Nclex Review Book With 1000+ Practice Exam Questions for the Nclex Nursing Examination Pdf Free
Welcome to our collection of gratis NCLEX practice questions to aid y'all accomplish success on your NCLEX-RN examination! This updated guide for 2022 includes 1,000+ exercise questions, a primer on the NCLEX-RN exam, frequently asked questions about the NCLEX, question types, the NCLEX-RN test programme, and test-taking tips and strategies.
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We take included more than ane,000+ NCLEX practise questions covering dissimilar nursing topics for this nursing examination banking concern! We've made a meaning effort to provide you lot with the about challenging questions along with insightful rationales for each question to reinforce learning.
We recommend you do all do questions before yous take the actual test. Doing then will aid reduce your exam anxiety and assist place nursing topics y'all need to review. To make the nearly of the practice exams, try to minimize mistakes to less than 15 questions and take your time answering the questions, peculiarly when reading the rationales.
Included NCLEX-RN question sets for this nursing test bank are every bit follows:
- Comprehensive NCLEX-RN Practice Questions | Quiz #1: 75 Questions
- Comprehensive NCLEX-RN Practice Questions | Quiz #ii: 75 Questions
- Comprehensive NCLEX-RN Practice Questions | Quiz #3: 75 Questions
- Comprehensive NCLEX-RN Practice Questions | Quiz #4: 75 Questions
- Comprehensive NCLEX-RN Do Questions | Quiz #5: 75 Questions
- Comprehensive NCLEX-RN Practice Questions | Quiz #6: 75 Questions
- Comprehensive NCLEX-RN Practice Questions | Quiz #seven: 75 Questions
- Comprehensive NCLEX-RN Practice Questions | Quiz #8: 75 Questions
- Comprehensive NCLEX-RN Practice Questions | Quiz #9: 75 Questions
- Comprehensive NCLEX-RN Practice Questions | Quiz #10: 75 Questions
- Comprehensive NCLEX-RN Do Questions | Quiz #11: 75 Questions
- Comprehensive NCLEX-RN Practice Questions | Quiz #12: 75 Questions
- More do questions bachelor at our Nursing Examination Bank .
- Come across too: Full-TEXT Comprehensive NCLEX-RN Practice Quiz Examination Bank (900 Questions)
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i. NCLEX-RN Practice Questions | Quiz #1: 75 Questions
NCLEX-RN Practise Questions | Quiz #1: 75 Questions
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Question 1 of 75
Category: Health Promotion and Maintenance
While assessing a one-month-old baby, which of the findings warrants further investigation by the nurse? Select all that utilise.
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Question 2 of 75
Category: Pharmacological and Parenteral Therapies
A nurse is to administer meperidine hydrochloride (Demerol) 100 mg, atropine sulfate (Atropisol) 0.four mg, and promethazine hydrochloride (Phenergan) 50 mg IM to a preoperative client. List the order in which the nurse must carry out the following actions prior to the administration of preoperative medications.
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Have the client empty bladder
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Raise the side track on the bed
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Identify the call bong within reach
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Instruct the client to remain in bed
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Question iii of 75
Category: Health Promotion and Maintenance
A 32-twelvemonth-old pregnant woman comes to the clinic for her prenatal visit. The nurse gathers data well-nigh her obstetric history, which includes 3-yr-old twins at home and a miscarriage 10 years ago at 12 weeks gestation. How would the nurse accurately document this information? Make full in the blanks.
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Respond: Gravida para
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Question 4 of 75
Category: Reduction of Risk Potential
Which individual is at the greatest risk for developing hypertension?
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Question 5 of 75
Category: Pharmacological and Parenteral Therapies
A xv-twelvemonth-old female person who ingested fifteen tablets of maximum strength acetaminophen 45 minutes ago is rushed to the emergency section. Which of these orders should the nurse practice starting time?
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Question 6 of 75
Category: Management of Intendance
Which complication of cardiac catheterization should the nurse monitor for in the initial 24 hours afterward the procedure?
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Question 7 of 75
Category: Basic Care and Condolement
A client is admitted to the emergency room with renal calculi and is complaining of moderate to astringent flank pain and nausea. The client'southward temperature is 100.eight degrees Fahrenheit. The priority nursing goal for this client is:
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Question 8 of 75
Category: Wellness Promotion and Maintenance
What would the nurse expect to run across while assessing the growth of children during their schoolhouse-age years?
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Question 9 of 75
Category: Health Promotion and Maintenance
At a community health fair, the blood pressure of a 62-year-erstwhile client is 160/96 mmHg. The customer states "My claret pressure is usually much lower." The nurse should tell the customer to:
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Question ten of 75
Category: Condom and Infection Control
The hospital has sounded the call for a disaster drill on the evening shift. Which of these clients would the nurse put kickoff on the list to be discharged in order to make a room available for a new access?
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Question xi of 75
Category: Pharmacological and Parenteral Therapies
A 25-year-onetime male customer has been newly diagnosed with hypothyroidism and will take levothyroxine (Synthroid) 50 mcg/twenty-four hours by mouth. Equally role of the instruction program, the nurse emphasizes that this medication:
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Question 12 of 75
Category: Physiological Accommodation
A three-year-onetime kid 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 forwards, natural language protruding, drooling, and suprasternal retractions. What should the nurse do showtime?
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Question thirteen of 75
Category: Physiological Adaptation
In children suspected to have a diagnosis of diabetes, which one of the post-obit complaints would be virtually likely to prompt parents to take their school-age child for evaluation?
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Question xiv of 75
Category: Physiological Adaptation
A customer comes to the clinic for treatment of recurrent pelvic inflammatory disease. The nurse recognizes that this condition most frequently follows which type of infection?
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Question 15 of 75
Category: Direction of Intendance
A registered nurse who usually works in a spinal rehabilitation unit is floated to the emergency section. Which of these clients should the charge nurse assign to this RN?
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Question 16 of 75
Category: Health Promotion and Maintenance
When teaching a customer with coronary artery disease about nutrition, the nurse should emphasize:
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Question 17 of 75
Category: Pharmacological and Parenteral Therapies
Which of these findings bespeak that a pump to deliver a basal charge per unit of ten ml per hour plus PRN for pain quantum for morphine drip is not working?
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Question xviii of 75
Category: Wellness Promotion and Maintenance
The nurse is speaking at a customs meeting well-nigh personal responsibility for wellness promotion. A participant asks virtually chiropractic handling for illnesses. What should be the focus of the nurse'southward response?
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Question xix of 75
Category: Physiological Adaptation
The nurse is performing a neurological assessment on a client mail right cerebrovascular blow. Which finding, if observed past the nurse, would warrant immediate attending?
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Question twenty of 75
Category: Physiological Adaptation
A child who has recently been diagnosed with cystic fibrosis is in a pediatric clinic where a nurse is performing an assessment. Which later finding of this affliction would the nurse not expect to see at this fourth dimension?
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Question 21 of 75
Category: Physiological Adaptation
The domicile health nurse visits a male client to provide wound intendance and finds the customer lethargic and confused. His wife states he vicious down the stairs two (two) hours ago. The nurse should
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Question 22 of 75
Category: Reduction of Gamble Potential
Which of the post-obit should the nurse implement to prepare a customer for a KUB (Kidney, Ureter, Bladder) radiography test?
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Question 23 of 75
Category: Wellness Promotion and Maintenance
The nurse is giving belch instruction to a client seven (7) days post-myocardial infarction. He asks the nurse why he must wait six (6) weeks before having sexual intercourse. What is the best response by the nurse to this question?
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Question 24 of 75
Category: Management of Care
A triage nurse has these four (4) clients arrive in the emergency section inside fifteen minutes. Which client should the triage nurse send back to exist seen beginning?
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Question 25 of 75
Category: Health Promotion and Maintenance
While planning care for a toddler, the nurse teaches the parents about the expected developmental changes for this age. Which statement by the mother shows that she understands the child'due south developmental needs?
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Question 26 of 75
Category: Basic Care and Comfort
The nurse is preparing to administer an enteral feeding to a customer via a nasogastric feeding tube. The most important action of the nurse is:
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Question 27 of 75
Category: Pharmacological and Parenteral Therapies
The nurse is caring for a client with a serum potassium level of 3.5 mEq/L. The client is placed on a cardiac monitor and receives 40 mEq potassium chloride in 1000 ml of 5% dextrose in water IV. Which of the following EKG patterns indicates to the nurse that the infusions should exist discontinued?
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Question 28 of 75
Category: Physiological Accommodation
A nurse prepares to care for a iv-twelvemonth-erstwhile newly admitted for rhabdomyosarcoma. The nurse should alert the staff to pay more than attending to the function of which area of the trunk?
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Question 29 of 75
Category: Health Promotion and Maintenance
The nurse anticipates that for a family unit who practices Chinese medicine the priority goal would exist to:
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Question xxx of 75
Category: Physiological Adaptation
During an assessment of a client with cardiomyopathy, the nurse finds that the systolic blood force per unit area has decreased from 145 to 110 mm Hg and the centre rate has risen from 72 to 96 beats per minute and the client complains of periodic dizzy spells. The nurse instructs the client to:
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Question 31 of 75
Category: Reduction of Take chances Potential
The nurse prepares the client for the insertion of a pulmonary artery catheter (Swan-Ganz catheter). The nurse teaches the customer that the catheter will exist inserted to provide information about:
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Question 32 of 75
Category: Physiological Accommodation
A nurse enters a customer'southward room to observe that the client has no pulse or respirations. After calling for help, the starting time activity the nurse should have is:
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Question 33 of 75
Category: Pharmacological and Parenteral Therapies
A client is receiving digoxin (Lanoxin) 0.25 mg daily. The health intendance provider has written a new order to give metoprolol (Lopressor) 25 mg B.I.D. In assessing the customer prior to administering the medications, which of the following should the nurse report immediately to the health care provider?
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Question 34 of 75
Category: Health Promotion and Maintenance
The nurse practicing in a maternity setting recognizes that the postmature fetus is at risk due to:
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Question 35 of 75
Category: Reduction of Risk Potential
The nurse is caring for a client who had a total hip replacement seven (7) days ago. Which statement past the client requires the nurse'southward immediate attention?
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Question 36 of 75
Category: Pharmacological and Parenteral Therapies
A 33-year-old male customer with heart failure has been taking furosemide for the by calendar week. Which of the following assessment cues below may indicate the customer is experiencing a negative side effect from the medication?
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Question 37 of 75
Category: Basic Care and Comfort
The nurse is caring for a 27-yr-one-time female client with venous stasis ulcer. Which nursing intervention would be virtually effective in promoting healing?
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Question 38 of 75
Category: Health Promotion and Maintenance
Which of these statements best describes the characteristics of an effective reward-feedback system?
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Question 39 of 75
Category: Health Promotion and Maintenance
The nurse is providing information to a client with multiple sclerosis on performing exercises and physical activities. The nurse determines the client needs boosted teaching if the client makes which statements? Select all that apply.
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Question 40 of 75
Category: Condom and Infection Command
During the evaluation of the quality of dwelling care for a customer with Alzheimer'due south disease, the priority for the nurse is to reinforce which statement by a family member?
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Question 41 of 75
Category: Pharmacological and Parenteral Therapies
A nurse is reviewing a patient's medication during shift change. Which of the following medications would exist contraindicated if the patient were pregnant? Select all that use.
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Question 42 of 75
Category: Pharmacological and Parenteral Therapies
A nurse is reviewing a patient's by medical history (PMH). The history indicates the patient has photosensitive reactions to medications. Which of the following drugs is associated with photosensitive reactions? Select all that apply.
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Question 43 of 75
Category: Pharmacological and Parenteral Therapies
A patient tells yous that her urine is starting to await discolored. If you lot believe this change is due to medication, which of the following of the patient's medication does not cause urine discoloration?
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Question 44 of 75
Category: Pharmacological and Parenteral Therapies
You are responsible for reviewing the nursing unit of measurement's refrigerator. Which of the following drugs, if constitute inside the fridge, should be removed?
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Question 45 of 75
Category: Pharmacological and Parenteral Therapies
A 34-year-former female person has recently been diagnosed with an autoimmune disease. She has also recently discovered that she is pregnant. Which of the post-obit is the only immunoglobulin that will provide protection to the fetus in the womb?
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Question 46 of 75
Category: Safety and Infection Control
A 2d-year nursing pupil has just suffered a needlestick while working with a patient that is positive for AIDS. Which of the following is the most pregnant action that the nursing student should take?
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Question 47 of 75
Category: Physiological Accommodation
A thirty-five-twelvemonth-quondam male person has been an insulin-dependent diabetic for v years and now is unable to urinate. Which of the following would you nigh probable suspect?
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Question 48 of 75
Category: Physiological Adaptation
You are taking the history of a 14-yr-old girl who has a (BMI) of 18. The girl reports inability to eat, induced vomiting and severe constipation. Which of the following would you most likely doubtable?
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Question 49 of 75
Category: Physiological Adaptation
A 24-twelvemonth-old female is admitted to the ER due to confusion. This patient has a history of a myeloma diagnosis, constipation, intense intestinal hurting, and polyuria. Based on the presenting signs and symptoms, which of the following would y'all most likely suspect?
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Question l of 75
Category: Pharmacological and Parenteral Therapies
Rhogam is most often used to treat____ mothers that have a ____ baby.
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Question 51 of 75
Category: Health Promotion and Maintenance
A new mother has some questions nigh phenylketonuria (PKU). Which of the following statements made by a nurse is not correct regarding PKU?
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Question 52 of 75
Category: Pharmacological and Parenteral Therapies
A patient has taken an overdose of aspirin. Which of the post-obit should a nurse must closely monitor for during acute management of this patient?
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Question 53 of 75
Category: Safe and Infection Control
A 50-year-former blind and deaf patient has been admitted to your floor. As the charge nurse, your principal responsibility for this patient is?
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Question 54 of 75
Category: Pharmacological and Parenteral Therapies
A patient is getting discharged from a skilled nursing facility (SNF). The patient has a history of severe COPD and PVD. The patient is primarily concerned about his ability to breathe hands. Which of the following would be the best educational activity for this patient?
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Question 55 of 75
Category: Physiological Accommodation
A nurse is caring for an babe that has recently been diagnosed with a congenital heart defect. Which of the post-obit clinical signs would most likely be nowadays?
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Question 56 of 75
Category: Physiological Adaptation
A mother has recently been informed that her child has Down's syndrome. You will exist assigned to care for the child at shift change. Which of the following characteristics is non associated with Down's syndrome?
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Question 57 of 75
Category: Pharmacological and Parenteral Therapies
A client with myocardial infarction is receiving tissue plasminogen activator, alteplase (Activase, tPA). While on the therapy, the nurse plans to prioritize which of the post-obit?
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Question 58 of 75
Category: Basic Care and Comfort
A patient asks a nurse, "My doctor recommended I increment my intake of folic acid. What blazon of foods contain the highest concentration of folic acids?"
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Question 59 of 75
Category: Physiological Adaptation
A nurse is putting together a presentation on meningitis. Which of the following microorganisms has not been linked to meningitis in humans?
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Question lx of 75
Category: Physiological Adaptation
A nurse is administering blood to a patient who has a depression hemoglobin count. The patient asks how long do crimson blood cells live in my body? The correct response is:
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Question 61 of 75
Category: Health Promotion and Maintenance
A 65-twelvemonth-old man has been admitted to the hospital for spinal stenosis surgery. When should the discharge training and planning begin for this patient?
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Question 62 of 75
Category: Psychosocial Integrity
A 5-year-old child and has been recently admitted to the hospital. According to Erik Erikson's psychosocial development stages, the child is in which stage?
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Question 63 of 75
Category: Psychosocial Integrity
A toddler is 26 months former and has been recently admitted to the hospital. According to Erikson, which of the following stages is the toddler in?
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Question 64 of 75
Category: Psychosocial Integrity
A young adult is 20 years old and has been recently admitted to the hospital. According to Erikson, which of the following stages is the adult in?
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Question 65 of 75
Category: Reduction of Run a risk Potential
A nurse is making rounds taking vital signs. Which of the following vital signs is abnormal?
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Question 66 of 75
Category: Pharmacological and Parenteral Therapies
When you are taking a patient'south history, she tells yous she has been depressed and is dealing with an feet disorder. Which of the following medications would the patient most probable exist taking?
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Question 67 of 75
Category: Pharmacological and Parenteral Therapies
Which of the post-obit weather condition would a nurse not administer erythromycin?
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Question 68 of 75
Category: Physiological Adaptation
A patient's chart indicates a history of hyperkalemia. Which of the following would you not expect to run across with this patient if this condition were acute?
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Question 69 of 75
Category: Physiological Adaptation
A patient'south nautical chart indicates a history of ketoacidosis. Which of the following would yous not expect to encounter with this patient if this condition were acute?
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Question 70 of 75
Category: Physiological Accommodation
A patient's chart indicates a history of meningitis. Which of the following would yous not expect to meet with this patient if this status were astute?
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Question 71 of 75
Category: Physiological Adaptation
A nurse if reviewing a patient's nautical chart and notices that the patient suffers from conjunctivitis. Which of the post-obit microorganisms is related to this condition?
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Question 72 of 75
Category: Physiological Accommodation
A nurse is reviewing a patient'southward chart and notices that the patient suffers from Lyme affliction. Which of the following microorganisms is related to this condition?
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Question 73 of 75
Category: Reduction of Risk Potential
A fragile 87-yr-old female has recently been admitted to the infirmary with increased confusion and falls over the last two (2) weeks. She is also noted to take a mild left hemiparesis. Which of the following tests is most likely to be performed?
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Question 74 of 75
Category: Reduction of Run a risk Potential
An 85-year-old male has been losing mobility and gaining weight over the terminal 2 (2) months. The patient too has the heater running in his house 24 hours a 24-hour interval, even on warm days. Which of the following tests is virtually likely to be performed?
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Question 75 of 75
Category: Reduction of Risk Potential
A 20-yr-old female attending college is found unconscious in her dorm room. She has a fever and a noticeable rash. She has just been admitted to the hospital. Which of the following tests is most likely to be performed start?
What is NCLEX?
NCLEX stands for National Council Licensing Examination. It is a test to determine if the candidate possesses the minimum level of knowledge necessary to perform safe and constructive entry-level nursing intendance. The NCLEX-RN (for registered nurses) and the NCLEX-PN (for practical/vocational nurses) are examinations prepared by the National Quango of State Boards of Nursing (NCSBN), whose mandate is to protect the public from dangerous nursing intendance. The NCSBN members include nursing regulatory bodies in the 50 states of the US, the District of Columbia, and four US territories.
How to Register for the NCLEX?
So you've finally decided to take the NCLEX, the next stride is registration or application for the exam. The following are the steps on how to register for the NCLEX, including some tips:
- Application to the Nursing Regulatory Board (NRB).The initial step in the registration procedure is to submit your awarding to the country board of nursing in the state in which you intend to obtain licensure. Inquire with your board of nursing regarding the specific registration process as requirements may vary from state to state.
- Registration with Pearson VUE.Once you have received the confirmation from the board of nursing that you lot accept met all of their state requirements, proceed, register, and pay the fee to take the NCLEX with Pearson VUE. Follow the registration instructions and consummate the forms precisely and accurately.
- Authorization to Exam.If you were fabricated eligible by the licensure board, you will receive an Authorization to Test (ATT) form from Pearson VUE. You lot must test within the validity dates (an average of 90 days) on the ATT. In that location are no extensions or you'll have to register and pay the fee again. Your ATT contains critical information like your test authorisation number, validity date, and candidate identification number.
- Schedule your Examination Appointment.The next step is to schedule a testing date, time, and location at Pearson VUE. The NCLEX volition accept place at a testing center, you can make an exam date online or by phone. You will receive a confirmation via email of your engagement with the appointment and time you choose including the directions to the testing heart.
*Changing Your Examination Engagement.You tin can change your appointment to examination via Pearson VUE or by calling the candidate services. Rules for scheduling, rescheduling, and unscheduling are explained furtherhere. Failing to go far for the test or failure to cancel your appointment to test without providing notice will forfeit your examination fee and you lot'll take to register and pay once more. - On Exam Twenty-four hours.Make it at the testing centre on your test appointment date at to the lowest degree 30 minutes earlier the schedule. You must take your ATT and acceptable identification (driver's license, passport, etc) that is valid, not expired, and contains your photo and signature.
- Processing Results.You volition receive your official results from the lath of nursing afterwards 6 weeks.
Computer Adaptive Test (True cat)
Like almost standardized tests today, the NCLEX is administered by a computer. The NCLEX uses a calculator adaptive examination (True cat), which reacts to your answers to determine your competence level. The selection of questions is based on the NCLEX-RN exam plan and past the level of item difficulty.
Every time you answer a question, the computer reevaluates your ability based on all the previous answers and the difficulty of those test items. Your first question is relatively piece of cake; if you selected a correct answer, the estimator supplies you with a more difficult question from its question bank. If yous have selected an incorrect answer, the reckoner gives you lot an easier question. This process continues throughout the examination until the examination plan requirements are met, and the computer can decide your level of competence.
Additionally, there is no option to skip a question, y'all must respond it, or the exam will not move on. You cannot go back and review previous questions and modify answers.
NCLEX-RN Test Plan
The NCLEX test plan is a content guideline to determine the distribution of examination questions. NCSBN uses the "Client Needs" categories to ensure that the NCLEX covers a full spectrum of nursing activities. It is a summary of the content and scope of the NCLEX to serve as a guide for candidates preparing for the exam and to direct item writers in the evolution of items.
The content of the NCLEX-RN is organized into four major Client Needs categories: Safe and Effective Care Environment, Wellness Promotion and Maintenance, Psychosocial Integrity, Physiological Integrity. Some of these categories are divided further into subcategories.
Beneath is the NCLEX-RN test plan effective as of Apr 2019 to March 2022:
Safe and Constructive Care Environment | |
Management of Care | 17-23% |
Condom and Infection Command | nine-15% |
Health Promotion and Maintenance | half-dozen-12% |
Psychosocial Integrity | 6-12% |
Physiological Integrity | |
Basic Intendance and Comfort | 6-12% |
Pharmacological and Parenteral Therapies | 12-eighteen% |
Reduction of Adventure Potential | 9-15% |
Physiological Adaptation | 11-17% |
Safe and Effective Care Environment
There are two subcategories under Prophylactic and Effective Care Surround.
- Management of Care (17-23%) category includes content that tests the nurse's knowledge and ability to directly nursing care that enhances the care delivery setting in guild to protect clients, significant others, and wellness care personnel.
- Safe and Infection Control (9-15%) category includes content that tests the nurse'southward ability required to protect clients, families, and health care personnel from health and environmental hazards.
Health Promotion and Maintenance
Health Promotion and Maintenance (six-12%) category includes content that tests the nurse'southward ability to provide and direct nursing care of the client that incorporates cognition of expected growth and development, preventing and early on detection of wellness problems, and strategies to achieve optimal health.
The Psychosocial Integrity category (vi-12%) is content related to the promotion and support for the emotional, mental, and social well-being of the client experiencing stressful events and clients with acute or chronic mental illness.
Physiological Integrity
In the Physiological Integrity category are items that test the nurse'due south ability to promote concrete health and wellness by providing intendance and condolement, reducing risk potential, and managing health alterations. At that place are four subcategories under Physiological Integrity.
- Basic Care and Comfort (half-dozen-12%) are content to test the nurse's ability to provide comfort and assistance to the client in the operation of activities of daily living.
- Pharmacological and Parenteral Therapies (12-18%) category includes content to test the nurse's ability to administer medications and parenteral therapies (Four therapy, blood administration, and blood products).
- Reduction of Risk Potential (9-15%) category includes content to tests the nurse'due south power to preclude complications or health issues related to the client's condition or prescribed treatments or procedures.
- Physiological Adaptation (11-17%) category includes questions that test the nurse'due south ability to provide care to clients with acute, chronic, or life-threatening weather condition.
Item Writers for NCLEX
Who writes questions for the NCLEX? The NCSBN sets the criteria and selection process for detail writers who are registered nurses. Many of them are nursing educators who concur an advanced caste in nursing, then if you've completed an accredited nursing program, you take already taken several tests written by nurses with backgrounds similar to those who write for the NCLEX.
Testing Time
The maximum testing time for the NCLEX-RN is 6 (6) hours, and at that place is no time limit for each NCLEX question. The exam fourth dimension includes all the tutorials and all the breaks. The first break is offered after ii (2) hours, and the 2d break is offered after iii.5 hours of testing. All breaks are optional, and most test-takers may not need the full-fourth dimension resource allotment to complete the examination.
How to Pass the NCLEX?
The NCSBN indicates that these three rules govern pass-or-fail decisions: 95% Confidence Interval Rule, Maximum-Length Exam Rule, and Run-Out-Of-Time Rule.
95% Confidence Interval Rule
In this scenario, the computer stops administering test questions when it is 95% certain that your power is conspicuously above the passing standard or clearly beneath the passing standard.
Maximum-Length Exam
When your ability is close to the passing standard, the reckoner continues to requite you lot items until the maximum number of items is reached. At this point, the computer disregards the 95% confidence rule and decides whether you pass or fail past your final power estimate. If your final ability estimate is above the passing standard, you laissez passer; if it is below, you neglect.
Run-Out-Of-Time (R.O.O.T.) Rule
When you run out of time before reaching the maximum amount of items, the computer has not been able to decide whether y'all passed or failed with 95% certainty and has to use an alternate rule. You lot fail if y'all accept not answered the minimum number of required questions. If you lot have at least answered the minimum amount of items, the computer reviews your last 60 questions. If your ability estimate was consistently in a higher place the passing standard on the last 60 questions, yous pass. If your ability dropped below the passing standard, even once, during your last sixty questions, you neglect.
How many question are on the NCLEX?
For the NCLEX-RN, the minimum number of questions y'all need to reply is 75, while the maximum number in the exam is 265. Regardless of the number of questions you reply, you are given 15 experimental questions (pretest questions). Pretest questions are indistinguishable from other questions on the test, not indicated as such, are being tested for future examination, and not counted confronting your score.
Question Types in the NCLEX-RN
Although nearly NCLEX items are multiple-choice, at that place are other formats equally well. You lot may be administered multiple-choice items and questions written in alternate formats. These formats may include: multiple-response or select all that apply, fill-in-the-blank calculation, ordered response, hotspot, figure, chart or exhibit, graphic, sound, and video.
Multiple-Choice Questions
Many questions on the NCLEX are in multiple-pick format. This traditional text-based question will provide you lot data nearly the client's situation, and you tin only select one correct answer from the given four options. Multiple-choice questions may vary and include: sound clips, graphics, exhibits, or charts.
Chart or Exhibit Questions
A chart or exhibit is presented forth with a problem. You lot'll be provided with three tabs or buttons that yous need to click to obtain the information needed to answer the question. Select the correct choice amid iv multiple-option answer options.
Graphic Pick
In this format, four multiple-pick answer options are pictures rather than text. Each option is preceded by a circle that y'all need to click to represent your answer.
Audio
In an audio question format, you'll be required to listen to a sound to answer the question. Yous'll need to utilise the headset provided and click on the sound icon for it to play. You lot'll be able to listen to the sound equally many times as necessary. Cull the right pick from amidst four multiple-choice answer options.
Video
For the video question format, you must view an animation or a video clip to respond the following question. Select the correct choice amid four multiple-choice answer options.
Select All That Apply or Multiple-Response
Multiple-response or select all that utilise (SATA) alternate format question requires you to cull all correct answer options that relate to the data asked past the question. There are unremarkably more than four possible answer options. No partial credit is given in scoring these items (i.e., selecting only 3 out of the v correct choices), and then you lot must select all correct answers for the item to be counted as correct.
Tips when answering Select All That Utilize Questions
- Y'all'll know it's a multiple-response or SATA question because you'll explicitly be instructed to "Select all that apply."
- Treat each answer choice every bit a Truthful or False by rewording the question and proceed to answer each option by responding with a "yes" or "no". Go downward the list of answer options one by one and ask yourself if it'due south a correct reply.
- Consider each choice every bit a possible answer split to other choices. Never group or assume they are linked together.
Backup-the-Bare
The backup-the-bare question format is usually used for medication calculation, IV menstruation rate calculation, or determining the intake-output of a client. Y'all'll be asked to perform a calculation in this question format and type in your respond in the bare space provided.
Tips when answering Backup-the-Blank
- Always follow the specific directions as noted on the screen.
- There will be an on-screen calculator on the computer for you to use.
- Do not put any words, units of measurements, commas, or spaces with your answer, type only the number. Only the number goes into the box.
- Rounding an answer should be done at the finish of the calculation or as what the question specified, and if necessary, blazon in the decimal indicate.
Ordered-Response
In an ordered-response question format, you'll be asked to use the computer mouse to drag and drib your nursing actions in order or priority. Based on the information presented, determine what you lot'll do commencement, 2d, 3rd, and then forth. Directions are provided with the question.
Tips when answering Ordered-Response questions
- Questions are usually near nursing procedures. Imagine yourself performing the procedure to assistance y'all answer these questions.
- You'll have to place the options in correct order past clicking an option and dragging it on the box on the right. You can rearrange them earlier you hitting submit for your concluding answer.
Hotspot
A flick or graphic volition exist presented along with a question. This could contain a chart, a table, or an illustration where you'll be asked to point or click on a specific area. Figures may besides appear along with a multiple-option question. Be as precise as possible when mark the location.
Tips when answering Hotspot questions
- Mostly used to evaluate your knowledge of anatomy, physiology, and pathophysiology.
- Locate anatomical landmarks to help you lot select the location needed by the item.
Want to examination-bulldoze the NCLEX? We highly recommend you complete the online tutorial by the NCSBN to help you lot familiarize yourself with the dissimilar question types for the NCLEX.
Desire more do questions?
Please visit our Nursing Test Bank page if y'all're looking to answer more than exercise questions from different topics and different question formats.
Recommended Resources
Recommended books and resources for your NCLEX success:
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- Saunders Comprehensive Review for the NCLEX-RN (eighth Edition)
The most comprehensive and complete NCLEX test review book with over 5,200 NCLEX-manner questions that are thoroughly updated to reflect the most contempo test plan. - Saunders Q & A Review for the NCLEX-RN® Examination (eighth Edition)
This popular review offers more than 6,000 test questions, giving yous all the Q&A practice y'all demand to pass the NCLEX-RN examination! Each question enhances review past including a test-taking strategy and rationale for correct and incorrect answers. - NCLEX-RN Prep Plus past Kaplan (24th Edition)
Kaplan's NCLEX-RN Prep Plus uses practiced disquisitional thinking strategies and targeted sample questions to help you put your expertise into practice and face the exam with confidence. - Illustrated Study Guide for the NCLEX-RN Exam
Using colorful illustrations and fun mnemonic cartoons, the Illustrated Written report Guide for the NCLEX-RN® Exam, tenth Edition brings the concepts found on the NCLEX-RN to life! - NCLEX RN Examination Prep Flashcards
Like shooting fish in a barrel to utilise flash cards adult by examination prep books for test takers trying to achieve a passing score on the NCLEX RN test, these flashcards cover. - Prioritization, Delegation, and Assignment: Practice Exercises for the NCLEX-RN Examination
This volume is the first and the most popular NCLEX-RN Examination review volume focused exclusively on building management-of-care clinical judgment skills. - Saunders Comprehensive Review for the NCLEX-PN Examination (eighth Edition)
The volume includes a review of all nursing content areas, more iv,500 NCLEX test-style questions, detailed rationales, test-taking tips and strategies, and new Adjacent-Generation NCLEX (NGN)-style questions. - More NCLEX review books here.
Source: https://nurseslabs.com/nclex-practice-questions/
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