1.

Which of the following groups of patients should receive a

lower dose of lorazepam (Ativan)?
a. Elder and Native-American patients
b. Children and Asian patients
c. Children and elder patients
d. Children, elder, and Asian patients
2. Managing adequately during the first procedure, usually
helps reduce the
anxiety associated with future procedures.
a. pain
b. nausea
c. anxiety
d. sedation
e. the family
3. . Adverse effects to olanzapine (Zyprexa) occur most
commonly in the ______ system.
a. central nervous
b. integumentary
c. cardiovascular
d. gastrointestinal
4. Docetaxel is indicated for patients with metastatic
cancer.
a. bladder
b. breast

c. brain
d. bone
e. liver
5. Which patient response would indicate success of
rivastigmine (Exelon) therapy?
a. Improvement of cognitive function
b. Resolution of delusions
c. Decreased anxiety
d. Decreased extrapyramidal effects
6. when administering adenosine, you must observe the
cardiac monitor for:
a. heart block
b. asystole
c. flutter
d. fibrillation
e. tachycardia
7. You are caring for a patient with schizophrenia who also
has type 1 diabetes. He is receiving
olanzapine, an atypical antipsychotic. To minimize adverse
effects, the nurse should closely monitor
a. glucose levels.
b. BUN levels.
c. SGOT and SGPT levels.

d. sodium levels.
8. Trovan is the first agent ever approved for oral
prophylactic use in
a. lumbar punctures
b. endocarditis
c. hepatitis
d. surgery
9. 7. To maximize the therapeutic effect of rivastigmine
given for Alzheimer disease, the nurse should do which of
the following before initiating the drug therapy?
a. Confirm that the patient is reliable enough to administer
his own medications
b. Take away the patients glasses to prevent injury
c. Confirm that there are no current, uncorrected hearing
problems
d. All of the above
10. 5. "Most Common" gastrointestinal side effects of most
drugs include:
a. nausea & drowsiness
b. diarrhea & dysphagia
c. diarrhea & dystonia
d. nausea & rashes
e. diarrhea & constipation

NCLEX RN NURSING EXAM QUESTIONS

1. Celecoxib is indicated for relief of symptoms of

A. osteoarthritis
B. cancer
C. hepatitis
D. muscle spasm
2. is one category of drugs likely to cause allergic reactions.
A. diuretics
B. antibiotics
C. Digoxin
D. Insulin
E. antiemetics
3. A patient is being discharged after the insertion of a
permanent pacemaker. Which statement made by the patient
indicates an understanding regarding appropriate self-care?
Please choose from one of the following options.
A. Every morning I will perform arm and shoulder stretches.
B. Each day Ill take my pulse and record it in a log.
C. Ill have to get rid of my microwave oven.
D. I wont be able to use my electric blanket anymore.

4. The primary reasons for nonadherence to drug treatment in

the older patient are
poor communication with and declining cognitive function.
A. their family

B. their pharmacist
C. their doctor
D. health professionals

5. The healthcare provider is performing an assessment on a

patient who is taking propranolol (Inderal) for supraventricular
tachycardia. Which assessment finding is an indication the
patient is experiencing an adverse effect of this drug?
A. Dry mouth
B. Urinary retention
C. Bradycardia
D. Paresthesia
6. A condition under which the need for calcium rises; diet.
A. low sugar
B. low phosphate
C. low protein
D. high sodium
7. If only one drug is used, blacks respond better to diuretics
than to beta blockers and
A. ACE inhibitors
B. benzodiazepines
C. antidepressants
D. insulin

1. A client presents to the clinic requesting a renewal of her

prescription for oxycodone (Percocet). What should the NP
do?
A. Decline to provide the prescription
B. Renew the prescription and document the action taken
C. Assess the client and conduct appropriate investigations
D. Perform a medication reconciliation prior to prescribing
Answer: A. Decline to provide the prescription
2. Which of the following symptoms might a client with
right-sided heart failure exhibit?
A. Adequate urine output
B. Polyuria
C. Polydipsia
D. Oliguria
Answer: d. Oliguria

3. A father expresses concerns about his sons upcoming

surgery. The nurse listens to the father's concerns and
validates his feelings. What component of the nurse-client
relationship is the nurse demonstrating?
A. Professional intimacy
B. Respect
C. Empathy
D. Trust
Answer: C. Empathy
4. A nurse gives a double dose of acetaminophen (Tylenol)
to a client who only requires a single dose. What, if
anything, must the nurse do?
A. Report the error as soon as possible
B. Withhold the clients next dose of Tylenol
C. Ask a colleague to help assess the client
D. Nothing, because this is an over-the-counter medication

Answer: A. Report the error as soon as possible

5. Prolonged occlusion of the right coronary artery
produces an infarction in which of he following areas of the
heart?
A. Anterior
B. Inferior
C. Apical
D. Lateral
Answer: B. Inferior

1. Which of the following actions is the first priority care for a

client exhibiting signs and symptoms of coronary artery
disease?
a. Decrease anxiety
b. Educate the client about his symptoms
c. Administer sublignual nitroglycerin
d. Enhance myocardial oxygenation
Answer: d. Enhance myocardial oxygenation
2. A physician has diagnosed acute gastritis in a clinic patient.
Which of the following medications would be contraindicated
for this patient?

a. Furosemide (Lasix).
b. Calcium carbonate.
c. Clarithromycin (Biaxin).
d. Naproxen sodium (Naprosyn)
Answer: d. Naproxen sodium (Naprosyn).
Published www.nursingwork.in
3. Dyspnea, cough, expectoration, weakness, and edema are
classic signs and symptoms of which of the following
conditions?
a. Restricitve
b. Hypertension
c. Pericarditis
d. Obliterative
Answer; a. Restricitve
4. A child is seen in the emergency department for scarlet
fever. Which of the following descriptions of scarlet fever is
NOT correct?
a. Scarlet fever is caused by infection with group A
Streptococcus bacteria.
b. Petechiae occur on the soft palate.
c. "Strawberry tongue" is a characteristic sign.
d. The pharynx is red and swollen.
Answer: b. Petechiae occur on the soft palate.
Published www.nursingwork.in

5. With which of the following disorders is jugular vein

distention most prominent?
a. Abdominal aortic aneurysm
b. Myocardial infarction
c. Heart failure
d. Pneumothorax
Answer: c. Heart failure
6. Thrombolytic therapy is frequently used in the treatment of
suspected stroke. Which of the following is a significant
complication associated with thrombolytic therapy?
a. Air embolus.
b. Resolution of the clot.
c. Expansion of the clot.
d. Cerebral haemorrhage.
Answer: d. Cerebral haemorrhage.

1. In which organ are nutrients absorbed and returned to the

blood stream?
A. esophagus
B. large intestine
C. small intestine
D. stomach

2. Whilst recovering from surgery a patient develops deep

vein thrombosis. The sign that would
indicate this complication to the nurse would be:
A. Pitting edema of the area
B. Intermittent claudication
C. Severe pain when raising the legs
D. Localized warmth and tenderness of the site
3. What muscle pushes digesting food along in a wave-like
action?
A. tongue
B. heart
C. stomach
D. esophagus
4. In which organ does most of digestion take place?
A. gall bladder
B. small intestine
C. liver
D. heart

5. Which are tiny hair-like structures in the nose that filter

out harmful substances?
A. cilia
B. capillaries

C. alveoli
D. mucus
6. A patient with duodenal peptic ulcer would describe his
pain as:
A. Intermittent colicky pain
B. Generalized burning sensation
C. Gnawing sensation relieved by food
D. Colicky pain intensified by food

1. The breakdown of___________is called " haemolysis ".

A. PLTS
B. WBCS
C. GLUCOSE
D. RBCS
2. "Ovaries " are__________in numbers.
A. 2
B. 5
C. 3
D. 1
3. "INSULIN " are basicallay a ______________.
a. Proteins
b. Hormones

c. Enzymes
D. Glucose
4. "Epistaxis "means bleeding from the____________
A. Mouth
B. Ear
C. Nose
D. None of the above
5. Which one of the following disease is also called "white
plague " ?
a. AIDS
B. DIABETES
C. R.A
D. TB
6. "Bacteria " have mainly .....shapes.
a. 5
b.2
c.3
d.9
7. The......is "bean " shaped.
a. HEART
b. LUNGS
c. KIDNEY

d. INTESTINE
8. A patient is to receive 2.5mg of morphine sulfate. The
ampoule contains l000mcg/mL. How
much morphine should the nurse administer?
A. 0.25 ml
B. 1 ml
C. 1.5 ml
D. 2.5 ml

1. Sonias blood pressure, pulse, respiration rate and

temperature are recorded on admission. The reason for
this is
a) to give an indication of Sonias usual baseline
recordings.
b) to indicate whether Sonia is a suitable for surgery.
c) to observe how anxious Sonia is.
d) because it is routine for all admissions.
Before surgery Sonia must sign an informed consent
form for the operation.
2. Which of the following conditions must be met, to ensure
the validity of Sonias consent for the operation?
a) Her relatives must have knowledge of the procedure to
be performed.

b) The agreement must be witnessed by a registered

medical practitioner.
c) The consent must be obtained at least an hour before
surgery is begun.
d) She must have sufficient information to make an
informed decision.
3. Sonia is to have nothing to eat or drink prior to surgery.
This is necessary to
a) assist in the proper absorption of the anesthetic.
b) prevent nausea and vomiting immediately after surgery.
c) avoid the danger of her inhaling stomach contents.
d) avoid incontinence during surgery.
4. You are working as part of a
multidisciplinary/interdisciplinary team. Your role in this
team is
a) to rely on the registered nurse to give the team
information about the clients you are providing care to.
b) as an active participant in decision making around the
delivery of care.
c) to ensure client documentation is complete.
d) to carry out orders given by team members.
5. Sonia says to you Im afraid of the surgery. You should

a) call the hospital chaplain to come talk with her.

b) listen and use reflective communication skills.
c) change the subject to something positive.
d) call the family and report her concerns to them.
Sonia complains of severe pain. He is prescribed
morphine 8 mg 2-3 hourly PRN. Ward stock of
morphine is 10 mg in 1 ml.
6. Which of the following quantities of morphine should be
drawn up for Mr Ross?
a) 0.08 ml.
b) 0.25 ml.
c) 0.75 ml.
d) 0.80 ml.
7. You find Sonia lying on the floor of her room. What is the
first action you should take when you discover Sonia?
a) Gently lift up Sonia and put her to bed.
b) Stay with Sonia and call for help.
c) Find out if Sonia has pain when weight bearing.
d) Assess Sonia injuries before sitting her in a chair.
8. Following surgery, Sonia is turned frequently until she is
able to turn herself. The
main reason for turning her frequently is to
a) change the wound dressing

b) relieve pressure on her bony prominences

c) prevent deep vein thrombosis
d) prevent oedema of the lungs

1. Which of the following illnesses is the leading cause of death

in the US?
a) Cancer
b) Renal failure
c) HIV Disease
d) Coronary artery disease
e) None of the above
Answer: d. Coronary artery disease
2. A patient who has just had a miscarriage at 8 weeks of
gestation is admitted to hospital. In
caring for this patient, the nurse should be alert for signs of:
a) Hemorrhage
b) Subinvolution
c) Dehydration
d) Hypertension
e) None of the above

Answer: a) Hemorrhage
3. Which of the following arteries primarily feeds the anterior
wall of the heart?
a) Circumflex artery
b) Left anterior descending artery
c) Internal mammary artery
d) Right coronary artery
e) None of the above
Answer: b) Left anterior descending artery
4. A patient presents to the emergency department with
diminished and thready pulses,
hypotension and an increased pulse rate. The patient reports
weight loss, lethargy, and decreased
urine output. The lab work reveals increased urine specific
gravity. The nurse should suspect:
a) Renal failure
b) Dehydration
c) Pneumonia
d) Mal Nutrition
e) None of the above
Answer: b) Dehydration

5. Which of the following recurring conditions most commonly

occurs in clients with cardiomyopathy?
a) MI
b) DM
c) Heart failure
d) Pericardial effusion
e) None of the above
Answer: c) Heart failure
6. What two behaviors are important when documenting the
depth of the patient's depression?
a) Orientation and appearance
b) Mood and Tension Control
c) Affect and thought processes
d) Helplessness and hopelessness
e) None of the above
Answer: d) Helplessness and hopelessness
7. Which of the following complications of an abdominal aortic
repair is indicated by detection of a hematoma in the perineal
area?
a) Retroperitoneal rupture at the repair site
b) Stage 1 pressure ulcer

c) Inguinal Hernia
d) Rapid expansion of the aneurysm
e) None of the above
Answer: a) Retroperitoneal rupture at the repair site
8. Which of the following techniques should the nurse
implement to prevent the patient's mucous membranes from
drying when the oxygen flow rate is higher than 4 liters per
minute?
a) Use a non rebreather mask
b) Reduce flow rate
c) Use a high flow oxygen delivery system IT Certification
Guaranteed, The Easy Way!
d) Add humidity to the delivery system
e) None of the above
Answer: d) Add humidity to the delivery system