NCLEX-RN
NCLEX-RN is a trademark of its owner, which is not affiliated with and does not endorse Test Treasure Publication or TTP Prep.
NCLEX-RN is a trademark of its owner, which is not affiliated with and does not endorse Test Treasure Publication or TTP Prep.
10 sample questions for the NCLEX-RN, with the correct answer and an explanation for each. No account needed. Try each one before you open the answer.
Sections covered on the exam: Management Of Care, Psychosocial Integrity, Management of Care, Reduction of Risk Potential, Pharmacological and Parenteral Therapies, Prioritizationofcare, Resourcemanagement, Standardprecautions, Incidentreporting, Safeuseofequipment, Isolationprotocols, Healthscreening, Immunizations, Lifestylechoices, Health Promotion and Maintenance, Basic Care and Comfort, Mentalhealthdisorders, Therapeuticcommunication, Nutritionandhydration, Mobilityandrangeofmotion, Restandsleep, Painmanagement, Pharmacological And Parenteral Therapies, Medicationadministration, Physiological Adaptation, Intravenoustherapy, Reduction Of Risk Potential, Informedconsent, Identificationofabnormalfindings, Pathophysiology, Shockandmultipleorgandysfunction, Safety and Infection Prevention and Control, Stressmanagement.
Question 1 · Management Of Care
Which task is appropriate for an RN to delegate to a licensed practical nurse (LPN)?
Answer: B. Administering oral medications to stable clients
LPNs are trained to administer oral medications to stable clients under RN supervision. Comprehensive assessments, initial care planning, and teaching require the RN's assessment skills and scope of practice.
Question 2 · Standardprecautions
Which item is not required under standard precautions for routine care of all clients?
Answer: D. Shoe covers for all client rooms
Shoe covers are only indicated for specific procedures with heavy fluid contamination risk, not for routine care under standard precautions.
Question 3 · Psychosocial Integrity
Which coping mechanism involves redirecting unacceptable impulses into socially acceptable activities?
Answer: B. Sublimation
Sublimation transforms impulses into constructive behavior, e.g., channeling anger into exercise. Projection attributes one's feelings to others, denial refuses reality, regression reverts to earlier behavior.
Question 4 · Medicationadministration
When administering an intramuscular injection, the nurse should use which needle gauge and angle for an adult?
Answer: D. 22-gauge, 90°
A 22-gauge needle at a 90° angle is appropriate for most adult IM injections to ensure proper muscle penetration.
Question 5 · Informedconsent
A minor seeks contraception without parental consent. The nurse should:
Answer: D. Provide care according to state laws regarding minors' rights
Many jurisdictions allow minors confidential access to reproductive services. Care should follow legal statutes protecting minors' rights.
Question 6 · Management Of Care
Which task is appropriate to delegate to an LPN/LVN?
Answer: B. Reinforcing teaching on insulin injection technique for a stable diabetic
LPNs/LVNs may reinforce teaching (e.g., insulin technique) after the RN has taught and assessed learning. Comprehensive care planning, initial assessments, and supervisory roles remain the RN's responsibility.
Question 7 · Standardprecautions
During a tornado warning, the nurse should relocate ambulatory clients to:
Answer: A. A windowless interior room on the lowest level
Interior rooms on the lowest level, away from windows, provide maximum protection during a tornado.
Question 8 · Psychosocial Integrity
A client newly diagnosed with chronic kidney disease refuses to discuss treatment options and changes the subject when the nurse attempts. This is an example of which coping mechanism?
Answer: A. Denial
Denial involves refusing to acknowledge an unpleasant reality. Intellectualization focuses on facts, displacement redirects feelings, and projection attributes one's feelings to others.
Question 9 · Pharmacological and Parenteral Therapies
Metformin, used for type 2 diabetes, reduces blood glucose primarily by:
Answer: C. Decreasing hepatic gluconeogenesis
Metformin decreases hepatic glucose production (gluconeogenesis) and improves insulin sensitivity, lowering blood glucose without increasing insulin secretion.
Question 10 · Informedconsent
If a client is unable to sign consent due to severe arthritis, the nurse should:
Answer: D. Ask client to mark with an X
Clients may sign with an X if physically unable. Witnessing verbal consent requires proper documentation but does not replace signature.
TTP Prep has 200 NCLEX-RN practice questions with explanations, timed and mock-exam modes, 93 flashcards, interactive lessons, a printable cheat sheet and a readiness score. Start free, no card needed.
More free questions: browse every exam.