NCLEX Model Questions and Answers for Preparation
The candidates can download the NCLEX Model Questions and Answers for Preparation. The NCLEX-RN Model Papers will help the aspirants to crack the exam easily. Also, Visit our website for the NCLEX-RN for the Last 5 Years Papers Model Papers. Refer the NCLEX Model 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 Model Papers as a reference for the preparation.
Interested applicants can go through this page to download the Model Questions of National Council Licensure Examination Exam. The NCLEX-PN Model Papers are the most important aspects for the proper exam preparation. With the help of these NCLEX Model Question Papers, you will get an idea about the test pattern, subjects, difficulty level, and weightage of each section. So, download the NCLEX-RN Model Papers along with the answers. We are providing the National Council Licensure Examination Model Question Papers of for free of cost. Use these Last 5 Years NCLEX-RN Exam Model Question Papers as a reference for the exam preparation.
Model Questions and Answers for NCLEX
1. The nurse caring for a client with anemia recognizes which clinical manifestation as the one that is specific for a hemolytic type of anemia?
2. The doctor is preparing to remove chest tubes from the client’s left chest. In preparation for the removal, the nurse should instruct the client to:
A. Breathe normally
B. Hold his breath and bear down
C. Take a deep breath
D. Sneeze on command
3. “The nurse is caring for an adult who is severely depressed. Which behavior by the client indicates improvement in his condition?
A. The client stays by himself and does not bother the other clients.
B. The client states, “I know the answer to my problems now.”
C. The client gives the nurse a small book and says, “Thank you for all your help.”
D. The client appears at breakfast with a clean shirt and well-groomed hair.”
4. A 15-month-old child has just been diagnosed with sickle cell anemia. The mother is pregnant and asks if the child she is carrying will also have sickle cell anemia. She says that neither she nor her husband has sickle cell anemia. The nurse’s reply should be based on which understanding?
A. There is a 50% chance that each child they have will have sickle cell anemia.
B. The chance of having another child with sickle cell anemia is 1 in 4.
C. Parents do not usually have two children in a row with sickle cell anemia.
D. If the child is a boy, there is a 50% chance that he will have sickle cell anemia.”
5. A 53-year-old who has pernicious anemia is being seen in the physician’s office. Because the client has pernicious anemia, which comment is of greatest concern to the nurse?
A. “I have been having trouble reading the newspaper.”
B. “I have pain up and down my legs.”
C. “My knees hurt when I climb stairs.”
D. “I am so tired of having a headache.””
6. The nurse is caring for a client with a cerebrovascular accident (CVA) who is complaining of being nauseated and is requesting an emesis basin. Which action would the nurse take first?
A. Administer an ordered antiemetic
B. Obtain an ice bag and apply to the client’s throat
C. Turn the client to one side
D. Notify the physician”
7. The physician has ordered atropine sulfate 0.4mg IM before surgery. The medication is supplied in 0.8mg per milliliter. The nurse should administer how many milliliters of the medication?
8. The client with confusion says to the nurse, “I haven’t had anything to eat all day long. When are they going to bring breakfast?” The nurse saw the client in the day room eating breakfast with other clients 30 minutes before this conversation. Which response would be best for the nurse to make?
A. “You know you had breakfast 30 minutes ago.”
B. “lam-so sorry that they didn’t get you breakfast. I’ll report it to the charge nurse.”
C. “I’ll get you some juice and toast. Would you like something else?”
D. “You will have to wait a while; lunch will be here in a little while.””
9. “The nurse is caring for an adult for whom phenytoin (Dilantin) has been prescribed. Which is of greatest concern to the nurse?
A. The client’s urine has a pinkish tinge to it.
B. The client has enlarged gums.
C. The client’s serum Dilantin level is 14 mcg/ mL.
D. The client says, “I usually go to Happy Hour every Friday.””
10. A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client?
A. Taking hourly blood pressures with mechanical cuff
B. Encouraging fluid intake of at least 200mL per hour
C. Position in high Fowler’s with knee gatch raised
D. Administering Tylenol as ordered”
11. The nurse is developing a plan of care for a client with an ileostomy. The priority nursing diagnosis is:
A. Fluid volume deficit
B. Alteration in body image
C. Impaired oxygen exchange
D. Alteration in elimination
12. A 16-year-old client is admitted for elective surgery. The LPN is asked to have the child’s mother sign the operative permit. Which action by the nurse is most appropriate?
A. Have the parent sign the permit form
B. Refuse to ask the parent to sign the permit form
C. Ask the unit secretary to have the parent sign the permit form
D. Have both the child and the parent sign the permit form
13. The best method of evaluating the amount of peripheral edema is:
A. Weighing the client daily
B. Measuring the extremity
C. Measuring the intake and output
D. Checking for pitting
14. An adult client who had a cervical laminectomy is returned to her room on the nursing care unit. The postanesthesia nurse reports that the client is awake and has stable vital signs. The nurse should position the client in which of the following positions?
15. The nurse observes a certified nursing assistant (CNA) placing a hot water bottle directly on the skin of a 90-year-old client. What action should the nurse take initially?
A. Report the act to the patient care supervisor
B. Interrupt the procedure
C. Talk to the CNA when the procedure is finished
D. Notify the physician
16. A woman who is at 39 weeks gestation enters the hospital in early labor. Several hours later, she says to the nurse, “What’s happening? I suddenly feel as though I have to have a bowel movement.” The woman starts bearing down as if to push out stool. What is the best initial action for the licensed practical nurse at this time?
A. Encourage her to push
B. Ask her to pant
C. Immediately call the charge nurse
D. Ask her when she last had a bowel movement”
17. A client is admitted with right lower quadrant pain, nausea, and a temperature of 100°F. What does the nurse expect will be done initially?
A. X-ray of the abdomen
B. Deep palpation of the abdomen
C. Blood drawn for complete blood count (CBC)
D. Administration of a tap water enema
18. The nurse is caring for an older adult in his home. Which of the following factors increase the client’s risk for falls? Select all that apply.
A. The client is 78 years old.
B. The home is a one-story home.
C. There are several scatter rugs on the hardwood floors.
D. The client’s wife does all of the housework.
E. There are handrails in the bathroom.
F. There are several plants in the living room.
19. How should the nurse position the client who has just had a liver biopsy?
A. On the left side
B. On the right side
20. A client is being discharged after lithotripsy for removal of a kidney Stone. Which statement by the client indicates understanding of the nurse’s instructions?
A. “I’ll need to strain my urine the first thing in the morning.”
B. “I will need to save all urine for the next 2 days and take it to the laboratory to be examined and strained.”
C. “Il will be careful to strain all the urine and save the stone.”
D. “l won’t need to strain my urine now that the procedure is complete.””
21. “The nurse is to obtain an apical-radial pulse on a client. Which statement is true regarding obtaining an apical-radial pulse?
A. After taking the apical pulse, the nurse immediately takes the radial pulse.
B. The radial pulse is usually higher than the apical pulse.
C. One person takes the apical pulse, while a second person takes the radial pulse at the same time.
D. The nurse should take the radial pulse while listening to the apical pulse.”
22. “The nurse is caring for an adult male who is diagnosed with probable appendicitis. Which assessment finding is most consistent with the diagnosis?
A. Pain in the right upper quadrant
B. Decreased white blood cell (WBC) count
C. Nausea and vomiting
D. High fever”
23. Which statement describes the contagious stage of varicella?
A. The contagious stage is 1 day before the onset of the rash until the appearance of vesicles.
B. The contagious stage lasts during the vesicular and crusting Stages of the lesions.
C. The contagious stage is from the onset of the rash until the rash disappears.
D. The contagious stage is 1 day before the onset of the rash until all the lesions are crusted.”
24. A client is admitted with acute adrenal crisis. During the intake assessment, the nurse can expect to find that the client has:
A. Low blood pressure
B. As low, regular pulse
C. Warm, flushed skin
D. Increased urination
25. A nurse is administering a blood transfusion to a client on the oncology unit. Which clinical manifestation indicates an acute hemolytic reaction to the blood?
A. Low back pain
B. A temperature of 101°F
D. Neck vein distention
26. The nurse is caring for a woman who is admitted for a hysterectomy. The woman does not speak English. No staff members speak the client’s language. Which approach by the nurse would be most appropriate when communicating with the client about her care before and after the surgery?
A. Ask the woman’s 8-year-old daughter who speaks English to interpret.
B. Draw pictures and gesture when speaking to the client.
C. Speak very slowly when giving the client instructions.
D. Request an interpreter from social services.
27. The client who is admitted with thrombophlebitis has an order for heparin. The medication should be administered using a/an:
B. Infusion controller
C. Intravenous filter
D. Three-way stop-cock
28. Following a cholecystectomy, drainage from the client’s T tube for the first 24 hours after the operation was 350 cc. What is the appropriate nursing action?
A. Notify the physician.
B. Raise the level of the drainage bag to decrease the rate of flow.
C. Increase the IV flow rate to compensate for the loss.
D. Continue to observe and measure drainage.
29. The nurse is assessing the client admitted for possible oral cancer. The nurse identifies which of the following to be a late-occurring symptom of oral cancer?
D. Ulcer with flat edges
30. All of the following clients assigned to LPN/LVN ring their call bells. Which client needs the most immediate attention?
A. A 72-year-old diabetic who is blind says she has to go to the bathroom.
B. A 75-year-old client who has rheumatoid arthritis asks for pain medication.
C. A client who has a blood transfusion running says her chest hurts.
D. A postoperative client says he is in pain and wants a pain shot.
31. The patient states, “My stomach hurts about 2 hours after eat.” Based upon this information, the nurse suspects the patient likely has a:
A. Gastric ulcer
B. Duodenal ulcer
C. Peptic ulcer
D. Curling’s ulcer
32. The nurse is assessing a client hospitalized with duodenal ulcer. Which finding should be reported to the doctor immediately?
A. BP 82/60, pulse 120
B. Pulse 68, respirations 24
C. BP 110/88, pulse 56
D. Pulse 82, respirations 16
33. A 17-year-old client is admitted following a seizure. That evening, the nurse goes into the room and notes that the client has obviously been crying. The client says to the nurse, “Now that I have epilepsy, I am a freak.” What is the best initial response for the nurse to make?
A. “It must be very difficult for you to realize you have epilepsy.”
B. “Don’t say that. You might be having a few seizures now, but I’m sure the doctor will be able to control them.”
C. “Don’t think like that. You’re still a bright, good-looking, young person.”
D. “Many famous athletes and actors have epilepsy, and they can still do anything they used to do.””
34. A client in labor has an order for Demerol (meperidine) 75 mg. IM to be administered 10 minutes before delivery. The nurse should:
A. Wait until the client is placed on the delivery table and administer the medication
B. Question the order
C. Give the medication IM during the delivery to prevent pain from the episiotomy
D. Give the medication as ordered
35. The nurse notes that a post-operative client’s respirations have dropped from 14 to 6 breaths per minute. The nurse administers Narcan (nalox-one) per standing order. Following administration of the medication, the nurse should assess the client for:
A. Pupillary changes
B. Projectile vomiting
C. Wheezing respirations
D. Sudden, intense pain
36. After inserting an indwelling catheter into an adult male, the nurse secures the catheter by:
A. taping it lateral to the client’s thigh.
B. taping it upward to the client’s abdomen.
C. taping it downward to the client’s thigh.
D. making a loop with the tubing and taping the tubing to the client’s thigh.
37. A 43-year-old African American male is admitted with sickle cell anemia. The nurse plans to assess circulation in the lower extremities every 2 hours. Which of the following outcome criteria would the nurse use?
A. Body temperature of 99°F or less
B. Toes moved in active range of motion
C. Sensation reported when soles of feet are touched
D. Capillary refill of < 3 seconds”
38. The nurse’s neighbor calls the nurse and asks for assistance with her child who developed a nosebleed after being hit in the nose by a ball. What should the nurse recommend to the neighbor?
A. Pinch the child’s nose and bend the head forward.
B. Pinch the child’s nose and bend the head backward.
C. Put ice on the nose and call 911 immediately.
D. Stuff cotton up both nostrils and bend the head backward.
39. Which of the following would be the priority nursing diagnosis for the adult client with acute leukemia?
A. Oral mucous membrane, altered related to chemotherapy
B. Risk for injury related to thrombocytopenia
C. Fatigue related to the disease process
D. Interrupted family processes related to life-threatening illness of a family member
40. The nurse is caring for a client post-myocardial infarction on the cardiac unit. The client is exhibiting symptoms of shock. Which clinical manifestation is the best indicator that the shock is cardiogenic rather than anaphylactic?
A. BP 90/60
B. Chest pain
D. Temp 98.6°F”
41. “The home care nurse is observing the client’s spouse performing a colostomy irrigation. Which action needs correction?
A. The spouse holds the irrigating solution about 18 inches above the stoma.
B. The client is sitting on the toilet seat for the irrigation.
C. The spouse is using 1000 mL of irrigating solution.
D. The spouse uses petroleum jelly to lubricate the tip of the catheter.
42. The nurse is caring for a client who is recovering from a fractured femur. Which diet selection would be best for this client?
A. Loaded baked potato, fried chicken, and tea
B. Dressed cheeseburger, French fries, and Coke
C. Tuna fish salad on sourdough bread, potato chips, and skim milk
D. Mandarin orange salad, broiled chicken, and milk
43. The nurse is performing an assessment of an elderly client with a total hip repair. Based on this assessment, the nurse decides to medicate the client with an analgesic. Which finding most likely prompted the nurse to decide to administer the analgesic?
A. The client’s blood pressure is 130/86.
B. The client is unable to concentrate.
C. The client’s pupils are dilated.
D. The client grimaces during care.
44. A client is admitted with sickle cell crises and sequestration. Upon assessing the client, the nurse would expect to find:
A. Decreased blood pressure
B. Moist mucus membranes
C. Decreased respirations
D. Increased blood pressure
45. The nurse is suctioning the tracheostomy of an adult client. The recommended pressure setting for performing tracheostomy suctioning on the adult client is:
46. The nurse asked the client if he has an advance directive. The reason for asking the client this question is:
A. She is curious about his plans regarding funeral arrangements.
B. Much confusion can occur with the client’s family if he does not have an advanced directive.
C. An advanced directive allows the medical personnel to make decisions for the client.
D. An advanced directive allows active euthanasia to be carried out if the client is unable to care for himself.”
47. The nurse is doing bowel and bladder retraining for the client with paraplegia. Which of the following is not a factor for the nurse to consider?
A. Diet pattern
C. Fluid intake
D. Sexual function
48. The physician orders phenytoin (Dilantin) and phenobarbital for a client admitted with a cerebrovascular accident. The nurse knows that these drugs are administered for what purpose?
A. To prevent seizures
B. To promote sleep
C. To stop clots from forming
D. To stop bleeding
49. Because a client is scheduled for a liver biopsy, the nurse should check to be sure that which laboratory test results have been received?
A. Serum electrolytes
B. Prothrombin time
C. CBC with differential
D. Serum creatinine
50. A Schilling test has been ordered for a client. What is the nurse’s primary responsibility in relation to this test?
A. Collect the blood samples
B. Collect a 24-hour urine sample
C. Assist the client to x-ray
D. Administer an enema
Is NCLEX exam difficult?
The NCLEX exam is an important step for individuals seeking to become licensed registered nurses or licensed practical nurses in the United States and Canada. The exam is designed to test the knowledge, skills, and abilities necessary to safely and effectively practice as a nurse in a variety of healthcare settings. While the exam can be challenging, with adequate preparation and study, individuals can increase their chances of passing and becoming licensed.
The NCLEX exam consists of multiple-choice questions, with some questions being in alternate format. The exam is computerized, and the number of questions a candidate receives will vary depending on how they answer each question. The exam is divided into two sections, the NCLEX-RN for registered nurses and the NCLEX-PN for licensed practical nurses.
The NCLEX exam covers a wide range of topics related to nursing practice, including health promotion and maintenance, pharmacology, psychosocial integrity, safety and infection control, and physiological adaptation. In addition, the exam may include questions related to nursing ethics and legal considerations.
The difficulty level of the NCLEX exam can vary depending on a variety of factors. Some individuals may find the exam challenging due to the breadth of topics covered, while others may struggle with the test-taking format or the pressure of the exam. Additionally, individuals who have not adequately prepared for the exam may find it difficult to pass.
To increase their chances of passing the NCLEX exam, individuals should take steps to prepare thoroughly. This may include taking a comprehensive review course, studying from reputable textbooks and study guides, and utilizing online resources and practice exams. In addition, individuals should ensure they are familiar with the test-taking format and practice answering questions in the same format as the NCLEX exam.
It is important to note that while the NCLEX exam can be challenging, it is not designed to be impossible to pass. The exam is designed to ensure that individuals who become licensed as registered nurses or licensed practical nurses have the knowledge and skills necessary to provide safe and effective care to patients.
Ultimately, the difficulty of the NCLEX exam will depend on the individual’s level of preparation and familiarity with the material. With the right preparation and study, individuals can increase their chances of passing and becoming licensed as registered nurses or licensed practical nurses.
In conclusion, the NCLEX exam can be a challenging experience for individuals seeking to become licensed registered nurses or licensed practical nurses. However, with adequate preparation and study, individuals can increase their chances of passing and becoming licensed. By focusing on the topics covered on the exam, becoming familiar with the test-taking format, and utilizing resources to prepare, individuals can overcome the challenges presented by the NCLEX exam and achieve their goal of becoming licensed nurses.