NCLEX Sample Questions and Answers
The candidates can download the NCLEX Sample Questions and Answers for Preparation. The NCLEX-RN Sample Papers will help the aspirants to crack the exam easily. Also, Visit our website for the NCLEX-RN for the Last 5 Years Papers Sample Papers. Refer the NCLEX Sample 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 Sample Papers as a reference for the preparation.
Interested applicants can go through this page to download the Sample Questions of National Council Licensure Examination Exam. The NCLEX-PN Sample Papers are the most important aspects for the proper exam preparation. With the help of these NCLEX Sample Question Papers, you will get an idea about the test pattern, subjects, difficulty level, and weightage of each section. So, download the NCLEX-RN Sample Papers along with the answers. We are providing the National Council Licensure Examination Sample Question Papers of for free of cost. Use these Last 5 Years NCLEX-RN Exam Sample Question Papers as a reference for the exam preparation.
Sample Questions and Answers for NCLEX
1. The nurse is caring for a client who has been placed on a hypothermia blanket. What should the nurse include in the care plan?
A. Take frequent vital signs and perform frequent skin assessments
B. Leave the hypothermia blanket on until the client’s temperature reaches 98.6°F
C. Place the client directly on the blanket
D. Apply iced alcohol sponges to the part of the client’s trunk not in contact with the blanket”
2. An adult is admitted to the unit with a fractured femur and will be in Buck’s extension traction for several days. The client tells the nurse that she has all of the following. Which is likely to cause the client the most problems at this time?
A. High blood pressure
B. Hiatal hernia
C. Osteoarthritis of the fingers
D. High cholesterol”
3. Which of the following foods would the nurse encourage the client in sickle cell crisis to eat?
A. Peaches
B. Cottage cheese
C. Popsicle
D. Lima beans
4. A young woman is admitted to the hospital complaining of severe fatigue and weakness of several weeks in duration. Her physician suspects a diagnosis of myasthenia gravis. Which additional findings would the nurse expect the client to have?
A. Ataxia and poor coordination
B. Diplopia and ptosis of the eyelids
C. Slurred speech
D. Headaches and tinnitus
5. The physician has ordered a low-residue diet for a client with Crohn’s disease. Which food is not permitted in a low-residue diet?
A. Mashed potatoes
B. Smooth peanut butter
C. Fried fish
D. Rice
6. A diagnosis of multiple sclerosis is often delayed because of the varied symptoms experienced by those affected with the disease. Which symptom is most common in those with multiple sclerosis?
A. Resting tremors
B. Double vision
C. Flaccid paralysis
D. “Pill-rolling” tremors
7. An important intervention in monitoring the dietary compliance of a Client with bulimia is:
A. Allowing the client privacy during mealtimes
B. Praising her for eating all her meal
C. Observing her for 1-2 hours after meals
D. Encouraging her to choose foods she likes and to eat in moderation
8. The nurse is caring for all of the following persons. Which one is most in need of restraints?
A. An elderly man who is sitting in a chair
B. A confused postoperative client who is picking at his nasal oxygen and nasogastric (NG) tube
C. A confused woman who is in bed with the side rails up
D. An adult who has just returned to the surgical floor from a postanesthesia care unit”
9. The physician has ordered an oil retention enema and a cleansing enema for a client. How should the nurse plan to carry out these orders?
A. Administer the cleansing enema first and an hour later give the oil retention enema
B. Administer the oil retention enema first and give the cleansing enema an hour later
C. Mix the oil and the cleansing enema and give together
D. Give the cleansing enema today and the oil retention enema tomorrow
10. An adult who has cholecystitis reports claycolored stools and moderate jaundice. The nurse knows that which is the best explanation for the presence of clay-colored stools and jaundice?
A. There is an obstruction in the pancreatic duct.
B. There are gallstones in the gallbladder.
C. Bile is no longer produced by the gallbladder.
D. There is an obstruction in the common bile duct.
11. A 78-year-old client is admitted in heart failure. Which assessment is essential for the nurse to make because the client is in heart failure? Select all that apply.
A. Check pedal pulses.
B. Check legs for pitting edema.
C. Upper extremity neuro checks.
D. Auscultate lung sounds.
E. Observe respirations.
F. Observe for gait disturbances.
12. A client who has a panic disorder is receiving paroxetine HCI (Paxil). The client has been taking the drug for one week and is still having severe panic attacks. The client tells the nurse that she thinks the drug is not working. What is the best response for the nurse to make?
A. “You should ask your physician for a different drug.”
B. “The physician will probably add another drug to your regimen.”
C. “You should stop taking the medication if it is not effective.”
D. “It takes two to four weeks for Paxil to be effective.”
13. The nurse is caring for a woman who is HIV positive. The woman starts her period. There is menstrual blood on the floor. What substance should the nurse use to clean up the floor?
A. Chlorine bleach
B. Hydrogen peroxide
C. Betadine
D. Ammonia
14. The nurse is assisting the RN to develop a nursing care plan for a client who has acute glomerulonephritis. Which of the following should the nurse monitor? Select all that apply.
A. Urine for protein
B. Urine for specific gravity
C. Intake and output
D. Daily weights
E. Blood pressure
F. Serum electrolytes
15. The nurse is caring for an adult who is receiving diphenoxylate hydrochloride with atropine sulfate (Lomotil) gid. What nursing assessment is essential while the client is receiving this medication?
A. Monitor blood pressure hourly
B. Assess respirations before administering drug
C. Measure hourly urine output
D. Do neuro checks every two hours
16. A client has been receiving Rheumatrex (methotrexate) for severe rheumatoid arthritis. The nurse should tell the client to avoid taking:
A. Aspirin
B. Multivitamins
C. Omega 3 fish oils
D. Acetaminophen
17. An adult has both an oil retention enema and a cleansing enema ordered. The nurse knows that this client is most likely to have which condition/problem?
A. Straining while defecating
B. Melena
C. Ulcerative colitis
D. Fecal impaction
18. An elderly client is diagnosed with interstitial cystitis. Which finding differentiates interstitial cystitis from other forms of cystitis?
A. The client is asymptomatic.
B. The urine is free of bacteria.
C. The urine contains blood.
D. Males are affected more often.
19. A Schilling test is ordered for a female client who has pernicious anemia. It is to run from 8:00 A.M. to 8:00 A.M. the following day. How should the nurse plan care for this client?
A. Leave the urine container with the client at 8:00 A.M. Instruct her to collect all urine until 8:00 A.M. tomorrow. Pick up container at 8:00 A.M.
B. Have the client empty her bladder at 8:00 A.M., and send this specimen to the lab. Instruct the client to collect all urine until 8:00 A.M. tomorrow.
C. At 8:00 A.M., ask the client to empty her bladder. Put this specimen in the container and instruct the client to keep all urine until 8:00 A.M. tomorrow. Have her empty her bladder at 8:00 A.M. and discard the specimen.
D. Have the client empty her bladder at 8:00 A.M. and discard. Instruct the client to collect all urine. At 8:00 A.M. tomorrow, have the client void, and collect this specimen.
20. The mother of a 4-month-old infant calls the physician’s office reporting that her child has a temperature of 101°F and a rash that is blanchable and doesn’t itch. What does the LPN expect will be ordered for this child?
A. Aspirin
B. Ibuprofen
C. Acetaminophen
D. Antibiotics”
21. An adult client who had major abdominal surgery is returned to her room on the surgical nursing unit. The postanesthesia nurse reports that the client is awake and has stable vital signs. She has a nasogastric tube in place that is attached to intermittent suction. How should the nurse position the client?
A. Supine
B. Semi-sitting
C. Dorsal recumbent
D. Prone
22. An elderly client is admitted to a skilled nursing care facility. When doing a skin assessment, the nurse notes a 3-cm round area of partialthickness skin loss that looks like a blister on the client’s sacrum. The nurse interprets this to be a:
A. stage I pressure ulcer.
B. stage II pressure ulcer.
C. stage III pressure ulcer.
D. stage IV pressure ulcer.
23. The LPN is caring for all of the following women on the postpartum unit. Which situation requires further attention?
A. A woman who gave birth four hours ago has red vaginal drainage on her perineal pad.
B. The nurse palpates the uterine fundus 3 cm above the umbilicus in a woman who gave birth 12 hours ago.
C. A woman who had a 20-hour labor and gave birth 8 hours ago asks the nurse not to bring her baby in for breastfeeding during the night.
D. A woman who gave birth yesterday is sweating profusely and producing large amounts of urine.
24. The nurse is planning dietary changes for a client following an episode of acute pancreatitis. Which diet is suitable for the client?
A. Low calorie, low carbohydrate
B. High calorie, low fat
C. High protein, high fat
D. Low protein, high carbohydrate
25. A 5-year-old child is hospitalized for correction of congenital hip dysplasia. During the assessment of the child, the nurse can expect to find the presence of:
A. Scarf sign
B. Harlequin sign
C. Cullen’s sign
D. Trendelenburg sign
26. The client presents to the clinic with a serum cholesterol of 275mg/dL and is placed on rosuvastatin (Crestor). Which instruction should be given to the client taking rosuvastatin (Crestor)?
A. Report muscle weakness to the physician.
B. Allow six months for the drug to take effect.
C. Take the medication with fruit juice.
D. Report difficulty sleeping.
27. A client with vaginal cancer is being treated with a radioactive vaginal implant. The client’s husband asks the nurse if he can spend the night with his wife. The nurse should explain that:
A. Overnight stays by family members is against hospital policy.
B. There is no need for him to stay because staffing is adequate.
C. His wife will rest much better knowing that he is at home.
D. Visitation is limited to 30 minutes when the implant is in place.
28. All of the following adults are admitted to the surgical unit. Which client should the nurse prepare for immediate surgery?
A. A 56-year-old woman who is having right scapular pain after eating
B. A 48-year-old woman who has had moderate vaginal bleeding for two weeks
C. A 28-year-old man who has severe right lower quadrant abdominal pain and a WBC of 14,000/mm3
D. A 45-year-old man who has an irreducible inguinal hernia
29. The nurse is caring for a 10-year-old child who has classic hemophilia. He is admitted with a swollen right knee that is very painful. The nurse should plan to include which of the following as a priority in the care of this child upon admission?
A. Range-of-motion exercises to maintain joint mobility
B. Ambulation at least three times a day to prevent immobility complications
C. A bed cradle to reduce pain
D. Offer 250 mL of fluid every hour to prevent hemarthrosis
30. After attending a company picnic, several clients are admitted to the emergency room with E. coli food poisoning. The most likely source of infection is:
A. Hamburger
B. Hotdog
C. Potato salad
D. Baked beans
31. The charge nurse in a long-term care facility is making assignments. When assigning personnel to care for residents, which principle is important?
A. Assignments should be rotated on a daily basis.
B. Clients who are confused often do better with the same caregiver for several days.
C. Female caregivers should not care for male residents.
D. Caregivers should be allowed to select the residents they will care for.
32. The nurse has performed nutritional teaching on a client with gout who is placed on a low-purine diet. Which selection by the client would indicate that teaching has been ineffective?
A. Cabbage
B. Apple
C. Peach cobbler
D. Spinach
33. An adult who has chronic obstructive pulmonary disease (COPD) is receiving oxygen at home via nasal cannula. In addition to instructing the client and his family about not smoking when oxygen is in use, what should the nurse plan to include in the teaching?
A. If the prescribed liter flow does not relieve his difficulty breathing, increase the liter flow by up to 2 L/min every four hours.
B. Try not to shuffle across the carpeted floor.
C. Clean the nasal cannula with alcohol several times a day.
D. Increase the oxygen flow rate if you develop shortness of breath.
34. “Following cardiac surgery, a client’s urine output for the last hour is 20 mL. The nurse understands that this indicates which of the following?
A. Possible hyperkalemia
B. Insufficient cardiac output
C. Inadequate fluid replacement
D. Diuresis is occurring.
35. The physician has prescribed Nexium (esomeprazole) for a client with erosive gastritis. The nurse should administer the medication:
A. 30 minutes before a meal
B. With each meal
C. In a single dose at bedtime
D. 30 minutes after meals
36. The physician orders lisinopril (Zestril) and furosemide (Lasix) to be administered concomitantly to the client with hypertension. The nurse should:
A. Question the order
B. Administer the medications
C. Administer separately
D. Contact the pharmacy
37. A client with a fractured leg is exhibiting shortness of breath, pain upon deep breathing, and hemoptysis. The nurse would determine that these clinical manifestations are indicative of:
A. Congestive heart failure
B. Pulmonary embolus
C. Adult respiratory distress syndrome
D. Tension pneumothorax
38. An adult is admitted with a pneumothorax following an accident. Immediately after insertion of a chest tube, the client says to the nurse, “Why do I have a tube in my chest and that thing hanging on the side of the bed? I don’t like it’’ What should the nurse include when replying to the client?
A. Tell the client that the chest tube helps the client take bigger breaths
B. Focus on the client’s feelings
C. Explain that the chest tube will remove air and/or fluid from the pleural cavity and allow the lung to reexpand
D. Tell the client that the nurse will contact the physician to have it removed”
39. The nurse working in a surgeon’s office receives all of the following messages from the answering service. Which client should be called back first?
A. An adult who had an inguinal hernia repair yesterday states that he is having trouble urinating.
B. An adult who had an appendectomy yesterday says the pain medication makes her sleepy.
C. An adult who had abdominal surgery two weeks ago wants to know if she can drive a car.
D. An adult who had a laparoscopic cholecystectomy two days ago says the adhesive bands fell off the incisions.
40. The wife of a 65-year-old man says to the clinic nurse, “I think the doctor should check out my husband’s hearing. Either he is totally ignoring me and everyone else or he has a hearing problem.” How is the man likely to respond when the nurse asks him if he has difficulty hearing?
A. “I can hear women better than men.”
B. “There’s nothing wrong with my hearing. People around me just mumble a lot.”
C. “I really need to get my hearing checked.”
D. “Why should an old man like me care if he hears or not?””
41. The nurse is infusing total parenteral nutrition (TPN). The primary purpose for closely monitoring the client’s intake and output is:
A. To determine how quickly the client is metabolizing the solution
B. To determine whether the client’s oral intake is sufficient
C. To detect the development of hypovolemia
D. To decrease the risk of fluid overload
42. The spouse of a client who had an angioplasty following a heart attack says to the nurse, “What is an angioplasty? It sounds like plastic surgery. My husband had a heart attack.” What information should be included in the nurse’s response?
A. An angioplasty repairs the heart damage caused by the heart attack.
B. During an angioplasty, the physician creates a bypass around blocked arteries, increasing the blood flow to the heart muscle.
C. Angioplasty is a diagnostic procedure to see if there are any blocked coronary arteries.
D. During an angioplasty, the physician uses a balloon-tipped catheter to open up an artery that is blocked by a clot, thus increasing blood flow to the heart muscle.
43. The charge nurse is assigning staff for the day. Staff consists of an RN, an LPN, and two certified nursing assistants. Which client assignment Should be given to the nursing assistants?
A. Emergency exploratory laparotomy with a colon resection the previous shift
B. Client with a stroke who has been hospitalized for 2 days
C. A client with metastatic cancer on PCA morphine
D. New admission with diverticulitis
44. A client had a total thyroidectomy yesterday. The client is complaining of tingling around the mouth and in the fingers and toes. What would the nurses’ next action be?
A. Obtain a crash cart
B. Check the calcium level
C. Assess the dressing for drainage
D. Assess the blood pressure for hypertension
45. An adult is admitted with Guillain-Barré syndrome. On day 3 of hospitalization, the client’s muscle weakness worsens, and he is no longer able to stand with support. He is also having difficulty swallowing and talking. The priority in the nursing care plan at this time is to prevent which problem?
A. Aspiration pneumonia
B. Decubitus ulcers
C. Bladder distention
D. Hypertensive crisis
46. The nurse is constructing a nursing care plan for a client post-operative open cholecystectomy. Which nursing diagnosis would be the priority for this client?
A. Risk for ineffective airway clearance
B. Activity intolerance
C. Risk for urinary retention
D. Acute pain
47. The client is admitted to the hospital with hypertensive crises. Diazoxide (Hyperstat) is ordered. During administration, the nurse should:
A. Utilize an infusion pump
B. Check the blood glucose level
C. Place the client in Trendelenburg position
D. Cover the solution with foil
48. A registered nurse (RN) asks the licensed practical nurse (LPN) to hang blood on a client. What is the best response by the LPN?
A. Carefully check the order and the client identification and hang the unit if all is in order.
B. Ask the RN to verify the order and then administer as ordered.
C. Hang the blood after taking baseline vital signs.
D. Refuse to administer the blood.
49. A 4-year-old male is admitted to the unit with nephotic syndrome. He is extremely edematous. To decrease the discomfort associated with scrotal edema, the nurse should:
A. Apply ice to the scrotum
B. Elevate the scrotum on a small pillow
C. Apply heat to the abdominal area
D. Administer an analgesic
50. A client is admitted with a diagnosis of myxedema. An initial assessment of the client would reveal the symptoms of:
A. Slow pulse rate, weight loss, diarrhea, and cardiac failure
B. Weight gain, lethargy, slowed speech, and decreased respiratory rate
C. Rapid pulse, constipation, and bulging eyes
D. Decreased body temperature, weight loss, and increased respirations
What is the NCLEX exam?
The National Council Licensure Examination, or NCLEX, is a standardized exam that all aspiring nurses in the United States must pass to receive a nursing license. The exam is developed and administered by the National Council of State Boards of Nursing (NCSBN) and is required for both registered nurses (RNs) and licensed practical nurses (LPNs).
The purpose of the NCLEX exam is to ensure that nurses possess the knowledge and skills necessary to provide safe and effective patient care. The exam covers a wide range of nursing topics, including pharmacology, nursing ethics, health promotion, and patient education. The exam consists of multiple-choice questions, with some questions also including alternative item formats, such as fill-in-the-blank or multiple response.
The NCLEX exam is computerized and adaptive, meaning that the difficulty of the questions is adjusted based on the test taker’s performance. The computer will present each test taker with a question based on the previous response. If the test taker answers the question correctly, the next question will be more difficult. If the test taker answers the question incorrectly, the next question will be easier. This process continues until the computer has enough information to determine whether the test taker has passed or failed the exam.
The exam is divided into two sections: the NCLEX-RN and the NCLEX-PN. The NCLEX-RN is for those who wish to become registered nurses, while the NCLEX-PN is for those who wish to become licensed practical nurses. Both exams cover similar content, but the NCLEX-RN is more comprehensive and has a higher level of difficulty.
Preparing for the NCLEX exam can be a daunting task, as the exam covers a wide range of nursing concepts and requires a significant amount of knowledge and critical thinking skills. Many nursing schools offer review courses to help students prepare for the exam. In addition, there are numerous review books, online resources, and practice exams available to help test takers prepare.
On the day of the exam, test takers should arrive at the testing center early and be prepared to present valid identification. They should also bring any necessary testing materials, such as a calculator or scratch paper, as these will not be provided at the testing center. The exam is timed, with a maximum of six hours to complete the exam, but most test takers will finish in less time.
After completing the exam, test takers will receive a preliminary pass or fail result on the computer screen. However, this is not an official result, and the final result will be sent to the state board of nursing within a few days. Test takers can also access their official results through the NCSBN website. If a test taker fails the exam, they will be provided with a diagnostic report that highlights areas where they need to improve their knowledge and skills.
In conclusion, the NCLEX exam is an essential step in the process of becoming a licensed nurse in the United States. It is a comprehensive exam that tests a wide range of nursing concepts and requires a significant amount of preparation and critical thinking skills. Although it can be challenging, passing the exam is necessary to obtain a nursing license and begin a career as a registered or licensed practical nurse.
