NCLEX RN (NEXT GENERATION FORMAT) ACTUAL EXAM
TEST BANK OF REAL QUESTIONS & CORRECT DETAILED
SOLUTION S WITH RATIONALES NCLEX 2024
Matrix multiple-choice:
Question:
A nurse is caring for a patient with diabetes. Which of the following actions
should the nurse take when administering insulin? Select all that apply.
A. Verify the correct dose with another nurse.
B. Administer insulin via intramuscular injection.
C. Monitor the patient's blood glucose level.
D. Check the expiration date of the insulin.
Solution : A, C, D.
2: Question:
A nurse is caring for a patient with hypertension. Which of the following lifestyle
modifications should the nurse recommend to the patient? Select all thatapply.
A. Limit sodium intake.
B. Increase physical activity.
C. Reduce caffeine intake.
D. Avoid alcohol consumption.
Solution : A, B, C, D.
Multiple-response: Select all that apply:
Question: A nurse is assessing a patient who is receiving chemotherapy. Which of
the following symptoms should the nurse report to the healthcare provider? Select all
that apply.
A. Nausea and vomiting.
B. Fatigue and weakness.
C. Hair loss.
D. Dry mouth and difficulty swallowing.
1. Solution : A, B, C.
, Question:
A nurse is caring for a patient with a history of heart failure. The patient's weight has
increased by 5 pounds over the past week. Which of the following actionsshould the
nurse take? Select 2.
A. Increase the patient's diuretic dose.
B. Restrict the patient's sodium intake.
C. Increase the patient's fluid intake.
D. Administer oxygen therapy.
2. Solution : A, B.
Question:
A nurse is caring for a patient who has just undergone surgery. Which of the
following interventions should the nurse take to prevent complications? Group 1:
Respiratory interventions. Group 2: Circulatory interventions.
Group 1:
A. Administer oxygen therapy.
B. Encourage deep breathing and coughing exercises.
C. Use an incentive spirometer.
Group 2:
D. Apply compression stockings.
E. Monitor vital signs.
F. Administer anticoagulant therapy.
Solution : B, C, D, E, F.Drag-
and-drop: Cloze:
Question:
A nurse is caring for a patient with a new diagnosis of diabetes. Drag and drop the
steps for checking blood glucose levels in the correct order.
3. Wash hands.
4. Insert test strip into the meter.
5. Prick finger with lancet.
6. Apply blood to the test strip.
Read and record the blood glucose level.
,Solution : 1, 3, 4, 2, 5.
Drag-and-drop: Rationale
Question:
A nurse is caring for a patient who has just undergone a total hipreplacement. Drag
and drop the interventions in the order of priority.
12. Administer pain medication.
Encourage the use of a continuous passive motion (CPM) machine.
13. Apply ice to the surgical site.
Assist the patient with ambulation.
Rationale:
Solution : 1, 3, 2, 4. Administering pain medication is the first priority, followed by
applying ice to the surgical site to reduce swelling. Encouraging the use of
, a CPM machine can help prevent blood clots. Finally, assisting the patient
with ambulation helps promote healing and prevent complications.
Drop-down: Cloze:
Question: A nurse is caring for a patient who is receiving chemotherapy. The patient
is at risk for due to the side effects of the medication.
14. Solution :
neutCloze:
Question: A nurse is caring for a patient who is receiving chemotherapy. The patient
is at risk for neutropenia due to the side effects of the medication. The nurse should
monitor the patient for signs of infection, such as fever, chills, and increased white
blood cell count.
Drop-down: Rationale:
Question: A nurse is caring for a patient with heart failure. The patient is prescribed
furosemide (Lasix) for diuresis. The nurse should monitor the patient for which of
the following adverse effects?
Solution Choices:
A. Hypotension
B. Hyperkalemia
C. Tinnitus
9. D. Bradycardia
Rationale:
Solution : A. Furosemide is a loop diuretic that can cause hypotension by
decreasingfluid volume and blood pressure. The nurse should monitor the
patient's blood pressure and electrolyte levels, especially potassium, which can be
depleted by themedication. Tinnitus and bradycardia are not common adverse
effects of furosemide.
Drop-down: Table:
TEST BANK OF REAL QUESTIONS & CORRECT DETAILED
SOLUTION S WITH RATIONALES NCLEX 2024
Matrix multiple-choice:
Question:
A nurse is caring for a patient with diabetes. Which of the following actions
should the nurse take when administering insulin? Select all that apply.
A. Verify the correct dose with another nurse.
B. Administer insulin via intramuscular injection.
C. Monitor the patient's blood glucose level.
D. Check the expiration date of the insulin.
Solution : A, C, D.
2: Question:
A nurse is caring for a patient with hypertension. Which of the following lifestyle
modifications should the nurse recommend to the patient? Select all thatapply.
A. Limit sodium intake.
B. Increase physical activity.
C. Reduce caffeine intake.
D. Avoid alcohol consumption.
Solution : A, B, C, D.
Multiple-response: Select all that apply:
Question: A nurse is assessing a patient who is receiving chemotherapy. Which of
the following symptoms should the nurse report to the healthcare provider? Select all
that apply.
A. Nausea and vomiting.
B. Fatigue and weakness.
C. Hair loss.
D. Dry mouth and difficulty swallowing.
1. Solution : A, B, C.
, Question:
A nurse is caring for a patient with a history of heart failure. The patient's weight has
increased by 5 pounds over the past week. Which of the following actionsshould the
nurse take? Select 2.
A. Increase the patient's diuretic dose.
B. Restrict the patient's sodium intake.
C. Increase the patient's fluid intake.
D. Administer oxygen therapy.
2. Solution : A, B.
Question:
A nurse is caring for a patient who has just undergone surgery. Which of the
following interventions should the nurse take to prevent complications? Group 1:
Respiratory interventions. Group 2: Circulatory interventions.
Group 1:
A. Administer oxygen therapy.
B. Encourage deep breathing and coughing exercises.
C. Use an incentive spirometer.
Group 2:
D. Apply compression stockings.
E. Monitor vital signs.
F. Administer anticoagulant therapy.
Solution : B, C, D, E, F.Drag-
and-drop: Cloze:
Question:
A nurse is caring for a patient with a new diagnosis of diabetes. Drag and drop the
steps for checking blood glucose levels in the correct order.
3. Wash hands.
4. Insert test strip into the meter.
5. Prick finger with lancet.
6. Apply blood to the test strip.
Read and record the blood glucose level.
,Solution : 1, 3, 4, 2, 5.
Drag-and-drop: Rationale
Question:
A nurse is caring for a patient who has just undergone a total hipreplacement. Drag
and drop the interventions in the order of priority.
12. Administer pain medication.
Encourage the use of a continuous passive motion (CPM) machine.
13. Apply ice to the surgical site.
Assist the patient with ambulation.
Rationale:
Solution : 1, 3, 2, 4. Administering pain medication is the first priority, followed by
applying ice to the surgical site to reduce swelling. Encouraging the use of
, a CPM machine can help prevent blood clots. Finally, assisting the patient
with ambulation helps promote healing and prevent complications.
Drop-down: Cloze:
Question: A nurse is caring for a patient who is receiving chemotherapy. The patient
is at risk for due to the side effects of the medication.
14. Solution :
neutCloze:
Question: A nurse is caring for a patient who is receiving chemotherapy. The patient
is at risk for neutropenia due to the side effects of the medication. The nurse should
monitor the patient for signs of infection, such as fever, chills, and increased white
blood cell count.
Drop-down: Rationale:
Question: A nurse is caring for a patient with heart failure. The patient is prescribed
furosemide (Lasix) for diuresis. The nurse should monitor the patient for which of
the following adverse effects?
Solution Choices:
A. Hypotension
B. Hyperkalemia
C. Tinnitus
9. D. Bradycardia
Rationale:
Solution : A. Furosemide is a loop diuretic that can cause hypotension by
decreasingfluid volume and blood pressure. The nurse should monitor the
patient's blood pressure and electrolyte levels, especially potassium, which can be
depleted by themedication. Tinnitus and bradycardia are not common adverse
effects of furosemide.
Drop-down: Table:
