NCLEX Mock Test Questions and Answers
The candidates can download the NCLEX Mock Test Questions and Answers for Preparation. The NCLEX-RN Mock Test Papers will help the aspirants to crack the exam easily. Also, Visit our website for the NCLEX-RN for the Last 5 Years Papers Mock Test Papers. Refer the NCLEX Mock Test 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 Mock Test Papers as a reference for the preparation.
Interested applicants can go through this page to download the Mock Test Questions of National Council Licensure Examination Exam. The NCLEX-PN Mock Test Papers are the most important aspects for the proper exam preparation. With the help of these NCLEX Mock Test Question Papers, you will get an idea about the test pattern, subjects, difficulty level, and weightage of each section. So, download the NCLEX-RN Mock Test Papers along with the answers. We are providing the National Council Licensure Examination Mock Test Question Papers of for free of cost. Use these Last 5 Years NCLEX-RN Exam Mock Test Question Papers as a reference for the exam preparation.
Mock Test Questions and Answers for NCLEX
1. The nurse is talking with a client who has just had an ECG. The client says to the nurse, “The doctor said I had a sinus rhythm. What does that mean?” Which response to the client is best?
A. “I wouldn’t worry about that. It’s pretty normal.”
B. “Sinus rhythm means that the heartbeat starts where it should. That is a place called the sinoatrial node. Sinus rhythm is good.”
C. “Many people have a sinus rhythm and do very well. It is not a bad rhythm.”
D. “Sinus rhythm means that the heartbeat is starting in the sinus of the heart. The physician will monitor your rhythm frequently to make sure it does not get worse.”
2. “The nurse is caring for a 79-year-old client. Which observation is not normal and should be reported for follow-up?
A. The client has several brown spots on her cheek and neck.
B. The client says, “I move slower than I used to.”
C. The client is short of breath when walking down the hall.
D. The client says, “I have trouble telling the colors of my socks.”
3. “The nurse knows that the mother understands the dietary instructions for her toddler who has iron deficiency anemia when the mother selects which foods?
A. Whole milk, carrots, and chicken pieces
B. Ground beef, broccoli, and orange juice
C. Liver, lima beans, and skin milk
D. Macaroni and cheese, peas, and cola”
4. The parents of a child with cystic fibrosis ask what determines the prognosis of the disease. The nurse knows that the greatest determinant of the prognosis is:
A. The degree of pulmonary involvement
B. The ability to maintain an ideal weight
C. The secretion of lipase by the pancreas
D. The regulation of sodium and chloride excretion
5. Thirty-six hours after major surgery, a client has a temperature of 100°F. What is the most likely cause of the temperature elevation?
C. Wound infection
D. Bladder infection
6. The nurse is caring for a client who has a C6 spinal cord injury. He complains of blurred vision and a severe headache. His blood pressure is 210/140. What action should the nurse take initially?
A. Check for bladder distention
B. Place in Trendelenburg position
C. Administer PRN pain medication
D. Continue to monitor blood pressure
7. The nurse is caring for an adult who has a ventricular pacemaker in place. Which finding is of greatest concern to the nurse?
A. The client’s blood pressure is 138/86.
B. The client’s pulse is 50.
C. The client’s ECG has a spike before every QRS complex.
D. The client says, “I can’t feel my heart beating.”
8. While caring for a client in the second stage of labor, the nurse notices a pattern of early decelerations. The nurse should:
A. Notify the physician immediately
B. Turn the client on her left side
C. Apply oxygen via a tight face mask
D. Document the finding on the flow sheet
9. The nurse is assessing the laboratory results of a client scheduled to receive phenytoin (Dilantin). The Dilantin level, drawn 2 hours ago, is 30mcg/mL. What is the appropriate nursing action?
A. Administer the Dilantin as scheduled
B. Hold the scheduled dose and notify the physician
C. Decrease the dosage from 100mg to 50mg
D. Increase the dosage to 200mg from 100mg
10. The nurse is caring for a woman who has diabetic neuropathy. The nurse knows that the client needs more instruction when the client makes which statement?
A. “I’ll use a hot water bottle if my feet hurt.”
B. “I should dry my feet and toes carefully.”
C. “I go to the podiatrist to have my toenails cut.”
D. “The Tegretol seems to help my leg pain.”
11. An adult is hospitalized for heart failure. Hydrochlorothiazide and digoxin are prescribed. What laboratory test(s) should the nurse monitor because the client is taking these medications?
A. CBC and differential
B. Serum creatinine and BUN
C. Cardiac enzymes
D. Serum electrolytes
12. The nurse is suctioning an adult’s tracheostomy tube. What action is essential before starting to suction the client?
A. Have the client drink a glass of water to liquefy secretions
B. Administer high levels of oxygen to the client
C. Have the client sign a permit for suctioning
D. Give the client a pad of paper and a pencil so he can communicate while the nurse suctions
13. A client is on a low-residue diet. All of the following are on the client’s tray. Which should be removed?
A. Roast beef
B. Mashed potato
C. Strawberry jam
D. White bread
14. An adult client in an acute care setting asks the nurse to show him his hospital records. The nurse’s response should reflect which understanding?
A. The client has no right to see his records without a court order.
B. The client must have the physician’s approval before he can see his records.
C. The client has the right to see his records and to have information explained when necessary.
D. The client must ask permission to view his records from the medical records department and must appear before a special committee.
15. The client is being admitted for surgery. During the admission assessment, the client states that she usually has 8 to 10 alcoholic drinks a day. How should the nurse reply?
A. “What type of alcohol do you drink?”
B. “How long have you been drinking alcohol?”
C. “When was your last drink?”
D. “Why do you drink so much?””
16. A nurse is caring for a client who’s disoriented to time, place, and person and is attempting to get out of bed and pull out an I.V. line that’s supplying hydration and antibiotics. The client has a vest restraint and bilateral soft wrist restraints. Which actions by the nurse would be appropriate? Select all that apply.
A. Recheck and document the behavior that requires continued use of restraints.
B. Tie the restraints in quick-release knots.
C. Tie the restraints to the side rails of the bed.
D. Ask the client if he needs to go to the bathroom, and provide range-of-motion (ROM) exercises every 2 hours.
E. Position the vest restraints so that the straps are crossed in the back.
17. A client with a head injury has an intracranial pressure (ICP) monitor in place. Cerebral perfusion pressure calculations are ordered. If the client’s ICP is 22 and the mean pressure reading is 70, what is the client’s cerebral perfusion pressure?
18. The nurse is to obtain pedal pulses on a client following a cardiac catheterization. Which is the proper procedure?
A. Place the fingertips against the wrist bone.
B. Place the stethoscope over the apex of the heart.
C. Place the fingertips against the side of the neck.
D. Place the fingertips on top of the foot.
19. The nurse is performing discharge teaching to a client who is on isoniazid (INH). Which diet selection would let the nurse know that the teaching has been ineffective?
A. Tuna casserole
B. Ham salad sandwich
C. Baked potato
D. Broiled beef roast
20. An elderly female is admitted with a fractured right femoral neck. Which clinical manifestation would the nurse expect to find?
A. Free movement of the right leg
B. Abduction of the right leg
C. Internal rotation of the right hip
D. Shortening of the right leg
21. The nurse is preparing to administer an injection to a 6-month-old when She notices a white dot in the infant’s right pupil. The nurse should:
A. Report the finding to the physician immediately
B. Record the finding and give the infant’s injection
C. Recognize that the finding is a variation of normal
D. Check both eyes for the presence of the red reflex
22. Lithium carbonate is prescribed for an adult. The nurse knows the client is most likely to have which condition?
23. An adult postoperative client vomits, and his abdominal wound eviscerates. What is the best initial action for the nurse to take?
A. Cover the exposed coils of intestine with sterile moist towels or dressings
B. Pack the intestines back into the abdominal cavity
C. Irrigate the exposed coils of intestines with sterile water
D. Take the client’s vital signs
24. Which play activity is best suited to the gross motor skills of the toddler?
A. Coloring book and crayons
C. Building cubes
D. Swing set
25. The nurse is caring for a client hospitalized with nephotic syndrome. Based on the client’s treatment, the nurse should:
A. Limit the number of visitors
B. Provide a low-protein diet
C. Discuss the possibility of dialysis
D. Offer the client additional fluids
26. The surgical nurse is preparing a patient for surgery on the lower abdomen. In which position would the nurse most likely place the client for surgery on this area?
27. An adult is taking digoxin and furosemide. Which laboratory value is of greatest concern to the nurse?
A. Serum digoxin of 1.2 ng/mL
B. Serum K* of 3.0 mEq/L
C. BUN of 12 mg/dL
D. Serum Mg of 1.6 mEq/L
28. The nurse is caring for a client after a motor vehicle accident. The client has a fractured tibia, and bone is noted protruding through the skin. Which action is of priority?
A. Provide manual traction above and below the leg
B. Cover the bone area with a sterile dressing
C. Apply an ACE bandage around the entire lower limb
D. Place the client in the prone position
29. The client with Alzheimer’s disease is being assisted with activities of daily living when the nurse notes that the client uses her toothbrush to brush her hair. The nurse is aware that the client is exhibiting:
30. A client who has ulcerative colitis is receiving prednisone. The nurse knows the primary reason the client is receiving prednisone is to:
A. suppress inflammation of the bowel.
B. reduce peristaltic activity.
C. neutralize acid in the gastrointestinal tract.
D. reduce the number of bacteria in the bowel.”
31. An adult comes to the clinic with complaints of frequency and burning on urination. The nurse expects that what test will be ordered for the client?
A. Clean catch urine for culture and sensitivity
B. CBC and electrolytes
D. Strain of all urine for calculi
32. The nurse is instructing a client with iron-deficiency anemia. Which of the following meal plans would the nurse expect the client to select?
A. Roast beef, gelatin salad, green beans, and peach pie
B. Chicken salad sandwich, coleslaw, French fries, ice cream
C. Egg salad on wheat bread, carrot sticks, lettuce salad, raisin pie
D. Pork chop, creamed potatoes, corn, and coconut cake
33. When the nurse checks the fundus of a client on the first postpartum day, she notes that the fundus is firm, is at the level of the umbilicus, and is displaced to the right. The next action the nurse should take is to:
A. Check the client for bladder distention
B. Assess the blood pressure for hypotension
C. Determine whether an oxytocic drug was given
D. Check for the expulsion of small clots
34. A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client?
A. Side-lying with knees flexed
C. High Fowler’s with knees flexed
D. Semi-Fowler’s with legs extended on the bed
35. The nurse is caring for an adult male who is receiving haloperidol (Haldol). Which complaint by the client is of most concern to the nurse and should be immediately reported?
A. “I have gained so much weight in the last few months.”
B. “I am having trouble getting an erection.”
C. “My legs are cramping and I feel like I need to walk all the time.”
D. “It’s really embarrassing. I’m drooling a lot.”
36. A throat culture is positive for Streptococcus. An antibiotic is prescribed. Which question is it essential for the nurse to ask the client before administering the medication?
A. Has the client ever had an adverse reaction to sulfa drugs?
B. Is the client currently taking vitamins?
C. Does the client drink alcoholic beverages?
D. Is the client allergic to penicillin?
37. A transfusion is ordered for a hospitalized client. The charge nurse asks the LPN to start the transfusion. What should the LPN do?
A. Start the transfusion as ordered
B. Be sure that dextrose is hanging and then hang the blood
C. Tell the RN that LPNs are not allowed to hang blood
D. Hang the blood only if an IV line is already established
38. A client who has been receiving urokinase has a large bloody bowel movement. Which action would be best for the nurse to take immediately?
A. Administer vitamin K IM
B. Stop the urokinase
C. Reduce the urokinase and administer heparin
D. Stop the urokinase and call the doctor
39. A client is seen in clinic and is diagnosed as having pyelonephritis. What is most likely to be in the nursing history?
A. Pharyngitis two weeks ago
B. Cystitis two weeks ago
C. Urolithiasis two weeks ago
D. A diet high in uric acid
40. A client with a femoral popliteal bypass graft is assigned to a semiprivate room. The most suitable roommate for this client is the client with:
B. Diabetic ulcers
C. Ulcerative colitis
41. A woman reports to the physician’s office complaining of urinary frequency and pain and burning on urination. The nurse expects that which procedures will be ordered for this client?
A. Urine for culture and sensitivity
B. CBC and BUN
C. Routine urinalysis
D. BUN and creatinine
42. A client who uses a respiratory inhaler asks the nurse to explain how he can know when half his medication is empty so that he can refill his prescription. The nurse should tell the client to:
A. Shake the inhaler and listen for the contents
B. Drop the inhaler in water to see if it floats
C. Check for a hissing sound as the inhaler is used
D. Press the inhaler and watch for the mist
43. A child with croup is placed in a cool, high-humidity tent connected to room air. The primary purpose of the tent is to:
A. Prevent insensible water loss
B. Provide a moist environment with oxygen at 30%
C. Prevent dehydration and reduce fever
D. Liquefy secretions and relieve laryngeal spasm
44. The mother of a 6-year-old with autistic disorder tells the nurse that her son has been much more difficult to care for since the birth of his sister. The best explanation for changes in the child’s behavior is:
A. The child did not want a sibling.
B. The child was not adequately prepared for the baby’s arrival.
C. The child’s daily routine has been upset by the birth of his sister.
D. The child is just trying to get the parent’s attention.
45. The nurse is caring for a client who is of the Islam religious group. Which food selection might this client want to avoid?
46. The doctor has ordered Ampicillin 100mg every 6 hours IV push for an infant weighing 7kg. The suggested dose for infants is 25-50mg/kg/day in equally divided doses. The nurse should:
A. Give the medication as ordered
B. Give half the amount ordered
C. Give the ordered amount g 12 hrs.
D. Check the order with the doctor
47. A client with leukemia is receiving Trimetrexate. After reviewing the client’s chart, the physician orders Wellcovorin (leucovorin calcium). The rationale for administering leucovorin calcium to a client receiving Trimetrexate is to:
A. Treat iron-deficiency anemia caused by chemotherapeutic agents
B. Create a synergistic effect that shortens treatment time
C. Increase the number of circulating neutrophils
D. Reverse drug toxicity and prevent tissue damage
48. The nurse is to change a dressing. Which is essential to do when opening the dressing set?
A. Open the first flap away from the nurse.
B. Open the first flap toward the nurse.
C. Place the dressing set on a chair beside the bed.
D. Place the dressing set on the client’s bed.”
49. The sputum of a client remains positive for the tubercle bacillus even though the client has been taking Laniazid (isoniazid). The nurse recognizes that the client should have a negative sputum culture within:
A. 2 weeks
B. 6 weeks
C. 8 weeks
D. 12 weeks
50. The chart of a client with schizophrenia states that the client has echolalia. The nurse can expect the client to:
A. Speak using words that rhyme
B. Repeat words or phrases used by others
C. Include irrelevant details in conversation
D. Make up new words with new meanings
How many questions are on the NCLEX?
The NCLEX, or the National Council Licensure Examination, is an important standardized test that nurses in the United States and Canada must take in order to become licensed and legally allowed to practice nursing. The NCLEX tests the knowledge, skills, and abilities of aspiring nurses in various areas related to patient care and nursing practice.
One of the most common questions that people have about the NCLEX is how many questions are on the exam. The answer is that the NCLEX is a computer-adaptive test, which means that the number of questions you will receive on the exam depends on how well you perform on each question.
In this article, we will delve deeper into the NCLEX and explore what the exam entails, what types of questions you can expect to see on the exam, and how to prepare for this important test.
What is the NCLEX?
The NCLEX is a standardized test that is designed to assess the knowledge, skills, and abilities of aspiring nurses. The exam is used by regulatory bodies in the United States and Canada to determine whether or not a candidate is eligible for licensure as a registered nurse (RN) or licensed practical nurse (LPN).
The NCLEX is a computer-adaptive test, which means that the difficulty level of each question will depend on how well you perform on the previous question. This means that the exam is tailored to your individual ability level, and the number of questions you will receive on the exam will vary depending on your performance.
What types of questions are on the NCLEX?
The NCLEX is designed to test a wide range of knowledge, skills, and abilities related to nursing practice. The questions on the exam are divided into four major categories:
Safe and Effective Care Environment
This category covers topics related to patient safety, infection control, and the nurse’s role in patient care. Questions may ask about legal and ethical issues, delegation and prioritization, and management of care.
Health Promotion and Maintenance
This category covers topics related to health promotion and disease prevention. Questions may ask about patient education, health screening, and health maintenance strategies.
This category covers topics related to mental health and psychosocial well-being. Questions may ask about communication techniques, coping mechanisms, and mental health disorders.
This category covers topics related to the physical health and well-being of patients. Questions may ask about assessment and monitoring, pharmacology, and disease management.
The types of questions on the exam include multiple-choice, select-all-that-apply, fill-in-the-blank, and hot spot questions. Some questions may require you to select the best answer, while others may require you to rank or prioritize a list of options.
How long is the NCLEX?
The NCLEX is a timed exam, and the length of the exam will vary depending on the number of questions you receive. The minimum number of questions on the exam is 75, and the maximum number of questions is 145.
The exam is designed to be completed within 6 hours, including breaks. However, most candidates will finish the exam in 2-4 hours.
How is the NCLEX scored?
The NCLEX is a pass/fail exam, and the passing score is determined by the regulatory body that oversees nursing licensure in your state or province. In the United States, the passing score for the NCLEX-RN is currently set at 0.00 logits, while the passing score for the NCLEX-PN is currently set at -0.18 logits.
The score report you receive after the exam will indicate whether you passed or failed the exam, along with information about your performance in each of the four major categories.
How to prepare for the NCLEX?
Preparing for the NCLEX can be a daunting task, but there are several strategies that you can use to help you succeed on the exam. Here are some tips to help you prepare:
- Create a study plan: Develop a study plan that is tailored to your individual needs and schedule. Determine which topics you need to focus on and set aside dedicated study time each day.
- Use practice questions: Practice questions are a great way to familiarize yourself with the types of questions you will see on the NCLEX. There are many NCLEX review books and online resources available that offer practice questions and exams.
- Utilize study groups: Studying with a group can be a helpful way to review material and get feedback from peers. Joining a study group can also help you stay motivated and on track.
- Take breaks: It is important to take regular breaks while studying for the NCLEX. Taking breaks can help prevent burnout and improve your overall focus and concentration.
- Manage test anxiety: Test anxiety is a common issue for many people taking the NCLEX. Learning stress-reduction techniques such as deep breathing, meditation, and visualization can be helpful in managing anxiety.
- Stay up-to-date on nursing practice: Keeping up-to-date on current nursing practices and trends can help you stay informed and confident when taking the NCLEX.
NCLEX is an important exam that aspiring nurses must take in order to become licensed and legally allowed to practice nursing. The exam tests a wide range of knowledge, skills, and abilities related to nursing practice, and the number of questions you receive on the exam will vary depending on your performance.
Preparing for the NCLEX can be a challenging task, but with the right study plan, practice questions, and stress-management techniques, you can improve your chances of success. Remember to take breaks, stay up-to-date on nursing practices, and utilize study groups to help you stay motivated and on track. Good luck on the exam!
To further elaborate on the importance of preparing for the NCLEX, it is important to note that the exam is not easy and requires a lot of hard work and dedication. The exam is designed to test the knowledge and skills that are essential for safe and effective nursing practice, which means that it covers a wide range of topics.
Many candidates find the NCLEX to be challenging, not only because of the volume of information that is covered but also because of the format of the exam. The computer-adaptive format means that the difficulty level of each question will depend on how well you perform on the previous question. This can be both a blessing and a curse because if you answer the first few questions correctly, the exam will become more difficult, but if you answer them incorrectly, the exam will become easier.
To succeed on the NCLEX, it is essential to have a solid understanding of nursing concepts and the ability to apply that knowledge in a clinical context. This requires a combination of studying, critical thinking, and clinical reasoning skills.
Studying for the NCLEX should begin well in advance of the exam date, and it is recommended that candidates use a variety of study materials to cover all the topics that will be on the exam. Practice questions are an excellent way to reinforce concepts and identify areas that need further review.
In addition to studying, it is also important to manage test anxiety. Test anxiety can negatively impact performance, and it is important to learn strategies to manage stress and anxiety. Techniques such as deep breathing, meditation, and visualization can be helpful in managing anxiety and improving focus and concentration.
Another important aspect of NCLEX preparation is staying up-to-date on nursing practices and trends. This includes staying current with the latest research, guidelines, and standards of care. Staying informed and knowledgeable about current nursing practices can help you feel more confident and prepared when taking the exam.
In conclusion, the NCLEX is an essential exam for aspiring nurses in the United States and Canada. The exam tests the knowledge, skills, and abilities necessary for safe and effective nursing practice and requires a combination of studying, critical thinking, and clinical reasoning skills. Preparing for the NCLEX requires dedication, hard work, and a solid study plan. By utilizing practice questions, managing test anxiety, and staying up-to-date on nursing practices, candidates can improve their chances of success on the exam.
To address the specific question of how many questions are on the NCLEX, the answer is that it depends on the candidate’s performance during the exam. The NCLEX is a computer-adaptive test, which means that the computer selects questions based on the candidate’s performance on previous questions. The computer selects each question based on the candidate’s ability level, with the goal of determining the candidate’s level of competence in a given area.
The NCLEX is composed of two types of questions: multiple-choice and alternate-format questions. Multiple-choice questions are the most common type of question and ask the candidate to select the best answer from several options. Alternate-format questions include fill-in-the-blank, drag-and-drop, and hot spot questions, among others.
The minimum number of questions on the NCLEX is 75, and the maximum number is 145. However, candidates may receive more or fewer questions depending on their performance during the exam. The computer selects questions based on the candidate’s ability level, and if the computer determines that the candidate has answered enough questions to demonstrate competence, the exam will end. The maximum time allowed for the NCLEX is six hours, including breaks.
The NCLEX also includes experimental questions that are not scored. These questions are included to evaluate their effectiveness and suitability for use on future exams. The experimental questions are mixed in with the scored questions, so candidates will not know which questions are experimental and which questions are scored.
In conclusion, the number of questions on the NCLEX varies depending on the candidate’s performance during the exam. The minimum number of questions is 75, and the maximum number is 145. The exam is designed to test the knowledge, skills, and abilities necessary for safe and effective nursing practice and includes both multiple-choice and alternate-format questions. Candidates should prepare for the NCLEX well in advance of the exam date and utilize a variety of study materials to cover all the topics that will be on the exam.