Hello and welcome to the quiz page! Once you’ve completed this quiz, take a moment to collect your thoughts, then click here to return to the main NCLEX-RN nursing test bank page. Your progress and effort are valuable, keep going!
Quiz Guidelines
Before you start, here are some examination guidelines and reminders you must read:
- Practice Exams: Engage with our Practice Exams to hone your skills in a supportive, low-pressure environment. These exams provide immediate feedback and explanations, helping you grasp core concepts, identify improvement areas, and build confidence in your knowledge and abilities.
- Challenge Exams: Take our Challenge Exams to test your mastery and readiness under simulated exam conditions. These exams offer a rigorous question set to assess your understanding, prepare you for actual examinations, and benchmark your performance.
- You’re given 2 minutes per item.
- For Challenge Exams, click on the “Start Quiz” button to start the quiz.
- Complete the quiz: Ensure that you answer the entire quiz. Only after you’ve answered every item will the score and rationales be shown.
- Learn from the rationales: After each quiz, click on the “View Questions” button to understand the explanation for each answer.
- Free access: Guess what? Our test banks are 100% FREE. Skip the hassle – no sign-ups or registrations here. A sincere promise from Nurseslabs: we have not and won’t ever request your credit card details or personal info for our practice questions. We’re dedicated to keeping this service accessible and cost-free, especially for our amazing students and nurses. So, take the leap and elevate your career hassle-free!
- Share your thoughts: We’d love your feedback, scores, and questions! Please share them in the comments below.
Quiz Summary
0 of 30 Questions completed
Questions:
Information
You have already completed the quiz before. Hence you can not start it again.
Quiz is loading…
You must sign in or sign up to start the quiz.
You must first complete the following:
Results
Results
0 of 30 Questions answered correctly
Your time:
Time has elapsed
You have reached 0 of 0 point(s), (0)
Earned Point(s): 0 of 0, (0)
0 Essay(s) Pending (Possible Point(s): 0)
Categories
- Basic Care and Comfort 0%
- Health Promotion and Maintenance 0%
- Management of Care 0%
- Pharmacological and Parenteral Therapies 0%
- Physiological Adaptation 0%
- Reduction of Risk Potential 0%
- Safety and Infection Control 0%
-
Awesome, you’ve completed the quiz!
Where are the rationales? Please click the View Questions button below to review your answers and read through the rationales for each question.
- 1
- 2
- 3
- 4
- 5
- 6
- 7
- 8
- 9
- 10
- 11
- 12
- 13
- 14
- 15
- 16
- 17
- 18
- 19
- 20
- 21
- 22
- 23
- 24
- 25
- 26
- 27
- 28
- 29
- 30
- Current
- Review / Skip
- Answered
- Correct
- Incorrect
-
Question 1 of 30
1. Question
Category: Reduction of Risk PotentialDuring a community health assessment at a local school’s parent-teacher conference, the nurse encounters several parents and caregivers. Based on their shared histories and lifestyles, the nurse determines the risk factors for hypertension among them. Which of the following individuals is at the HIGHEST risk for developing hypertension?
CorrectIncorrect -
Question 2 of 30
2. Question
Category: Pharmacological and Parenteral TherapiesA 15-year-old female with a history of depression is brought to the emergency department.
Nurse’s Notes:
1115: A 15-year-old female with a history of depression and recent relationship troubles with her close friends is brought to the emergency department by her concerned parents after they found an empty bottle of maximum-strength acetaminophen in her room. Upon questioning, the patient tearfully admits to ingesting 15 tablets of the medication 45 minutes ago. She is visibly anxious and frequently looks at the marks on her wrists, which seem to be superficial scratches.Vital signs as of 1115:
- Blood pressure: 120/70
- Heart rate: 88 bpm
- Respiratory rate: 18 bpm
- Oxygen saturation: 98% on room air
As the nurse prepares to address the situation, several orders from the primary care provider come in. Which of the following orders should the nurse prioritize and carry out first?
CorrectIncorrect -
Question 3 of 30
3. Question
Category: Management of CareA 68-year-old male with a history of hypertension and diabetes has undergone a cardiac catheterization to evaluate potential coronary artery disease. He has a known allergy to iodine-based contrast agents, which required premedication with corticosteroids and antihistamines. The procedure was successful, but the patient experienced brief hypotension during the administration of the contrast material. The patient has been transferred to the cardiac step-down unit for observation, and the nurse is aware of the potential complications that can arise in the initial 24 hours post-procedure. Which complication should the nurse monitor closely during this period?
CorrectIncorrect -
Question 4 of 30
4. Question
Category: Basic Care and ComfortA 43-year-old male with a history of recurrent renal calculi is admitted to the emergency department presenting with severe left flank pain radiating to the groin, nausea, and an episode of vomiting. He also reports burning and urgency during urination. His vital signs reveal a temperature of 100.8ºF (38.2ºC), blood pressure of 145/90 mmHg, pulse of 100 beats/min, and respiratory rate of 20 breaths/min. The client is visibly anxious and uncomfortable due to the severity of the pain. The nurse is assigned to care for the patient and must prioritize the nursing goals to ensure optimal care. Which nursing goal should be the top priority for this client?
CorrectIncorrect -
Question 5 of 30
5. Question
Category: Health Promotion and MaintenanceDuring a school screening program for children aged 6-12, a nurse is tasked with evaluating their growth parameters. She encounters a 9-year-old girl who is shorter than her peers and seems to have less muscle development. To align her observations with typical growth expectations for school-age children, what would the nurse expect to see?
CorrectIncorrect -
Question 6 of 30
6. Question
Category: Health Promotion and MaintenanceA 62-year-old client arrives at a community health fair where the nurse is offering blood pressure screenings. Upon assessment, the nurse notes that the client’s blood pressure is 160/96 mmHg. The client claims that their blood pressure is “usually much lower” and they recently started new medication for arthritis. What would the nurse advise the client to do?
CorrectIncorrect -
Question 7 of 30
7. Question
Category: Safety and Infection ControlIt’s a busy evening shift, and the hospital has just sounded an alarm for a disaster drill. The unit manager informs the nurse that they need to make room for potential mass casualty admissions. The nurse is given four clients and must decide who to prioritize for discharge to accommodate new admissions. Who should be considered FIRST for discharge?
CorrectIncorrect -
Question 8 of 30
8. Question
Category: Pharmacological and Parenteral TherapiesA 25-year-old male is seen in the endocrinology clinic for unexplained fatigue, weight gain, and low energy levels. After a series of diagnostic tests, he is diagnosed with hypothyroidism. The healthcare provider prescribes levothyroxine (Synthroid) 50 mcg/day by mouth. As the nurse educates the client about this medication, which point should be emphasized?
CorrectIncorrect -
Question 9 of 30
9. Question
Category: Physiological AdaptationA 3-year-old child was brought to the pediatric clinic after the sudden onset of findings that include irritability, thick muffled voice, croaking on inspiration, hot to touch, sit leaning forward, tongue protruding, drooling, and suprasternal retractions. What should the nurse do first?
CorrectIncorrect -
Question 10 of 30
10. Question
Category: Physiological AdaptationA school nurse is assessing 8-year-old Timmy, who was brought to the school health office by his teacher due to concerns about his recent behavior. The teacher reports that Timmy has been asking to go to the bathroom frequently during class, appears tired, and has been caught sneaking snacks during lessons. Upon further questioning, Timmy’s mother, who was called to the school, mentions that he has been drinking more water than usual at home, has an increased appetite, and has had a few episodes of bedwetting in the past month. She also notes that despite eating more, he seems to have lost some weight. Given these observations and suspecting diabetes, which symptom is most likely to prompt parents to seek medical evaluation for their school-age child?
CorrectIncorrect -
Question 11 of 30
11. Question
Category: Physiological AdaptationA 29-year-old female client, who is a professional dancer, presents to the emergency department after a performance complaining of severe lower abdominal pain, fever, and an unusual vaginal discharge. She mentions that she had similar symptoms two months ago and was treated in an urgent care clinic. She also reports having multiple sexual partners in the past year and inconsistent condom use. Given the clinical presentation and her history, which of the following infections is most frequently associated with a recurrence of pelvic inflammatory disease (PID)?
CorrectIncorrect -
Question 12 of 30
12. Question
Category: Management of CareAn experienced registered nurse, specialized in spinal rehabilitation, is floated to the busy emergency department for a shift. The emergency department is currently short-staffed, and there’s a power outage in the adjacent building, causing a surge of patients. Among the patients waiting, which client should the charge nurse most appropriately assign to this RN, keeping in mind her expertise and the current situation?
CorrectIncorrect -
Question 13 of 30
13. Question
Category: Health Promotion and MaintenanceA 60-year-old male client is admitted to the cardiology ward following an angioplasty for coronary artery disease. Nutrition education is a part of his discharge planning. What dietary advice should the nurse prioritize?
CorrectIncorrect -
Question 14 of 30
14. Question
Category: Pharmacological and Parenteral TherapiesA 45-year-old patient in the intensive care unit, who was recently involved in a severe car accident, has multiple fractures and internal injuries. The patient has a history of chronic back pain and has been on long-term opioid therapy. The patient is currently on a pump set to deliver a basal rate of 10 ml per hour of morphine plus PRN doses for breakthrough pain. The nurse also notes that the patient has been frequently pressing the PRN button for additional relief. Given this scenario, which observation indicates that the pump may not be functioning correctly?
CorrectIncorrect -
Question 15 of 30
15. Question
Category: Health Promotion and MaintenanceDuring a community meeting on health promotion in a small town with a significant elderly population, the nurse is approached by a group of senior citizens. They express concerns about their chronic back pain and have heard about alternative treatments. One of them asks about the effectiveness of chiropractic treatments for their age group and associated ailments. Considering the demographic and the context, in responding, what should be the focus of the nurse’s answer?
CorrectIncorrect -
Question 16 of 30
16. Question
Category: Physiological AdaptationA 55-year-old client, who is a renowned pianist, is admitted to the neurology unit after a right-sided cerebrovascular accident (CVA) following a high-pressure concert performance. The client’s family is anxious about the potential implications on his career. The nurse is performing a neurological assessment while considering the client’s profession and the family’s concerns. Amidst the assessment, which finding should prompt the nurse to take immediate action and possibly escalate care?
CorrectIncorrect -
Question 17 of 30
17. Question
Category: Physiological AdaptationA 6-year-old child, who has recently moved to a high-altitude region with his family, has been diagnosed with cystic fibrosis. The parents bring him to a pediatric clinic for an initial assessment and are concerned about how the altitude might impact his condition. They also mention that he has been more active and playing outside with new friends. Considering the early stage of this disease and the child’s recent environmental changes, which later-stage symptom associated with cystic fibrosis would the nurse NOT expect to observe at this time?
CorrectIncorrect -
Question 18 of 30
18. Question
Category: Physiological AdaptationDuring a home health visit in a remote mountainous area with limited cell reception, a nurse arrives at a cabin to find a male client lethargic and confused. His wife, who seems visibly distressed, mentions that he fell down the stairs approximately two hours ago while they were preparing for a storm. She adds that he seemed fine immediately afterward and didn’t want to worry their children who are playing in the adjacent room. Given the circumstances, what actions should the nurse prioritize?
Select all that apply.
CorrectIncorrect -
Question 19 of 30
19. Question
Category: Reduction of Risk PotentialA 72-year-old client with a history of recurrent urinary tract infections and recent complaints of flank pain is scheduled for KUB (Kidney, Ureter, Bladder) radiography in an outpatient setting. The client is anxious and mentions reading various preparation methods online. Given the client’s age, history, and concerns, which of the following actions should the nurse take to adequately prepare the client for the test?
Select all that apply.
CorrectIncorrect -
Question 20 of 30
20. Question
Category: Health Promotion and MaintenanceThe nurse is giving discharge teaching to a 45-year-old client, a professional athlete, seven (7) days post-myocardial infarction. The client, anxious about returning to his normal life and activities, asks the nurse why he must wait six (6) weeks before having sexual intercourse. He also inquires about the impact on his athletic performance. Given his profession and concerns, what is the best response by the nurse to this question?
CorrectIncorrect -
Question 21 of 30
21. Question
Category: Management of CareIn a busy urban emergency department during a holiday weekend, a triage nurse is faced with six clients arriving simultaneously, each presenting with distinct symptoms. The waiting room is crowded, and the nurse is aware that the ER is currently short-staffed. Given the symptoms, potential severity of each case, and the current ER situation, which client should the triage nurse prioritize to be seen first?
CorrectIncorrect -
Question 22 of 30
22. Question
Category: Health Promotion and MaintenanceYou’re a pediatric nurse working with a family who has recently adopted a 2-year-old child named Mia. This is the family’s first time adopting, and they are particularly concerned about ensuring they provide the right environment for her developmental needs. Mia is an active toddler who loves exploring but has had minor falls. During your nursing education session, you emphasized the importance of balancing safety, exploration, and skill development at this stage of Mia’s life. Which of the following statements made by Mia’s mother indicates that she has a clear understanding of her daughter’s developmental needs at this age?
CorrectIncorrect -
Question 23 of 30
23. Question
Category: Basic Care and ComfortIn a specialized medical-surgical unit, you’re assigned to care for Mr. Johnson, a 72-year-old male who recently suffered a cerebrovascular accident (stroke) that has led to dysphagia. He is being temporarily nourished through a nasogastric (NG) feeding tube. His current medications include anticoagulants, and he has a history of peptic ulcer disease. Given the patient’s complex medical condition, what is the most important action for the nurse to take before administering an enteral feeding via the nasogastric feeding tube?
CorrectIncorrect -
Question 24 of 30
24. Question
Category: Pharmacological and Parenteral TherapiesYou are a nurse in the cardiac care unit caring for Mrs. Thompson, a 62-year-old female with a history of chronic kidney disease and hypertension. She has been admitted for acute heart failure and has a serum potassium level of 3.5 mEq/L, on the lower end of the normal range (3.5-5.0 mEq/L). Considering her clinical history and current condition, she is placed on a cardiac monitor and starts receiving an infusion of 40 mEq potassium chloride in 1000 ml of 5% dextrose in water IV. While monitoring her EKG, which of the following patterns should prompt you to discontinue the potassium infusion immediately?
CorrectIncorrect -
Question 25 of 30
25. Question
Category: Physiological AdaptationWhile working in the pediatric oncology ward, Nurse Ramirez manages care for Leo, a 4-year-old boy newly diagnosed with rhabdomyosarcoma. Leo’s parents are anxious, as they’ve been reading extensively online and are overwhelmed with information. They express concerns about potential metastasis and how the cancer may affect Leo’s overall function. Given the primary site of rhabdomyosarcoma, Nurse Ramirez should emphasize monitoring the function of which area of the body and educate the family about its relevance.
CorrectIncorrect -
Question 26 of 30
26. Question
Category: Health Promotion and MaintenanceWhile working in the oncology ward, Nurse Parker cares for Mr. Li, a 65-year-old patient diagnosed with colon cancer. Mr. Li and his family are deeply rooted in their cultural beliefs, emphasizing the traditions of Chinese medicine in their approach to health and healing. In addition to the prescribed cancer treatments, Mr. Li’s family seeks to incorporate complementary therapies that align with their cultural beliefs. In developing a holistic care plan in collaboration with Mr. Li’s family, Nurse Parker should prioritize understanding which fundamental goal of Chinese medicine?
CorrectIncorrect -
Question 27 of 30
27. Question
Category: Physiological AdaptationNurse Johnson is reviewing Mr. Garcia, a 58-year-old client with a history of hypertrophic cardiomyopathy and a recent episode of upper respiratory tract infection. During today’s assessment, Nurse Johnson noted that Mr. Garcia’s systolic blood pressure has decreased from 145 to 110 mm Hg since his last visit, his heart rate has risen from 72 to 96 beats per minute, and he has been experiencing periodic dizzy spells when standing up. Mr. Garcia mentioned he has been trying to drink less due to concerns about fluid retention. Considering his clinical picture and history, Nurse Johnson should advise Mr. Garcia to:
CorrectIncorrect -
Question 28 of 30
28. Question
Category: Reduction of Risk PotentialNurse Matthews is caring for Mr. Turner, a 72-year-old client with chronic heart failure and recent episodes of pulmonary edema. Given Mr. Turner’s deteriorating condition, the cardiology team has decided to insert a pulmonary artery catheter (Swan-Ganz catheter) to obtain more specific information about his heart’s functionality. When explaining the procedure and its purpose to Mr. Turner, Nurse Matthews should emphasize that the catheter will primarily be inserted to provide information about:
CorrectIncorrect -
Question 29 of 30
29. Question
Category: Physiological AdaptationIn the middle of her night shift, Nurse Swift is alerted by a telemetry alarm from Room 1989. She rushes in to find Mr. Taylor, a 74-year-old patient with a history of congestive heart failure and recent pneumonia, unresponsive in his bed. The monitor shows ventricular fibrillation. After urgently summoning assistance using the emergency call system, Nurse Swift has to quickly decide her immediate course of action. What should be her primary intervention?
CorrectIncorrect -
Question 30 of 30
30. Question
Category: Pharmacological and Parenteral TherapiesNurse Martinez is tending to Mr. Rodriguez, a 67-year-old patient with atrial fibrillation. He has been on digoxin (Lanoxin) 0.25 mg daily to control his heart rate. His cardiologist, aware of his medication regimen, has added metoprolol (Lopressor) 25 mg B.I.D to further manage his condition. Before Nurse Martinez administers the two medications, she carefully assesses Mr. Rodriguez’s vital signs. Which of her findings would be of greatest concern and necessitate immediate communication with the cardiologist?
CorrectIncorrect