NCLEX RN practice questions and answers 2026. Tap an option to test yourself — you'll see the correct answer and a plain-English explanation for every question. Free, no login.
Q11Your patient has been diagnosed with Parkinson’s disease. He has been taking Parcopa orally for 10 days and is concerned that it is not helping to control his symptoms. <br/><br/>What would be the appropriate response to his concern?
✓ Correct answer: D. Tell the patient that it takes 1 to 2 months before the medication is effective in controlling symptoms.
It takes at least 1 to 2 months for this medication to be effective. Sometimes it takes as much as 6 months. The patient is not likely to see any improvement in symptoms in 10 days. Reminding the patient that it takes a while for the medication to be effective would be the appropriate response to his concern.
Q12Which of the following medications would NOT be an appropriate prn medication for use during an episode of aggression or violence for the patient with a psychiatric diagnosis?
✓ Correct answer: A. Meperidine
Meperidine is an opioid used to treat pain, and is not an appropriate medication to use to treat aggressive or violent behavior. Second-generation anti-psychotic medications such as olanzapine and ziprasidone, as well as traditional anti-psychotics such as haloperidol are effective agents, with or without the concurrent use of a benzodiazepine.
Q13A 47-year-old female is admitted due to cellulitis of the right leg. Medical history reveals that the client was diagnosed with diabetes mellitus four years ago and that she has hypertension. <br/><br/>Which of the following is the most appropriate intervention to reduce and manage the swelling in the right leg?
✓ Correct answer: D. Administer prescribed antibiotics.
Administering prescribed antibiotics is the most proper intervention to reduce the swelling and inflammation of the leg.<br/><br/>Avoid applying warm compresses to the affected leg because this can cause further tissue injury.<br/><br/>In addition, the client has diabetes that may significantly decrease the client’s perception of heat.<br/><br/>Immobilizing the leg is unnecessary; however, the nurse must gently handle the extremity because this can be extremely painful for the client.<br/><br/>Ideally, the affected leg should be elevated above the heart level.
Q14In the postictal period, the nurse must give highest priority to which aspect of patient care?
✓ Correct answer: D. Patient safety
While all of the above are important aspects of care, patient safety must be assured before focusing on comfort, satisfaction or education.
Q15You are assessing a patient for fluid volume deficit. <br/><br/>Which of the following is a cause of this type of deficit?
✓ Correct answer: A. Vomiting
Fluid volume deficit may be caused by gastrointestinal problems such as vomiting, diarrhea and GI suctioning. It can also be caused by a decrease in fluid intake or an increase in fluid output. Renal failure would be the cause of fluid volume overload not fluid volume deficit.
Q16How often should a patient be encouraged to perform incentive spirometry?
✓ Correct answer: C. 10 times per hour while awake
Patients should be encouraged to perform incentive spirometry ten times per hour while awake, but to stop and rest if they become dizzy or lightheaded. Consistent use of an incentive spirometer will lead to better overall patient outcomes.
Q17A collection is <code>________</code>.
✓ Correct answer: D. when fluids are trapped inside the body and form a pocket of infection
When body fluid, blood and/or pus gets trapped inside the body and forms a pocket of infection, this is referred to as a collection.
Q18How can having an open-door policy create progress monitoring opportunities?
✓ Correct answer: C. You are always available for an update or questions.
An open-door policy as a manager can be an effective way to monitor progress because it works on your availability for updates or questions.
Q19A 50-year-old male is admitted to the hospital with a stroke. <br/><br/>Which of the following actions should the nurse delegate to a nursing assistant?
✓ Correct answer: C. Offer the client a bedpan every 2 hours
Interventions that help the client with activities of daily living is a task the nurse can delegate to the nursing assistant because this activity is within the nursing assistant’s educational level and practice.<br/><br/>However, assessing the client, such as assessing for deep vein thrombosis, along with medication administration and assessing the client to ensure airway management is outside of a nursing assistant’s scope of practice.<br/><br/>These activities require additional training and education of a licensed nurse.
Q20A nurse is caring for an elderly client with dementia.<br/><br/>The client asks the nurse the same question repeatedly because she cannot remember if she had asked the nurse the question previously.<br/><br/>The nurse becomes angry with the client, tells the client "shut up already. You have asked me that question. I am tired of telling you the same answer over and over."<br/><br/>The client asks the nurse the same question 10 minutes later.<br/><br/>The nurse slaps the client and says, "maybe this will help you remember the answer."<br/><br/>The nurse could be charged with a
✓ Correct answer: A. Misdemeanor
A misdemeanor is a type of crime.<br/><br/>A crime is an act that is performed that violates the law.<br/><br/>A crime can either be a misdemeanor or a felony.<br/><br/>A misdemeanor is a less serious crime because it does not involve murder.<br/><br/>However, the nurse can be charged with a misdemeanor for physically harming the client by slapping her.<br/><br/>Most states have laws that address physical violence.
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