NCLEX-RN Exam Pack Set 1 (75 Questions &
Answers Updated 2024)
1. 1. Question
While assessing a one-month-old infant, which of the
findings warrants further investigation by the nurse? Select
all that apply.
o A. Abdominal respirations
o B. Irregular breathing rate
o C. Inspiratory grunt
o D. Increased heart rate with crying
o E. Nasal flaring
o F. Cyanosis
o G. Asymmetric chest movement
Correct Answers: C, E, F, & G
Option C. Grunting occurs when an infant attempts to
maintain an adequate functional residual capacity in the face of
poorly compliant lungs by partial glottic closure. As the infant
prolongs the expiratory phase against this partially closed
glottis, there is a prolonged and increased residual volume that
maintains the airway opening and also an audible expiratory
sound.
Option E: Nasal flaring occurs when the nostrils widen while
breathing and is a sign of troubled breathing or respiratory
distress.
,NCLEX-RN Exam Pack Set 1 (75 Questions &
Answers Updated 2024)
o Option F: Cyanosis refers to the bluish
discoloration of the skin and indicates a decrease in
oxygen attached to the red blood cells in the
bloodstream.
o Option G: Asymmetric chest movement occurs
when the abnormal side of the lungs expands less
and lags behind the normal side. This indicates
respiratory distress.
o Option A: Abdominal respiration is normal among
infants and young children. Since their intercostal
muscles are not yet fully developed, they use their
abdominal muscles much more to pull the
diaphragm down for breathing.
o Option B: Newborns can have irregular
breathing patterns ranging from 30 to 60 breaths
per minute with short periods of apnea (15
seconds).
o Option D: An increase in heart rate is normal for an
infant during activity (including crying). Fluctuations
in heart rate follow the changes in the newborn’s
• 2. Question
A nurse is to administer meperidine hydrochloride (Demerol)
100 mg, atropine sulfate (Atropisol) 0.4 mg, and
promethazine hydrochloride (Phenergan) 50 mg IM to a
preoperative client. List the order in which the nurse
must carry out the following actions prior to the
administration of preoperative medications.
View Answers:
o Place the call bell within reach
o Raise the side rails on the bed
o Have the client empty bladder
o Instruct the client to remain in bed
Correct order is shown above.
, o Have the client empty the bladder. The first step in the process is t
NCLEX-RN Exam Pack Set 1 (75 Questions &
Answers Updated 2024)
client does not have a catheter, it is important to
empty the bladder before receiving preoperative
medications to prevent bladder injury (especially in
pelvic surgeries). Else, a straight catheter or an
indwelling catheter may be ordered to ensure the
bladder is empty.
o Instruct the client to remain in bed.
Preoperative medications can cause drowsiness
and lightheadedness which may put the client at
risk for injury.
o Raise the side rails on the bed. Raising the
side rails on the bed helps prevent accidental falls
and injury when the client decides to get out of
the bed without assistance.
o Place the call bell within reach. Call bells should
always be within the reach of a client.
2. 3. Question
A 32-year-old pregnant woman comes to the clinic for her
prenatal visit. The nurse gathers data about her obstetric
history, which includes 3-year-old twins at home and a
miscarriage 10 years ago at 12 weeks gestation. How would
the nurse accurately document this information? Fill in the
blanks.
o Answer:
(3) par (1)
Gravida
a
Correct Answer: Gravida 3 para 1
Gravida is the number of confirmed pregnancies and each
pregnancy is only counted one time, even if the pregnancy was
a multiple gestation (i.e., twins, triplets). Para (parity)
indicates the total number of pregnancies that have reached
viability (20 weeks) regardless of whether the infants were born
alive. Thus, for this woman, she is now pregnant, had 2 prior
pregnancies, and 1 viable birth (twins).
, NCLEX-RN Exam Pack Set 1 (75 Questions &
Answers Updated 2024)
o 4. Question
Which individual is at the greatest risk for developing
hypertension?
o A. 45-year-old African-American attorney
Answers Updated 2024)
1. 1. Question
While assessing a one-month-old infant, which of the
findings warrants further investigation by the nurse? Select
all that apply.
o A. Abdominal respirations
o B. Irregular breathing rate
o C. Inspiratory grunt
o D. Increased heart rate with crying
o E. Nasal flaring
o F. Cyanosis
o G. Asymmetric chest movement
Correct Answers: C, E, F, & G
Option C. Grunting occurs when an infant attempts to
maintain an adequate functional residual capacity in the face of
poorly compliant lungs by partial glottic closure. As the infant
prolongs the expiratory phase against this partially closed
glottis, there is a prolonged and increased residual volume that
maintains the airway opening and also an audible expiratory
sound.
Option E: Nasal flaring occurs when the nostrils widen while
breathing and is a sign of troubled breathing or respiratory
distress.
,NCLEX-RN Exam Pack Set 1 (75 Questions &
Answers Updated 2024)
o Option F: Cyanosis refers to the bluish
discoloration of the skin and indicates a decrease in
oxygen attached to the red blood cells in the
bloodstream.
o Option G: Asymmetric chest movement occurs
when the abnormal side of the lungs expands less
and lags behind the normal side. This indicates
respiratory distress.
o Option A: Abdominal respiration is normal among
infants and young children. Since their intercostal
muscles are not yet fully developed, they use their
abdominal muscles much more to pull the
diaphragm down for breathing.
o Option B: Newborns can have irregular
breathing patterns ranging from 30 to 60 breaths
per minute with short periods of apnea (15
seconds).
o Option D: An increase in heart rate is normal for an
infant during activity (including crying). Fluctuations
in heart rate follow the changes in the newborn’s
• 2. Question
A nurse is to administer meperidine hydrochloride (Demerol)
100 mg, atropine sulfate (Atropisol) 0.4 mg, and
promethazine hydrochloride (Phenergan) 50 mg IM to a
preoperative client. List the order in which the nurse
must carry out the following actions prior to the
administration of preoperative medications.
View Answers:
o Place the call bell within reach
o Raise the side rails on the bed
o Have the client empty bladder
o Instruct the client to remain in bed
Correct order is shown above.
, o Have the client empty the bladder. The first step in the process is t
NCLEX-RN Exam Pack Set 1 (75 Questions &
Answers Updated 2024)
client does not have a catheter, it is important to
empty the bladder before receiving preoperative
medications to prevent bladder injury (especially in
pelvic surgeries). Else, a straight catheter or an
indwelling catheter may be ordered to ensure the
bladder is empty.
o Instruct the client to remain in bed.
Preoperative medications can cause drowsiness
and lightheadedness which may put the client at
risk for injury.
o Raise the side rails on the bed. Raising the
side rails on the bed helps prevent accidental falls
and injury when the client decides to get out of
the bed without assistance.
o Place the call bell within reach. Call bells should
always be within the reach of a client.
2. 3. Question
A 32-year-old pregnant woman comes to the clinic for her
prenatal visit. The nurse gathers data about her obstetric
history, which includes 3-year-old twins at home and a
miscarriage 10 years ago at 12 weeks gestation. How would
the nurse accurately document this information? Fill in the
blanks.
o Answer:
(3) par (1)
Gravida
a
Correct Answer: Gravida 3 para 1
Gravida is the number of confirmed pregnancies and each
pregnancy is only counted one time, even if the pregnancy was
a multiple gestation (i.e., twins, triplets). Para (parity)
indicates the total number of pregnancies that have reached
viability (20 weeks) regardless of whether the infants were born
alive. Thus, for this woman, she is now pregnant, had 2 prior
pregnancies, and 1 viable birth (twins).
, NCLEX-RN Exam Pack Set 1 (75 Questions &
Answers Updated 2024)
o 4. Question
Which individual is at the greatest risk for developing
hypertension?
o A. 45-year-old African-American attorney
