“NCLEX Questions – How to Defeat Your NCSBN Exam And Get Your Nursing License Quicker”It’s no secret that the road to a career as registered nurse is paved with bumps and obstacles – including those difficult NCLEX questions.
Think of your nursing career as a roadmap towards success. You’ve swiftly cruised by the traffic jam of tough nursing classes and NCSBN NCLEX RN review. You’ve accelerated through your hospital placement without even breaking a sweat. As far as you’re concerned, you’ve made it home clear to your ultimate destination: your nursing certification.
But the last roadblock you’re about to face is a big one. And unless you want to crash and burn on your NCLEX questions, you’ll need powerful and innovative practice shortcuts.
NCLEX Exam Questions That Make A DifferenceListen: there are no easy roads to get to that nursing career you’ve always dreamed about. After all, the folks at the NCSBN or National Council Licensure Examination want to ensure that you’re 110% prepared to handle all of the responsibilities and roles that come with being an in-demand nurse.
But this nugget of information doesn’t help when you’re face to face with real NCLEX exam questions – especially when you’ve had bad experiences with standardized tests before!
The key to your exam success is to find NCLEX-RN review courses that make a difference. Forget those easy-peasy questions that make you feel like a kid in a candy shop. We’re talking about tough, but comprehensive review course that practically drag your nursing IQ to new heights.
But before you can effectively tackle any practice exams, you’ll need to get familiar with the obstacle that trips up 55% of test takers…
…The format of the exam.
Questions For The NCLEX-RNImagine the following scenario.
You’re sitting in front of your nursing exam. You read over the first test question and feel a sudden rush of nausea at what you’re facing. You prepared for NCSBN questions that would ask for direct answers – but now that you realize the standardized test is comprised of scenarios (no direct questions!), you realize that you and this format aren’t going to get along.
Don’t let this happen to you. If you want to sink your teeth into great NCLEX test questions, then get familiar with the exam’s notoriously hard format with the following expert tips:
- When you’re up against multiple choice RN questions that take on the form of a scenario, you might be tempted to run away screaming – but don’t resort to that just yet! Instead, take a deep breath and imagine how your favorite instructor would tackle this question. Create a picture of your classroom and put your instructor right in the front. Now imagine your instructor reading the question out loud and lecturing on it. What would your instructor say? What kind of questions would they ask?
- It might sound a bit silly at first, but visualize yourself as the star in your own nursing movie. Use your practice questions for the NCLEX to create the scene. As the star in the movie, you’ll have to act out each of the potential answers – so which one has the best success in your nursing movie?
- Whatever you do, do NOT answer the questions as a physician – the exam is full of traps like that! Instead, hold on to your “best practices” knowledge you already know, and resist the temptation to slip into the physician mentality.
Here Are Some General NCLEX-RN Preparation Questions:
1.) The RN has a 64 year old hip replacement patient that is two days post op. Which assessment finding should be cause for concern?
A. Pain complaints upon repositioning
B. Small amounts of bloody drainage with dressing changes
C. Temperature reading above 101F
D. Pain after physical therapy
2.) Your patient is ready to go home with their family after a severe bout of pneumonia. A family member makes one of the following statements that alert you to the need for more patient and family discharge teaching:
A. “A regular diet that is high in nutrition will be helpful during the recovery period.”
B. “Discontinue the prescribed antibiotics once the patient feels well.”
C. “The patient may get back to normal activities as long as exertion is avoided and plenty of rest is provided.”
D. The incentive spirometer must be used as prescribed until the physician’s follow-up exam, or until he discontinues it.”
3.) The nursing intervention for a patient that is NPO and is having surgery in less than 12 hours is to:
A. Make sure the patient takes no food or liquids.
B. Allow water only.
C. Push fluids only.
D. Allow the patient to eat and drink whatever they want since they won’t be able to after surgery.
4.) A patient with Bulimia Nervosa has been admitted to your mental health unit. Your assessment will probably not include signs of:
A. electrolyte imbalance
B. physical or emotional illness
C. tooth enamel thinning
D. tooth decay
5.) Your patient is prescribed alprazolam, the generic term for Xanax. Important information for your patient to understand about this drug is:
A. The patient cannot eat fatty foods.
B. The patient must not take OTC headache medication with this drug.
C. The patient must monitor their heart rate daily.
D. The patient must avoid alcohol.
6.) A medication order must have all of these components to be legally administered by the nurse.
A. Time and date, patient name, medication name, dosage, frequency
B. Time and date, medication name, patient name, dosage, route, frequency, physicians signature
C. Time and date, medication name and classification, route, physicians signature
D. Time and date, medication name, frequency, route, nurse managers signature, patient’s signature
7.) Your patient, a 70 year old male, was admitted to your unit complaining of feeling weak and dizzy with abdominal pain and blood in his stool. He has asked to go to the toilet. You should help your patient:
A. To the bathroom
B. Use the bedside toilet
C. Into a diaper
D. Onto a bedpan
8.) Mrs. Owens, a 40 year old patient in your mental health unit has just begun antidepressants as part of her drug therapy. She has never been suicidal. The most likely time for suicidal tendencies to surface is:
A. During the first 2 weeks of antidepressant therapy
B. When the patient begins to feel less depressed
C. After therapy is discontinued by the physician and the patient is weaned from the medication
D. When the therapy has reached its full effect
Answer Key and Rational:
1.) Correct answer: C
An increased temperature at this stage often indicates an infection that must be treated a.s.a.p. The nurse must also check the incision site for increased redness, swelling, drainage, and heat.
A and D – Moderate pain is expected at this time. If ordered, administer pain meds one hour before physical therapy.
B – Small amounts of drainage from a surgical site is normal at this stage.
2.) Correct answer: B All prescribed antibiotics must be taken until they are all consumed. Stopping them early may leave the strongest bacteria alive to reproduce and cause a more serious infection.
A – This statement is true. Nutritional requirements for the recuperating period after an illness are increased.
C – Getting back to normal activities will increase the patient’s stamina and sense of well-being.
D – The incentive spirometer is critical to normalizing lung function. It should be continued until the physician tells the patient it is no longer needed.
3.) Correct answer: A An NPO order means “nothing by mouth”. In some instances, a small sip of water is allowed to swallow necessary medications only.
B – No water is allowed if the patient is NPO.
C – No fluid intake is allowed.
D – Allowing an NPO patient to eat or drink can cause serious complications, and can also extend their hospital stay.
4.) Correct answer: B Patients with this condition often present looking and acting normally. They are adept at covering their illness and “fitting in” with the normal population.
A – The purging with diuretics, laxatives, and vomiting cause electrolyte imbalance, which may present as shakiness, mental confusion, and dizziness.
C – Stomach acid from frequent regurgitation erodes the tooth enamel.
D – Accelerated tooth decay results from the loss of protective tooth enamel.
5.) Correct answer: D Alcohol increases the effect of Xanax, and the combination can be lethal.
A – Patients taking Xanax may eat any type of diet they prefer.
B – Over the counter, (OTC) medications such as Tylenol and Aspirin have no adverse effect with Xanax. However, some cold medications may interact and a physician should be consulted for anything other than simple OTC pain medicine.
C – Monitoring of heart rate is not necessary with Xanax when taken as prescribed.
6.) Correct answer: B All of these components are required on a legal medication administration order.
A – This answer does not include the physician’s signature which is a mandatory component.
C – Classification is not required, dosage has been neglected
D – Neither the nurse manager nor the patient has the authority to sign the medication order
7.) Correct answer: D The bedpan is the safest option for this patient while preserving dignity.
A – The patient is dizzy and weak. A trip to the bathroom risks a fall or injury.
B – The bedside toilet requires the patient to stand and pivot. This also increases the risk of a fall.
C – A diaper reduces patient dignity and causes skin breakdown.
8.) Correct answer: B Patients in a depressed state feel too listless and melancholy to plan and carry out a suicide. As the antidepressant begins to bring the patient out of this phase, they are more capable of planning and carrying out an attempt. This is a potential effect until the drug has neared its peak effect, and this time period depends on the medication.
A – The first two weeks of antidepressant therapy rarely elicit a response in the patient.
C – Once the peak therapy has been attained, and the patient has been on the medication for an average of 18 months, the patient may be weaned slowly to allow the normal brain function to take over.
D – When antidepressant therapy has reached its full effect, the patient should have no inclination toward suicide.
If you want more free practice exams and study materials to pass your NCSBN nursing test…
See this page: How To Pass Your NCLEX-RN And Tell Your Own Success Story now.