Nursing nclex prepartion questions 2023.
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Nursing nclex ragistered nurse questions preparation .
Questions 1 ) Level of Cognitive Ability: Applying
The nurse notes blanching, coolness, and edema at the
peripheral intravenous (IV) site. On the basis of these find-
ings, the nurse should implement which action?
A. Remove the IV.
B. Apply a warm compress.
D. Check for a blood return.
4. Measure the area of infiltration.
Answer: A
This question requires that you focus on the data in the ques-
tion and determine that the client is experiencing an infiltra-
tion. Next, you need to consider the harmful effects of
infiltration and determine the action to implement. Because
infiltration can be damaging to the surrounding tissue, the
appropriate action is to remove the IV to prevent any further
Questions 2 ) Safe and Effective Care Environment
Management of Care
The nurse has received the client assignment for the day.
Which client should the nurse assess first?
A) The client who needs to receive subcutaneous insulin
before breakfast
B) The client who has a nasogastric tube attached to intermit-
tent suction
C) The client who is 2 days postoperative and is complaining
of incisional pain
D) The client who has a blood glucose level of 50 mg/ dL
(2.8 mmol/ L) and complaints of blurred vision
Answer: D
This question addresses the subcategory Management of
Care in the Client Needs categorySafe and Effective Care Envi-
ronment. Note the strategic word, first, so you need to estab-
lish priorities by comparing the needs of each client and
deciding which need is urgent. The client described in the cor-
rect option has a low blood glucose level and symptoms reflec-
tive of hypoglycemia. This client should be assessed first so
that treatment can be implemented. Although the clients in
options 1, 2, and 3 have needs that require assessment, their
assessments can wait until the client in the correct option is
stabilized.
Safety and Infection Control
Questions 3)
The nurse prepares to care for a client on contact precautions
who has a hospital-acquired infection caused by methicillin-
resistant Staphylococcus aureus (MRSA). The client has an
abdominal wound that requires irrigation and has a tracheos-
tomy attached to a mechanical ventilator, which requires fre-
quent suctioning. The nurse should assemble which
necessary protective items before entering the client’s room?
A) Gloves and gown
B) Gloves and face shield
C) Gloves, gown, and face shield
D) Gloves, gown, and shoe protectors
Answer: c
This question addresses the subcategory Safety and Infection
Control in the Client Needs category Safe and Effective Care
Environment. It addresses content related to protecting one-
self from contracting an infection and requires that you con-
sider the methods of possible transmission of infection,
based on the client’s condition. Because splashes of infective
material can occur during the wound irrigation or suctioning
of the tracheostomy, option 3 is correct.
Questions 4) Health Promotion and Maintenance
The nurse is choosing age-appropriate toys for a toddler.
Which toy is the best choice for this age?
A) Puzzle
B) Toy soldiers
C) Large stacking blocks
D) A card game with large pictures
Answer: c
This question addresses the Client Needs category Health
Promotion and Maintenance and specifically relates to the
principles of growth and development of a toddler. Note the
strategic word, best. Toddlers like to master activities indepen-
dently, such as stacking blocks. Because toddlers do not have
the developmental ability to determine what could be harmful,
toys that are safe need to be provided. A puzzle and toy sol-
diers provide objects that can be placed in the mouth and
may be harmful for a toddler. A card game with large pictures
may require cooperative play, which is more appropriate for a
school-age child.
Questions 5)
Psychosocial Integrity
A client with coronary artery disease has selected guided
imagery to help cope with psychological stress. Which client
statement indicates an understanding of this stress reduction
measure?
A. “This will help only if I play music at the same time.”
B. “This will work for me only if I am alone in a quiet area.”
C. “I need to do this only when I lie down in case I fall asleep.”
D. “The best thing about this is that I can use it anywhere,
anytime.”
Answer: D
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Questions 6)
Basic Care and Comfort
Aclient with Parkinson’s disease develops akinesia while ambu-
lating, increasing the risk for falls. Which suggestion should the
nurse provide to the client to alleviate this problem?
1. Use a wheelchair to move around.
2. Stand erect and use a cane to ambulate.
3. Keep the feet close together while ambulating and use a
walker.
4. Consciously think about walking over imaginary lines on the
floor.
Answer: 4
Questions 7)
Pharmacological and Parenteral Therapies
The nurse monitors a client receiving digoxin for which early
manifestation of digoxin toxicity?
1. Anorexia
2. Facial pain
3. Photophobia
4. Yellow color perception
Answer: 1
This question addresses the subcategory Pharmacological and
Parenteral Therapies in the Client Needs category Physiological
Integrity. Note the strategic word, early. Digoxin is a cardiac gly-coside that is used to manage and treat heart failure and to con-
trol ventricular rates in clients with atrial fibrillation. The most
common early manifestations of toxicity include gastrointesti-
nal disturbances such as anorexia, nausea, and vomiting. Neu-
rological abnormalities can also occur early and include fatigue,
headache, depression, weakness, drowsiness, confusion, and
nightmares. Facial pain, personality changes, and ocular distur-
bances (photophobia, diplopia, light flashes, halos around
bright objects, yellow or green color perception) are also signs
of toxicity, but are not early signs.
Questions 8)
Reduction of Risk Potential
A magnetic resonance imaging (MRI) study is prescribed for a
client with a suspected brain tumor. The nurse should imple-
ment which action to prepare the client for this test?
1. Shave the groin for insertion of a femoral catheter.
2. Remove all metal-containing objects from the client.
3. Keep the client NPO (nilper os; nothing bymouth) for 6 hours
before the test.
4. Instruct the client in inhalation techniques for the adminis-
tration of the radioisotope.
Answer: 2
This question base on first priority when patients need mri
Questions 9)
Physiological Adaptation
A client with renal insufficiency has a magnesium level of
3.5 mEq/ L (1.75 mmol/ L). On the basis of this laboratory result,
the nurse interprets which sign as significant?
1. Hyperpnea
2. Drowsiness
3. Hypertension
4. Physical hyperactivity
Answer: 2
This question addresses the subcategory Physiological Adap-
tation in the Client Needs category Physiological Integrity.
It addresses an alteration in body systems. The normal
magnesium level is 1.5 to 2.5 mEq/ L(0.75 to 1.25 mmol/ L).
A magnesium level of 3.5 mEq/ L (1.75 mmol/L) indicates hyper-
magnesemia. Neurological manifestations begin to occur when
magnesium levels are elevated and are noted as symptoms of
neurological depression, such as drowsiness, sedation, leth-
argy, respiratory depression, muscle weakness, and areflexia.
Bradycardia and hypotension also occur.
Questions 10)
A client is scheduled for angioplasty. The client says to the
nurse, “I’m so afraid that it will hurt and will make me worse
off than I am.” Which response by the nurse is therapeutic?
1. “Can you tell me what you understand about the
procedure?”
2. “Your fears are a sign that you really should have this
procedure.”
3. “Those are very normal fears, but please be assured that
everything will be okay.”
4. “Try not to worry. This is a well-known and easy procedure
for the health care provider.”
Answer: 1
This question addresses the subcategory Caring in the cate-
gory Integrated Processes. The correct option is a therapeutic
communication technique that explores the client’s feelings,
determines the level of client understanding about the proce-
dure, and displays caring. Option 2 demeans the client and
does not encourage further sharing by the client. Option 3
does not address the client’s fears, provides false reassurance,
and puts the client’s feelings on hold. Option 4 diminishes the
client’s feelings bydirecting attention awayfrom the client and
toward the health care provider’s importance.
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