NCLEX Q and A with Rationales – COMPREHENSIVE
NCLEX QUESTIONS ANSWER
There is no bed available in the med-surg floor,
but there’s bed available at the pediatric unit,
which patient are you going to transfer?
1. Post op breast CA patient
2. COPD client
3. Fracture of femur
4. TURP post op
3. Fracture of femur.
Rationales for answer:
1. Post op breast CA patient – chemo
involved, being around kids, complicated cre
2. COPD client – high risk for infection
4. TURP patient – CBI required,
A patient is having ongoing hemodialysis. Which
medication is contraindicated?
3. Milk of Magnesia
4. Magnesium Hydroxide
Amphogel contains phosphorous which is
contraindicated with kidney failure.
Magnesium is also, but less so than
phosphorous. This is a very icky question.
Your patient has an allergy to pollen. Which of the
following advice should you give?
1. Do your gardening in the morning
2. Do your gardening late in the afternoon
3. Take a walk on the beach instead of hiking in
4. Focus your attention on dried flowers instead
4. Focus attention on dried flowers instead
All other choices contain possible exposure
to allergens and pollen
A patient is on peritoneal dialysis. Which of the
following would cause you alarm 1 hour after
1. Frank, bloody drainage
2. Light brown drainage
3. No drainage
4. Clear, yellow drainage
1. Frank, bloody drainage. Any time you
have bloody return from CAPD, you have a
Which of the following signs would indicate that
a patient with esophageal varices is deteriorating?
1. Pt complains of frequent swallowing
2. Pt’s skin is cool and clammy
3. An increase in body temperature
4. The pt has abdominal distension
4. Pt has abdominal distension.
Esophageal varices develop in esophagus,
primarily in rectum and abdomen.
1. Frequent swallowing is with
2. Cool & clammy is cardiac
3. Increased body temp could signify
A pt has an aortic abdominal aneurysm. He is
complaining of a constant back ache. What would
1. Give pt a pillow to put between his legs and
tell him to lay on his side.
2. Give pt analgesic
3. Call MD immediately
4. Teach breathing exercises for pain
3. Call MD immediately. Back pain is an
indication of bleed. AAA may have ruptured.
None of the other options are valid
Your patient has Meniere’s disease. Which of the
following would you teach?
1. Pt should eat high fiber diet
2. Pt should eat low protein, high carbs diet
3. Pt will not have to worry about tinnitus
4. Pt needs to have hearing tested
4. Pt needs to have hearing tested.
Unilateral sensorineural hearing loss may be
present S&SX of Meniere’s disease include
tinnitus, nausea, vomiting and vertigo. All
diets should be high in calories but low in
carbs and fiber.
NCLEX QUESTIONS ANSWER
Your patient is scheduled for a liver biopsy.
Which of the following would be most important?
A. PT results
B. NPO 2 hours before
C. Bedrest 6 hours after procedure
D. Low residue diet 24 hours before
A. PT results.
Bleeding is a major complication of liver
biopsy. Knowing PT may indicate whether
test is performed or not.
Which of the following would be the correct
position for a patient who is walking with a cane?
A. The patient should lean forward at the cane
B. The hand piece should allow for 30 degrees
of flexion at the elbow
C. The patient should put all of his weight on
D. The cane should be perfectly straight.
B. Should allow 30 degrees of flexion at
If cane is too straight, the client won’t be
able to support all his weight and may injure
his back. The cane should extend from the
greater trochanter to the floor with a 20-30
degree flexion at elbow.
Which of the following foods are highest in
B. Green leafy vegetables
B. Green leafy vegetables. Eggs are high
in iron, fish is good source of protein and
oleic acid, cheese is good source of calcium
•You have a patient with Glaucoma and who had a
trabaeculotomy. You tell if post discharge teaching
was effective if he states which of the following?
–A. My eyesight will improve when I take my eye
drops for 6 months
–B. I should take my eye drops continually
–C. I should rub my eyes vigorously after
–D. I should use my eye drops only if I have
B. Eye drops should not be stopped
•A. Implies that pt can stop drops after 6
months •C. Never rub eyes vigorously after
administration •D. Implies only use drops if
•When teaching a patient about crutch walking,
which of the following gets first priority?
•A. Advance both crutches simultaneously
•B. Advance unaffectedleg first
•C. Place weight on arms and hands when using
•D. Advance affected leg first
•C. Place weight on arms & hands when
•A. This is also correct, but is not 1st
•B. Always advance crutches first
•D. If advance affected leg first, will be
placing weight on that leg. Not a principle of
•You are caring for a burn patient with a serum
potassium of 4. Which of the following medications
would you question?
•C. Potassium. Serum K is 4 which is WNL.
Also, with burn patients, you will see an
increase in K due to crushing injury. •All
other choices are OK because they are
analgesics though Tylenol may seem to be