NCLEX
NCLEX-RN PRACTICE TEST
QUESTIONS AND SOLUTIONS
The nurse is interviewing a client who is being treated for obsessive-compulsive disorder
(OCD). Which of the following is the most important question the nurse should ask this
client?
1. "Do you find yourself forgetting simple things?"
2. "Do you find it hard to stay on a task?"
3. "Do you have trouble controlling upsetting thoughts?"
4. "Do you experience feelings of panic in a closed area?" - 3.
Which of the following actions by the nurse would be considered negligence?
1. Obtaining a Guthrie blood test on a 4-day-old infant
2. Massaging lotion on the abdomen of a 3-year-old diagnosed with Wilms' tumor
3. Instructing a 5-year-old asthmatic to blow on a pinwheel
4. Playing kickball with a 10-year-old with juvenile arthritis (JA) - 2.
The nurse on a postpartum unit is preparing 4 clients for discharge. It would be MOST
important for the nurse to refer which of the following clients for home care?
1. A 15-year-old primipara who delivered 7-lb. male 2 days ago
2. An 18-year-old multipara who delivered a 9-lb. female by cesarean section 2 days ago
3. A 20-year-old multipara who delivered 1 day ago and is reporting cramping
4. A 22-year-old who delivered by cesarean section and is reporting burning on urination
- 4.
A client is telling the nurse about his perception of his thought patterns. Which of the
following statements by the client would validate the diagnosis of schizophrenia
NCLEX
,NCLEX
1. "I can't get the same thoughts out of my head."
2. "I know I sometimes feel on top of the world, then suddenly down."
3. "Sometimes I look up and wonder where I am."
4. "It's clear that this is an alien laboratory and I am in charge" - 4.
A nursing team consists of an RN, an LPN/LVN, and an NAP. The nurse should assign
which of the following clients to the LPN/LVN?
1. A 72-year-old client with diabetes who requires a dressing change for a stasis ulcer
2. A 42-year-old client with cancer of the bone reporting pain
3. A 55-year-old client with terminal cancer being transferred to hospice home care
4. A 23-year-old client with a fracture of the right leg who asks to use the urinal - 1.
To determine the structural relationship of one hospital department with another, the
nurse should consult which of the following?
1. Organizational chart
2. Job descriptions
3. Personnel policies
4. Policies and procedures manual - 1.
A client reports pain in his right lower extremity. The physician orders codeine60 mg and
aspirin grains X PO every 4 hours, as needed for pain. Each codeine tablet contains 15
mg of codeine. Each aspirin tablet contains 325 mg of aspirin. Which of the following
should the nurse administer?
1. 2 codeine tablets and 4 aspirin tablets
2. 4 codeine tablets and 3 aspirin tablets
3. 4 codeine tablets and 2 aspirin tablets
4. 3 codeine tablets and 3 aspirin tablets - 3.
NCLEX
, NCLEX
The nurse is leading an in service about management issues. The nurse would intervene if
another nurse made which of the following statements?
(1) "It is my responsibility to ensure that the consent form has been signed and attached
to the client's chart prior to surgery."- describes the nurse's responsibility
(2) "It is my responsibility to witness the signature of the client before surgery is
performed."
(3) "It is my responsibility to provide a detailed description of the surgery."
(4) "It is my responsibility to answer questions that the client may have prior to surgery."
- (3)
A nurse in the outpatient clinic evaluates the Mantoux test of a client whose history
indicates that she has been treated during the past year for an AIDS- related infection.
The nurse should document that there was a positive reaction if there is an area of
induration measuring which of the following?
1. 1 mm
2. 3 mm
3. 5 mm
4. 7 mm - 4.
The in the newborn nursery has just received report. Which of the following infants
should the nurse see first?
1) A 2-day old infant who is lying quietly alert with a heart rate of 185
2) A 1-day-old infant who is crying and has a bulging anterior fontanel
3) A 12-hour-old infant who is being held, with respirations that are 45 breaths per minute
and irregular
4) A 5-hour-old infant who is sleeping and whose hands and feet are blue bilaterally - 1)
NCLEX
NCLEX-RN PRACTICE TEST
QUESTIONS AND SOLUTIONS
The nurse is interviewing a client who is being treated for obsessive-compulsive disorder
(OCD). Which of the following is the most important question the nurse should ask this
client?
1. "Do you find yourself forgetting simple things?"
2. "Do you find it hard to stay on a task?"
3. "Do you have trouble controlling upsetting thoughts?"
4. "Do you experience feelings of panic in a closed area?" - 3.
Which of the following actions by the nurse would be considered negligence?
1. Obtaining a Guthrie blood test on a 4-day-old infant
2. Massaging lotion on the abdomen of a 3-year-old diagnosed with Wilms' tumor
3. Instructing a 5-year-old asthmatic to blow on a pinwheel
4. Playing kickball with a 10-year-old with juvenile arthritis (JA) - 2.
The nurse on a postpartum unit is preparing 4 clients for discharge. It would be MOST
important for the nurse to refer which of the following clients for home care?
1. A 15-year-old primipara who delivered 7-lb. male 2 days ago
2. An 18-year-old multipara who delivered a 9-lb. female by cesarean section 2 days ago
3. A 20-year-old multipara who delivered 1 day ago and is reporting cramping
4. A 22-year-old who delivered by cesarean section and is reporting burning on urination
- 4.
A client is telling the nurse about his perception of his thought patterns. Which of the
following statements by the client would validate the diagnosis of schizophrenia
NCLEX
,NCLEX
1. "I can't get the same thoughts out of my head."
2. "I know I sometimes feel on top of the world, then suddenly down."
3. "Sometimes I look up and wonder where I am."
4. "It's clear that this is an alien laboratory and I am in charge" - 4.
A nursing team consists of an RN, an LPN/LVN, and an NAP. The nurse should assign
which of the following clients to the LPN/LVN?
1. A 72-year-old client with diabetes who requires a dressing change for a stasis ulcer
2. A 42-year-old client with cancer of the bone reporting pain
3. A 55-year-old client with terminal cancer being transferred to hospice home care
4. A 23-year-old client with a fracture of the right leg who asks to use the urinal - 1.
To determine the structural relationship of one hospital department with another, the
nurse should consult which of the following?
1. Organizational chart
2. Job descriptions
3. Personnel policies
4. Policies and procedures manual - 1.
A client reports pain in his right lower extremity. The physician orders codeine60 mg and
aspirin grains X PO every 4 hours, as needed for pain. Each codeine tablet contains 15
mg of codeine. Each aspirin tablet contains 325 mg of aspirin. Which of the following
should the nurse administer?
1. 2 codeine tablets and 4 aspirin tablets
2. 4 codeine tablets and 3 aspirin tablets
3. 4 codeine tablets and 2 aspirin tablets
4. 3 codeine tablets and 3 aspirin tablets - 3.
NCLEX
, NCLEX
The nurse is leading an in service about management issues. The nurse would intervene if
another nurse made which of the following statements?
(1) "It is my responsibility to ensure that the consent form has been signed and attached
to the client's chart prior to surgery."- describes the nurse's responsibility
(2) "It is my responsibility to witness the signature of the client before surgery is
performed."
(3) "It is my responsibility to provide a detailed description of the surgery."
(4) "It is my responsibility to answer questions that the client may have prior to surgery."
- (3)
A nurse in the outpatient clinic evaluates the Mantoux test of a client whose history
indicates that she has been treated during the past year for an AIDS- related infection.
The nurse should document that there was a positive reaction if there is an area of
induration measuring which of the following?
1. 1 mm
2. 3 mm
3. 5 mm
4. 7 mm - 4.
The in the newborn nursery has just received report. Which of the following infants
should the nurse see first?
1) A 2-day old infant who is lying quietly alert with a heart rate of 185
2) A 1-day-old infant who is crying and has a bulging anterior fontanel
3) A 12-hour-old infant who is being held, with respirations that are 45 breaths per minute
and irregular
4) A 5-hour-old infant who is sleeping and whose hands and feet are blue bilaterally - 1)
NCLEX
