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. A patient has a new prescription for valproic acid. The nurse should inform the patient of the need for routine monitoring of which of the following, in order to ensure the medication is not exerting any negative effects?Serum sodium and potassiumCreatinine and BUNAST/ALT and LDHWBC and granulocyte counts2. A nurse is assessing a 4 year old for indications of autism spectrum disorder (ASD). For which of the following indications should the nurse assess for that most relates to that specific disorder?Somatic problemsDestructivenessRepetitive countingImpulsive behavior3. A registered nurse at a community mental health clinic is performing chart reviews of multiple patients. Which of the following situations would be an example of a patient who experienced a maturational crisis?RapeMarriageLoss of a jobSevere physical illness4. An emergency room nurse is performing her assessment on a child who is reporting abdominal pain. As the nurse is conducting her head-to-toe assessment, which of the following findings should alert the nurse to possible abuse? (Select all that apply). Abdominal rebound tenderness Areas of ecchymosis on torso Mismatched clothing Abrasions on knees Round burn marks on forearms5. A hospital is hosting a community wide blood pressure screening for the general public to attend. This would be an example of which of the following levels of care?SecondaryPreventiveTertiaryPrimary6. An RN is making assignments for patient care to a LPN at the start of their shift. Which of the following tasks should the LPN question?Providing nasopharyngeal suctioning for a patient with pneumoniaAssisting a patient to use an incentive spirometer 24 hours after surgeryReplacing the cartridge and tubing on a patient-controlled analgesia PCA pumpCollecting a clean-catch urine specimen from a previously admitted patient7. Upon completion of a sterile dressing change, the nurse has removed the sterile pack from its outside cover and placed it on a clean work surface. Which of the following flaps should the nurse unfold first?The flap furthest from the bodyThe left side flapThe right side flapThe flap closest to the body8. A nurse has taken over care for a patient who presents with linear clusters of vesicles that appear to contain fluid with some crusts. Which of the following should the nurse immediately suspect?Systemic lupus erythematosus (SLE)Herpes zosterRingwormAllergic reaction9. You are caring for a patient that reports a severe sore throat, pain when he swallows, and swollen lymph nodes. You should be aware that the patient is experiencing which of the following stages of infection?ConvalescenceIncubationProdromalIllness10. Being aware of fire safety is a definite must within your facility, you must always be prepared and ready to help take action should an emergency occur. Knowing that, which of the following types of fire extinguishers are for electrical fires?Class BClass EClass AClass C11. A newly licensed nurse should understand that which of the following patient positions would inhibit chest expansion the most?LateralSemi – Folwer’sOrthopneicProne12. According to the Centers for Disease Control and Prevention (CDC), which immunizations should the nurse inform the parents that are recommended for their adolescent to receive? (Select all that apply). Herpes zoster Varicella Seasonal influenza Rotavirus Human papilloma virus (HPV)13. Prior to performing a physical examination on a patient, the nurse should know that which part of her hand should be used during palpation for the most optimal assessment of the patient’s skin temperature?Palmar surfaceBase of fingersFingertipsDorsal surface14. When preparing for her examination the student nurse should be aware that which of the following cranial nerves are responsible for the movement and strength of the tongue?CN IXCN IIICN XIICN VIII15. The nurse is preparing to auscultate the apical pulse on a patient. At which position should she place her stethoscope on the patient’s chest in order to reach this cardiac landmark and be able to record the correct pulse?Just right of the sternum at the second intercostal space (ICS)Left mid-clavicular line at the fifth ICSJust left of the sternum at the fourth ICSJust left of the sternum at the second ICS16. A community health nurse is preparing an educational program on communicable diseases. When discussing routes of transmission, which of the following should the nurse include as an airborne illness?MalariaSalmonellaClostridium DifficileInfluenza17. Upon reviewing the common emergency management protocol for patients during a cardiac emergency situation, the nurse should be aware that which of the following is an appropriate medication to administer via the IV route?atropineepinephrinedobutaminedopamine18. A registered nurse is responsible for a patient who has suffered from a traumatic head injury and has an intraventricular catheter placed in the brain to monitor their ICP. The RN should monitor the patient for which of the following complications related to the intraventricular catheter?InfectionHypertensionHeadacheAphasia19. One of the patients you are responsible for this shift is receiving morphine via a patient-controlled analgesia (PCA) infusion device after abdominal surgery. Which of the following statements made by the patient indicates to you that they know how to use the PCA?“I’ll be careful about pushing that button so I don’t have an overdose.”“I will ask my son to push the dose button when I am sleeping.”“I should tell the nurse if the pain doesn’t stop after using the PCA.”“I’ll wait to use the PCA until it’s absolutely necessary.”20. A nurse is caring for a patient who just suffered from a generalized seizure. Which of the following actions should the nurse take first?Assess the patient for injuriesMonitor the patient’s vital signsKeep the patient in a side-lying positionReorient the patient to the environment21. As a RN you are educating a female patient at discharge regarding a new prescription for phenytoin. Which of the following information should you include with your instructions?Watch for receding gums when taking this medicationTake the medication at the same time each dayConsider taking oral contraceptives when on this medicationProvide a urine sample to test for therapeutic levels of this medication22. A nurse is reinforcing teaching with a patient who has Parkinson’s disease and has received a new prescription for bromocriptine from their physician. Which of the following instructions should be included in the patient education?Report any skin discolorationLimit exposure to heatRise slowly when standingIncrease intake of carbohydrates23. When working in a long-term care facility, you are developing a care plan for a patient with stage 5 of Alzheimer’s disease. Which of the following interventions would you include?Provide protective undergarmentsAssist patient with ADLsThicken all liquidsUse a gait belt for ambulation24. When reviewing the medical record of a patient with a malignant brain tumor, you note that the patient has a positive Romberg sign. Which of the following tasks should the nurse take in order to assess for this sign?Ask patient to blink their eyesHave the patient stand erect with their eyes closedObserve for any facial droopingStroke the lateral aspect of the sole of the foot25. A patient with an expanding brain tumor has a prescription for dexamethasone and would like the nurse to review the likely effects of the medication with them. Which of the following are appropriate statements by the nurse? “You will need to monitor yourself for low blood sugar.” “You may notice weight gain.” “It is given to reduce swelling of the brain.” “Tumor growth will be delayed.” “It can cause you to retain fluids.”Congratulations, you have just finished NCLEX RN Practice Exam 4.Hit the "Submit" button to see your test results.Your Test ScoreAmount of Time to Finish the TestTest QuestionsYour AnswersCorrect AnswersFull Rationale for the correct answer(s).Want your test results sent to you? Enter your Name and Email address.More NCLEX-RN Practice Exams with RationalesNCLEX-RN exam #1 NCLEX-RN exam #2 NCLEX-RN exam #3 NCLEX-RN exam #4NCLEX-RN Exam #5 Name Email Time is Up!