NCLEX Readiness Practice Test

These questions are part of the practice quiz. Start practicing

• Which findings in a client with rheumatic fever would indicate a need for further evaluation?
• When caring for an infant in an oxygen hood, which practice is most important?
• What is an appropriate action when administering eye drops?
• Which is true regarding delegation of client care responsibilities?
• Which of the following actions should a nurse take to ensure safe ear irrigation for a client?
• What should a nurse consider when planning care for a client undergoing cerebral angiography?
• When caring for a hospitalized client with bulimia nervosa, which assessments should be monitored closely?
• What treatment should a nurse expect to be most effective for promoting healing in a stage 2 skin ulcer?
• Which client needs to be seen first in the emergency department?
• In a geriatric day care program, how should a nurse respond to a client expressing a desire to go home?
• To assess the effectiveness of oral lactulose in a client with portosystemic encephalopathy, which item should the nurse check?
• A 187-pound client has a subdural hematoma and finds increased intracranial pressure. How many milliliters should the nurse prepare to administer of mannitol?
• Which client assignment should a pregnant nurse avoid?
• What non-pharmacological intervention can help manage symptoms of perimenopause?
• Abacavir is prescribed for a client primarily to treat which condition?
• Which postoperative instruction is important for a client who has undergone a laparoscopic appendectomy?
• A 4-year-old child continues to come to the nurses' station after being told children are not allowed there. What behavior is the child exhibiting?
• What vital sign assessment is important for a patient being treated with anticoagulants?
• In a client suspected of having Paget's disease, which laboratory study would the nurse expect to be prescribed?
• What instruction should a nurse provide about increasing intake for a child on a clear liquid diet?
• What actions should the nurse take to promote respiratory function in a client post-neck dissection?
• In cases of massive bleeding from esophageal varices, what is the correct order of interventions by the care team?
• When a client is hypoglycemic but awake and diaphoretic, what should the nurse do?
• Which risk factor makes a client more susceptible to opioid-induced respiratory depression?
• Which clients are considered high risk for influenza and would benefit from vaccination?
• In managing a patient experiencing opioid withdrawal, what should the nurse monitor most closely?
• What is the first action a nurse should take if a client experiences chills and a headache after a blood transfusion?
• Which client should the nurse assess first based on current conditions?
• Which factors contribute to an increased risk of muscle spasms after a lumbar injury?
• How should a nurse respond to a client expressing beliefs that conflict with their treatment?
• Upon a nurse's arrival, a client begins questioning their care. What is the initial response suitable in this situation?
• In caring for a child with reactive airway disease, which symptom would indicate the need for immediate intervention?
• Which is a common side effect of nitroglycerin patches?
• What constitutes a normal potassium level in an electrolyte panel?
• When is the best time for a client to take insulin glargine?
• What statement should a nurse include when explaining intravenous fluorescein angiography to a client?
• If a client is using a pneumatic compression device and reports discomfort, what is the first step the nurse should take?
• What laboratory finding in a client receiving heparin sodium intravenously requires immediate nursing intervention?
• What is the most appropriate intervention for an infant with bladder exstrophy to protect the exposed tissue?
• What is the primary purpose of instructing a patient to remove nitroglycerin patches at night?
• Which client should be assigned to the LPN by the RN?
• What is the appropriate method to eliminate lice from a child?
• Upon assessing a pediatric patient, which of the following would most likely warrant immediate intervention?
• What is a potential complication of prolonged bed rest during pregnancy?
• A 15-year-old client with a lengthy confining illness is at risk for altered growth and development due to which issue?
• What is the first action a nurse should take when preparing to suction a client with a tracheostomy tube?
• Which of the following findings suggests a potential side effect of levothyroxine?
• Which symptom might indicate that a client is experiencing pulmonary problems?
• What assessment finding is most indicative of neurogenic shock in a client with a possible spinal cord injury?
• What action is important when caring for a client who has just had cardiac catheterization?
• In a patient with a history of seizures, what symptom following a seizure might indicate a postictal state?
• Which symptoms may indicate a transfusion reaction? Select all that apply.
• What is the most accurate indicator of oxygenation immediately after multiple transfusions in a trauma victim?
• For a client with acute kidney injury and hyperkalemia, which of the following is a priority nursing action?
• What should be the nurse's priority assessment for a small for gestational age newborn after admission?
• After a seizure lasting 25 seconds, which phase of the client's seizure activity is indicated by the confusion and headache experienced for 20 minutes?
• Which is an appropriate measure for a client experiencing hyperthermia?
• What is the best first action for a nurse who is planning home health care visits for the day?
• What should a nurse do for a client with MRSA infection in the nares?
• Which assignment is most appropriate for the charge RN on a medical-surgical unit?
• For a client requesting lifestyle changes to manage perimenopausal symptoms, what dietary change should be encouraged?
• Clients with which of the following diagnoses are often prescribed interventions to manage anxiety?
• What symptom may a nurse expect to observe in a client with tardive dyskinesia?
• If a client on warfarin chooses which food, it indicates a need for further education?
• What action should be taken if a client feels muscle stiffness while on antipsychotic medication?
• Who can access a client's medical record when they are being treated for complications of a chronic disease?
• What medication is likely to be prescribed for a client with major depression?
• Which medication should be readily available when administering intravenous heparin therapy?
• Which of the following drugs is commonly used to stabilize mood in bipolar disorder patients?
• What indicates that a nurse should adjust care when assisting in managing pain for a post-operative patient?
• After a coronary stent placement, which prescription should the nurse administer first for a client reporting back pain?
• What is a common side effect of opioid pain medication that nursing staff need to monitor closely?
• When implementing a prescription for progressive ambulation, what would be an appropriate action for a confused hospitalized client?
• What expected finding should a nurse monitor for in a child with acute severe airway obstruction?
• In the case of a client with hyperthyroidism and a serum calcium level of 12.0 mg/dL, which medication is likely to be prescribed?
• Which action should the nurse prioritize before a client undergoes surgery?
• What is the infusion rate for vancomycin (Vancocin) if mixed in a 200 mL bag to be infused over 1.5 hours?
• In the event of asystole in an elderly client, what is the nurse's top priority action?
• What is a critical observation for clients receiving heparin therapy?
• After bowel resection for Hirschsprung's disease, which assessment finding should be reported to the health care provider?
• When a client expresses distress over a new asthma diagnosis, what is the most therapeutic response for the nurse?
• What is the first action a nurse should take when a client with a spinal cord injury shows signs of autonomic dysreflexia?
• Which teaching intervention is appropriate for a client with dysphagia receiving radiation treatment?
• What factors could contribute to a "near miss" medication error during a night shift?
• When should a nurse administer a tetanus vaccine to a client?
• Which statements indicate a nursing student understands the term "quickening" during pregnancy?
• Which dinner selection is the most appropriate to promote nutrition for a client in an acute manic episode of bipolar disorder?
• Which symptom should a client report during treatment with pertuzumab?
• What manifestation might indicate an adverse reaction to butorphanol tartrate?
• How should the nurse prepare dexamethasone for intravenous administration?
• What is one primary responsibility of a nurse when caring for a patient with a new colostomy?
• If a client states they should not stop taking propranolol suddenly, what does this indicate?
• What is an appropriate nursing intervention for a child with otitis media?
• When admitting a client with a possible diagnosis of Guillain-Barré syndrome, which data should the nurse prioritize collecting?
• What is a critical step before administering medications to a patient with a history of allergies?
• What action must a client take when prescribed dapsone for toxoplasmosis associated with AIDS?
• What should the nurse do to help a client manage hot flashes?
• An 18-month-old child presents with breathing difficulty before surgery. What should the nurse do first after calling the rapid response team?
• What behavior is indicative of substance use disorder in a client who claims to drink only occasionally?
• In an ethical scenario where a nurse must withhold information from a patient about a loved one's death, what is the first step the nurse should take?
• What is a key intervention for a nurse managing a patient with an increased risk of deep vein thrombosis?
• What finding indicates that nebulized albuterol is producing a therapeutic effect for a client with asthma exacerbation?
• During a task force meeting to address patient falls, which statement indicates an intention to increase meeting effectiveness?
• When arranging statements about grief, which comes first according to the grieving process?
• What priority nursing diagnosis should be identified for a client with multidrug-resistant tuberculosis who stopped taking medications due to nausea and fatigue?
• Which allergy would require a nurse to hold the MMR vaccine for a five-year-old child?
• What condition is most likely responsible for a hemoglobin level of 10.8 g/dL in an adult female client?
• What important teaching should the nurse include for a client prescribed oral acyclovir and topical lidocaine?
• What nursing intervention is most effective in helping a withdrawn client develop relationship skills?
• In providing care to an infant with a ventriculoperitoneal shunt, which instruction should be emphasized?
• What should be the initial action of a practical nurse if a client complains of chills and headache during a transfusion?
• What should a nurse expect to find during the immediate postoperative examination of a newborn's colostomy?
• Based on assessment data, which client is most likely to be transferred to the intensive care unit?
• Which finding should a nurse emphasize as a common side effect of clozapine (Clozaril) therapy during discharge teaching?
• What should the nurse do to prepare a client with chronic kidney disease for hemodialysis?
• What type of lung sounds should be documented if fluid sounds are heard during auscultation?
• Which client is at greatest risk for respiratory depression when receiving opioids for pain control?
• When preparing to administer a unit of packed red blood cells, which intravenous (IV) solution should be obtained?
• Which behavior indicates that a child is seeking attention?
• Which tactics could be effective in reducing patient falls in healthcare settings?
• What diet should a nurse anticipate will be prescribed for a client with common bile duct obstruction?
• When preparing a child for a renal transplant, why should the MMR vaccine be administered prior to the procedure?
• What is a recommended approach for managing stress and relieving symptoms in perimenopausal women?
• What is an effective way to support a client with dysphagia during mealtime?
• A 62-year-old male presents to the emergency department with chest pain. Which intervention should be implemented within the first 10 minutes of arrival?
• Which intervention is crucial for a patient about to undergo a surgical procedure for intussusception?
• What is the appropriate intervention when a nurse aspirates 180 mL of undigested feeding from a client with ALS?
• Which statement indicates an understanding of the Snellen chart results documenting vision as 20/40?
• What is the immediate nursing action when arriving at the scene of an industrial accident with an impaled object?
• Which interventions are appropriate for a client who is shivering and confused after a boating accident?
• What nursing action is essential before starting a feeding through a PEG tube?
• Which finding is most commonly associated with abruptio placentae?
• What is the recommended action when a client is found to have a high serum potassium level?
• When managing a client with a history of asthma and kidney stones, which assessment finding is most concerning?
• What characteristic feature is commonly associated with the onset of neurogenic shock?
• Which groups are recommended to undergo HIV testing?
• What action should a nurse perform first when starting an infusion of IV fluids?
• What is the expected timeframe for the effects of lithium to begin according to nursing standards?
• What method should a nurse use to administer continuous oxygen therapy to a client with emphysema to avoid depressed ventilation?
• Which assessment finding might suggest a need for further evaluation in a client with hyperthyroidism?
• What should a nurse instruct a client to do to maintain hydration during perimenopause?
• When developing a care plan for a client with cirrhosis, what action is appropriate to prioritize first?
• Which sign would suggest that a patient is experiencing an acute pain crisis due to sickle cell disease?
• What is the first assessment a nurse should complete for a child receiving succimer for lead poisoning?
• When caring for a client with cirrhosis who has vomited blood, which intervention should be performed first?
• In the event of hypertonic uterine contractions during labor, which intervention should be taken first?
• Which interventions can help relieve muscle spasms in a client with a lumbar vertebral fracture?
• Which finding is typical in a client experiencing extracellular fluid volume deficit?
• What should the nurse expect to find in an infant with dehydration?
• What intervention is essential prior to starting a client on atorvastatin therapy?
• Which statement by the parent of a client with paranoid schizophrenia indicates a need for further teaching about ziprasidone?
• What kind of behavior may indicate a child is under stress?
• What should the nurse do next if unable to palpate the right pedal pulse after a right femoral angiogram?
• Which set of laboratory values would alert the nurse to hold the vancomycin and notify the health care provider?
• Which statement indicates that a client receiving warfarin sulfate (Coumadin) requires additional teaching?
• What should a nurse do first if a client's blood pressure is measured at 198/102 mm Hg?
• In the case of a prolapsed umbilical cord, which action should be performed first?
• Which characteristic is associated with complete right-sided hemiparesis following a stroke?
• Which of the following is an example of an appropriate nursing intervention for a client recovering from lithotripsy?
• In planning care for a client receiving intravenous morphine sulfate, which monitoring should be the priority?
• Which pediatric client should the nurse prioritize for immediate care?
• Which position is best for a terminally ill patient to alleviate dyspnea?
• What action should a nurse take first when a client exhibits shortness of breath after lithotripsy?
• During a prolapsed umbilical cord emergency, which is the first action a nurse should take?
• Which of the following assessment findings after a cardiac catheterization should be reported immediately?
• Which laboratory result should a nurse analyze first for an 80-year-old client on digoxin who reports nausea and visual disturbances?
• What should a nurse do if a client reports dizziness while on ziprasidone?
• What finding should a nurse anticipate in a child diagnosed with cystic fibrosis?
• A nurse should monitor a client with a history of ventricular arrhythmias while doing what specific action?
• In preparing a client for an above-the-knee amputation, which actions are part of the nurse's responsibilities to ensure client safety?
• During a home visit, which finding is the best indicator of expected progress in wound healing?
• What is the most appropriate initial intervention for an obese client with oxygen saturation of 88% in the postanesthesia care unit?
• What is a priority focus a nurse should check before administering a high dose potassium bolus IV?
• What should the nurse do first when caring for a client with a pneumatic compression device?
• What should the nurse do upon discovering a do not resuscitate (DNR) prescription after initiating resuscitation?
• What is an appropriate nursing action during the administration of a blood transfusion for a client with sickle cell disease?
• What is the first intervention a nurse should perform for a client with reported shortness of breath and low blood pressure?
• What breathing technique can help during a hot flash?
• When managing an arterial blood gas puncture site, what should the nurse prioritize?
• Which intervention is appropriate when caring for a terminally ill toddler?
• Which statement by a client with type 1 diabetes mellitus indicates a need for further teaching?
• For clients with atrial fibrillation, what is the primary purpose of prescribing warfarin?
• What is the outcome of the first assessment step for a nurse caring for a client with autonomic dysreflexia?
• What is the initial nursing action for a client with hypoxia after a lithotripsy?
• When identifying a client, which method is appropriate for verification?
• Which interventions are expected for a client diagnosed with acute pancreatitis?
• What is the primary goal of administering calcium in a client with hyperthyroidism?
• Which nursing action is essential after receiving blood transfusion?
• Which medication should a nurse anticipate being prescribed for paroxysmal nocturnal dyspnea?
• What is the priority nursing diagnosis for a client with schizophrenia and catatonia?
• When should a nurse conduct a mental status examination during the health promotion process?
• What is the primary nursing consideration for a client diagnosed with congestive heart failure receiving diuretic therapy?
• What is the primary purpose of Kegel exercises during pregnancy?
• What immediate action is necessary if a nurse finds that a client in labor is experiencing hypertonic contractions?
• What sounds would a nurse expect to hear when auscultating the bowel in a post-anesthesia care unit client?
• Which adverse effect should a parent monitor for in a child taking antipsychotic medication like ziprasidone?
• Which herbal supplement should the nurse provide education about to a client diagnosed with major depressive disorder?
• Using Naegele's rule, what is the estimated date of birth for a client whose last normal menstrual period started on March 1 and ended on March 5?
• What nursing intervention is appropriate in the immediate postoperative period for a 13-year-old after spinal fusion?
• Which measure would not be appropriate for a client with dysphagia?
• Which skills are considered instrumental activities of daily living for a client?
• What position should a nurse place a terminally ill client experiencing dyspnea?
• Which client statement indicates an understanding of discharge instructions after receiving a prophylactic cervical cerclage?
• Which items are allowed on a clear liquid diet? Select all that apply.
• When assessing a newborn's fontanels, what should the nurse expect to find as normal?
• What should the nurse leader focus on during the meeting to increase effectiveness?
• What is a priority nursing intervention for a client with asthma who develops shortness of breath?
• Which condition requires immediate intervention in a client with diabetes?
• Which complications should the nurse monitor for in a client prescribed valproic acid?
• What is the best initial intervention for a client experiencing anxiety after a robbery?
• What is a safe diet restriction for someone with acute pancreatitis?
• In a rheumatoid arthritis treatment plan, which type of medication is commonly prescribed?
• Before a cerebral angiography, which allergy should the nurse assess the client for?
• In which order should the nurse prioritize actions for a client who threatens harm to her ex-husband?
• Before administering clozapine to a client with schizophrenia, which statement requires priority investigation?
• A client with cystitis has been on antibiotics for 72 hours. Which report indicates a need for further assessment by the nurse?
• During medication reconciliation, what action should the nurse take if a client's husband expresses concern about medication adherence?
• What is a recommended action when providing mouth care for an unconscious client?
• For a client with chronic kidney disease on heparin, which prescription should the nurse question?
• What are the expected side effects of promethazine administered to a client for nausea?
• When monitoring an infant post-ventriculoperitoneal shunt placement, which symptom should prompt immediate consultation with a provider?
• What does the obstetric history G5T1P2A1L2 indicate about the client?
• For a client with acute pancreatitis, which interventions are expected to be prescribed? Select all that apply.
• Which factor could potentially affect a client's potassium level?
• Which hormone's presence indicates pregnancy when detected by a home pregnancy test?
• Which statement accurately describes the consistency of feces in relation to colostomy drainage?
• Which client should the nurse assess first after receiving report on four clients with recent fractures?
• What is the purpose of administering omeprazole to a client after surgery?
• Which medication might be added to the regimen of a client receiving isoniazid?
• What statement by a parent indicates a need for further instruction regarding permethrin rinse?
• What is the correct method for instilling eye drops in a child?
• What should a nurse recommend to a client to manage anxiety symptoms effectively?
• Which intervention should a nurse implement for a client with recurrent renal calculi?
• Which symptom may indicate a side effect of levothyroxine sodium?
• In caring for a client with gestational diabetes during the second stage of labor, what should the nurse anticipate if the fetal head retracts?
• In the context of treating anxiety, when should a nurse evaluate the effectiveness of an intervention?
• What should a nurse instruct a client regarding the use of nitroglycerin patches?
• Who among the following clients is considered high-risk and should receive an influenza vaccine?
• When alcohol consumption is abruptly stopped, which physiological response is typically observed?
• What type of medications might be expected for a client based on ECG findings?
• Which statement indicates that the wife of an alcoholic client is benefiting from attending Al-Anon?
• What is an important instruction for a client taking iron supplements?
• What intervention should the nurse include when preparing to educate a client with diabetes about managing their condition?
• Which client should be seen first in the emergency department?
• How should a nurse take the initial blood pressure of a newly diagnosed hypertension client?
• What symptom would the nurse most likely expect in a young adult male diagnosed with testicular cancer?
• Which findings following a total thyroidectomy should prompt a nurse to report complications immediately?
• What is the most accurate indicator for adequate oxygenation in a trauma victim after multiple blood transfusions?
• In monitoring contractions of a laboring woman, how would the nurse document contractions occurring at 10:00 am and 10:15 am?
• Which combination of medications should the nurse question for a client with depression?
• Which finding in a 4-day-old neonate indicates the need for further assessment regarding formula supplementation?
• Before starting a feeding through a PEG tube, which action is essential for the nurse to perform?
• Which common asthma trigger should a college athlete diagnosed with mild persistent asthma be taught to avoid?
• What should the nurse's initial response be to a client with depression who has become more social and energetic?
• When managing a client in labor receiving oxytocin, what is the expected priority action?
• According to Chinese folk medicine, which explanation might a family attribute to a client's illness related to generalized anxiety disorder?
• A 9-year-old with terminal cancer is asking about dying. What should the nurse do first?
• How much liquid suspension should a nurse administer for a 500 mg dosage of erythromycin given every 6 hours?
• Which dietary recommendation should a nurse provide to a client experiencing perimenopausal symptoms?
• A female client with liver cirrhosis suddenly develops epistaxis while on a heparin infusion. Which laboratory value indicates that the heparin infusion needs to be turned off?
• Which mother-baby pair indicates the need for a nurse to review the Coombs' test before administering Rho (D) immune globulin?
• In the event of an allergic reaction to a blood transfusion, what is the nurse’s first action?
• Which vital sign should be monitored closely for a patient receiving opioid medications?
• In a scenario where a diabetic client reports symptoms of hypoglycemia, what should the nurse do first?
• Which medication is typically associated with monitoring for pancreatic complications?
• Which risk factors should a nurse include when discussing causes of otitis media with a child's mother?
• What should be done after assisting a client diagnosed with substance use disorder in recognizing their impulsive behavior?
• For a child diagnosed with rheumatic fever, which lab findings would the nurse expect to see?
• A client with an intracapsular hip fracture requires assessment for which key finding?
• When moving a client who can partially assist, which action demonstrates awareness of ergonomics and safe handling?
• What symptom warrants immediate referral to a healthcare provider after a cervical cerclage procedure?
• What is an important teaching point for a client receiving eye drops for glaucoma?
• What is the most important nursing action prior to administering digoxin to a client with heart failure?
• A nurse must closely monitor which laboratory value for a client on heparin therapy for DVT?
• When applying a heating pad, which intervention should be considered unsafe?
• What should the nurse include in the admission report for a client taking phenytoin?
• After assessing a client with a thoracic aneurysm who has developed sharp midchest pain, what is the nurse's priority intervention?
• When administering eye drops to a client with glaucoma, where should the eye drops be placed?
• What behavior should a client with thrombocytopenia avoid to minimize injury risk?
• In a triage situation after an earthquake, which client should the nurse care for first?
• Which medication class would require monitoring for gastrointestinal bleeding in a client?
• Which factor should a nurse identify as contributing to insomnia in older clients?
• An increased red blood cell (RBC) count may be associated with which condition?
• Which finding should prompt immediate intervention when caring for a patient on IV vancomycin?
• Which dressing type requires further intervention by the nursing instructor for a client with moderate wound drainage?
• Which complication should the nurse monitor for increasingly in a client taking valproic acid?
• When considering a client's values regarding Chinese medicine, what should the primary nursing goal focus on?
• Before giving nitroglycerin patches, what assessment should the nurse perform?
• What is a desirable outcome for a client with schizophrenia who is talking to themselves and the radio?
• What is the most typical dietary restriction for a client on warfarin related to vitamin K?
• What should a nurse tell a client regarding the duration for taking diuretics for heart failure?
• What nursing intervention is appropriate for a patient with residual dysphagia after a stroke?
• Which patient lab result should the nurse report to the healthcare provider first?
• Which action is appropriate for a client who underwent total hip arthroplasty 48 hours ago?
• What non-pharmacological intervention can help manage stress for a woman experiencing perimenopause?
• Before a client undergoes a CT scan with contrast, what should the nurse confirm?
• Which data regarding health history would concern a nurse assessing risk factors for osteoporosis?
• Which side effect could be expected from administering butorphanol tartrate during labor?
• What should a client taking tranylcypromine avoid to reduce the risk of adverse effects?
• Which action should the nurse perform first in response to a client experiencing autonomic dysreflexia?
• What is the first priority for a nurse upon receiving a unit of packed red blood cells for a client?
• During a mental health assessment, which behavior would be most concerning as a potential risk for self-harm?
• Which factors might contribute to the development of PTSD in a military veteran?
• Which injection site is recommended for vaccinating a toddler?
• What symptom would a nurse associate with tardive dyskinesia?
• In a client diagnosed with mitral regurgitation, which symptom should the nurse expect to find in the documentation?
• For a client starting therapy with pertuzumab for metastatic breast cancer, which statement is important for the nurse to reinforce?
• Which vital sign should be monitored closely during a blood transfusion for signs of an adverse reaction?
• What side effects should a nurse monitor for a patient receiving transfusions?
• Which symptom suggests a potential complication after a major motor vehicle accident?
• A client with schizophrenia makes a statement that reflects which type of thinking?
• As part of nursing care for a client post spinal fusion surgery, which intervention is not appropriate?
• Which assessment findings after a cardiac catheterization should the nurse report immediately?
• What room assignment is most appropriate for a child with an autism spectrum disorder (ASD) admitted for tests?
• Which client reaction to contrast material during an intravenous pyelogram should prompt immediate intervention?
• Which pressure points should a nurse monitor for an unconscious client positioned on the left side?