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NCLEX Practice Exam 1 1 Exam

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NCLEX Practice Test 1

NCLEX Practice Sets 10 Exams

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NCLEX Practice Set 1

NCLEX Practice Set 2

NCLEX Practice Set 3

NCLEX Practice Set 4

NCLEX Practice Set 5

NCLEX Practice Set 6

NCLEX Practice Set 7 (Case Study #1)

NCLEX Practice Set 8 (Case Study #2)

NCLEX Practice Set 9 (Case Study #3)

NCLEX Practice Set 10 (Standalone Q’s)

NCLEX NCLEX Practice Sets NCLEX Practice Set 6

NCLEX Practice Set 6

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Question 1 of 8

1. Question
A couple is taking their newborn baby home. The nurse wheels mother and baby outside and watches as the baby is buckled into the rear-facing car seat.

>Which of the following is a concern for an incorrect fit?
- 1. The shoulder straps sit above the baby’s shoulders.
- 2. The chest clip is at the level of the baby’s armpits.
- 3. The father is unable to pinch the straps by the baby’s shoulders.
- 4. The child’s head is flat against the seat and positioned in the middle of the head area.
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Question 2 of 8

2. Question
It is a very busy day on the medical-surgical unit. The nurse has a new admission and has to hang blood on another client. She needs help with her other clients.

>Which of the following is an example of inappropriate delegation by the registered nurse?
- 1. Instructing unlicensed assistive personnel to take vital signs on a client that is 2 days post-op cholecystectomy.
- 2. Asking a registered nurse to give intravenous hydralazine to a client with an exacerbation of hypertension.
- 3. Asking unlicensed assistive personnel to speak to the client’s doctor and document orders in the chart.
- 4. Asking the licensed practical nurse to insert a catheter in a client who is scheduled for surgery in 2 hours.
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Question 3 of 8

3. Question
A nurse is monitoring a patient during a procedure using conscious sedation.

>Which of the following actions by the nurse is concerning?
- 1. The nurse maintains IV access throughout the procedure.
- 2. The nurse administers the sedation just prior to the physician entering the room so the procedure can begin immediately.
- 3. The nurse monitors the client’s respiratory status frequently, including oxygen saturation, breath sounds, and respiratory rate and depth.
- 4. The nurse has prepared appropriate medication antagonists to use if needed.
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Question 4 of 8

4. Question
A client at 28 weeks gestation is to receive a Rhogam injection as she is blood type A-negative. The client asks the nurse “What is the purpose of this medication?”

>How should the nurse respond?
- 1. “Rhogam helps your immune system from reacting to your baby’s blood and producing antibodies at the time of delivery.”
- 2. “Rhogam helps mature your baby’s lungs.”
- 3. “Rhogam helps protect your baby against pertussis.”
- 4. “Rhogam changes your blood type from negative to positive.”
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Question 5 of 8

5. Question
A nurse is assessing a client who was admitted to the medical-surgical floor from the local nursing home. She performs a skin assessment, noting a Stage III pressure ulcer on the client’s right heel. She notifies the physician and wound care team.

>The nurse anticipates which of the following types of wound healing for this client?
- 1. Primary intention healing
- 2. Secondary intention healing
- 3. Secondary preventive healing
- 4. Tertiary intention healing
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Question 6 of 8

6. Question
The nursing student is currently studying for a maternal-child examination and is reviewing maternal changes in pregnancy.

>Which of the following is not considered a probable sign of pregnancy?
- 1. A positive human chorionic gonadotropin or HCG test
- 2. Chadwick’s sign
- 3. Amenorrhea
- 4. Braxton Hicks contractions
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Question 7 of 8

7. Question
The nursing instructor is lecturing on ethical principles in nursing, including definitions and examples of such. She asks the students the following question:

>Which of the following scenarios best exemplifies the ethical principle of justice?
- 1. The nurse gives the same care to all clients, whether insured or uninsured.
- 2. After a surgeon orders penicillin for a client, the operative nurse alerts the surgeon to the client’s allergy to penicillin.
- 3. The nurse discusses with a client her right to refuse treatment after a client declines a new medication.
- 4. The nurse holds the hand of a dying man who has no family.
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Question 8 of 8

8. Question
A client is admitted to the hospital after experiencing a myocardial infarction. The nurse performing the initial assessment inquires about any advance directives, which the client does not have. The client asks, “What is an advance directive?”

>Which is the most appropriate response by the nurse?
- 1. “An advance directive is a document that only states whether or not you want CPR to be performed should your heart stop.”
- 2. “An advance directive details which health interventions you do and do not want in certain situations in case you cannot make those decisions yourself, such as if you are on a ventilator.”
- 3. “An advance directive is a form that needs to be filled out by an attorney to be legally binding.”
- 4. “An advance directive lets you pick someone to make all of your future healthcare decisions, including treatment during your current admission.”
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