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NCLEX National Council Licensure Examination(NCLEX-RN) NCLEX-RN Exam

Attempt the NCLEX Certifications practice test and solve real exam-like NCLEX-RN questions to prepare efficiently and increase your chances of success. Our NCLEX-RN practice questions match the actual National Council Licensure Examination(NCLEX-RN) exam format, helping you enhance confidence and improve performance. With our NCLEX-RN practice exam software, you can analyze your performance, identify weak areas, and work on them effectively to boost your final NCLEX Certifications exam score.

Vendor:	NCLEX
Exam Name:	National Council Licensure Examination(NCLEX-RN)
Registration Code:	NCLEX-RN
Related Certification:	NCLEX Certifications
Exam Audience:	Nursing Graduates Seeking RN Licensure,

Total Questions

860

Last Updated

25-08-2026

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Question: 1

A 22-year-old client who is being seen in the clinic for a possible asthma attack stops wheezing suddenly as the nurse is doing a lung assessment. Which one of the following nursing interventions is most important?

APlace the client in a supine position.

BDraw a blood sample for arterial blood gases.

CStart O2 at 4 L/min.

DEstablish a patent airway.

Answer: D

Explanation:

(A) During impending respiratory failure or asthmatic complications, the client is placed in the high-Fowler position to facilitate comfort and promote optimal gas exchange. (B) Arterial blood gases are monitored in the treatment of respiratory failure during an asthma attack, but it is not an initial intervention. (C) O2 therapy is used during an asthma attack, but it is not the initial intervention. The usual prescribed amount is a cautiously low flow rate of 1--2 L/min. (D) Wheezing is a characteristic clinical finding during an asthma attack. If wheezing suddenlyceases, it usually indicates a complete airway obstruction and requires immediate treatment for respiratory failure or arrest.

Question: 2

A 70-year-old homeless woman is admitted with pneumoni

a. She is weak, emaciated, and febrile. The physician orders enteral feedings intermittently by nasogastric tube. When inserting the nasogastric tube, once the tube passes through the oropharynx, the nurse will instruct the client to:

ATilt her head backwards

BSwallow as tube passes

CHold breath as tube passes

DCough as tube passes

Answer: B

Explanation:

(A) Head should be tilted slightly forward to facilitate insertion. (B) Swallowing assists with insertion of tube and closes off airway. (C) Client should be swallowing as tube passes; holding the breath facilitates nothing. (D) Coughing may expel tube.

Question: 3

The nurse observes a client crying quietly. She has just experienced a spontaneous abortion at nine weeks' gestation. An appropriate response by the nurse would be:

A''It must be God's will and probably is for the best.''

B''This must be a difficult time for you. Would you like to talk about it?''

C''I'm sure your other children will be a comfort for you.''

D''Don't worry, you're still young. If I were you I'd just try again.''

Answer: B

Explanation:

(A) This response is nontherapeutic because it belittles the client's response and gives a meaningless rationalization. (B) This response acknowledges the client's feelings and demonstrates the therapeutic offering of self by the nurse. (C) This response is nontherapeutic because it does not focus on the client's feelings and offers false reassurance. (D) This response is nontherapeutic because it belittles the client's feelings and offers her advice.

Question: 4

At 30 weeks' gestation, a client is admitted to the unit in premature labor. Her physician orders that an IV be started with 500 mL D5W mixed with 150 mg of ritodrine stat. The RN prepares the IV solution with the medication. The RN knows that clients receiving the medication ritodrine IV should be observed closely for which one of the following side effects:

AHypoglycemia

BHyperkalemia

CTachycardia

DIncrease in hematocrit and hemoglobin

Answer: C

Explanation:

(A) Ritodrine is a sympathomimetic 2-adrenergic agonist that can cause an elevation of blood glucose and plasma insulin in pregnant women. Hyperglycemia can occur in women with abnormal carbohydrate metabolism because of their inability to release more insulin. (B) Hypokalemia can occur resulting from the action of the _-mimetics. It results from a displacement of the extracellular potassium into the intracellular space. (C) Ritodrine causes vasodilation of vessel walls, which can lead to hypotension. The body compensates by increasing heart rate and pulse pressure. (D) There is a lowering of serum iron resulting from the action of _-mimetics to activate hematopoiesis.

Question: 5

In client teaching, the nurse should emphasize that fetal damage occurs more frequently with ingestion of drugs during:

AFirst trimester

BSecond trimester

CThird trimester

DEvery trimester

Answer: A

Explanation:

(A) Organogenesis occurs in the first trimester. Fetus is most susceptible to malformation during this period. (B) Organogenesis has occurred by the second trimester. (C) Fetal development is complete by this time. (D) The dangerous period for fetal damage is the first trimester, not the entire pregnancy.

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