NCLEX Practice Exam Quiz

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  • 1/10 Questions

    Which medication administration route provides the fastest absorption?

    • Oral
    • Intravenous
    • Subcutaneous
    • Intramuscular
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About This Quiz

Ready to test your nursing skills before the big test day? Our NCLEX Practice Exam Quiz is just what you need! This quiz is designed to give you a real taste of what the NCLEX exam is like helping you to prepare in the best way possible. Our quiz covers all the important topics you’ve learned in nursing school, from patient care to medical ethics.

It is set up just like the actual NCLEX, with various types of questions that you will need to answer. This will help you get comfortable with the format and the types of questions you might see on the exam. By taking this practice quiz, you will be able to identify which areas you know well and which ones might need a bit more study.

NCLEX Practice Exam Quiz - Quiz

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  • 2. 

    How often should a nurse perform hand hygiene during a shift?

    • Only at the beginning

    • Before and after patient contact

    • After breaks only

    • Once every hour

    Correct Answer
    A. Before and after patient contact
    Explanation
    Performing hand hygiene before and after patient contact is crucial in preventing the spread of infections within healthcare settings. Hand hygiene is a fundamental practice that removes potential pathogens that could be transferred during patient interactions. By adhering to this protocol, healthcare workers significantly reduce the risk of cross-contamination among patients, particularly in environments where individuals are at elevated risk of infection due to weakened immune systems or invasive procedures. This practice is a core standard in infection control protocols across all healthcare facilities.

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  • 3. 

    A nurse finds an unresponsive patient. What is the first step they should take?

    • Check the patient's airway

    • Call for a code

    • Start chest compressions

    • Run to get help

    Correct Answer
    A. Check the patient's airway
    Explanation
    Checking the patient's airway is the first step when finding an unresponsive patient. This initial assessment is vital to ensure that the airway is clear and not obstructed, as a blocked airway can prevent oxygen from reaching the lungs and the rest of the body, leading to critical hypoxia and potential cardiac arrest. Immediate evaluation and management of the airway take precedence over all other actions, including calling for help, as it is foundational in the chain of survival in emergency care.

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  • 4. 

    A nurse is caring for a patient with hypertension. What lifestyle change is often recommended?

    • Increasing sodium intake

    • Regular physical activity

    • Reducing fluid intake

    • Starting a high-fat diet

    Correct Answer
    A. Regular physical activity
    Explanation
    Regular physical activity is often recommended for patients with hypertension as a key lifestyle modification. Physical activity helps lower blood pressure by improving heart and blood vessel health. It enhances the efficiency of the cardiovascular system, reducing arterial stiffness and improving blood flow. These changes can significantly decrease the workload on the heart and the pressure exerted on arterial walls, thus lowering blood pressure. This non-pharmacological approach is a cornerstone of hypertension management and plays a vital role in overall cardiovascular risk reduction.

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  • 5. 

    What is a common side effect of chemotherapy?

    • Hair growth

    • Weight gain

    • Nausea and vomiting

    • Decreased heart rate

    Correct Answer
    A. Nausea and vomiting
    Explanation
    Nausea and vomiting are common side effects of chemotherapy due to its impact on rapidly dividing cells, including those in the gastrointestinal tract. Chemotherapy can trigger the release of serotonin, which stimulates the vomiting center in the brain, leading to these gastrointestinal symptoms. Managing these side effects is crucial as they can significantly impact the patient's quality of life and their ability to continue receiving treatment. Antiemetics are typically prescribed to help control these symptoms, highlighting the importance of supportive care in cancer treatment regimens.

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  • 6. 

    When educating a patient with diabetes, what is important to emphasize about foot care?

    • Regular pedicures

    • Daily inspection and proper footwear

    • Keeping feet moist

    • Walking barefoot daily

    Correct Answer
    A. Daily inspection and proper footwear
    Explanation
    Emphasizing daily inspection and proper footwear to a patient with diabetes is crucial because individuals with diabetes are at higher risk for foot injuries and infections due to decreased sensation caused by neuropathy. Regularly checking the feet can help in early detection of potential problems such as cuts, blisters, or signs of infection. Proper footwear is important to avoid injuries that might not be felt and to provide supportive, cushioning properties that reduce pressure points. This preventive advice helps manage long-term health risks and can prevent severe complications, including the need for amputation.

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  • 7. 

    Which symptom is an early sign of hypokalemia?

    • Muscle weakness

    • High blood pressure

    • Increased heart rate

    • Skin discoloration

    Correct Answer
    A. Muscle weakness
    Explanation
    Muscle weakness is an early sign of hypokalemia, where there is a low level of potassium in the bloodstream. Potassium is essential for normal cell function, including the activities of muscle and nerve cells. A deficiency in potassium affects the electrical potentials necessary for muscle contractions and can lead to symptoms ranging from mild weakness to severe muscle paralysis. Recognizing this early sign is critical in preventing further complications, including those affecting the respiratory muscles and cardiovascular stability.

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  • 8. 

    How should a nurse position a patient during a nasogastric tube insertion?

    • Supine position

    • Prone position

    • Semi-Fowler's position

    • Trendelenburg position

    Correct Answer
    A. Semi-Fowler's position
    Explanation
    Positioning a patient in the Semi-Fowler's position during nasogastric tube insertion is critical for several reasons. This position, where the patient is partially reclined with the head elevated about 30 to 45 degrees, reduces the risk of aspiration, which can occur if the tube misroutes into the lungs instead of the stomach. It also facilitates the passage of the tube through the esophagus into the stomach by aligning these structures more naturally compared to lying flat or being fully upright, making the procedure easier and more comfortable for the patient.

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  • 9. 

    What is the first action a nurse should take when a patient has a sudden onset of chest pain?

    • Administer aspirin

    • Call for help

    • Perform CPR

    • Document the incident

    Correct Answer
    A. Call for help
    Explanation
    Calling for help is the first and most crucial step when a patient experiences a sudden onset of chest pain. This immediate action ensures that medical assistance and necessary interventions, such as the administration of emergency medications or preparations for advanced cardiac life support, are quickly mobilized. It prioritizes the patient’s safety and potential need for urgent medical procedures, which can be life-saving. Promptly alerting the healthcare team allows for a rapid response, which is critical in potentially life-threatening situations such as heart attacks, ensuring the patient receives the best possible care at the moment of crisis.

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  • 10. 

    Which diet is most appropriate for a patient with celiac disease?

    • Gluten-free

    • High-protein

    • Low-fat

    • High-carbohydrate

    Correct Answer
    A. Gluten-free
    Explanation
    A gluten-free diet is essential for patients with celiac disease, an autoimmune disorder where ingestion of gluten leads to damage in the small intestine. Gluten, found in wheat, barley, and rye, triggers an immune response that damages the intestinal lining, leading to symptoms like diarrhea, bloating, and malnutrition. Following a strict gluten-free diet helps manage these symptoms and promotes intestinal healing, which is crucial for the absorption of nutrients and overall health maintenance in affected individuals.

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  • Current Version
  • Sep 06, 2024
    Quiz Edited by
    ProProfs Editorial Team
  • Jul 07, 2017
    Quiz Created by
    Santepro
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