FREE NCLEX
PRACTICE TEST

Are you prepared for your exam? Our free practice test contains real-life questions to help you find out.

There’s only one thing standing between you and an exciting career as a licensed registered nurse: your NCLEX exam!

We use actual questions that appear on the written portion of the NCLEX exam, so our practice test will help you discover if you’re definitely prepared for the real thing!

The NCLEX exam requires knowledge of the health needs of clients as well as an understanding of integrated processes fundamental to nursing practice. Client Needs are used as the framework for both RN and PN test plans.

Our free practice test (below) helps you prepare for and pass the written portion of the exam: it contains 15 questions, all of which are representative of the questions that appear on the real thing.

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Hyperemesis gravidarum will often result in which of the following conditions?*
- Electrolyte imbalance
- Pregnancy-induced hypertension
- Miscarriage
- Bowel perforation
Which arterial blood gas values indicate uncompensated respiratory acidosis?*
- A pH of 7.50, PaCO2 of 25 mmHg, and HCO-3 level of 24 mEq/L
- A pH of 7.18, PaCO2 of 64 mmHg, and HCO-3 level of 24 mEq/L
- A pH of 7.18, PaCO2 of 34 mmHg, and HCO-3 level of 19 mEq/L
- A pH of 7.32, PaCO2 of 60 mmHg, and HCO-3 level of 39 mEq/L
A post-operative client is admitted to the PACU with an oral airway, a nasogastric tube, two Jackson-Pratt drains, and a lactated Ringer’s solution infused intravenously. The registered nurse’s first action should be to:*
- Check the blood pressure and pulse rate and compare them to the baseline readings.
- Check the incision site for signs of bleeding.
- Check the airway for patency and assess the respirations.
- Check the nasogastric tube for patency and drainage.
The administration of regular insulin and D50 IV injections is indicated for a severe case of acute hyperkalemia. Which of the following clinical reasons is correct?*
- These drugs promote the exchange of sodium and potassium in the large intestine.
- These drugs promote the stabilization of the myocardial cell membranes, preventing excitability of the heart muscle.
- These drugs increase the uptake of potassium ions by the cells for about 6 hours via the sodium-potassium-Adenosine triphosphatase channel.
- These drugs allow the insulin to excrete the potassium ions via the kidneys.
Which of the following assessment findings is most common during the assessment of a child with pulmonic stenosis?*
- Capillary refill
- Systolic ejection murmur
- Hyperactivity
- Normal respiratory rate
What information will the nurse include when teaching an elderly client about the use of an anticholinergic drug?*
- Monitor bowel movements for diarrhea.
- Chew on sugarless gum or lozenges to decrease dry mouth.
- Drink more fluids when taking this medication.
- Check the heart rate to monitor for bradycardia.
A client with congestive heart failure who is taking digoxin can develop digitalis toxicity due to the following electrolyte imbalances (select all that apply):*
- Serum sodium of 135
- Serum calcium of 5.5 mEq/L
- Serum magnesium of 2.2 mEq/L
- Serum calcium of 6 mEq/L; Serum potassium of 3.1 mEq/L; Serum magnesium of 1 mEq/ ;
Which assessment finding is not a clinical manifestation of metabolic acidosis?*
- Lethargy
- Vomiting
- Hypoventilation
- Confusion
Which of the following increases the client’s risk of thromboembolic stroke?*
- Junctional bradycardia
- Deep vein thrombosis
- Atrial fibrillation
- Angina pectoris
A client having delirium tremens is tugging his central venous catheter and telling the nurse that he’s swatting the spiders crawling over his chest. Which of the following interventions is most important for this client?*
- Protect the client from harm.
- Remind the client that there are no spiders.
- Tell the client that he’s pulling the intravenous tubing.
- Encourage the client to rest.
Which of the following interventions is appropriate for an adult male client admitted with chronic renal failure?*
- Offer food high in calcium and phosphorus.
- Serve large meals and a bedtime snack.
- Weigh the client daily in the morning before breakfast.
- Encourage the client to drink large amounts of fluids.
A client is admitted to the medical-surgical unit with a diagnosis of acute pancreatitis. The client begins to exhibit muscle twitching and irritability. The registered nurse should:*
- call the medical provider immediately because the client may have hypocalcemia.
- reassure the client that this is common among people who abuse alcohol.
- check the client’s serum amylase level.
- administer an analgesic because the symptoms are probably caused by the pain.
Which of the following health instructions is appropriate for a client taking warfarin?*
- “You should eat a large amount of green leafy vegetables.”
- “It’s alright for you to shave with a straight razor.”
- “Take the anticoagulant at the same time each day.”
- “You can take ibuprofen or aspirin for pain.”
The registered nurse should not use lactated Ringer’s solution in priming the blood tubing before administering packed red blood cells. What’s the reason for this caution?*
- Lactated Ringer’s solution has a higher osmolality than blood.
- Lactated Ringer’s solution contains calcium, which may lead to blood clotting.
- Lactate may cause hemolysis of blood.
- Lactate is converted to bicarbonate by the liver.
Prednisone and methylprednisolone are used to prevent organ rejection following a kidney transplant. Which of the following information should be taught to the client with a new kidney transplant?*
- Alopecia may occur.
- Orthostatic hypotension is common.
- Cholesterol levels may be decreased.
- Blood sugar levels may be increased.
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FREE NCLEX
PRACTICE TEST

Get ready...
here's the practice test!

(Good luck!)

Breeze through your NCLEX written exam

Don’t risk failure: use NCLEX Hero to pass first time!

FREE NCLEX PRACTICE TEST

Get ready... here's the practice test!

(Good luck!)

Breeze through your NCLEX written exam

Don’t risk failure: use NCLEX Hero to pass first time!

FREE NCLEX
PRACTICE TEST

Get ready...
here's the practice test!