NCLEX-RN Practice Exam 1 of 5 by Jeff Morrow | Exam Test your readiness with real NCLEX practice questions and exams. Timed test with correct answers and rationales provided at the end of the test. Get tips, tricks and strategies on how to pass the NCLEX-RN the first time. To start you test now, hit "Next" at the bottom right of the page.1. An elderly patient is found lying on the floor of his hospital room. The patient was on fall precautions. Which of the following actions is most appropriate for the nurse to take first in this situation? Assess the patient for any injuries Notify the patient’s physician Ask another staff member to assist you to get the patient back into bed Ask the patient why he tried to get up without assistance2. A staff registered nurse (RN) is preparing to insert an IV for patient that has been ordered to have morphine 10mg IVP. Using time management skills, which of the following actions should the RN take first? Enter the room and perform hand hygiene Explain the procedure to the patient Mentally go over the procedure when collecting supplies before entering the room Eject excess medication from the prefilled syringe3. An RN on a medical-surgical unit is in charge of making nurse-patient assignments at the beginning of the shift. Which task should the nurse delegate to the licensed practical nurse (LPN)? Instructing a patient on how to perform wound care Obtaining vital signs on a patient who is 2 hours post-operative after a cardiac catheterization Administration of 1 unit of fresh frozen plasma (FFP) Developing a care plan for a newly admitted patient4. As a nurse, you are preparing to transfer an adult patient who is 72 hours postoperative from surgery, back to a long-term care facility. Which of the following should you include in the transfer report? (Select all that apply). Patient’s vital signs on the day of admission Patient’s medical diagnosis Type of anesthesia that was used Patient’s advance directive status Any needs for special equipment5. An RN is attending an interprofessional conference for a patient who has sustained a recent C6 spinal cord injury. The patient was a construction worker. Which of the following members of the healthcare team should also participate in planning care for this patient? (Select all that apply). Psychologist Vocational counselor Speech therapist Physical therapist Occupational therapist6. The RN has taken over care for a patient and their condition is declining. Upon reviewing their medical records, the nurse notices that the patient’s do not resuscitate (DNR) order has expired. Which of the following actions should the nurse take in this situation? Anticipate that CPR will be initiated should the patient go into cardiac arrest Call the physician to determine whether the order should be reinstated immediately Assume that the patient does not want to be resuscitated and take no action should cardiac arrest occur Write a note on the front of the physician order sheet asking for the DNR to be reordered7. A newly licensed nurse is preparing to start an IV. Which of the following sources should the nurse use in order to best review the procedure and the standard at which it should be performed? A more experienced nurse Web site explaining the task State nurse practice act Institutional policy and procedure manual8. A nurse observes a nursing assistant reprimanding a patient for not using the urinal properly. The nursing assistant threatens to put a brief on the patient if he does not use the urinal more carefully next time. Which tort is the nursing assistant committing? Assault Battery Invasion of privacy False imprisonment9. A nursing assistant reports that the blood sugar of a patient was 58 mg/dL a half hour before lunch. The patient’s morning blood sugar was 285 mg/dL. The patient is observed to be asymptomatic at this time despite their low blood sugar result, plus the next dose of insulin is scheduled to be administered at this time. Which of the following actions should the nurse take first? Phone the laboratory in order to obtain a STAT serum glucose level Recalibrate the glucometer and recheck the blood sugar Inform the nursing assistant to go ahead and give the patient 120 mL of orange juice Administer the insulin as ordered10. A nurse finds out that a patient was administered an antihypertensive medication in error. Check all that apply in this situation. Complete an incident report Notify the risk manager Monitor the vital signs Call the patient’s physician Instruct the patient to remain in bed until further notice11. A community is experiencing an outbreak of meningitis, and hospital beds are in urgent need. Which of the following patient should the charge nurse recommend for discharge? 70 year old admitted 24 hours prior with pneumonia and dehydration 65 year old female who sustained a fall with a hip fracture, who is schedule for hip replacement the next day 50 year old with type 2 diabetes admitted for rotator cuff surgery 58 year old male admitted 12 hours ago with angina and a history of CABG 1 year ago12. A nurse is educating a patient who is taking iron supplements about what other foods aid in its absorption into the body. Which of the following food choices made by the patient would indicate that they understood the teaching? Green beans Orange juice Milk Baked potato13. A nurse is caring for a patient who routinely takes warfarin (Coumadin). Which of the following food choices should the nurse advise the patient to limit in their diet? Ice cream Broccoli Orange juice Chicken14. A nurse is teaching a nutritional class on minerals and electrolytes. Which of the following food sources would provide the best amounts of magnesium when consumed? Canned soup Yogurt Nuts Tomatoes15. Which of the following clinical findings are associated with hypothyroidism? Diarrhea Increased heart rate Decreased metabolic demand Weight loss16. Which of the following medications should the nurse be aware of that decreases the body’s rate of metabolism? amitriptyline prednisone somatropin levothyroxine17. A nurse is calculating BMI for a number of patients. Which of the following BMI results indicates an overweight patient? 27 30 24 3218. A nurse is teaching a nutritional class to a group of females. Which of the following should the nurse include as risk factors for developing osteoporosis? (Select all that apply). Obesity Cigarette smoking Family history Inactivity Hyperlipidemia19. You are caring for a patient who has a urinary tract infection (UTI). The patient reports pain and a sensation of burning upon urination, along with cloudy urine with an odor. Which of the following would be your priority intervention as the nurse? Offer a warm sitz bath Administer an antibiotic Encourage increased fluids Recommend to the patient they should drink cranberry juice20. You are admitting a patient with a kidney stone. Which of the following findings would you expect to note in your assessment? Bradycardia Nocturia Bradypnea Diaphoresis21. During your completion of discharge instructions with a patient who has passed a calcium oxalate stone, which of the following food choices should you instruct them to avoid in the future? Select all that apply. Red meat Black tea Cheese Whole grains Spinach22. You are providing instructions to your patient prior to a mammogram. Which of the following should you instruct your patient to avoid prior to their procedure? Deodorant Multivitamin Sexual intercourse Exercise23. You are reviewing the medical record of your patient with premenstrual syndrome (PMS). Which of the following medications are used to treat PMS? (Select all that apply). fluoxetine spironolactone ethinyl estradiol/drospirenone ferrous sulfate methylergonovine24. It is up to you to provide support to your patient who has a recent diagnosis of endometriosis. You should reinforce to your patient that which of the following conditions is a complication of endometriosis? Insulin resistance Pelvic inflammatory disease (PID) Infertility Vaginitis25. The nurse is assessing a patient who has a cast on his arm due to a compound fracture. Which of the following findings is an early indication of neurovascular compromise? Pallor Paralysis Paresthesia PulselessnessCongratulations, you have just finished NCLEX RN Practice Exam 1. Hit the "Submit" button to see your test results. 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