NCLEX RN Example Test Questions with Answers and Rationale
Safe and Effective Care Environment
1. A 68-year-old woman is diagnosed with thrombocytopenia due to acute lymphocytic leukemia. She is admitted to the hospital for treatment. The nurse should assign the patient
(A) to a private room so she will not infect other patients and health care workers.
(B) to a private room so she will not be infected by other patients and health care workers.
(C) to a semiprivate room so she will have stimulation during her hospitalization.
(D) to a semiprivate room so she will have the opportunity to express her feelings about her illness.
2. The nurse teaches a group of mothers of toddlers how to prevent accidental poisoning. Which of the following suggestions should the nurse give regarding medications?
(A) Lock all medications in a cabinet.
(B) Child proof all the caps to medication bottles.
(C) Store medications on the highest shelf in a cupboard.
(D) Place medications in different containers.
3. While inserting a nasogastric tube, the nurse should use which of the following protective measures?
(A) Gloves, gown, goggles, and surgical cap.
(B) Sterile gloves, mask, plastic bags, and gown.
(C) Gloves, gown, mask, and goggles.
(D) Double gloves, goggles, mask, and surgical cap.
4. A 6-year-old boy is returned to his room following a tonsillectomy. He remains sleepy from the anesthesia but is easily awakened. The nurse should place the child in which of the following positions?
5. A nursing team consists of an RN, an LPN/LVN, and a nursing assistant. The nurse should assign which of the following patients to the LPN/LVN?
(A) A 72-year-old patient with diabetes who requires a dressing change for a stasis ulcer.
(B) A 42-year-old patient with cancer of the bone complaining of pain.
(C) A 55-year-old patient with terminal cancer being transferred to hospice home care.
(D) A 23-year-old patient with a fracture of the right leg who asks to use the urinal.
ANSWERS AND RATIONALE
1. The correct answer is B.
Question: What are the needs of the patient with acute lymphocytic leukemia and thrombocytopenia?
Needed Info: Lymphocytic leukemia, disease characterized by proliferation of immature WBCs. Immature cells unable to fight infection as competently as mature white cells. Treatment: chemotherapy, antibiotics, blood transfusions, bone marrow transplantation. Nursing responsibilities: private room, no raw fruits or vegs, small frequent meals, O2, good skin care.
(A) to a private room so she will not infect other patients and health care workers — poses little or no threat
(B) to a private room so she will not be infected by other patients and health care workers — CORRECT: protects patient from exogenous bacteria, risk for developing infection from others due to depressed WBC count, alters ability to fight infection
(C) to a semiprivate room so she will have stimulation during her hospitalization — should be placed in a room alone
(D) to a semiprivate room so she will have the opportunity to express her feelings about her illness — ensure that patient is provided with opportunities to express feelings about illness
2. The correct answer is A.
Question: What is the BEST way to prevent accidental poisoning in children?
Strategy: Picture toddlers at play.
(A) Lock all medications in a cabinet — CORRECT: improper storage most common cause of poisoning; highest incidence in two-year-olds
(B) Child proof all the caps to medication bottles — children can open
(C) Store medications on the highest shelf in a cupboard — toddlers climb
(D) Place medications in different containers — keep in original container
3. The correct answer is C.
Question: What is the correct universal precaution?
Strategy: Think about each answer choice. How is each measure protecting the nurse?
Needed Info: Mask, eye protection, face shield protect mucous membrane exposure; used if activities are likely to generate splash or sprays. Gowns used if activities are likely to generate splashes or sprays.
(A) Gloves, gown, goggles, and surgical cap — surgical caps offer protection to hair but aren’t required.
(B) Sterile gloves, mask, plastic bags, and gown — plastic bags provide no direct protection and aren’t part of universal precautions
(C) Gloves, gown, mask, and goggles — CORRECT: must use universal precautions on ALL patients; prevent skin and mucous membrane exposure when contact with blood or other body fluids is anticipated
(D) Double gloves, goggles, mask, and surgical cap — surgical cap not required; unnecessary to double glove
4. The correct answer is B.
Question: What is the best position after tonsillectomy to help with drainage of oral secretions?
Strategy: Picture the patient as described.
(A) Sims’ — on side with top knee flexed and thigh drawn up to chest and lower knee less sharply flexed: used for vaginal or rectal examination
(B) Side-lying — CORRECT: most effective to facilitate drainage of secretions from the mouth and pharynx; reduces possibility of airway obstruction.
(C) Supine — increased risk for aspiration, would not facilitate drainage of oral secretions
(D) Prone — risk for airway obstruction and aspiration, unable to observe the child for signs of bleeding such as increased swallowing
5. The correct answer is A.
Question: Which patient is an appropriate assignment for the LPN/LVN?
Strategy: Think about the skill level involved in each patient’s care.
Needed Info: LPN/LVN: assists with implementation of care; performs procedures; differentiates normal from abnormal; cares for stable patients with predictable conditions; has knowledge of asepsis and dressing changes; administers medications (varies with educational background and state nurse practice act).
(A) A 72-year-old patient with diabetes who requires a dressing change for a stasis ulcer — CORRECT: stable patient with an expected outcome
(B) A 42-year-old patient with cancer of the bone complaining of pain — requires assessment; RN is the appropriate caregiver
(C) A 55-year-old patient with terminal cancer being transferred to hospice home care — requires nursing judgement; RN is the appropriate caregiver
(D) A 23-year-old patient with a fracture of the right leg who asks to use the urinal — standard unchanging procedure; assign to the nursing assistant
read and analyze completely
For the first questin,I think that you meant to put leukocytopenia, but instead put thrombocytopenia, which is a decrease in platelets. Leukocytopenia is the decrease in platelets.if it is a mistake by me please let know.
PLEASE LET ME KNOW
Actually, the thrombocytopenia is correct, but is a distract or to see if you understand that A.L.L. actually impacts all cells produced by the bone marrow (platelets, RBCs, and WBCs). If the question had stated “lymphocytopenia” the answer would have been too obvious.
Got 5/5..more please!!!
I want more plz it’s really helps me .i got 3/5
I want more questions .i got 3/5 not bad
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Got 4 out of 5 ,thnx
4/5. not bad.. i learned that toddlers could open a child proof containers. LOCK.
its a very good that i solved3 questions outof5
Your first question on this set of practice questions seems to be a bit off. If we are worried about her BLOOD CLOTTING abilities, why are we debating on what type of room to put her in. I think that you meant to put leukocytopenia, but instead put thrombocytopenia, which is a decrease in platelets. Leukocytopenia is the decrease in WBCs and therefore puts said patient at increased risk for infection. Really should research and proof read before putting questions on here. People use this as a study aid for the NCLEX im sure. MAJOR fail!
You must think about the risk for infection. This person has no immune sustem and therefore must be placed on reverse isolation so that minimization of pathogens is the goal. If the patient becomes infected, then the platelet count is of little significance as they would be on bleeding precautions anyway. That is an expected outcome in this situation.
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First time i solved the Nclex questions and i got 4 correct answers out of 5 questions.. Thanks..
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it’s really nice to review…..thank u……..rationale for each one helps to understand more………….expectiing more queations from u.
more que7ans to be added
Thank you.The rational’s really help understand better. I got 4/5.. Not too bad = )
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THNKS A LOT 4 THIS QUESTIONS HELPS ME FRM MY REVIEW.GOD BLESS!
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i already read it in my books saunders . . so i answered it all correctly.. thanks for this site..
tough!!! but meaningful and i learned a lot..