NCLEX- RN Practice Exam 1

Practice Mode

Welcome to your NCLEX- RN Practice Exam 1! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

Exam Details

  • Number of Questions: 35 items
  • Mode: Practice Mode

Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

Tips For Success

  • Read each question carefully. Take your time and don't rush.
  • Understand the rationale behind each answer. This will not only help you during this exam, but also assist in reinforcing your learning.
  • Don't be discouraged by incorrect answers. Use them as an opportunity to learn and improve.
  • Take breaks if you need them. It's not a race, and your understanding is what's most important.
  • Keep a positive attitude and believe in your ability to succeed.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

💡 Hint

Focus on the fundamental aspect of care that enhances safety and prevents harm in a hospital setting, especially for patients with sensory impairments.

1 / 35

1. As the charge nurse overseeing the care of a fifty-year-old patient who is blind and deaf, what is your primary responsibility for ensuring this patient's safety and comfort?

💡 Hint

Look for the medication in the list that is primarily used for a condition unrelated to skin sensitivity or antibiotic properties.

2 / 35

2. Nurse Allen is examining the past medical history (PMH) of a patient who has shown photosensitive reactions to certain medications. She needs to determine which medications listed have not been associated with photosensitive reactions. Which of the following should she consider safe in regards to not causing photosensitivity? (Select all that apply.)

💡 Hint

Focus on the item that is typically administered in a form that does not require refrigeration, unlike many injectable medications.

3 / 35

3. During a routine check of the nursing unit's refrigerator, Nurse Taylor is tasked with identifying any items that should not be stored there. Among the medications listed, which should be removed from the refrigerator?

💡 Hint

Focus on the type of neuropathy that affects the nerves responsible for involuntary body functions, which might impact the bladder's ability to function properly.

4 / 35

4. Nurse Peterson is assessing a 35-year-old male patient who has been an insulin-dependent diabetic for five years and is currently unable to urinate. Based on his medical history, Nurse Peterson needs to determine the most likely cause of his urinary issue. Which condition should she suspect?

💡 Hint

Think about the common over-the-counter medication used primarily for pain and inflammation, which generally does not affect urine color.

5 / 35

5. Nurse Carter is assessing a patient who reports that her urine has started to look discolored. As part of her evaluation, Nurse Carter is considering the medications the patient is taking to identify which one is unlikely to cause urine discoloration. Which medication should she consider irrelevant to this symptom?

💡 Hint

Focus on the medication known for its use in treating mood disorders, particularly depression.

6 / 35

6. When taking the history of a patient who reports experiencing depression and anxiety, Nurse Mitchell needs to determine which medication listed the patient is most likely taking to manage these conditions. Which medication is primarily used for treating depression and anxiety?

💡 Hint

Consider the nature of genetic disorders and their management, especially in terms of reversibility.

7 / 35

7. Nurse Hamilton is addressing questions from a new mother about Phenylketonuria (PKU). During their conversation, she makes several statements about PKU. Which of the following statements made by Nurse Hamilton is not correct?

💡 Hint

Think about the function of the P wave in terms of where the electrical activity starts in the heart and what part of the heart's muscle it depicts.

8 / 35

8. When interpreting an ECG, Nurse Carter is focusing on the P wave characteristics to understand the cardiac rhythm better. Which of the following statements about the P wave should she keep in mind? (Select all that apply)

💡 Hint

Consider the typical effects of metabolic disturbances like ketoacidosis on the body's fluid and weight status.

9 / 35

9. While reviewing a patient's chart that shows a history of ketoacidosis, Nurse Carter is assessing symptoms that might be present in an acute episode. Which of the following symptoms would she not expect to see during an acute episode of ketoacidosis?

💡 Hint

Consider which trait is less commonly linked to genetic syndromes and more related to skin type variations.

10 / 35

10. As Nurse Lee prepares to care for a child newly diagnosed with Down's syndrome at the upcoming shift change, she reviews common characteristics associated with the condition. Which of the following characteristics is not typically associated with Down’s syndrome?

💡 Hint

Consider the metabolic disorder associated with high calcium levels in the blood, which can manifest with neurological and gastrointestinal symptoms.

11 / 35

11. Nurse Reynolds is assessing a 24-year-old female who has been admitted to the emergency room with confusion. The patient has a history of myeloma, constipation, intense abdominal pain, and polyuria. Based on these symptoms, which condition should Nurse Reynolds most likely suspect?

💡 Hint

Focus on the symptoms that reflect problems with sleep quality and continuity during the night.

12 / 35

12. Nurse Johnson identifies that a client is experiencing insomnia based on which reported symptoms? (Select all that apply)

💡 Hint

Focus on the immunoglobulin known for its unique ability to provide passive immunity to the fetus by crossing the placental barrier.

13 / 35

13. Nurse Wilson is caring for a 34-year-old female patient who has been diagnosed with an autoimmune disease and has recently found out she is pregnant. Nurse Wilson is discussing the immune protection that the mother can naturally provide to her fetus. Which immunoglobulin is solely responsible for crossing the placenta to protect the developing baby?

💡 Hint

Consider the nature of each condition, focusing on whether it is bacterial in origin or not. Erythromycin is effective against bacterial infections.

14 / 35

14. When reviewing the appropriate uses of erythromycin, Nurse Cooper is determining which condition listed would not typically warrant the use of this antibiotic. Which of these conditions is erythromycin not usually prescribed for?

💡 Hint

Consider the diagnostic tool that would be most effective in assessing neurological symptoms and potential brain abnormalities.

15 / 35

15. Nurse Wilson is managing the care of an 86-year-old female patient who has been admitted with symptoms of increased confusion and recent falls, along with a mild left hemiparesis noted upon examination. Considering these symptoms, which diagnostic test is Nurse Wilson most likely to prioritize to further investigate the patient's condition?

💡 Hint

Consider the food groups known for their richness in vitamins, particularly those that are crucial during pregnancy and cell division.

16 / 35

16. A patient is seeking advice from Nurse Parker about dietary sources of folic acid following a recommendation from their doctor. Nurse Parker is about to list the foods that are rich in folic acid. Which types of foods should she include as containing the highest concentration of folic acids?

💡 Hint

Consider the best practice in patient care which involves preparing for discharge as early as possible to ensure all needs are addressed.

17 / 35

17. Nurse Adams is overseeing the care of a 65-year-old man admitted for spinal stenosis surgery. She is planning the discharge training and needs to decide when to begin this important process. When should discharge training and planning start for this patient?

💡 Hint

Focus on the organism typically associated with gastrointestinal infections rather than infections of the central nervous system.

18 / 35

18. Nurse Johnson is preparing a presentation on meningitis and is reviewing various microorganisms associated with the disease. She needs to identify which microorganism listed has not been linked to causing meningitis in humans. Which should she exclude from her presentation?

💡 Hint

Focus on ensuring the functionality and safety of the central venous line, including proper verification and site inspection.

19 / 35

19. When caring for a client with a central venous line for chemotherapy administration, Nurse Blake should implement which nursing actions in the plan of care? (Select all that apply)

💡 Hint

Focus on the symptom that is typically unrelated to the inflammatory processes and discomfort associated with acute meningitis.

20 / 35

20. While reviewing a patient's chart that indicates a history of meningitis, Nurse Thompson is considering the symptoms associated with an acute episode of this condition. Which of the following symptoms would she not expect to observe during an acute episode of meningitis?

💡 Hint

Identify the organism specifically known for its association with tick bites.

21 / 35

21. Nurse Adams is reviewing the medical record of a 45-year-old patient diagnosed with Lyme disease and is educating the patient about the causative agent of this condition. Which microorganism should Nurse Adams explain is responsible for Lyme disease?

💡 Hint

Focus on the microorganism that is specifically known to cause infections in the eye.

22 / 35

22. While reviewing a patient's chart diagnosed with conjunctivitis, Nurse Evans is determining which microorganism listed is commonly associated with this eye condition. Which microorganism is related to conjunctivitis?

💡 Hint

Focus on medications known to pose risks of birth defects or other significant adverse effects during pregnancy.

23 / 35

23. Nurse Davis is conducting a handover and reviewing the medication chart of a patient who has just discovered she is pregnant. She needs to identify which medications are contraindicated during pregnancy. Which of the following should she be concerned about? (Select all that apply.)

💡 Hint

Consider a common sign that may indicate issues with fluid retention, often seen in cardiac conditions.

24 / 35

24. Nurse Roberts is caring for an infant recently diagnosed with a congenital heart defect. Which clinical sign is most likely to be present in this infant due to the condition?

💡 Hint

RhoGAM is used to prevent an immune response in mothers who do not share the same Rh blood factor as their baby.

25 / 35

25. RhoGAM is most often administered to mothers under specific circumstances related to blood compatibility. Which combination accurately describes the typical use of RhoGAM?

💡 Hint

Consider the first-line response to prevent infection following exposure to HIV, specifically focusing on antiretroviral treatment.

26 / 35

26. Nurse Anderson is supervising a second-year nursing student who has just experienced a needlestick injury while working with a patient diagnosed with AIDS. Nurse Anderson needs to guide the student on the most crucial step to take immediately following the incident. What should she advise?

💡 Hint

Consider the age-appropriate normal ranges for heart rate and how they trend from childhood into adolescence. The noted vital signs should reflect typical values expected for healthy children and teens.

27 / 35

27. Nurse Green is making rounds, checking the vital signs of various pediatric patients. She notes the following readings and needs to identify any that are abnormal for the respective age groups. Which set of vital signs is considered abnormal?

💡 Hint

Consider the stage where young adults typically focus on forming intimate, loving relationships with other people.

28 / 35

28. Nurse Lee is caring for a 20-year-old young adult who has recently been admitted to the hospital. Applying Erik Erikson's stages of psychosocial development, she wants to determine which developmental stage is most relevant for this patient. According to Erikson, which stage is the young adult in?

💡 Hint

Focus on the symptom that is typically not associated with electrolyte imbalances affecting potassium levels.

29 / 35

29. While reviewing a patient's chart that indicates a history of hyperkalemia, Nurse Harris considers what symptoms would be unexpected if this condition were acute. Which of the following would she not expect to observe in a case of acute hyperkalemia?

💡 Hint

Consider the average duration RBCs circulate in the bloodstream under normal physiological conditions.

30 / 35

30. While administering a blood transfusion to a patient with a low hemoglobin count, Nurse Carter is asked about the lifespan of red blood cells (RBCs) in the body. She responds with the correct information about how long RBCs typically last. What should she tell the patient?

💡 Hint

Focus on interventions that are effective in removing the drug from the system and counteracting its effects.

31 / 35

31. When managing a benzodiazepine overdose, Nurse Taylor considers several appropriate interventions. Which of the following should Nurse Taylor include in the treatment plan? (Select all that apply)

💡 Hint

Consider the stage that typically involves young children exploring their environment and taking on new challenges.

32 / 35

32. Nurse Thompson is assessing a 5-year-old child who has recently been admitted to the hospital and is applying Erik Erikson's stages of psychosocial development to understand the child's current psychosocial stage. According to Erikson, which stage is this child most likely experiencing?

💡 Hint

Consider the disorder characterized by an extreme fear of gaining weight, which can lead to severe dietary restrictions and behaviors aimed at losing weight.

33 / 35

33. Nurse Thompson is taking the history of a 14-year-old girl with a Body Mass Index (BMI) of 18. The girl has reported an inability to eat, self-induced vomiting, and severe constipation. Considering these symptoms, which condition should Nurse Thompson most likely suspect?

💡 Hint

Think about the impact of barbiturates on different stages of sleep and the common withdrawal effects associated with their discontinuation.

34 / 35

34. When considering the use of barbiturates in treating insomnia, Nurse Lee recalls several important effects and considerations. Which of the following apply to the use of barbiturates? (Select all that apply)

💡 Hint

Focus on the drug that is specifically used to treat acute myocardial infarction by breaking down blood clots.

35 / 35

35. Nurse Thompson is managing a patient who has experienced a myocardial infarction (MI) within the last 4 hours. She needs to decide which medication to administer as part of the immediate treatment plan. Which medication is most likely to be given in this acute phase?

Exam Mode

Welcome to your NCLEX- RN Practice Exam 1! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

Exam Details

  • Number of Questions: 35 items
  • Mode: Exam Mode

Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 52 minutes and 30 seconds.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

Tips For Success

  • Read each question carefully. You have 90 seconds per question, so make sure you understand the question before selecting your answer.
  • Pace yourself. Remember, you have 52 minutes and 30 seconds in total, so try to maintain a steady rhythm.
  • Focus on one question at a time. Try not to worry about the questions to come.
  • Stay calm under pressure. Use your knowledge and trust your instincts.
  • Remember, it's not just about the score, but about the learning process.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career. Click 'Start Exam' when you're ready to begin. Good luck!

1 / 35

1. When considering the use of barbiturates in treating insomnia, Nurse Lee recalls several important effects and considerations. Which of the following apply to the use of barbiturates? (Select all that apply)

2 / 35

2. Nurse Green is making rounds, checking the vital signs of various pediatric patients. She notes the following readings and needs to identify any that are abnormal for the respective age groups. Which set of vital signs is considered abnormal?

3 / 35

3. Nurse Allen is examining the past medical history (PMH) of a patient who has shown photosensitive reactions to certain medications. She needs to determine which medications listed have not been associated with photosensitive reactions. Which of the following should she consider safe in regards to not causing photosensitivity? (Select all that apply.)

4 / 35

4. As Nurse Lee prepares to care for a child newly diagnosed with Down's syndrome at the upcoming shift change, she reviews common characteristics associated with the condition. Which of the following characteristics is not typically associated with Down’s syndrome?

5 / 35

5. Nurse Carter is assessing a patient who reports that her urine has started to look discolored. As part of her evaluation, Nurse Carter is considering the medications the patient is taking to identify which one is unlikely to cause urine discoloration. Which medication should she consider irrelevant to this symptom?

6 / 35

6. When taking the history of a patient who reports experiencing depression and anxiety, Nurse Mitchell needs to determine which medication listed the patient is most likely taking to manage these conditions. Which medication is primarily used for treating depression and anxiety?

7 / 35

7. While administering a blood transfusion to a patient with a low hemoglobin count, Nurse Carter is asked about the lifespan of red blood cells (RBCs) in the body. She responds with the correct information about how long RBCs typically last. What should she tell the patient?

8 / 35

8. Nurse Adams is reviewing the medical record of a 45-year-old patient diagnosed with Lyme disease and is educating the patient about the causative agent of this condition. Which microorganism should Nurse Adams explain is responsible for Lyme disease?

9 / 35

9. Nurse Thompson is taking the history of a 14-year-old girl with a Body Mass Index (BMI) of 18. The girl has reported an inability to eat, self-induced vomiting, and severe constipation. Considering these symptoms, which condition should Nurse Thompson most likely suspect?

10 / 35

10. Nurse Wilson is caring for a 34-year-old female patient who has been diagnosed with an autoimmune disease and has recently found out she is pregnant. Nurse Wilson is discussing the immune protection that the mother can naturally provide to her fetus. Which immunoglobulin is solely responsible for crossing the placenta to protect the developing baby?

11 / 35

11. As the charge nurse overseeing the care of a fifty-year-old patient who is blind and deaf, what is your primary responsibility for ensuring this patient's safety and comfort?

12 / 35

12. Nurse Wilson is managing the care of an 86-year-old female patient who has been admitted with symptoms of increased confusion and recent falls, along with a mild left hemiparesis noted upon examination. Considering these symptoms, which diagnostic test is Nurse Wilson most likely to prioritize to further investigate the patient's condition?

13 / 35

13. Nurse Thompson is assessing a 5-year-old child who has recently been admitted to the hospital and is applying Erik Erikson's stages of psychosocial development to understand the child's current psychosocial stage. According to Erikson, which stage is this child most likely experiencing?

14 / 35

14. Nurse Davis is conducting a handover and reviewing the medication chart of a patient who has just discovered she is pregnant. She needs to identify which medications are contraindicated during pregnancy. Which of the following should she be concerned about? (Select all that apply.)

15 / 35

15. Nurse Lee is caring for a 20-year-old young adult who has recently been admitted to the hospital. Applying Erik Erikson's stages of psychosocial development, she wants to determine which developmental stage is most relevant for this patient. According to Erikson, which stage is the young adult in?

16 / 35

16. When interpreting an ECG, Nurse Carter is focusing on the P wave characteristics to understand the cardiac rhythm better. Which of the following statements about the P wave should she keep in mind? (Select all that apply)

17 / 35

17. When caring for a client with a central venous line for chemotherapy administration, Nurse Blake should implement which nursing actions in the plan of care? (Select all that apply)

18 / 35

18. Nurse Peterson is assessing a 35-year-old male patient who has been an insulin-dependent diabetic for five years and is currently unable to urinate. Based on his medical history, Nurse Peterson needs to determine the most likely cause of his urinary issue. Which condition should she suspect?

19 / 35

19. Nurse Adams is overseeing the care of a 65-year-old man admitted for spinal stenosis surgery. She is planning the discharge training and needs to decide when to begin this important process. When should discharge training and planning start for this patient?

20 / 35

20. During a routine check of the nursing unit's refrigerator, Nurse Taylor is tasked with identifying any items that should not be stored there. Among the medications listed, which should be removed from the refrigerator?

21 / 35

21. Nurse Reynolds is assessing a 24-year-old female who has been admitted to the emergency room with confusion. The patient has a history of myeloma, constipation, intense abdominal pain, and polyuria. Based on these symptoms, which condition should Nurse Reynolds most likely suspect?

22 / 35

22. A patient is seeking advice from Nurse Parker about dietary sources of folic acid following a recommendation from their doctor. Nurse Parker is about to list the foods that are rich in folic acid. Which types of foods should she include as containing the highest concentration of folic acids?

23 / 35

23. Nurse Roberts is caring for an infant recently diagnosed with a congenital heart defect. Which clinical sign is most likely to be present in this infant due to the condition?

24 / 35

24. Nurse Johnson identifies that a client is experiencing insomnia based on which reported symptoms? (Select all that apply)

25 / 35

25. When reviewing the appropriate uses of erythromycin, Nurse Cooper is determining which condition listed would not typically warrant the use of this antibiotic. Which of these conditions is erythromycin not usually prescribed for?

26 / 35

26. Nurse Johnson is preparing a presentation on meningitis and is reviewing various microorganisms associated with the disease. She needs to identify which microorganism listed has not been linked to causing meningitis in humans. Which should she exclude from her presentation?

27 / 35

27. RhoGAM is most often administered to mothers under specific circumstances related to blood compatibility. Which combination accurately describes the typical use of RhoGAM?

28 / 35

28. While reviewing a patient's chart that shows a history of ketoacidosis, Nurse Carter is assessing symptoms that might be present in an acute episode. Which of the following symptoms would she not expect to see during an acute episode of ketoacidosis?

29 / 35

29. Nurse Anderson is supervising a second-year nursing student who has just experienced a needlestick injury while working with a patient diagnosed with AIDS. Nurse Anderson needs to guide the student on the most crucial step to take immediately following the incident. What should she advise?

30 / 35

30. While reviewing a patient's chart that indicates a history of meningitis, Nurse Thompson is considering the symptoms associated with an acute episode of this condition. Which of the following symptoms would she not expect to observe during an acute episode of meningitis?

31 / 35

31. While reviewing a patient's chart that indicates a history of hyperkalemia, Nurse Harris considers what symptoms would be unexpected if this condition were acute. Which of the following would she not expect to observe in a case of acute hyperkalemia?

32 / 35

32. Nurse Hamilton is addressing questions from a new mother about Phenylketonuria (PKU). During their conversation, she makes several statements about PKU. Which of the following statements made by Nurse Hamilton is not correct?

33 / 35

33. When managing a benzodiazepine overdose, Nurse Taylor considers several appropriate interventions. Which of the following should Nurse Taylor include in the treatment plan? (Select all that apply)

34 / 35

34. Nurse Thompson is managing a patient who has experienced a myocardial infarction (MI) within the last 4 hours. She needs to decide which medication to administer as part of the immediate treatment plan. Which medication is most likely to be given in this acute phase?

35 / 35

35. While reviewing a patient's chart diagnosed with conjunctivitis, Nurse Evans is determining which microorganism listed is commonly associated with this eye condition. Which microorganism is related to conjunctivitis?