RN NCLEX practice exam 2024/2025
UPDATE
A client arrives at the emergency room with 20% partial thickness burns to bilateral lower
extremities following a grass fire. Prior to the arrival of the ambulance, friends had soaked the
client's legs in cold water for pain relief. The client is now requesting more cold water on legs
because of intense pain. Which statement by the nurse would be most accurate?
- I can soak some towels in water to place on your legs
- I will call the doctor to ask for an order to use wet gauze
- I need to finish my nursing assessment first before treatment
- I must cover your legs with dry gauze to prevent complications - ANSWER-I must cover your legs
with dry gauze to prevent complications
- Initial burn interventions involve stopping the burning process. In order to do so, the burned area
should be submerged in cool (not cold) water for ten to fifteen minutes. Any longer may subject the
client to hypothermia as well as allowing bacteria to enter the damaged tissue. Therefore, after the
initial cooling period, the burn must be covered with dry sterile gauze to prevent further
complications
A client diagnosed with lung cancer is told that the client only has about 6 months to live. The spouse
tells the nurse, "I pray every night that God will give me more time with my loved one." Which
Kubler-Ross stage of grief does the nurse recognize the spouse to be exhibiting?
- Anger
- Acceptance
- Bargaining
- Depression - ANSWER-Bargaining
A client has been given information about several complementary therapies for the treatment of
anxiety disorder. Which therapy selected by the client would require the nurse to check for allergies?
- Aromatherapy
- Biofeedback
- Guided imagery
- Acupuncture - ANSWER-Aromatherapy
A client hospitalized with a deep vein thrombosis (DVT) is on a heparin infusion. The client asks the
nurse why it is necessary to have blood drawn every six hours. What is the best explanation for the
nurse to provide to the client.?
- The medicine might make your blood much too thin
, RN NCLEX practice exam 2024/2025
UPDATE
- It helps us monitor and adjust the dose to work better
- It is required for anyone getting heparin intravenously
- The test results tell us whether the treatment is working - ANSWER-It helps us monitor and adjust
the dose to work better
A client in labor is placed on an external fetal monitor. Which interventions should the nurse perform
if a late fetal heart rate deceleration occurs?
- Turn the client to the left side
- Administer oxygen
- Start an intravenous line
- Prep the mother for cesarian section
- Notify the primary healthcare provider - ANSWER-- Turn the client to the left side
- Administer oxygen
- Notify the primary healthcare provider
A client newly diagnosed with insulin dependent diabetes mellitus is started on insulin aspart
protamine suspension/insulin aspart solution mixture. The nurse would teach the client that the
insulin should start to lower the blood sugar within how many minutes?
- 15
- 30
- 45
- 90 - ANSWER-15 - insulin aspart mixture is a rapid-acting insulin and starts to work within 15
minutes after given subcutaneously
A nurse has been assigned to care for five clients. In what order should the nurse assess these clients
after shift report? Place in priority order from highest to lowest priority
- Client with Bueger's disease reporting numbness, tingling and cold in toes
- Client diagnosed with an arterial ulcer to the right leg who reports pain of 8/10
- Client diagnosed with peripheral vascular disease requesting information on smoking cessation
- Client hospitalized to rule out abdominal aortic aneurysm who is reporting deep, aching pain in the
flank area
UPDATE
A client arrives at the emergency room with 20% partial thickness burns to bilateral lower
extremities following a grass fire. Prior to the arrival of the ambulance, friends had soaked the
client's legs in cold water for pain relief. The client is now requesting more cold water on legs
because of intense pain. Which statement by the nurse would be most accurate?
- I can soak some towels in water to place on your legs
- I will call the doctor to ask for an order to use wet gauze
- I need to finish my nursing assessment first before treatment
- I must cover your legs with dry gauze to prevent complications - ANSWER-I must cover your legs
with dry gauze to prevent complications
- Initial burn interventions involve stopping the burning process. In order to do so, the burned area
should be submerged in cool (not cold) water for ten to fifteen minutes. Any longer may subject the
client to hypothermia as well as allowing bacteria to enter the damaged tissue. Therefore, after the
initial cooling period, the burn must be covered with dry sterile gauze to prevent further
complications
A client diagnosed with lung cancer is told that the client only has about 6 months to live. The spouse
tells the nurse, "I pray every night that God will give me more time with my loved one." Which
Kubler-Ross stage of grief does the nurse recognize the spouse to be exhibiting?
- Anger
- Acceptance
- Bargaining
- Depression - ANSWER-Bargaining
A client has been given information about several complementary therapies for the treatment of
anxiety disorder. Which therapy selected by the client would require the nurse to check for allergies?
- Aromatherapy
- Biofeedback
- Guided imagery
- Acupuncture - ANSWER-Aromatherapy
A client hospitalized with a deep vein thrombosis (DVT) is on a heparin infusion. The client asks the
nurse why it is necessary to have blood drawn every six hours. What is the best explanation for the
nurse to provide to the client.?
- The medicine might make your blood much too thin
, RN NCLEX practice exam 2024/2025
UPDATE
- It helps us monitor and adjust the dose to work better
- It is required for anyone getting heparin intravenously
- The test results tell us whether the treatment is working - ANSWER-It helps us monitor and adjust
the dose to work better
A client in labor is placed on an external fetal monitor. Which interventions should the nurse perform
if a late fetal heart rate deceleration occurs?
- Turn the client to the left side
- Administer oxygen
- Start an intravenous line
- Prep the mother for cesarian section
- Notify the primary healthcare provider - ANSWER-- Turn the client to the left side
- Administer oxygen
- Notify the primary healthcare provider
A client newly diagnosed with insulin dependent diabetes mellitus is started on insulin aspart
protamine suspension/insulin aspart solution mixture. The nurse would teach the client that the
insulin should start to lower the blood sugar within how many minutes?
- 15
- 30
- 45
- 90 - ANSWER-15 - insulin aspart mixture is a rapid-acting insulin and starts to work within 15
minutes after given subcutaneously
A nurse has been assigned to care for five clients. In what order should the nurse assess these clients
after shift report? Place in priority order from highest to lowest priority
- Client with Bueger's disease reporting numbness, tingling and cold in toes
- Client diagnosed with an arterial ulcer to the right leg who reports pain of 8/10
- Client diagnosed with peripheral vascular disease requesting information on smoking cessation
- Client hospitalized to rule out abdominal aortic aneurysm who is reporting deep, aching pain in the
flank area
