NCLEX Questions of the Day
Eight medium-difficulty NCLEX-style multiple-choice questions covering high-yield nursing principles, clinical reasoning, and patient safety frameworks.
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Quiz Questions & Answers
Review every prompt, the correct responses, and helpful context to prep for your own run-through.
Question 1: A patient with chronic heart failure reports sudden weight gain and increased shortness of breath. Which nursing action best reflects prioritization under the ABCs framework?
Obtain a 24-hour urine for sodium to evaluate salt intake
Arrange social work consult for discharge planning
Teach low-sodium diet to prevent future fluid retention
Assess the patient's respiratory rate and oxygen saturation and apply oxygen as needed
Question 2: Which statement best demonstrates use of the SBAR communication framework during a nurse-to-provider handoff?
The patient has a long history of chest pain but is fine now
I think the patient might need a test later, please check when you can
Patient is stable; no concerns, continue routine care
Situation: The patient has new chest pain; Background: recent MI two days ago; Assessment: pain 8/10 with diaphoresis; Recommendation: request immediate ECG and provider evaluation
Question 3: A nurse is delegating tasks to a CNA for a patient who requires fall precautions. Which delegated task aligns with scope-of-practice and delegation principles?
Develop the patient's individualized fall-prevention care plan
Perform a focused neuro assessment and interpret findings
Assist the patient with ambulation using a gait belt while the nurse supervises from nearby
Adjust the patient's PRN pain medication dose for comfort
Question 4: When interpreting arterial blood gas (ABG) results that show pH 7.28, PaCO2 55 mmHg, and HCO3- 24 mEq/L, what is the primary acid-base disorder?
Chronic respiratory alkalosis with renal compensation
Acute respiratory acidosis from hypoventilation
Metabolic acidosis due to decreased bicarbonate
Metabolic alkalosis with respiratory compensation
Question 5: A patient with neutropenia develops a fever of 38.5°C (101.3°F). What is the nurse's highest-priority action based on infection-risk protocols?
Increase the patient's oral fluid intake and observe for 24 hours
Hold all scheduled medications until fever resolves
Notify the provider immediately for prompt blood cultures and empiric antibiotics
Place the patient on strict airborne precautions
Question 6: A postoperative patient is at risk for venous thromboembolism. Which intervention best reflects evidence-based prevention?
Keep patient on bedrest for 48 hours to prevent bleeding
Encourage early ambulation and apply sequential compression devices as ordered
Administer high-dose aspirin daily without provider order
Restrict oral intake until discharge to reduce clotting
Question 7: A diabetic patient is confused, diaphoretic, and pale after missing a meal. Which immediate nursing intervention follows the 'treat first' mindset for suspected hypoglycemia?
Withhold all oral intake until provider arrives
Administer scheduled long-acting insulin to correct glucose
Give 15 grams of fast-acting carbohydrate (juice or glucose gel) and recheck blood glucose in 15 minutes
Call for psychiatric evaluation for altered mental status
Question 8: Which statement best addresses a common myth about opioid use for acute pain in hospitalized adults?
Opioid efficacy is unrelated to dosing or monitoring
Appropriate short-term opioid use with monitoring is effective and not the same as chronic addiction
Opioids never cause respiratory depression in opioid-naïve patients
All patients should refuse opioids to avoid any risk