
d. The communicable period usually ranges from 10 to 15 days after the rash appears.
, d. The communicable period usually ranges from 10 to 15 days after the rash appears.
The communicable period for Rubeola (measles) is 4 to 5 days after the rash appears. The incubation
period is 10-15 days. The blue-white spots found in the mouth during Rubeola are called Koplik's spots.
You are providing a teaching session to a group of patients regarding skin cancer. Which of the following
statements would you not want to include in this education?
a. Wear sunscreen when engaged in outdoor activities.
b. The body should be examined monthly for any lesions that appear suspicious.
c. A hat, opaque clothing, and sunglasses should be worn when in the sun.
d. Avoid sun exposure after 3pm.
d. Avoid sun exposure after 3pm.
you should avoid the sun from 11am-3pm
You are teaching a group of mothers how to apply permethrin (Elimite, Nix) for pediculosis capitus.
Which of the following would be the correct application technique?
a.Apply at bedtime and wash out in the morning
b. Apply before washing hair
c. Apply to hair avoiding scalp
d. Apply to hair for 10 mins and then rinse
d. Apply to hair for 10 mins and then rinse
You are preparing a teaching session on tuberculosis. What is one of the first symptoms that the group
might notice in someone who has tuberculosis?
a.Bloody, productive cough
b. Cough with mucoid sputum
c. Chest pain
d. Dyspnea
b. Cough with mucoid sputum
