Blessy Babu Jan 25, 2024
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NCLEX-RN Practice Questions and Answers

NCLEX is a mandatory exam if an individual wants to practice as a Licensed Nurse in countries like USA, Canada, and Australia. The NCLEX Practice Test will give you an idea about the Next Gen NCLEX and boost your confidence while appearing for the NCLEX-RN Test. 

Various modifications have been made to the NCLEX exam pattern and by practicing NCLEX sample questions you will understand the latest exam pattern and you can prepare accordingly. You can also go through NCLEX-RN Previous Year Questions that will lay the foundation for the preparation for NCLEX-RN Exam

Read Also: NCLEX Exam Changes 2023

NCLEX-RN Sample Questions

Mentioned below are some of the Next Gen NCLEX Sample Questions that will be beneficial for exam preparation.

1.The nurse assesses for cyanosis in a dark-skinned client. Which is the best site to assess for cyanosis in this client?

  • A) Soles of the feet
  • B) Palms of the hands
  • C) Conjunctiva
  • D)Earlobes


2.Health care provider has been exposed to hepatitis B through a needle stick. Which of the following drugs should the nurse anticipate administering as post-exposure prophylaxis?

  • A) Hepatitis B immune globulin. 
  • B) Interferon
  • C) Hepatitis B surface antigen. 
  • D) Amphotericin B.


3) Which of the following maternal deficiencies may result in neural tube defects in a fetus?

  • A) Folic acid
  • B) Vitamin B12
  • C) Vitamin E
  • D) Iron


4) The nurse is positioning the client with increased ICP. Which of the following position would the nurse avoid?

  • A) head turned to the side
  • B) head midline
  • C) neck in the neutral position
  • D) head of the bed elevated 30-45 degrees


5)The nurse is assessing a client with heart failure. The breath sounds commonly auscultated in clients with heart failure are:

  • A) tracheal. 
  • B) fine crackles. 
  • C) coarse crackles.
  • D) friction rubs. 


6)The client with hypercholesterolemia asked about vitamins that can help to lower his cholesterol. Which vitamin has been shown to be helpful in lowering the client’s cholesterol level?

  • A) Cyanocobalamine
  • B) Ascorbic acid
  • C) Niacin
  • D) Riboflavin


7) A client is receiving an I.V. infusion of mannitol after undergoing intracranial surgery to remove a brain tumor. To determine whether this drug is producing its therapeutic effect, the nurse should consider which finding as the most significant one?

  • A) Decreased level of consciousness (LOC)
  • B) Elevated blood pressure
  • C) Increased urine output
  • D) Decreased heart rate


8) The postoperative client on hydromorphone becomes hypoxic, and naloxone is administered per protocol. What is most important for the nurse to consider in the follow-up care of this client?

  • A) Client's respiratory status 60 minutes later. 
  • B) Document the client's hypoxic event. 
  • C) Obtaining an order for a different analgesic
  • D) Potential for drug-drug interaction now


9) A client is admitted for gastrointestinal bleeding. He has a platelet count of 15,000/mm and platelets have been ordered from the blood bank. Which of the following does the nurse know is required for platelet transfusions? Select all that apply.

  • A) ABO compatibility
  • B) Rh compatibility
  • C) Crossmatching
  • D) A specialized platelet filter


10) A woman has delivered an infant by cesarean section. Which factors place this woman at risk for thromboembolic disease? (Select all that apply.)

  • A) Due to the surgical procedure, the client will be less active. 
  • B) The platelet count is elevated as the body is prepared for delivery. 
  • C) The pregnant woman’s blood volume decreases in later pregnancy. 
  • D) Venous stasis in the lower extremities is common in late pregnancy.
  • E) The fetus produces platelets that cross the placenta into the maternal circulation. 


11) The best size cathlon for the administration of a blood transfusion to a six-year-old is:

  • A) 18 gauge
  • B) 19 gauge
  • C) 20 gauge
  • D) 22 gauge


12) When caring for a client receiving warfarin (Coumadin), which lab test would the nurse monitor to determine the therapeutic response to the drug?

  • A) Bleeding time
  • B) Prothrombin time (PT)
  • C) Partial thromboplastin time (PTT)
  • D) Coagulation time


13) The nurse prepares to insert a peripheral intravascular catheter in a client requiring fluids. Which antiseptic is preferred for prepping the skin prior to insertion of the catheter?

  • A) Alcohol
  • B) Iodophor
  • C) Acetone
  • D) Chlorhexidine


14) A client who had major abdominal surgery is having delayed healing of the wound. Which laboratory test result would most closely correlate with this problem?

  • A) Decreased albumin
  • B) Decreased creatinine
  • C) Decreased creatinine
  • D) Increased sodium


15) The nurse caring for a client with a suspected peptic ulcer recognizes which exam is the most reliable in diagnosing the disease?

  • A) Upper-gastrointestinal x-ray
  • B) Gastric analysis
  • C) Endoscopy
  • D) Barium studies


16) Which of the following symptoms would occur in a client with a detached retina?

  • A) Flashing lights and floaters
  • B) Homonymous hemianopia
  • C) Loss of central vision
  • D) Ptosis


17) The hospital has just received word that a major disaster has occurred and a large influx of clients is expected in less than 1 hour. The nurse considers which current client is best for immediate discharge?

  • A) An older adult client admitted 4 days ago with a diagnosis of a stage 3 pressure injury. 
  • B) An older adult client admitted 12 hours ago with a diagnosis of pyelonephritis. 
  • C) An older adult client 3 days postoperative after a total hip replacement. 
  • D) An adult client 24 hours postoperative after a vaginal hysterectomy.


18) Which complication of cardiac catheterization should the nurse monitor for in the initial 24 hours after the procedure?

  • A) Angina at rest
  • B) Thrombus formation
  • C) Dizziness
  • D)Falling blood pressure


19)The nurse in the postpartum unit is caring for a client who has just delivered a newborn infant following a pregnancy with placenta previa. The nurse reviews the plan of care and prepares to monitor the client for which risk associated with placenta previa?

  • A) Infection
  • B) Hemorrhage
  • C) Chronic hypertension
  • D) Disseminated intravascular coagulation


20) A client is admitted with an exacerbation of asthma following a respiratory viral illness. Which clinical manifestations characteristic of a severe asthma attack does the nurse expect to assess? Select all that apply. 

  • A) Accessory muscle use
  • B) Chest tightness
  • C) High-pitched expiratory wheeze
  • D) Prolonged inspiratory phase
  • E) Tachypnea


21) Among kids suspected to have Diabetes, which of the following complaints would most likely prompt parents to take their school-going kid for evaluation? 

  • A) Polyphagia
  • B) Dehydration 
  • C) Bedwetting  
  • D) Weight Loss 


22) A Patient asks a nurse “my doctor recommended to increase my intake of folic acid”. Which type of food contains a high concentration of folic acid? 

  • A) Green Vegetables & Liver
  • B) Yellow Vegetables & Red Meat 
  • C) Carrots
  • D) Milk


23) A 5-year-old child has been recently admitted to the hospital. According to Erik Erikson’s psychosocial development stages, the child is in which stage? 

  • A) Trust vs Mistrust
  • B) Initiative vs Guilt
  • C) Autonomy vs Shame & Doubt
  • D) Intimacy vs Isolation   


24) A nurse is reviewing a patient’s past medical history (PMH). The history indicates the patient has photosensitive reactions to medications. Which of the following drugs is associated with photosensitive reactions? Select the ones that apply.

  • A) Ciprofloxacin 
  • B) Sulfonamide
  • C) Norfloxacin 
  • D) Bactrim
  • E) Isotretinoine
  • F) Nitro-Dur Patch 


25) During the assessment of a client with cardiomyopathy, the nurse found that systolic blood pressure has dropped from 145 to 110 mm Hg and the heart rate has risen from 72 to 96 beats per minute, and the client complaints about periodic dizzy spells. The nurse should instruct:  

  • A) Increase fluids high in protein
  • B) Restrict Fluids
  • C) Force fluids and reassess the blood pressure
  • D) Limit fluids to non-caffeine beverages 


NCLEX-RN Course provides Comprehensive Review, Practice Questions, Test-Taking Strategies and Personalized Feedback to help you pass the exam.   

Read Also: How to Pass the NCLEX-PN Exam?

Blessy is an experienced medical instructor who specialises in Prometric courses and NCLEX preparation. She has a wealth of knowledge in healthcare education and is highly skilled in teaching and training healthcare professionals. Her main aim is to support students in passing their Prometric exams and NCLEX certification by providing them with comprehensive and up-to-date study materials, personalised instruction, and hands-on practice exams.

Blessy's teaching approach centers on creating a supportive and engaging learning environment that encourages critical thinking, problem-solving skills, and effective test-taking strategies. She is committed to professional development and keeping up-to-date with the latest trends and advancements in the medical field. As part of her commitment, she regularly attends workshops, conferences, and seminars to enhance her expertise, ensuring that her students receive the most relevant and valuable education.