NCLEX NCLEX-RN Exam Practice Test Questions Updated on a Regular Basis

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| Section | Weight | Objectives |
|---|
| Basic Care and Comfort | 6-12% | - Basic Care and Comfort
- 1. Mobility and Immobility
- 2. Rest and Sleep
- 3. Activities of Daily Living
- 4. Personal Hygiene
- 5. Nutrition and Oral Hydration
- 6. Assistive Devices
- 7. Elimination
|
| Reduction of Risk Potential | 9-15% | - Reduction of Risk Potential
- 1. Monitoring and Assessment
- 2. Therapeutic Procedures
- 3. System-Specific Assessments
- 4. Diagnostic Tests
- 5. Changes in Vital Signs
- 6. Potential Complications
|
| Management of Care | 15-21% | - Management of Care
- 1. Advocacy
- 2. Case Management
- 3. Continuity of Care
- 4. Assignment, Delegation and Supervision
- 5. Collaboration with Interdisciplinary Team
- 6. Informed Consent
- 7. Priority Setting
- 8. Advance Directives
- 9. Legal Rights and Responsibilities
- 10. Confidentiality and Information Security
- 11. Ethical Practice
- 12. Performance Improvement and Quality Assurance
- 13. Client Rights
|
| Pharmacological and Parenteral Therapies | 13-19% | - Pharmacological and Parenteral Therapies
- 1. Medication Administration
- 2. Dosage Calculations
- 3. Blood and Blood Products
- 4. Expected Actions and Outcomes
- 5. Adverse Effects and Contraindications
- 6. Central Venous Access Devices
- 7. Parenteral Therapies
|
| Physiological Adaptation | 11-17% | - Physiological Adaptation
- 1. Medical Emergencies
- 2. Unexpected Response to Therapies
- 3. Hemodynamics
- 4. Pathophysiology
- 5. Fluid and Electrolyte Imbalances
- 6. Alterations in Body Systems
|
| Psychosocial Integrity | 6-12% | - Psychosocial Integrity
- 1. Support Systems
- 2. Family Dynamics
- 3. Therapeutic Communication
- 4. Mental Health Concepts
- 5. Crisis Intervention
- 6. Behavioral Interventions
- 7. Substance Use Disorders
- 8. Coping Mechanisms
|
| Safety and Infection Control | 10-16% | - Safety and Infection Control
- 1. Infection Prevention and Control
- 2. Safe Use of Equipment
- 3. Handling Hazardous Materials
- 4. Home Safety
- 5. Security Plans
- 6. Standard and Transmission-Based Precautions
- 7. Accident and Injury Prevention
- 8. Emergency Response Planning
|
| Health Promotion and Maintenance | 6-12% | - Health Promotion and Maintenance
- 1. Health Promotion Programs
- 2. Health Screening
- 3. Newborn Care
- 4. Growth and Development
- 5. Aging Process
- 6. Prenatal, Intrapartum and Postpartum Care
- 7. Disease Prevention
|
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NCLEX NCLEX-RN Practice Test In Desktop Format
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NCLEX National Council Licensure Examination(NCLEX-RN) Sample Questions (Q294-Q299):
NEW QUESTION # 294
A 16-month-old infant is being prepared for tetralogy of Fallot repair. In the nursing assessment, which lab value should elicit further assessment and requires notification of physician?
- A. Bleeding time of 4 minutes
- B. pH 7.39
- C. Hematocrit 60%
- D. White blood cell (WBC) count 10,000 WBCs/mm3
Answer: C
Explanation:
(A) Normal pH of arterial blood gases for an infant is 7.35-7.45. (B) Normal white blood cell count in an infant is 6,000-17,500 WBCs/mm3. (C) Normal hematocrit in infant is 28%-42%. A 60% hematocrit may indicate polycythemia, a common complication of cyanotic heart disease. (D) Normal bleeding time is 2-7 minutes.
NEW QUESTION # 295
A client states to his nurse that "I was told by the doctor not to take one of my drugs because it seems to have caused decreasing blood cells." Based on this information, which drug might the nurse expect to be discontinued?
- A. Garamycin (Gentamicin)
- B. Prednisone
- C. Phenytoin (Dilantin)
- D. Timolol maleate (Blocadren)
Answer: C
Explanation:
(A) Prednisone is not linked with hematological side effects. (B) Timolol, a -adrenergic blocker is metabolized by the liver. It has not been linked to blood dyscrasia. (C) Gentamicin is ototoxic and nephrotoxic. (D) Phenytoin usage has been linked to blood dyscrasias such as aplastic anemia. The drug most commonly linked to aplastic anemia is chloramphenicol (Chlormycetin).
NEW QUESTION # 296
A 27-year-old healthy primigravida is brought to the labor and birthing room by her husband at 32 weeks' gestation. She experienced a sudden onset of painless vaginal bleeding. Following an ultrasound examination, the diagnosis of bleeding secondary to complete placenta previa is made. Expected assessment findings concerning the abdomen would include:
- A. A soft relaxed abdomen
- B. A rigid, boardlike abdomen
- C. Hypertonicity of the uterus
- D. Uterine atony
Answer: A
Explanation:
Explanation
(A) A rigid, boardlike abdomen is an assessment finding indicative of placenta abruptio. (B) A cause of postbirth hemorrhage is uterine atony. With placenta previa, uterine tone is within normal range. (C) The placenta is located directly over the cervical os in complete previa. Blood will escape through the os, resulting in the uterus and abdomen remaining soft and relaxed. (D) In placenta abruptio, hypertonicity of the uterus is caused by the entrapment of blood between the placenta and uterine wall, a retroplacental bleed. This does not exist in placenta previa.
NEW QUESTION # 297
When assessing fetal heart rate status during labor, the monitor displays late decelerations with tachycardia and decreasing variability. What action should the nurse take?
- A. Report to physician or midwife.
- B. Continue monitoring because this is a normal occurrence.
- C. Decrease IV fluids.
- D. Turn client on right side.
Answer: A
Explanation:
Explanation/Reference:
Explanation:
(A) This is not a normal occurrence. Late decelerations need prompt intervention for immediate infant recovery. (B) To increase O2 perfusion to the unborn infant, the mother should be placed on her left side.
(C) IV fluids should be increased, not decreased. (D) Immediate action is warranted, such as reporting findings, turning mother on left side, administering O2, discontinuing oxytocin (Pitocin), assessing maternal blood pressure and the labor process, preparing for immediate cesarean delivery, and explaining plan of action to client.
NEW QUESTION # 298
A client is receiving peritoneal dialysis. He has been taught to warm the dialyzing fluid prior to instilling it because:
- A. Warmed solution decreases the risk of peritoneal infection
- B. Warmed solution helps dilate the peritoneal blood vessels
- C. Warmed solution helps keep the body temperature maintained within a normal range during instillation
- D. Warmed solution promotes a relaxed abdominal muscle
Answer: B
Explanation:
Explanation/Reference:
Explanation:
(A) Instilling a cool solution does not significantly lower the body temperature during peritoneal dialysis. (B) Warmed solution does help dilate the peritoneal blood vessels, facilitating the exchange of fluids. (C) Warming the dialysate does not decrease the risk of peritoneal infection. Sterile technique decreases this risk. (D) Relaxing the abdominal muscles does not facilitate peritoneal dialysis.
NEW QUESTION # 299
......
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