NCLEX-RN Nursing Practice Quiz
Test your nursing knowledge with these NCLEX-style questions covering various clinical scenarios and patient care situations.
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Quiz Questions & Answers
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Question 1: A client with placenta previa at 32 weeks gestation reports bright red vaginal bleeding. Which nursing intervention should be implemented first?
Perform Leopold's maneuvers
Place the client in Trendelenburg position
Position the client on her left side
Start an IV oxytocin infusion
Question 2: A client taking lithium exhibits hand tremors, drowsiness, and confusion. The lithium level is 2.5 mEq/L. What is the priority nursing action?
Administer activated charcoal
Notify the healthcare provider immediately
Increase fluid intake orally
Monitor vital signs every 4 hours
Question 3: A postoperative client has a nasogastric tube. Which assessment finding requires immediate intervention?
Coffee-ground drainage
Bubbling when placed in water
Intermittent gurgling sounds
Clear yellowish drainage
Question 4: A client with diabetes mellitus has a blood glucose of 45 mg/dL. Which intervention should the nurse implement first?
Administer glucagon IM
Give 15g of fast-acting carbohydrate
Call the healthcare provider
Check vital signs
Question 5: A client with heart failure is receiving furosemide (Lasix). Which finding indicates the medication is most effective?
Decreased respiratory rate
Increased urine output
Lowered blood pressure
Reduced heart rate
Question 6: A client with bacterial meningitis is receiving ceftriaxone. Which nursing intervention has highest priority?
Monitor for seizure activity
Check injection site
Assess bowel sounds
Monitor urine output
Question 7: A client with acute pancreatitis reports pain at 8/10. Which position would best help alleviate the pain?
Supine with legs extended
Fowler's position
Right lateral position
Prone position
Question 8: A client with COPD has an SpO2 of 88%. Which intervention should the nurse implement first?
Start mechanical ventilation
Apply nasal cannula at 2L/min
Begin chest physiotherapy
Administer bronchodilators