NCLEX Sample Questions

  1. 1) An older client is admitted to the cardiac floor for new-onset atrial fibrillation. As the nurse is gathering admission history on the client, the client states, “Did you know that they can keep people alive even after they’re brain dead? I never want to end up on those breathing machines.” Which of the following questions should the nurse ask NEXT?

    • “Your lawyer can help you draft up papers to deal with this situation.”
    • “I will make a note in your chart just in case.”
    • “Do you have an advance directive?”
    • “Have you talked with your family about this?”

    2) Which of the following situations is an example of negligence?

    • The nurse observes a UAP enter the room of a patient on contact precautions wearing gloves and a gown.
    • A nurse transcribes a new medication order: Questran powder 2 oz bid with wet food or one full glass of water.
    • The UAP (Unlicensed Assistive Personnel) fills a water basin with warm water while the patient with depression combs her hair.
    • The nurse checks the distal pulses of a patient’s legs two hours after they have returned from a cardiac catheterization.

    3) A day shift nurse notices that the charting by the previous night shift nurse is not fully complete and ends mid-sentence. What is the CORRECT method to fix this issue?

    • Call the night shift nurse and have her finish her note verbally over the phone.
    • Cross out the entire entry in the patient’s chart and make a note stating the night nurse will write her note separately.
    • Forgive the night nurse because she was probably tired and just forgot.
    • Leave enough space for the night nurse to write her note and then chart the day note.

    4) The home health nurse visits a patient with HIV who lives alone in her apartment. Which of the following observations the nurse makes while in the patient’s home is MOST concerning?

    • The patient has a bowl of fake fruit on the table.
    • The patient has a cat who purrs loudly.
    • There is an open container of food in the refrigerator.
    • The dishwasher is broken and the patient complains that she has low water pressure throughout the whole apartment.

    5) A 22-year-old patient and her husband come to the ER after a fall down the stairs. The patient has a black eye, avoids looking at the nurse, and gives yes/no answers to the nurse’s assessment questions. Which of the following actions should the nurse take NEXT?

    • Ask the patient if she hit her head when she fell.
    • Ask the patient to produce a urine sample in the presence of the nurse.
    • Ask the patient how she fell down the stairs.
    • Report the patient’s husband for abuse to the nurse’s immediate supervisor.

    6) A patient with Cushing’s disease asks the nurse to help him choose a meal for dinner later. Which of the following meals is the best option?

    • Pork chops in cream sauce with mashed potatoes and carrots.
    • Hamburger with french fries and apple slices.
    • Mexican-style beef with guacamole and beans on the side.
    • Roasted chicken with corn and green beans.

    7) A patient is ordered to receive omeprazole (Prilosec) 40mg PO daily. The pharmacy dispenses Prilosec 20mg capsules. How many capsules should the nurse administer to this patient for a single dose?

    • ½ a capsule.
    • 1 capsule.
    • 2 capsules.
    • 1.5 capsules.

    8) The nurse performs discharge teaching for a patient with cystitis. Which of the following patient statements, if made by the patient to the nurse, reflects an INCORRECT understanding of instructions.

    • “I will remember to void before sexual intercourse.”
    • “I will drink up to three liters of fluid per day.”
    • “I will take every dose of my antibiotic even if I feel better.”
    • “I will always wipe back to front after voiding.”

    9) The nurse cares for a patient with myasthenia gravis. Which of the following is a symptom that is NOT typically part of the disease?

    • Ptosis.
    • Shuffling gait.
    • Diplopia.
    • Muscle weakness.

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