NCLEX Practice Questions(1- 10)

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 Question 1:

A nurse is assessing a client who has been diagnosed with congestive heart failure (CHF). Which of the following symptoms is most indicative of left-sided heart failure?

A. Peripheral edema

B. Jugular vein distention

C. Ascites

D. Crackles in the lungs


Answer: D. Crackles in the lungs


Question 2:

A client with type 1 diabetes mellitus reports feeling shaky and weak. The nurse notes the client's skin is moist. Which of the following should the nurse do first?

A. Check the client’s blood glucose level.

B. Administer 50% dextrose intravenously.

C. Provide the client with a snack of complex carbohydrates.

D. Encourage the client to rest.


Answer: A. Check the client’s blood glucose level.


Question 3:

A client is scheduled for a laparoscopic cholecystectomy. The nurse is providing preoperative teaching. Which of the following statements by the client indicates a need for further teaching?

A. "I will be able to go home the same day as the surgery."

B. "I should avoid eating or drinking anything after midnight before the surgery."

C. "I can expect to have large abdominal scars after this surgery."

D. "I will need someone to drive me home after the surgery."


Answer: C. "I can expect to have large abdominal scars after this surgery."


Question 4:

A client who is postoperative day 1 after a hip replacement reports severe pain at the surgical site. The nurse notes swelling, warmth, and redness at the site. What is the priority action for the nurse?

A. Apply ice to the surgical site.

B. Administer prescribed pain medication.

C. Assess the client's temperature.

D. Elevate the affected leg.


Answer: C. Assess the client's temperature.


Question 5:

A nurse is caring for a client who has been prescribed warfarin for atrial fibrillation. Which of the following laboratory results should the nurse monitor to evaluate the effectiveness of the medication?

A. Partial thromboplastin time (PTT)

B. Platelet count

C. Prothrombin time (PT) and International Normalized Ratio (INR)

D. Bleeding time


Answer: C. Prothrombin time (PT) and International Normalized Ratio (INR)


Question 6:

A client with chronic obstructive pulmonary disease (COPD) is receiving oxygen therapy at 2 L/min via nasal cannula. The client’s respiratory rate is 28 breaths per minute, and the oxygen saturation is 88%. What should the nurse do next?

A. Increase the oxygen flow rate to 4 L/min.

B. Encourage the client to take deep breaths.

C. Check the client's arterial blood gas results.

D. Position the client in a high Fowler’s position.


Answer: D. Position the client in a high Fowler’s position.


Question 7:

A nurse is providing discharge teaching to a client with a new prescription for digoxin. Which of the following statements by the client indicates an understanding of the teaching?

A. "I should take this medication with an antacid to prevent stomach upset."

B. "If I miss a dose, I should double the next dose."

C. "I will check my pulse before taking this medication."

D. "This medication will increase my blood pressure."


Answer: C. "I will check my pulse before taking this medication."


Question 8:

A client is receiving intravenous (IV) therapy through a peripheral catheter. The nurse notes swelling and pallor at the insertion site and the client reports discomfort. What complication does the nurse suspect?

A. Phlebitis

B. Infiltration

C. Infection

D. Thrombosis


Answer: B. Infiltration


Question 9:

A nurse is reviewing the medical history of a client who is to undergo an MRI scan. Which of the following findings is a contraindication for this diagnostic test?

A. Allergy to shellfish

B. Pacemaker

C. Use of antihypertensive medications

D. History of claustrophobia


Answer: B. Pacemaker


Question 10:

A client with peptic ulcer disease is prescribed sucralfate. The nurse should instruct the client to take this medication:

A. With meals.

B. One hour before meals and at bedtime.

C. With an antacid.

D. After meals.


Answer: B. One hour before meals and at bedtime.

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