NCLEX MCQ Questions and Answers
The candidates can download the NCLEX MCQ Questions and Answers for Preparation. The NCLEX-RN MCQ Papers will help the aspirants to crack the exam easily. Also, Visit our website for the NCLEX-RN for the Last 5 Years Papers MCQ Papers. Refer the NCLEX MCQ Questions and Answers to get an idea of the difficulty level of exam. The aspirants who are going to attend the NCLEX-PN Examination can use this syllabus and MCQ Papers as a reference for the preparation. Interested applicants can go through this page to download the MCQ Questions of National Council Licensure Examination Exam. The NCLEX-PN MCQ Papers are the most important aspects for the proper exam preparation.
With the help of these NCLEX MCQ Question Papers, you will get an idea about the test pattern, subjects, difficulty level, and weightage of each section. So, download the NCLEX-RN MCQ Papers along with the answers. We are providing the National Council Licensure Examination MCQ Question Papers of for free of cost. Use these Last 5 Years NCLEX-RN Exam MCQ Question Papers as a reference for the exam preparation.
MCQ Questions and Answers for NCLEX
1. The doctor has ordered a patient-controlled analgesia (PCA) pump for the client with chronic pain. The client asks the nurse if he can become overdosed with pain medication using this machine. The nurse demonstrates understanding of the PCA if she states:
A. “The machine will administer only the amount that you need to control your pain without any action from you.”
B. “The machine has a locking device that prevents overdosing.”
C. “The machine will administer one large dose every 4 hours to relieve your pain.”
D. “The machine is set to deliver medication only if you need it.”
2. An adult male is admitted with urolithiasis. The nurse expects which orders for this client? Select all that apply.
A. Push fluids
B. Strain all urine
C. Medicate for pain PRN
D. Clean catch daily
E. Daily catheterizations
F. Clear liquid diet”
3. The nurse is caring for a client who had knee surgery this morning. Postoperative orders include a narcotic every three to four hours as needed for operative site pain and an ice bag. At 7:00 P.M., the client asks for pain medication. He was last medicated at 3:30 P.M. What is the best initial nursing action?
A. Administer the prescribed analgesic
B. Assess the location and nature of the pain
C. Refill the ice bag as needed
D. Reposition the client
4. The mother of a 1-year-old with sickle cell anemia wants to know why the condition didn’t show up in the nursery. The nurse’s response is based on the knowledge that:
A. There is no test to measure abnormal hemoglobin in newborns.
B. Infants do not have insensible fluid loss before a year of age.
C. Infants rarely have infections that would cause them to have a sickling crises.
D. The presence of fetal hemoglobin protects the infant.
5. A client is scheduled for a cataract extraction. Preoperatively, 1% atropine is instilled into the client’s right eye. The nurse knows that this drug would be contraindicated if the client also had which of the following conditions?
A. Bradycardia
B. Hypothyroidism
C. Diabetes
D. Glaucoma
6. The nurse is checking the client’s central venous pressure. The nurse Should place the zero of the manometer at the:
A. Phlebostatic axis
B. PMI
C. Erb’s point
D. Tail of Spence
7. The nurse is caring for a 78-year-old woman in a long-term care facility. The client is sitting in a geriatric chair with the attached tray in place. The client is agitated and appears to be sliding down in the chair. What is the best action for the nurse to take?
A. Ask the supervisor for advice
B. Put a jacket restraint on the client
C. Tie a sheet around the client’s waist
D. Use foam wedges beside the client
8. Following eruption of the primary teeth, the mother can promote chewing by giving the toddler:
A. Pieces of hot dog
B. Carrot sticks
C. Pieces of cereal
D. Raisins
9. A client is admitted with suspected abdominal aortic aneurysm (AAA). A common complaint of the client with an abdominal aortic aneurysm is:
A. Loss of sensation in the lower extremities
B. Back pain that lessens when standing
C. Decreased urinary output
D. Pulsations in the periumbilical area
10. Assuming that all have achieved normal cognitive and emotional development, which of the following children is at greatest risk for accidental poisoning?
A. A6-month-old
B. A 4-year-old
C. A 12-year-old
D. A 13-year-old
11. A client is admitted with suspected acute pancreatitis. Which lab finding confirms the diagnosis?
A. Blood glucose of 260mg/dL
B. White cell count of 21,000cu/mm
C. Platelet count of 250,000cu/mm
D. Serum amylase level of 600 units/dL
12. The client with dementia is experiencing confusion late in the afternoon and before bedtime. The nurse is aware that the client is experiencing what is known as:
A. Chronic fatigue syndrome
B. Normal aging
C. Sundowning
D. Delusions
13. The physician has prescribed Novalog insulin for a client with diabetes mellitus. Which statement indicates that the client knows when the peak action of the insulin occurs?
A. “I will make sure eat breakfast within 10 minutes of taking my insulin.”
B. “I will need to carry candy or some form of sugar with me all the time.”
C. “l will eat a snack around three o’clock each afternoon.”
D. “I can save my dessert from supper for a bedtime snack.”
14. A woman is seen in clinic with complaints suggesting cholecystitis or cholelithiasis. What teaching should the nurse expect to reinforce?
A. Sit up after you eat.
B. Avoid carbonated beverages.
C. Avoid caffeine.
D. Avoid fatty foods.
15. The nurse is giving home care to an elderly client with angina pectoris and Type 2 diabetes mellitus. Which observation is of most concern and should be reported immediately?
A. The client reports chest discomfort yesterday while taking a walk.
B. The nurse observes several brown spots on the client’s arms and legs.
C. The client reports an ingrown toenail that is getting more painful.
D. The client reports shortness of breath when climbing stairs.
16. The mother is concerned that her 6-year-old child is eating dirt every day. The nurse is most concerned about which of the following?
A. The child may not be getting enough to eat.
B. The child may have lead poisoning.
C. This is normal childhood behavior.
D. The child may have iron deficiency anemia.
17. The RN on the oncology unit is preparing to mix and administer amphoteracin B (Fungizone) to a client. Which action is contraindicated for administering this drug IV?
A. Mix the drug with normal saline solution
B. Administer the drug over 4-6 hours
C. Hydrate with IV fluids 2 hours before the infusion
D. Premedicate the client with ordered acetaminophen (Tylenol) and diphenhydramine (Benadryl)
18. The nurse is interacting with a client who has just been told she is HIV positive. The client asks the nurse when she will die. What should the nurse plan to include when replying?
A. HIV positive means that the client has antibodies against the virus. It does not mean that the client has AIDS. Most people do not develop AIDS or die for many years.
B. Most persons who are HIV positive live 5 to 10 years with aggressive treatment.
C. Life expectancy depends on whether there is further exposure to the virus.
D. The progression from HIV positive to full- blown AIDS is usually quite rapid.”
19. The nurse in a long-term care facility wants to help a resident become continent of stools. Which is likely to be most helpful when planning care for the resident? Select all that apply.
A. Take the resident to the toilet after meals
B. Limit the amount of fruits and vegetables the client consumes
C. Encourage the resident to drink fluids
D. Take the resident for a walk around the unit several times a day
E. Ask the resident to list his/her favorite foods
F. Discourage snacking between meals
20. A client with AIDS has impaired nutrition because of diarrhea. Which diet Selection by the client would indicate a need for further teaching of foods that can worsen the diarrhea?
A. Tossed salad
B. Baked chicken
C. Broiled fish
D. Steamed rice
21. A 4-month-old is brought to the well-baby clinic for immunization. In addition to the DPT and polio vaccines, the baby should receive:
A. Hib titer
B. Mumps vaccine
C. Hepatitis B vaccine
D. MMR
22. The body part that would most likely display jaundice in the dark-skinned individual is the:
A. Conjunctiva of the eye
B. Soles of the feet
C. Roof of the mouth
D. Shins
23. A6-month-old is hospitalized with symptoms of botulism. What aspect of the infant’s history is associated with Clostridium botulinum infection?
A. The infant sucks on his fingers and toes.
B. The mother sweetens the infant’s cereal with honey.
C. The infant was switched to soy-based formula.
D. The father recently purchased an aquarium.
24. A client with AIDS asks the nurse why he cannot have a pitcher of water left at his bedside. The nurse should tell the client that:
A. It would be best for him to drink ice water.
B. He should drink several glasses of juice instead.
C. It makes it easier to keep a record of his intake.
D. He should drink only freshly run water.
25. The nurse is caring for a client with peripheral vascular disease. To correctly assess the oxygen saturation level, the monitor may be placed on the:
A. Hip
B. Ankle
C. Earlobe
D. Chin
26. The nurse is caring for a woman who is receiving internal radiation for cancer of the cervix. Which nursing action will do most to reduce the risk of radiation exposure to other clients?
A. Keep the door to the client’s room closed.
B. Place the client in the bed closest to the outside window.
C. Place the client in a room close to the nurse’s station for continuous observation.
D. Place a “Do not enter” sign on the door to the client’s room.
27. Which statement by the parent of a child with sickle cell anemia indicates an understanding of the disease?
A. “The pain he has is due to the presence of too many red blood cells.”
B. “He will be able to go snow-skiing with his friends as long as he stays warm.”
C. “He will need extra fluids in summer to prevent dehydration.”
D. “There is very little chance that his brother will have sickle cell.”
28. A client is admitted to the labor and delivery unit in active labor. During examination, the nurse notes a papular lesion on the perineum. Which initial action is most appropriate?
A. Document the finding
B. Report the finding to the doctor
C. Prepare the client for a C-section
D. Continue primary care as prescribed
29. The nurse is talking with an adult who says she has chronic constipation. What suggestion would probably be most helpful to the client?
A. Eat large amounts of rice.
B. Increase the amount of fruits and vegetables in your diet.
C. Ask the doctor for a prescription for a drug such as diphenoxylate hydrochloride and atropine sulfate (Lomotil).
D. Drink fluids only with meals.
30. An adult who is disoriented, confused, and unable to answer simple questions coherently is admitted. Which action is of highest priority?
A. Obtain a psychiatric consult
B. Check the client’s glucose level
C. Restrain the client
D. Administer lorazepam (Ativan)
31. An adult is being worked up for a possible duodenal ulcer. The nurse knows that which data, if present, would be most consistent with a duodenal ulcer?
A. Two hours after his last meal, the client says, “I need to feed my ulcer.”
B. The client complains of epigastric pain a half hour after eating.
C. The client has clay-colored stools.
D. The client complains of pain beneath the right shoulder blade after eating.
32. The nurse caring for a client with a closed head injury obtains an intracranial pressure (ICP) reading of 17mmHg. The nurse recognizes that:
A. The ICP is elevated and the doctor should be notified.
B. The ICP is normal; therefore, no further action is needed.
C. The ICP is low and the client needs additional IV fluids.
D. The ICP reading is not as reliable as the Glascow coma scale.
33. The nurse working in the emergency department realizes that it would be contraindicated to induce vomiting if someone had ingested which of the following?
A. Ibuprofen
B. Aspirin
C. Vitamins
D. Gasoline
34. An adult is scheduled for a paracentesis. What should the nurse plan to do immediately before the procedure is started?
A. Give the client a full glass of water
B. Have the client empty his/her bladder
C. Ask the client to empty his/her bowels
D. Administer diazepam (Valium) as ordered”
35. The nurse is observing a nursing assistant transfer a client from bed to chair. Which observation needs correction? Select all that apply.
A. The nursing assistant lowers the bed before starting the procedure.
B. The nursing assistant sits the client on the side of the bed before assisting the client to move.
C. The nursing assistant stands with feet close together and knees and back straight when helping the client to move.
D. The nursing assistant asks the client to grab the arm of the nursing assistant during the transfer.
E. The nursing assistant lifts the client up by tugging on the client’s arms.
F. The nursing assistant assists the client to stand and pivot to get into the chair.
36. The nurse is assessing for jaundice in a client who has dark skin. What is the best way to do this?
A. Ask the client if his/her stool has changed color
B. Look at the client’s sclera
C. Pinch the nail beds and observe the color
D. Look at the client’s fingers
37. An older adult is seen in clinic. During the assessment process, all of the following are expressed or noted. Which is of most immediate concern to the nurse?
A. The client’s daughter says that the client has become increasingly forgetful.
B. The client has a productive cough.
C. The client ambulates slowly.
D. The client says, “My arms aren’t long enough for me to read the paper.”
38. “An adult client in an acute care facility says to the nurse, “I hope this hospital doesn’t have student doctors and nurses. I do not want a student taking care of me.” The nurse’s response should be based on which of the following understandings?
A. When a client signs permission for treatment in a hospital, this includes treatment by medical and nursing students.
B. The client has the right to know if the hospital is affiliated with a medical school and to refuse care by students.
C. The client may sign a special form that says he refuses to be cared for by medical or nursing students.
D. The client should be informed if any caregivers are students, but the client does not have the right to refuse to be cared for by students.
39. The nurse is caring for a client who had a colostomy. Which comment by the client indicates that she is showing an interest in learning about her colostomy?
A. “Why did this problem have to happen to me?”
B. “What is the bag of water for?”
C. “When will I get rid of this thing?”
D. “The doctor didn’t really do a colostomy.”
40. The registered nurse is making shift assignments. Which client should be assigned to the licensed practical nurse (LPN)?
A. A diabetic with a foot ulcer
B. A client with a deep vein thrombosis receiving intravenous heparin
C. A client being weaned from a tracheostomy
D. A post-operative cholecystectomy with a T-tube
41. The nurse is caring for a client who is prescribed cholestyramine (Questran). Which comment by the client is of most concern to the nurse?
A. “I have a grapefruit almost every day for breakfast.”
B. “My muscles were very tired after exercising yesterday.”
C. “I have lost three pounds in the last two weeks.”
D. “When the nurse drew my blood last time, he left a bruise.”
42. The nurse is caring for a client hospitalized with a facial stroke. Which diet selection would be suited to the client?
A. Roast beef sandwich, potato chips, pickle spear, iced tea
B. Split pea soup, mashed potatoes, pudding, milk
C. Tomato soup, cheese toast, Jello, coffee
D. Hamburger, baked beans, fruit cup, iced tea
43. The nurse is evaluating the client’s pulmonary artery pressure. The nurse is aware that this test evaluates:
A. Pressure in the left ventricle
B. The systolic, diastolic, and mean pressure of the pulmonary artery
C. The pressure in the pulmonary veins
D. The pressure in the right ventricle
44. The client is admitted with left-sided congestive heart failure. In assessing the client for edema, the nurse should check the:
A. Feet
B. Neck
C. Hands
D. Sacrum
45. The nurse is ready to begin an exam on a 9-month-old infant. The child is sitting in his mother’s lap. Which should the nurse do first?
A. Check the Babinski reflex
B. Listen to the heart and lung sounds
C. Palpate the abdomen
D. Check tympanic membranes
46. While administering a chemotherapeutic vesicant, the nurse notes that there is a lack of blood return from the IV catheter. The nurse should:
A. Stop the medication from infusing
B. Flush the IV catheter with normal saline
C. Apply a tourniquet and call the doctor
D. Continue the IV and assess the site for edema
47. All of the following need to be done. Which should the nurse do first?
A. A client who had surgery earlier today asks for pain medication.
B. A client who is two days postoperative needs a dressing change.
C. A client who had a cerebrovascular accident needs a bed bath.
D. A client scheduled for surgery tomorrow needs an enema.
48. An adult asks the nurse about blood types. Which information should the nurse plan to include when replying?
A. Blood typing is not always accurate.
B. A person cannot receive a factor that he/she does not have.
C. The universal donor is AB negative.
D. A person who is O positive can donate blood to anyone.
49. The mother of a male child with cystic fibrosis tells the nurse that she hopes her son’s children won’t have the disease. The nurse is aware that:
A. There is a 25% chance that his children will have cystic fibrosis.
B. Most of the males with cystic fibrosis are sterile.
C. There is a 50% chance that his children will be carriers.
D. Most males with cystic fibrosis are capable of having children, so genetic counseling is advised.
50. While caring for a client with hypertension, the nurse notes the following vital signs: BP of 140/20, pulse 120, respirations 36, temperature 100.8°F. The nurse’s initial action should be to:
A. Call the doctor
B. Recheck the vital signs
C. Obtain arterial blood gases
D. Obtain an ECG
Is NCLEX only for USA?
The NCLEX, or the National Council Licensure Examination, is a standardized test that evaluates the competence of nursing graduates in the United States. It is the standard examination required for registered nurses (RN) and practical nurses (PN) to obtain a license to practice nursing in the United States. The NCLEX has a reputation as a challenging test that requires intense preparation, and it is only one of the many requirements that nursing graduates must fulfill before they can practice nursing in the US.
In this article, we will examine the NCLEX, its history, and its current use. We will also consider whether the NCLEX is only for the United States or whether it is used in other countries.
History of the NCLEX
The NCLEX was first developed in the early 1980s by the National Council of State Boards of Nursing (NCSBN). The NCSBN was founded in 1978 and is made up of the nursing regulatory bodies from all 50 states in the US, as well as the District of Columbia, Guam, and the Virgin Islands.
The purpose of the NCLEX was to provide a standardized examination that could be used by all US nursing regulatory bodies to evaluate the competence of nursing graduates. Before the development of the NCLEX, each state had its own examination, which often varied in format and content. The lack of standardization made it difficult for nursing graduates to move between states and practice nursing, as they often had to take additional examinations.
The NCLEX was first administered in 1982 and has been revised several times since then to reflect changes in nursing education and practice. The most recent version of the exam, the NCLEX-RN, was introduced in 2010 and replaced the previous version, the NCLEX-PN.
Structure of the NCLEX
The NCLEX-RN and NCLEX-PN are computer-adaptive tests, which means that the difficulty of the questions is determined by the test-taker’s previous answers. The exam consists of multiple-choice questions that test the test-taker’s knowledge, skills, and abilities related to nursing practice. The questions are designed to test a range of topics, including basic nursing concepts, patient care, pharmacology, and disease processes.
The NCLEX-RN and NCLEX-PN are designed to assess the test-taker’s ability to apply critical thinking and problem-solving skills to real-world nursing scenarios. The exam questions are written by nursing experts and are reviewed to ensure that they are relevant and appropriate for the test-taker’s level of education and experience.
The NCLEX is a timed exam, and the length of the test varies depending on the number of questions that the test-taker answers correctly. The NCLEX-RN can have a minimum of 75 questions and a maximum of 265 questions, while the NCLEX-PN can have a minimum of 85 questions and a maximum of 205 questions.
Passing the NCLEX
The passing score for the NCLEX is determined by the NCSBN, and it varies depending on the difficulty of the exam. The passing score is not based on a percentage but is instead determined by a statistical method called the Modified Angoff method.
To pass the NCLEX, test-takers must demonstrate that they have the knowledge, skills, and abilities to practice nursing safely and effectively. The test is designed to be challenging, and not all test-takers pass on their first attempt. Test-takers who do not pass on their first attempt can retake the exam, but they must wait a certain period of time before they can retake the test.
Is the NCLEX Only for the United States?
While the NCLEX is primarily used in the United States, it is not only used in the US. The NCSBN has partnerships with several countries to provide the NCLEX exam to nursing graduates who wish to practice nursing in those countries. These countries include:
Canada: Canadian nursing regulatory bodies recognize the NCLEX as a valid examination for assessing the competence of nursing graduates. Nurses who pass the NCLEX in the United States can apply to work in Canada, and vice versa.
Australia and New Zealand: Nurses who wish to work in Australia or New Zealand can take the NCLEX through the NCSBN’s partnership with the Australian Health Practitioner Regulation Agency (AHPRA) and the Nursing Council of New Zealand.
Middle East: The NCLEX is also recognized in several countries in the Middle East, including Saudi Arabia, the United Arab Emirates, and Qatar.
Philippines: The NCLEX is also available in the Philippines, which has a large population of nursing graduates who wish to practice nursing in the United States.
In each of these countries, the NCLEX is used as a standardized examination to assess the competence of nursing graduates. The NCSBN works with local nursing regulatory bodies to ensure that the exam is appropriate for the local context and that it meets local standards for nursing practice.
The NCLEX is a standardized examination that is primarily used in the United States to assess the competence of nursing graduates. It is a challenging exam that requires intensive preparation, and it is a requirement for obtaining a license to practice nursing in the United States.
While the NCLEX is primarily used in the United States, it is also recognized in several other countries, including Canada, Australia, New Zealand, and several countries in the Middle East. The NCSBN works with local nursing regulatory bodies to ensure that the exam is appropriate for the local context and that it meets local standards for nursing practice.
Overall, the NCLEX is an important examination that plays a critical role in ensuring that nursing graduates are competent and prepared to practice nursing safely and effectively. While it is primarily used in the United States, its recognition in other countries highlights its importance as a standardized examination for assessing the competence of nursing graduates worldwide.
