NCLEX RN Practice Exam

1.) The nurse is teaching a client who is recovering from a renal transplant about the discharge medication regimen. The nurse evaluates that the client understands the purpose of cyclosporin (Neoral) when the client states. "I will need to take the Neoral:

A. "For the rest of my life."
B. "To help my kidneys filter blood."
C. "In order to build up my immune system."
D. "To help my proBNP levels return to normal."


2.) The nurse should make which of the following statements to a client after receiving a total laryngectomy?

A. "Your speech will be in a more nasal tone."
B. "Your speech will return once you are able to cough."
C. " You will not be able to speak again once the larynx is removed."
D. "Speech therapy will assist you in using devices to help you speak."

3.) The nurse understands that the client presenting with angina pectoris demonstrates pain that has which characteristic, not typically associated with the pain of acute myocardial infarction? It:

A. Is substernal or retrosternal.
B. Does not radiate.
C. Is described as a crushing, heaviness in the chest.
D. Is relieved by rest.


4.) A client has an indwelling Foley catheter. The nurse would omit which nursing action in the plan for irrigation of the catheter? Select all that apply

A. Instill sterile distilled water in the catheter.
B. Use forceful steady pressure to clear the catheter of clots or mucous plugs.
C. Use sterile equipment for irrigation.
D. Use gravity to achieve a return flow of the irrigant.


5.) A client is admitted with chronic renal failure and undergoes peritoneal dialysis. Immediately after infusing 1800ml of 3.0% dialysate which is the priority action of the nurse?

A.) Weigh the client
B.) Assess the outflow fluid
C.) Clamp the inflow tubing
D.) Assess the client for pain

6.) A 15 month old child is admitted to the hospital. Which lunch would be most appropriate for the nurse to provide?

A.) Chicken soup
B.) Infant formula
C.) Chicken fingers and string beans
D.) Small soft tacos


7.) A school aged child is being diagnosed with asthma. The child takes metered dose inhalers at home. The nurse is preparing a care plan on the use of cromolyn sodium (Intal) for the child. Which statement would the nurse omit from the lesson plan?

A. "Use your puffer immediately if you start to experience shortness of breath."
B. "Rinse your mouth with water after using the Intal puffer."
C. "The medication will decrease the inflammation in your lungs."
D. "Do not use the Intal puffer for relief of an acute attack."

8.) An 2 year old is being admitted with a diagnosis of Wilms' tumor. Which nursing intervention takes priority?

A. Checking vital signs every 2 hours to prevent hypertension.
B. Raising the head of bed to ease breathing.
C. Monitor urine output to reduce increased intracranial pressure.
D. Placing a sign over the bed that states Do not palpate abdomen.


9.) A client with a chronic substance abuse problem has been hospitalized following a drug binge. The nurse enters the room and finds the client shouting in a terrified voice. "Get those demons out of my room!" Which nursing response is most appropriate at this time?

A. "There are no demons in your rooms. Stay calm, this is part of your illness."
B. "I will call the doctor right away."
C. "Tell me more about what you are seeing."
D. "I do not see any demons in the room, but you seem very frightened."

10.) To obtain an accurate kick count of the fetus at 37 weeks gestation the nurse needs to instruct the client to carry out the fetal test:

A. When waking up in the morning
B. After a meal or snack
C. Following exercise
D. At bedtime




~~~~~~~~~~~~~~~~~~~~~~Answers Below~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~



1. A-This medication will be taking for the rest of client's life
2. D-Speech therapy will help client explore devices to improve speech
3. D-Angina pain is relieved by rest or nitroglycerin
4. A, B. A nurse would use normal saline for irrigation and minimal pressure to remove clots
5. C-Clamping the tube first is the priority as to prevent your renal failure client from receiving too much fluid.
6. C-Finger foods will be best for this age group
7. A-This medication is not used during acute asthma attacks
8. B-Airway needs to be addressed first
9. D-This statement responds to the situation and acknowledges your client's feeling
10.B-After meals or snacks is the appropriate time fetal kick counts are observed.