NCLEX-RN practice questions
200 free questions with answers and explanations.
- 151.A nurse is providing health teaching to a group of parents about the recommended immunization schedule for infants. A parent asks, “When should my baby receive the first dose of the Measles, Mumps, and Rubella (MMR) vaccine?”Health Promotion and Maintenance
- 152.A nurse is discussing health maintenance with a 45-year-old male client during his annual physical. The client has no significant past medical history and no family history of colon cancer. He asks about recommended cancer screenings. Which of the following screenings should the nurse recommend initiating at this time?Health Promotion and Maintenance
- 153.A nurse is conducting a prenatal education class for a group of expectant parents. When discussing fetal development, which statement by a client indicates an understanding of when the fetal heart begins to beat?Health Promotion and Maintenance
- 154.A nurse is providing discharge teaching to the parents of a 3-day-old infant who was circumcised. The parents ask about normal healing and care. Which of the following findings should the nurse instruct the parents to report to the provider immediately?Health Promotion and Maintenance
- 155.A nurse is conducting a well-child visit for a 4-month-old infant. The parents express concern because the infant has not yet rolled over from back to front. Which of the following responses by the nurse is most appropriate?Health Promotion and Maintenance
- 156.A nurse is conducting a developmental screening for a 2-year-old child. The child is able to stack 6 blocks, use a spoon independently, and follow simple two-step commands. The parents express concern that the child is not yet putting together 3-word sentences. Which of the following actions should the nurse take?Health Promotion and Maintenance
- 157.A nurse is conducting a prenatal education class for a group of pregnant clients. A client asks, "What is the best way to monitor my baby's movements at home?" Which of the following instructions should the nurse provide regarding fetal kick counts?Health Promotion and Maintenance
- 158.A nurse is providing education to a new mother about postpartum depression (PPD). Which statement by the client indicates a need for further teaching about the difference between 'baby blues' and PPD?Health Promotion and Maintenance
- 159.A nurse is providing health teaching to a client who is 30 weeks pregnant about signs of preterm labor. The client asks, "How will I know if what I'm feeling is real labor and not just Braxton Hicks?" Which of the following symptoms should the nurse instruct the client to report immediately?Health Promotion and Maintenance
- 160.A nurse is providing health teaching to the parents of a 10-month-old infant regarding appropriate injury prevention. Which statement by the parents indicates a need for further teaching?Health Promotion and Maintenance
- 161.A nurse is teaching a postpartum client about self-care after a vaginal delivery. The client expresses concern about perineal discomfort and asks for effective relief strategies. Which of the following interventions should the nurse recommend for the first 24 hours postpartum?Health Promotion and Maintenance
- 162.A nurse is reinforcing teaching with the parents of a 4-year-old child about appropriate discipline strategies. Which statement by the parents indicates an understanding of effective discipline for this age group?Health Promotion and Maintenance
- 163.A nurse is reinforcing teaching with the parents of a 1-year-old child about appropriate safety measures. The parents live in an older home built before 1978. Which of the following instructions should the nurse prioritize?Health Promotion and Maintenance
- 164.A nurse is conducting a group therapy session on an inpatient psychiatric unit. A client with a diagnosis of antisocial personality disorder consistently interrupts others, makes sarcastic remarks, and attempts to dominate the conversation. Which action should the nurse take first?Psychosocial Integrity
- 165.A client is admitted to the psychiatric unit with severe depression. During the initial assessment, the client states, 'I just want to end it all. I have nothing left to live for.' Which of the following is the most appropriate nursing response?Psychosocial Integrity
- 166.A client is experiencing an acute manic episode and is pacing rapidly, speaking loudly and rapidly, and making grandiose statements. The client refuses to sit down for a meal. Which action should the nurse prioritize?Psychosocial Integrity
- 167.A client presents to the emergency department reporting acute anxiety, shortness of breath, and chest pain. Medical causes have been ruled out. The client states, 'I feel like I'm going to die.' Which nursing intervention is most appropriate at this time?Psychosocial Integrity
- 168.A client with a history of alcohol use disorder is admitted with pancreatitis. The nurse notes the client is agitated, diaphoretic, and reports seeing 'bugs crawling on the walls.' The client's last drink was 48 hours ago. Which medication should the nurse anticipate administering first?Psychosocial Integrity
- 169.A client with a history of schizophrenia and recent medication non-adherence is brought to the emergency department by family members. The client is agitated, speaking incoherently, and believes the television is sending them secret messages. Which nursing intervention is the priority?Psychosocial Integrity
- 170.A client with a history of generalized anxiety disorder (GAD) reports feeling overwhelmed and unable to concentrate due to constant worry about their job, finances, and family. The client states, 'I just can't stop thinking about all the bad things that could happen.' Which therapeutic technique would be most beneficial for the nurse to teach this client?Psychosocial Integrity
- 171.A client with a diagnosis of anorexia nervosa has a body mass index (BMI) of 15 and is exhibiting bradycardia and hypotension. The client refuses to eat, stating, 'I'm fat and ugly.' Which nursing intervention is the most appropriate initial action?Psychosocial Integrity
- 172.A nurse is preparing to transfer a client who has left-sided weakness from the bed to a wheelchair. The client is able to bear partial weight. Which action by the nurse indicates a need for further instruction?Safety and Infection Prevention and Control
- 173.A nurse is caring for a client who suddenly becomes agitated and attempts to remove their intravenous (IV) line. The client has a history of dementia and is disoriented. After attempting verbal de-escalation without success, which action should the nurse take next?Safety and Infection Prevention and Control
- 174.A nurse is caring for a client with a new peripherally inserted central catheter (PICC) line. The nurse notes redness, swelling, and purulent drainage at the insertion site. Which action should the nurse take first?Safety and Infection Prevention and Control
- 175.A nurse is caring for a client with a new prescription for contact precautions. Which action by the nurse indicates a need for further teaching by the charge nurse?Safety and Infection Prevention and Control
- 176.A nurse is preparing to insert an indwelling urinary catheter into a female client. The nurse accidentally contaminates the sterile catheter by touching an unsterile surface. Which action should the nurse take next?Safety and Infection Prevention and Control
- 177.A nurse is preparing to transfer a client who is obese and has left-sided weakness from the bed to a chair. Which action indicates the nurse is using proper body mechanics?Safety and Infection Prevention and Control
- 178.A client is admitted to the emergency department with suspected active pulmonary tuberculosis (TB). Which type of isolation precautions should the nurse anticipate initiating for this client?Safety and Infection Prevention and Control
- 179.A nurse is preparing to administer an intramuscular injection to an adult client. The client is receiving anticoagulant therapy. Which action is most important for the nurse to take to prevent complications?Safety and Infection Prevention and Control
- 180.A nurse is performing a medication reconciliation for a newly admitted client. The client reports taking a herbal supplement daily that is not listed in their electronic health record (EHR). What is the nurse's priority action?Safety and Infection Prevention and Control
- 181.A nurse is preparing to administer an influenza vaccine via intramuscular injection to an adult client. The client reports a severe allergy to eggs, stating, 'Every time I eat eggs, my throat swells, and I have trouble breathing.' Which action should the nurse take next?Safety and Infection Prevention and Control
- 182.A nurse is responding to a fire alarm on the unit. The nurse discovers a small fire in a client's wastebasket. The client is ambulatory and responsive. What is the nurse's priority action?Safety and Infection Prevention and Control
- 183.A nurse is caring for a client who is diagnosed with a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and is exhibiting severe respiratory distress. The client is placed on an oxygen mask at 10 L/min. Which action should the nurse take to ensure proper infection control while providing care?Safety and Infection Prevention and Control
- 184.A nurse is preparing to administer an intravenous push medication to a client. After reviewing the medication order, the nurse notices that the prescribed dose is significantly higher than the usual therapeutic range. Which action should the nurse take first?Safety and Infection Prevention and Control
- 185.A nurse is caring for a client with a new prescription for continuous oxygen therapy via nasal cannula at 3 L/min. The client's spouse expresses concern about the safety of having oxygen in the home. Which instruction is most important for the nurse to provide to the spouse regarding home oxygen safety?Safety and Infection Prevention and Control
- 186.A client is admitted to the emergency department with suspected measles. The nurse should anticipate implementing which type of transmission-based precautions?Safety and Infection Prevention and Control
- 187.A nurse is caring for a client who is receiving intravenous fluids and suddenly develops signs of fluid overload (e.g., dyspnea, crackles in lungs, peripheral edema). What is the nurse's priority action?Safety and Infection Prevention and Control
- 188.The nurse is caring for a client who is receiving intravenous fluids and suddenly develops shortness of breath, crackles in the lungs, and distended neck veins. The nurse suspects fluid overload. Which action should the nurse take FIRST?Safety and Infection Prevention and Control
- 189.A nurse is preparing to administer a medication via a nasogastric (NG) tube to a client who is receiving continuous enteral feedings. Which initial action should the nurse take?Safety and Infection Prevention and Control
- 190.A nurse is preparing to administer medications to a client diagnosed with Clostridioides difficile (C. diff) infection. Which personal protective equipment (PPE) is essential for the nurse to don before entering the client's room?Safety and Infection Prevention and Control
- 191.A nurse receives a prescription to apply wrist restraints to an agitated client. Which action should the nurse prioritize immediately after applying the restraints?Safety and Infection Prevention and Control
- 192.A nurse is reviewing a client's medication administration record (MAR) and notes a medication order that is significantly higher than the usual therapeutic dose. The prescribing physician is currently unavailable. What is the nurse's most appropriate action?Safety and Infection Prevention and Control
- 193.A nurse is administering a subcutaneous injection of insulin to a client. After inserting the needle, the nurse observes a small amount of blood return in the syringe. Which action should the nurse take next?Safety and Infection Prevention and Control
- 194.A nurse is reviewing the medication administration record (MAR) for a client and notes a new order for a medication that the client's electronic health record (EHR) lists as an allergy. The client is currently asymptomatic. Which action should the nurse take first?Safety and Infection Prevention and Control
- 195.A nurse is caring for a client who is diagnosed with a severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and requires an aerosol-generating procedure (e.g., nebulizer treatment). Which personal protective equipment (PPE) should the nurse prioritize for this procedure?Safety and Infection Prevention and Control
- 196.A nurse is caring for a client with a new peripherally inserted central catheter (PICC) line. Which action is most important for the nurse to take to prevent a central line-associated bloodstream infection (CLABSI)?Safety and Infection Prevention and Control
- 197.A nurse is providing anticipatory guidance to the parents of a 15-month-old toddler during a well-child visit. The parents express concern about their child's increasing independence and occasional temper tantrums. Which guidance should the nurse provide regarding discipline at this age?Health Promotion and Maintenance
- 198.A nurse is preparing to administer an influenza vaccine via intramuscular injection to an adult client. The client reports a previous severe allergic reaction to eggs. Which action should the nurse take?Safety and Infection Prevention and Control
- 199.A nurse is conducting a well-child visit for a 6-month-old infant. The parents ask about introducing solid foods. Which food item should the nurse recommend introducing first?Health Promotion and Maintenance
- 200.A nurse is providing health teaching to a 60-year-old male client about recommended screening tests. The client has no significant past medical history and no family history of colon cancer. Which screening should the nurse emphasize as most critical for this client's age group?Health Promotion and Maintenance