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Home » My Account » NCLEX-RN Readiness Exam

NCLEX-RN Readiness Exam

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Question 1 of 30

1. Question

While planning care for the shift, the nurse reviews the status of assigned clients.

> Which client should be assessed first?

1. A client with a chest tube following treatment for pneumothorax
Correct Incorrect Correct answer

2. A client receiving total parenteral nutrition through a central line
Correct Incorrect Correct answer

3. A client on contact precautions for a multidrug-resistant organism
Correct Incorrect Correct answer

4. A client recovering from abdominal surgery two days earlier
Correct Incorrect Correct answer

Correct

Incorrect
Question 2 of 30

2. Question

A nurse plans rounds for four assigned clients.

> Which client should be assessed first?

1. A postoperative client preparing for discharge with new medications
Correct Incorrect Correct answer

2. A client requiring routine surgical dressing changes
Correct Incorrect Correct answer

3. A client with asthma who requested a breathing treatment earlier
Correct Incorrect Correct answer

4. A client awaiting confirmation of nasogastric tube placement by x-ray
Correct Incorrect Correct answer

Correct

Incorrect
Question 3 of 30

3. Question

A client with limited mobility requires assisted living placement. The family insists on selling the client’s home to cover expenses, but the client strongly disagrees and expresses emotional attachment to the property.

> What is the most appropriate nursing action at this time?

1. Explain the client’s wishes directly to the family
Correct Incorrect Correct answer

2. Arrange a family meeting to resolve the conflict
Correct Incorrect Correct answer

3. Encourage the client to talk about what the home means to them
Correct Incorrect Correct answer

4. Recommend establishing power of attorney
Correct Incorrect Correct answer

Correct

Incorrect
Question 4 of 30

4. Question

The nurse is preparing assignments for the day.

> Which client-related responsibility is most appropriate to assign to the licensed practical nurse (LPN)?

1. Teaching a client how to manage an insulin pump
Correct Incorrect Correct answer

2. Administering a newly prescribed oral medication to a client
Correct Incorrect Correct answer

3. Performing the initial admission assessment
Correct Incorrect Correct answer

4. Assessing a client with shortness of breath and low oxygen saturation
Correct Incorrect Correct answer

Correct

Incorrect
Question 5 of 30

5. Question

Due to a large-scale emergency in the community, the charge nurse must identify hospitalized cardiac clients who are stable enough for discharge.

> Which clients can be safely discharged? Select all that apply.

1. A client completing an oral antibiotic regimen
Correct Incorrect Correct answer

2. A client reporting intermittent chest discomfort
Correct Incorrect Correct answer

3. A client with a stable sinus rhythm and no symptoms
Correct Incorrect Correct answer

4. A client recently diagnosed with uncontrolled atrial fibrillation
Correct Incorrect Correct answer

5. A client wearing a Holter monitor for outpatient rhythm evaluation
Correct Incorrect Correct answer

6. A client with complete heart block awaiting pacemaker placement
Correct Incorrect Correct answer

Correct / 3 Points

Incorrect / 3 Points
Question 6 of 30

6. Question

A nurse preceptor observes a newly licensed nurse caring for a client diagnosed with Clostridioides difficile.

> Which observed action indicates the need for additional teaching?

1. Donning gloves and a gown upon room entry
Correct Incorrect Correct answer

2. Cleaning bedside surfaces with a bleach-based disinfectant
Correct Incorrect Correct answer

3. Performing hand hygiene with soap and water after care
Correct Incorrect Correct answer

4. Using a shared blood pressure cuff kept in the hallway
Correct Incorrect Correct answer

Correct

Incorrect
Question 7 of 30

7. Question

A client six hours postpartum reports dizziness and lightheadedness when sitting up.

> What is the most appropriate nursing intervention?

1. Elevate the head of the bed
Correct Incorrect Correct answer

2. Instruct the client to request assistance before ambulating
Correct Incorrect Correct answer

3. Obtain laboratory studies immediately
Correct Incorrect Correct answer

4. Delay newborn rooming-in
Correct Incorrect Correct answer

Correct

Incorrect
Question 8 of 30

8. Question

A client with cervical cancer has an internal radiation implant (brachytherapy).

> Which nursing actions are appropriate? Select all that apply.

1. Wear a lead shield when providing direct care
Correct Incorrect Correct answer

2. Limit time in the room to 1 hour per shift
Correct Incorrect Correct answer

3. Assign the client to a private room with a private bath
Correct Incorrect Correct answer

4. Remove the dosimeter badge when entering the room
Correct Incorrect Correct answer

5. Allow visitors under age 16 if they remain 6 feet from the client
Correct Incorrect Correct answer

6. Keep pregnant persons out of the client’s room
Correct Incorrect Correct answer

Correct / 3 Points

Incorrect / 3 Points
Question 9 of 30

9. Question

A client with cardiogenic shock is admitted to the ICU with pulmonary edema and hypotension. The nurse reviews the medication administration record before starting ordered infusions.

> Which order entry requires follow-up?

1. Digoxin 0.5 mg PO daily
Correct Incorrect Correct answer

2. Verapamil 10 mg IV, may repeat every 15 minutes
Correct Incorrect Correct answer

3. Morphine sulfate 2 mg IV as needed for chest pain
Correct Incorrect Correct answer

4. Dopamine infusion to maintain systolic BP above 100 mm Hg
Correct Incorrect Correct answer

Correct

Incorrect
Question 10 of 30

10. Question

A school-age child is diagnosed with rubeola (measles). The parent asks how to make the child more comfortable at home.

> Which instruction should the nurse emphasize?

1. “Keep the room dim because measles often causes sensitivity to light.”
Correct Incorrect Correct answer

2. “Warm bath soaks several times a day will ease the itching.”
Correct Incorrect Correct answer

3. “Sun exposure helps dry the rash, so outdoor play is encouraged.”
Correct Incorrect Correct answer

4. “Use aspirin for fever since it works best in viral rashes.”
Correct Incorrect Correct answer

Correct

Incorrect
Question 11 of 30

11. Question

A large-for-gestational-age newborn is being examined shortly after birth.

> Which assessment technique best helps identify birth-related trauma?

1. Gently palpating the clavicles for signs of fracture
Correct Incorrect Correct answer

2. Auscultating heart sounds for structural abnormalities
Correct Incorrect Correct answer

3. Applying pressure to the skin to check for jaundice
Correct Incorrect Correct answer

4. Performing the Ortolani maneuver to assess hip stability
Correct Incorrect Correct answer

Correct

Incorrect
Question 12 of 30

12. Question

A parent asks the nurse what shapes a preschooler’s sense of “right and wrong.”

> According to Kohlberg’s theory, what primarily motivates behavior at this stage?

1. Desire for approval from friends
Correct Incorrect Correct answer

2. Concern for social rules and norms
Correct Incorrect Correct answer

3. Influence from parental role modeling
Correct Incorrect Correct answer

4. Perception of rewards and fear of punishment
Correct Incorrect Correct answer

Correct

Incorrect
Question 13 of 30

13. Question

A client hospitalized with active tuberculosis expresses fear, saying, “I am so scared. I feel like this illness is taking over my life.”

> Which nursing intervention best helps the client cope?

1. Encourage the client to work through the diagnosis alone in their own way
Correct Incorrect Correct answer

2. Ask the family whether they would like psychiatric services involved
Correct Incorrect Correct answer

3. Reinforce that strict medication adherence is the most effective way to recover and regain control
Correct Incorrect Correct answer

4. Suggest a visit with the hospital’s chaplain for emotional support
Correct Incorrect Correct answer

Correct

Incorrect
Question 14 of 30

14. Question

A client being discharged home on enoxaparin says, “If I still need injections, I do not understand why I am being sent home. It feels too soon.”

> Which nurse response is most therapeutic?

1. “Many clients safely give this medication at home. Studies show it does not require hospitalization.”
Correct Incorrect Correct answer

2. “Are you unhappy about going home right now?”
Correct Incorrect Correct answer

3. “You cannot stay in the hospital forever.”
Correct Incorrect Correct answer

4. “I can let your provider know you want to stay longer.”
Correct Incorrect Correct answer

Correct

Incorrect
Question 15 of 30

15. Question

A client scheduled to begin electroconvulsive therapy asks the nurse what to expect from the treatment series.

> Which statements by the nurse are accurate? Select all that apply.

1. Temporary memory gaps can occur after each treatment
Correct Incorrect Correct answer

2. Most clients receive eight to twelve sessions over several weeks
Correct Incorrect Correct answer

3. Short-term confusion or amnesia may occur immediately afterward
Correct Incorrect Correct answer

4. ECT permanently resolves depressive disorders in most clients
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5. ECT is usually offered before trying antidepressant medications
Correct Incorrect Correct answer

Correct / 3 Points

Incorrect / 3 Points
Question 16 of 30

16. Question

A client recovering from major abdominal surgery has a large surgical wound. The nurse reinforces nutritional choices that promote wound healing.

> Which food should the nurse recommend as a natural source of vitamin C?

1. Yogurt
Correct Incorrect Correct answer

2. Grapefruit
Correct Incorrect Correct answer

3. Rice
Correct Incorrect Correct answer

4. Turkey
Correct Incorrect Correct answer

Correct

Incorrect
Question 17 of 30

17. Question

A nurse provides teaching to a client with Crohn’s disease who reports worsening abdominal pain during flare-ups.

> Which client statement indicates a need for further teaching?

1. “I can use slow breathing and relaxation exercises when the pain increases.”
Correct Incorrect Correct answer

2. “Lying flat with my legs straight helps decrease abdominal tension.”
Correct Incorrect Correct answer

3. “Gentle abdominal massage sometimes helps relieve discomfort.”
Correct Incorrect Correct answer

4. “Taking my prescribed antispasmodic medication can reduce cramping.”
Correct Incorrect Correct answer

Correct

Incorrect
Question 18 of 30

18. Question

A client with osteoarthritis is undergoing physical therapy after a right total hip arthroplasty. While performing the exercises, the client complains of pain with abduction of the right hip.

> Which nursing intervention is most appropriate to address this complaint?

1. Provide the prescribed pain medication before continuing exercises
Correct Incorrect Correct answer

2. Stop physical therapy for 48 hours
Correct Incorrect Correct answer

3. Perform full passive range of motion (ROM) on the right hip to reduce stiffness
Correct Incorrect Correct answer

4. Call the healthcare provider about the client’s pain
Correct Incorrect Correct answer

Correct

Incorrect
Question 19 of 30

19. Question

A primary health care provider prescribes 0.3mg hydromorphone IV for an older adult who is undergoing a fracture reduction. The medication vial reads hydromorphone hydrochloride injection 2mg/mL.

> How many milliliters should the nurse prepare? Fill in the blank.

Correct Incorrect Correct answer

Correct

Incorrect
Question 20 of 30

20. Question

A client newly diagnosed with central diabetes insipidus is prescribed intranasal desmopressin. At a follow-up call two days later, the nurse asks the client to describe what they understand about the medication and what to report.

> Which statements by the client indicate understanding? Select all that apply.

1. “Once I start this medication, I should drink less unless my provider tells me otherwise.”
Correct Incorrect Correct answer

2. “If the medication works, I should be urinating more than I do now.”
Correct Incorrect Correct answer

3. “I should call my provider if I develop headaches or feel unusually sleepy.”
Correct Incorrect Correct answer

4. “This medication will cause my urine to turn an orange-brown color.”
Correct Incorrect Correct answer

5. “I’ll need to follow a low-fat diet because this medication can inflame the pancreas.”
Correct Incorrect Correct answer

Correct / 2 Points

Incorrect / 2 Points
Question 21 of 30

21. Question

A client newly diagnosed with active pulmonary tuberculosis is prescribed a multidrug regimen that includes isoniazid and rifampin. During discharge teaching, the client asks how the medications should be taken to ensure the best outcome.

> Which instruction should the nurse include?

1. Take each medication at different times of the day
Correct Incorrect Correct answer

2. Expect treatment to last only until symptoms resolve
Correct Incorrect Correct answer

3. Take the medications together once daily as prescribed
Correct Incorrect Correct answer

4. Take the medications only after meals to reduce irritation
Correct Incorrect Correct answer

Correct

Incorrect
Question 22 of 30

22. Question

A client is admitted to the cardiac step-down unit with sustained wide-complex tachycardia. The provider prescribes an IV loading dose of procainamide followed by a continuous infusion.

> The nurse understands that this medication is being administered to treat which condition?

1. Symptomatic sinus bradycardia
Correct Incorrect Correct answer

2. Atrial flutter with rapid ventricular response
Correct Incorrect Correct answer

3. Ventricular dysrhythmias
Correct Incorrect Correct answer

4. Hypertensive emergency
Correct Incorrect Correct answer

Correct

Incorrect
Question 23 of 30

23. Question

A client receiving doxorubicin for leukemia is monitored closely for medication toxicity.

> Which assessment finding would most strongly suggest a serious toxic effect of doxorubicin?

1. Temporary reddish discoloration of urine
Correct Incorrect Correct answer

2. Elevated serum creatinine
Correct Incorrect Correct answer

3. New electrocardiographic changes
Correct Incorrect Correct answer

4. Mild nausea following infusion
Correct Incorrect Correct answer

Correct

Incorrect
Question 24 of 30

24. Question

A client with dysphagia is receiving intermittent bolus feedings through a nasogastric (NG) tube.

> Which key step should the nurse perform before administering the formula?

1. Evaluate the client’s response to the previous bolus feeding
Correct Incorrect Correct answer

2. Monitor for adequate volume status and signs of electrolyte imbalances
Correct Incorrect Correct answer

3. Measure the gastric residual volume
Correct Incorrect Correct answer

4. Auscultate bowel sounds
Correct Incorrect Correct answer

Correct

Incorrect
Question 25 of 30

25. Question

A client receiving chemotherapy is teaching back bleeding precautions during the expected nadir.

> Which statement indicates the need for further teaching?

1. “I will take ibuprofen or aspirin if I get a headache.”
Correct Incorrect Correct answer

2. “I will use a soft toothbrush and avoid flossing if my gums bleed.”
Correct Incorrect Correct answer

3. “If my platelets drop very low, I might need a platelet transfusion.”
Correct Incorrect Correct answer

4. “I will track how heavy my menstrual bleeding is and report changes.”
Correct Incorrect Correct answer

Correct

Incorrect
Question 26 of 30

26. Question

A 10-month-old has an air-contrast enema for hydrostatic reduction of intussusception.

> Which finding does the nurse expect after successful reduction?

1. Increasing abdominal distention.
Correct Incorrect Correct answer

2. Persistent “currant jelly” stools.
Correct Incorrect Correct answer

3. Recurrent severe colicky pain with bilious emesis.
Correct Incorrect Correct answer

4. Passage of contrast material with stool.
Correct Incorrect Correct answer

Correct

Incorrect
Question 27 of 30

27. Question

The nurse creates a plan for seizure safety for a child who is at risk for seizures.

> Which actions are appropriate during a seizure? Select all that apply.

1. Move nearby objects away
Correct Incorrect Correct answer

2. Time the seizure
Correct Incorrect Correct answer

3. Restrain the child
Correct Incorrect Correct answer

4. Stay with the child
Correct Incorrect Correct answer

5. Place the child prone
Correct Incorrect Correct answer

6. Place an object in the mouth to protect the tongue
Correct Incorrect Correct answer

Correct / 3 Points

Incorrect / 3 Points
Question 28 of 30

28. Question

An emergency department nurse is caring for a child with suspected acute epiglottitis and signs of respiratory distress.

> Which nursing interventions are appropriate? Select all that apply.

1. Apply continuous oxygen saturation monitoring
Correct Incorrect Correct answer

2. Obtain a throat culture using a tongue depressor
Correct Incorrect Correct answer

3. Position the child supine to conserve energy
Correct Incorrect Correct answer

4. Keep a pediatric tracheostomy tray available
Correct Incorrect Correct answer

5. Prepare for radiographic evaluation as prescribed
Correct Incorrect Correct answer

6. Maintain a patent airway
Correct Incorrect Correct answer

Correct / 4 Points

Incorrect / 4 Points
Question 29 of 30

29. Question

A client’s imaging report notes a left apical pneumothorax. The nurse plans to auscultate the area most likely affected.

> Where should the nurse place the stethoscope to assess breath sounds at the left lung apex?

1. Midsternum, slightly to the left
Correct Incorrect Correct answer

2. Over the left fifth intercostal space at the midclavicular line
Correct Incorrect Correct answer

3. Just below the left clavicle
Correct Incorrect Correct answer

4. Midsternum, slightly to the right
Correct Incorrect Correct answer

Correct

Incorrect
Question 30 of 30

30. Question

The nurse is reviewing arterial blood gas results for a client with advanced emphysema who has chronic hypoventilation.

> Which arterial blood gas profile would the nurse expect?

1. pH 7.45, PaCO₂ 30 mm Hg, HCO₃ 20 mEq/L
Correct Incorrect Correct answer

2. pH 7.33, PaCO₂ 60 mm Hg, HCO₃ 27 mEq/L
Correct Incorrect Correct answer

3. pH 7.48, PaCO₂ 32 mm Hg, HCO₃ 30 mEq/L
Correct Incorrect Correct answer

4. pH 7.30, PaCO₂ 25 mm Hg, HCO₃ 18 mEq/L
Correct Incorrect Correct answer

Correct

Incorrect

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