Free NCLEX-RN Practice Test

A nurse is caring for an adult client with heart failure who is receiving oral digoxin 0.25 mg daily and furosemide 40 mg daily. The client reports nausea, anorexia, and seeing yellowish-green halos around lights. Assessment reveals BP 118/72 mmHg, apical pulse 52 beats/min and irregular. Serum potassium is 3.1 mEq/L (reference: 3.5–5.0 mEq/L). Which nursing action should the nurse prioritize first?

A nurse is providing discharge instructions to a client with Type 1 diabetes mellitus who has been prescribed subcutaneous regular insulin before meals and insulin glargine at bedtime. At which time interval following subcutaneous administration of regular insulin is the client at greatest risk for experiencing acute hypoglycemic episodes?

A nurse assesses a client 4 hours following an exploratory laparotomy. The client's surgical abdominal dressing is dry and intact. Assessment reveals: BP dropped from baseline 124/78 mmHg to 88/54 mmHg, HR increased from 76 to 118 beats/min (weak, thready), RR is 24 breaths/min, and the skin is cool, pale, and diaphoretic. Which pathophysiological process and immediate nursing intervention should the nurse recognize?

A nurse is monitoring an adult client on postoperative day 1 following a total thyroidectomy. The client reports perioral tingling and numbness in the fingertips. When the nurse gently taps the client's facial nerve anterior to the ear, the ipsilateral facial muscles contract involuntarily (positive Chvostek's sign). Which clinical condition and emergency intervention should the nurse anticipate?

A nurse is admitting an adult client presenting to the emergency department with a 3-week history of productive cough with hemoptysis, night sweats, fatigue, and unintended weight loss. Pulmonary tuberculosis (TB) is suspected. Which infection control measures must the nurse implement immediately?

A registered nurse (RN) is organizing shift care on a medical-surgical unit. The care team consists of the RN, a licensed practical/vocational nurse (LPN/VN), and an unlicensed assistive personnel (UAP). According to NCSBN delegation principles, which task is most appropriate for the RN to assign to the UAP?

A nurse is providing discharge education to the parents of a healthy 2-day-old newborn regarding infant sleep safety and Sudden Infant Death Syndrome (SIDS) risk reduction. Which parental statement demonstrates correct understanding of safe sleep guidelines?

A nurse is conducting an initial assessment with a client admitted with severe Major Depressive Disorder. The client sits with slumped posture, avoids eye contact, and quietly whispers, "Everything is hopeless now. My family would be so much better off without having to deal with me anymore." Which therapeutic response should the nurse provide first?