This NCLEX Exam Practice test will test your knowledge about the foundation of nursing. This exam will question your ability to assess patients, nursing process, communication between nurse and patient and the overall framework of nursing practice. 1. 25 year old patient comes to the clinic and believes that she is pregnant. She schedules an obstetric examination with you in order to determine the status of her pregnancy. Her LMP began on August 20, 2018. Using Nagele’s rule, her estimated date of confinement is:

a. May 20, 2019

b. May 27, 2019

c. August 20, 2019

d. August 27, 2019

2. After determining that a pregnant patient is approximately 16 weeks gestation, she goes to you asking the usual symptoms she should be expecting. Which of these symptoms should you tell the patient?

a. Tender, swollen breasts

b. Increased urination

c. Constipation

d. Braxton Hicks contraction

3. A patient approaches you and asks the most effective way to identify early breast cancer lumps. What would you suggest?

a. A breast self-examination monthly

b. Check-up with the physician every year

c. Mammogram every 3 years

d. Ultrasound every year

4. A hemophilia patient comes to the clinic after falling from a bicycle. Which of the following will be your first intervention?

a. Start the administration of cryoprecipitate

b. Start cross-matching to determine possible blood transfusion

c. Apply ice to the site of injury and compression dressings

d. Monitor the vital signs of the patient

5. Which of these activities is appropriate for a patient with iron deficiency anemia in order to decrease oxygen demands of the body?

a. Playing extreme sports

b. Surfing

c. Reading a book

d. Dancing

6. A patient just gave birth to an infant but you noticed that the newborn failed to pass meconium within the first 24 hours. Which of the following diagnosis first comes to your mind?

a. Celiac disease

b. Hirschsprung disease

c. Abdominal wall defect

d. Intussusception

7. The parents of a child who has undergone tonsillectomy and adenoidectomy approached you about the appropriate foods to be given to their child after discharge. Which of these is appropriate?

a. Cream of chicken soup and orange sherbet

b. Fresh baby carrots and pasta

c. Fish and chips

d. Meatloaf and hotdog

8. A child with rheumatic fever comes to you for help because of joint pain. Which of the following is best to alleviate the pain?

a. Extend the joints

b. Support proper alignment by using rolled pillows

c. Use a bed cradle in order to avoid the weight of bed linens on the joint

d. Apply gentle traction to the child’s affected joints

9. On what position should you place a child for post-operative care with cleft palate?

a. Place the child on a high chair

b. On his side

c. Supine

d. Prone

10. A child comes to the emergency room with a history of acetaminophen toxicity. Which of the following should you assess?

a. Hypertension

b. Right upper quadrant pain

c. Left upper quadrant pain

d. Headache

11. A patient complains of disabling attacks of vertigo. As a nurse, you suspect it to be a case of Meniere’s disease and you are also aware that the patient must undergo a modified diet. Which of these is the best diet for the patient?

a. Low Sodium

b. Low Fat

c. High Protein

d. High Carbohydrates

12. A pediatric patient comes to you with 2nd and 3rd degree burns on his arms, abdomen and legs. As his nurse, to which of the following roommates should you assign him with?

a. A pediatric patient with unspecified temperature

b. A pediatric patient undergoing VRE treatment

c. A pediatric patient receiving treatment for measles

d. A pediatric patient with sickle cell disease

13. As a nurse, you try to assess a patient who came to you with sudden shortness of breath and chest pain. You started to check her vital signs and found out that her heart rate has increased to 140 bpm. Which of these findings comes into your mind after assessing the patient?


b. Pulmonary embolism

c. Bronchitis

d. Asthma

14. A patient requests a second opinion. As a nurse, supporting and promoting the client’s rights is acting as the patient’s?

a. Teacher

b. Adviser

c. Supporter

d. Advocate

15. As a nurse, you visit an elderly patient who lives alone. You found out that she is not eating properly and very little food is available at her house. As a nurse, you shall also assess the patient’s:

a. Number of visits by family

b. Ability to do grocery on her own

c. Access to local restaurants

d. Availability of grocery stores

16. You try to teach an elderly patient who is recovering from a prolonged illness about her new medication regimen. The most appropriate teaching aid would be:

a. Writing a list of medication and their appropriate intake times

b. Talk to a family member to take care of the patient’s medication times

c. Encourage the patient to ask more questions

d. Make the patient repeat what you just have said

17. While assessing the patient, he tells you that he has a pain in the left knee. This information is known as:

a. Nonrelevant data

b. Historical data

c. Objective data

d. Subjective data

18. You suddenly observe that the patient has cyanosis, a sudden change in color of skin to blue or gray. This is usually due to a decrease in:

a. Lung sounds

b. Activity

c. Oxygen levels

d. Heart sounds

19. You are about to take the vital signs of a patient when he complains of nausea and vomiting for several days. This patient is at risk of developing which type of imbalance?

a. Metabolic acidosis

b. Metabolic alkalosis

c. Respiratory acidosis

d. Respiratory alkalosis

20. You evaluate the effectiveness of a patient’s intravenous injection of morphine sulfate, 15mg, in order to alleviate the pain. How soon can you expect the patient to get some relief?

a. 1 to 2 hours

b. 1 to 5 minutes

c. 10 to 15 minutes

d. 20 to 30 minutes

Answers and Rationale 

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