NCLEX-RN Practice Questions with Rationale

Free NCLEX-style questions with detailed explanations. Tap any question to see the answer and rationale.

733 questions

NCLEX-RN

• The nurse observes medication preparation on a busy unit. Which action requires immediate correction…
• A client with schizophrenia says, "Voices are arguing about me again." Which response should the nur…

NCLEX-RN

• A patient with severe contamination obsessive-compulsive disorder is starting exposure and response …
• A nurse is providing HPV vaccine education to the parent of an 11-year-old at a routine well-visit. …
• An 82-year-old patient with moderate Alzheimer dementia becomes increasingly agitated, restless, and…
• An adult patient has been seizing continuously for 6 minutes. The provider asks the nurse to anticip…
• Four patients arrive in the ED. Which patient presentation indicates a hypertensive EMERGENCY (rathe…
• A patient has a serum potassium of 2.8 mEq/L and a new order for IV potassium chloride 40 mEq. Which…
• A patient on chronic phenytoin for seizure disorder reports new diplopia and unsteady gait. The phen…
• The night-shift nurse receives a telephone order from the on-call provider for "morphine 4 milligram…
• A 72-year-old presents to the ED with sudden right-sided weakness and aphasia. Family states symptom…
• Four adults with asthma arrive at the urgent care. Which presentation indicates the MOST severe exac…
• A nurse is caring for an agitated post-operative patient who is pulling at the IV and surgical drain…
• A patient on day 2 of total parenteral nutrition (TPN) has a capillary glucose of 248 mg/dL. The TPN…
• A 65-year-old is post-op day 1 from a hip arthroplasty. Which nursing action best supports DVT proph…
• Immediately before a bedside lumbar puncture, the nurse leads the team through the Universal Protoco…
• An alert and oriented patient with metastatic cancer states, "I do not want any more chemotherapy, e…
• A patient without insurance arrives at the ED with chest pain. The triage nurse confirms the patient…
• A nurse is teaching a patient newly started on levothyroxine 50 mcg daily for hypothyroidism. Which …
• A patient admitted with Guillain-Barré syndrome and ascending paralysis has serial bedside spirometr…
• A patient on dabigatran for atrial fibrillation arrives with a major intracranial hemorrhage. The pr…
• A nurse caring for a client 12 hours after a right lower lobectomy notes new crepitus extending from…
• A client with myasthenia gravis on scheduled pyridostigmine reports increasing weakness, abdominal c…
• A client in the neuro ICU 6 hours after severe TBI has an ICP monitor reading 24 mm Hg sustained for…
• A home health nurse visiting a 78-year-old with dementia notices unexplained bruises in various stag…
• A client newly diagnosed with moderate obstructive sleep apnea is started on home CPAP. Which client…
• A 22-year-old with sickle cell disease in a vaso-occlusive crisis becomes increasingly hypoxic with …
• A client with newly diagnosed small cell lung cancer reports progressive facial swelling, distended …
• A client with a history of primary adrenal insufficiency presents with vomiting, hypotension 84/52, …
• An 8-year-old with severe hemophilia A presents with painful right knee swelling after a fall. Which…
• A 67-year-old presents with acute right hemiplegia and aphasia. Last known well 2.5 hours ago. CT sh…
• A construction worker is extricated after 6 hours under collapsed debris. He is alert with extensive…
• A client on long-term high-dose alprazolam admits to abruptly stopping it 36 hours ago. He has tremo…
• An ICU client with severe ARDS has PaO2/FiO2 ratio 95 on FiO2 100 percent and PEEP 14. The team prep…
• A 22-year-old with a tibia fracture in a long leg cast reports increasing pain unrelieved by opioids…
• An adult with severe schizophrenia is brought to the ED after attempting to set a fire while express…
• A marathon runner collapses in 38 C heat with rectal temperature 41.4 C and altered mental status. W…
• An 84-year-old admitted with pneumonia is acutely confused, fluctuating attention, with a positive C…

Management of Care

• A nurse on a medical-surgical unit is planning assignments for the oncoming shift. The team includes…
• A 45-year-old client with anemia has a hemoglobin of 7.2 g/dL (72 g/L) and is scheduled for a blood …
• A community health nurse is the first responder at a bus crash with 15 injured people. Emergency med…
• A nurse on a medical-surgical unit notices that a colleague has slurred speech, unsteady gait, and s…

Advance Directives

• A client's family member asks the nurse whether the client has HIV. The client has not given permiss…
• A competent adult client says, "I am leaving now," despite the provider's recommendation to stay. Wh…
• The nurse gives a medication 1 hour later than scheduled and realizes the delay after administration…
• A client has a signed do-not-resuscitate order in the chart. A family member tells the nurse, "Do ev…
• A client with a documented do-not-resuscitate order becomes pulseless. A family member says, "Do eve…

Assignment/Delegation/Supervision

• A 67-year-old client with chronic obstructive pulmonary disease attends a routine primary care visit…
• A registered nurse on a medical-surgical unit is delegating tasks at the start of shift. Which task …
• A client with newly diagnosed metastatic colon cancer is admitted to a medical-surgical unit. Outsid…
• A 65-year-old female client received intravenous morphine 30 minutes ago for postoperative pain. The…
• A 78-year-old male client with end-stage pancreatic cancer is enrolled in inpatient hospice care. Th…
• A nurse on a medical-surgical unit is starting a 0700 round and reviews these four assigned clients.…
• An RN is assigning care on a medical-surgical unit to an LPN/VN and a trained unlicensed assistive p…
• A 63-year-old female is being discharged after a 14-day hospitalization following complex coronary a…
• The charge nurse on a medical-surgical unit is assigning tasks for a licensed practical nurse (LPN) …
• A nurse from the postpartum unit is floated to a medical-surgical unit. Which assignment is most app…
• The RN is assigning care to a licensed practical nurse. Which task is most appropriate?
• The nurse is assigning tasks on a medical-surgical unit. Which task should the nurse avoid delegatin…
• The charge nurse is making assignments for four clients. Which client should be assigned to the most…
• The nurse is caring for four clients. Which task is appropriate to delegate to unlicensed assistive …
• The registered nurse is assigning care to a licensed practical or vocational nurse. Which task is mo…
• A registered nurse from an ambulatory surgery unit is floating to a medical-surgical unit. After con…

Case Management

• An RN is giving end-of-shift handoff to the oncoming RN using the I-PASS framework. The handoff incl…
• A client is preparing for discharge after total hip arthroplasty. Which statement shows correct unde…
• A client is scheduled for discharge with a medication that requires refrigeration and regular follow…

Client Rights

• A 45-year-old male is alert and oriented ×4 and is actively bleeding from a gastrointestinal source …
• A 70-year-old Vietnamese-speaking woman is admitted for syncope evaluation. Her 18-year-old granddau…
• A 56-year-old patient scheduled for an elective hip replacement tomorrow tells the nurse, "I have ch…
• A nurse is giving a handoff report for a client whose blood pressure is falling and urine output has…
• A nurse receives a telephone prescription to administer potassium chloride by IV push for a client w…
• A client being evaluated for intermittent chest pain says, "I need to leave now." The client is aler…
• A nurse realizes that an assessment completed earlier in the shift was not documented. Which action …
• A medical unit wants to reduce client falls using the Plan-Do-Study-Act approach. Which action best …
• A nurse detects that a blood unit is labeled for a different client before the unit reaches the beds…
• A rural emergency department identifies an unstable client with a suspected ruptured cerebral aneury…
• A client with a catastrophic brain injury is expected to die soon. The family asks whether the clien…
• A client being treated for pneumonia becomes confused and restless. The respiratory rate is 34/min, …
• A nurse receives a telephone prescription for regular insulin during treatment of severe hyperkalemi…
• An alert, oriented client is hospitalized after receiving a new cancer diagnosis. The client's partn…
• A client with advanced heart failure says, "I want help with breathlessness and fatigue, but I also …
• A capable client asks the nurse how to obtain an electronic copy of the medical record after dischar…
• During discharge teaching, a client with a new insulin prescription says, "I cannot afford this medi…

Collaboration with Multidisciplinary Team

• A 72-year-old female is being discharged 5 days after an ischemic stroke. She has right hemiparesis …
• A 78-year-old woman with stage IV lung adenocarcinoma and multiple bone metastases reports pain 9/10…
• A client is being discharged after hospitalization for heart failure. The nurse compares the home me…

Concepts of Management

• During a shift-change SBAR handoff, the outgoing nurse reports: "Mr. K, 68-year-old male with atrial…

Continuity of Care

• Transportation has arrived for a client being discharged with a new tracheostomy. The sole home care…
• After transfer, a client has IV, enteral-feeding, oxygen, and urinary tubing. The nurse is about to …

Establishing Priorities

• The nurse receives report on four clients. Which client should the nurse assess first?
• Four hours after open reduction and internal fixation of a fractured tibia, a client reports increas…
• The nurse receives reports on four clients. Which client should the nurse assess first?
• During a mass casualty incident, which client should be assigned a delayed priority rather than imme…
• During disaster triage, a client is not breathing after the airway is opened and repositioned. Which…
• Four clients arrive at an urgent care clinic. Which client should the nurse assess first?
• Several clients arrive after a building collapse. Which client should the triage nurse classify as n…
• The nurse has just received report on 4 clients. Which client should the nurse assess first?

Ethical Practice

• A confused client repeatedly tries to climb out of bed. Which action should the nurse attempt before…

Informed Consent

• A client scheduled for colon resection has signed the consent form but says, "I still do not underst…
• A client who speaks limited English is scheduled for surgery and has questions before signing the co…
• A client who speaks limited English is scheduled for a nonemergency procedure. The adult child says,…
• A nurse gives a scheduled oral medication 2 hours late and the client has no adverse effect. Which a…
• A client scheduled for surgery states, "I will not accept blood products for religious reasons." Whi…
• A client says, "I heard two staff members discussing my diagnosis in the elevator." Which response b…
• A client is scheduled for an invasive procedure. The nurse discovers that the client received IV mid…
• A competent client asks the nurse to witness an advance directive. Which action should the nurse tak…
• A nurse notes multiple bruises in different stages of healing on a toddler. The caregiver gives an e…

Information Technology

• During an unplanned electronic health record downtime, the laboratory phones a critical potassium re…

Performance Improvement

• An RN realizes at 0900 that a pain assessment performed yesterday at 1700 was never documented. Whic…
• An RN has just completed venipuncture for blood specimens on four assigned patients during morning r…

Referrals

• A client with heart failure will be discharged to an upper-floor apartment and lives alone. The clie…

Safety and Infection Prevention and Control

• A 6-year-old child presents to the emergency department with a 3-day history of high fever, cough, c…

Accident/Error/Injury Prevention

• An older adult who is confused at night repeatedly tries to get out of bed without assistance. Which…
• An older adult is confused and attempts to get out of bed without help. Which intervention best redu…
• A nurse sustains a needlestick injury after giving an injection. What should the nurse do first?
• A sealed source from a client's temporary low-dose-rate brachytherapy implant becomes dislodged onto…
• After providing care for a client on contact precautions, which PPE should the nurse remove first to…
• A stable, ambulatory client arrives after an outdoor chemical release with liquid contamination on c…
• Before surgery, a client reports a previous anaphylactic reaction to natural rubber latex. Which act…
• A client is preparing to use medical oxygen at home. Which instruction should the nurse include in t…
• Before transport for magnetic resonance imaging, a client reports that an intracranial aneurysm clip…
• An intravenous bag containing a hazardous antineoplastic drug leaks onto the floor of an infusion ro…
• A hospitalized client has a newly confirmed Candida auris infection. Which infection-control plan sh…

Emergency Response Plan

• Flames and smoke are visible in a client's room. The client is receiving oxygen by nasal cannula and…

Ergonomic Principles

• The nurse changes a postoperative abdominal dressing. Which action best reduces the risk of a surgic…

Incident Reporting

• A nurse sustains a needlestick injury after giving an injection. Which action should the nurse take …
• During a sterile dressing change, the nurse notices that a sterile gauze pad falls below waist level…
• Which action helps reduce central line-associated bloodstream infection risk when administering IV m…
• A client is admitted with suspected varicella and a widespread vesicular rash. Which room assignment…

Safe Use of Equipment

• A client with an indwelling urinary catheter needs a urine culture. Which collection method should t…
• A client had an indwelling urinary catheter placed for surgery yesterday. The client is now awake, a…

Security Plan

• On a postpartum unit, a person in scrubs without a unit identification badge offers to take a newbor…

Standard/Transmission-Based Precautions/Surgical Asepsis

• A nurse is about to enter the room of a client with Clostridioides difficile infection during a faci…
• A 22-year-old female client presents to the emergency department with a 4-week history of chronic co…
• An 82-year-old client who is postoperative day 1 from a left hip arthroplasty calls the nurse at 020…
• A 65-year-old client admitted to the medical ICU with sepsis and acute delirium has just pulled out …
• A new graduate registered nurse (RN) on a medical unit just hung an intravenous antibiotic and disco…
• An adult client in an urgent care clinic has a 3-week cough, night sweats, weight loss, and blood-ti…
• A client has watery diarrhea after recent antibiotic therapy and a positive C. difficile test. Which…
• A hospitalized client has an indwelling urinary catheter placed after surgery. Which nursing action …
• A client with fever, cough, conjunctivitis, and a widespread rash is suspected of having measles. Wh…
• A client with watery diarrhea tests positive for Clostridioides difficile. Which infection control a…
• A client has fever, night sweats, weight loss, and a persistent cough with suspected pulmonary tuber…
• The nurse is caring for a client with an indwelling urinary catheter. Which action best reduces the …
• A child in the emergency department has fever, cough, conjunctivitis, and a widespread rash. Measles…
• A client receiving chemotherapy has an absolute neutrophil count of 400/mm3. Which instruction shoul…
• A client with suspected Clostridioides difficile infection has watery diarrhea. Which infection cont…
• A client has a persistent cough, night sweats, weight loss, and a chest x-ray suspicious for tubercu…
• An infant is admitted with suspected pertussis. Which precaution should the nurse implement in addit…

Use of Restraints/Safety Devices

• A confused client is in prescribed wrist restraints that were applied after less restrictive measure…

Health Promotion and Maintenance

• A nurse is teaching a parent about car seat safety for their 9-month-old infant who weighs 9 kg (20 …
• A postpartum nurse is teaching the parents of a 3-day-old term newborn who is being discharged home.…

Ante/Intra/Postpartum and Newborn Care

• A nurse assesses a 16-hour-old term newborn and notes visible jaundice on the face and chest. The mo…
• A client at 30 weeks of pregnancy received Tdap before conception and asks whether another dose is n…

Developmental Stages and Transitions

• A client has repeated injuries and the partner answers all questions. Which nursing action best supp…
• A 57-year-old client asks about shingles vaccination. Which teaching should the nurse provide?

Health Promotion/Disease Prevention

• A 6-month-old infant is brought to the well-child clinic for routine vaccinations. The parent asks t…
• A client who may become pregnant asks how to reduce the risk for neural tube defects. Which teaching…
• The nurse teaches new parents about safe sleep for a 2-month-old infant. Which statement by a parent…
• A pregnant client asks whether an inactivated influenza vaccine is recommended during pregnancy. Whi…
• A client asks how to notice possible breast changes between routine screening visits. Which teaching…
• A client who smokes says, "I know smoking is bad, but I am not ready to quit." Which response uses m…
• A client planning pregnancy asks how to reduce the risk of neural tube defects. Which teaching is mo…
• The parent of an infant with a mild runny nose and no fever asks whether routine vaccines should be …
• A client whose previous pregnancy was affected by a neural tube defect is planning another pregnancy…
• A parent of a toddler asks how to reduce lead exposure in an older home. Which instruction should th…
• A nurse evaluates a parent's understanding of safe sleep for a healthy infant. Which statement by th…
• A client planning a first pregnancy asks how to reduce the risk of neural tube defects. Which statem…

Health Screening

• A 76-year-old client visits the primary care clinic for an annual wellness exam. The client reports …
• A 50-year-old male presents for a routine physical exam. He has no personal or family history of col…
• A 46-year-old client with average colorectal cancer risk has no symptoms and no family history of th…
• A woman older than 65 has never been screened for osteoporosis and has no history of a fragility fra…
• An adult without diagnosed hypertension has elevated blood pressure at two routine clinic visits but…
• An asymptomatic, nonpregnant 46-year-old client has overweight and has never been screened for predi…
• A parent asks about human papillomavirus vaccination for a healthy 11-year-old child who has not rec…
• A 46-year-old average-risk client with no breast symptoms asks about routine breast cancer screening…
• The nurse reviews clients at a community health clinic. Which client meets the current USPSTF eligib…
• The nurse reviews preventive care needs at a community clinic. Which asymptomatic client should rece…

Lifestyle Choices

• A pregnant client at 34 weeks gestation reports a severe headache and blurred vision. The blood pres…
• The nurse teaches parents of a 3-day-old newborn about jaundice. Which finding should the parents re…
• An unsensitized Rh-negative client at 30 weeks of pregnancy is evaluated after a minor motor vehicle…
• A parent of a 2-day-old newborn asks why the baby's skin looks yellow. Which response should the nur…
• A breastfeeding client has mastitis and asks whether to stop feeding from the affected breast. Which…

NCLEX-RN

• A long-term care resident was found to be colonized with vancomycin-resistant Enterococcus (VRE) on …
• A nurse receives a phone call from the laboratory: a postoperative patient's potassium is 6.4 mEq/L …
• A telemetry unit nurse manager reviews the unit's response to alarm fatigue per The Joint Commission…
• A nurse on the medical-surgical unit is reviewing reprocessing requirements for reusable equipment a…

Psychosocial Integrity

• A nurse is caring for a client who is experiencing an acute panic attack. The client is hyperventila…
• A nurse is caring for a hospitalized client with bipolar I disorder who is in an acute manic episode…

Crisis Intervention

• A nurse is admitting a 32-year-old client to an inpatient mental health unit with a diagnosis of maj…
• A 28-year-old client with schizophrenia is admitted to the inpatient psychiatric unit. The client be…
• A client with a history of panic disorder begins trembling and breathing rapidly after acute physica…
• Five days after giving birth, a client has slept very little and says, "A voice says my baby is evil…

Family Dynamics

• A client admitted for alcohol withdrawal is tremulous, diaphoretic, and reports seeing insects on th…

Mental Health Concepts

• A client hospitalized for depression says, "My family would be better off without me." Which respons…
• A client with schizophrenia says, "The voices are telling me to do something bad." Which response is…
• A client arrives with bruises at different stages of healing. The partner answers all questions for …
• A client who stopped heavy alcohol use 24 hours ago is tremulous, diaphoretic, anxious, and reports …
• A client with anorexia nervosa is admitted with dizziness, heart rate 44/min, and potassium 2.8 mEq/…
• A client states, "I have a plan to kill myself tonight." Which action is the nurse's priority?
• A client with acute mania is pacing, speaking rapidly, and trying to enter other clients' rooms. Whi…
• A client on an inpatient unit is 18 hours after the last alcohol intake and is tremulous, diaphoreti…
• An adult who reports a recent sexual assault wants medical treatment but is unsure about evidence co…
• A client with post-traumatic stress disorder is having a flashback and says, "It is happening again.…
• A client with anorexia nervosa is admitted for medical stabilization. Which finding requires immedia…
• An older adult with dementia becomes anxious and says, "I need to go home to feed my children." Whic…
• A client with schizophrenia says, "The food tray is poisoned, so I will not eat." Which response by …
• A client tells the emergency nurse, "I was sexually assaulted, but I am not sure I want a forensic e…
• A client in a behavioral health unit is pacing, shouting, and clenching both fists. Which action sho…
• A client with obsessive-compulsive disorder becomes highly anxious while delaying a handwashing ritu…
• An adult client arrives with a companion who holds the client's identification, answers every questi…
• An older adult on the first postoperative day becomes suddenly inattentive and disoriented. The conf…
• A client preparing for discharge after a stillbirth says, "I do not know how I can go home without m…
• A client says, "Alcohol helps me relax after work, but my partner says my drinking is hurting our fa…

Therapeutic Communication

• A 32-year-old client with major depressive disorder is admitted following a recent job loss. The cli…
• A client who is breathing rapidly before a diagnostic test says, "I cannot do this. I feel completel…
• A client whose spouse died yesterday says, "I do not know how I can go on." Which response is most t…
• A client is having a panic attack and says, "I am going to die." Which response should the nurse use…

Basic Care and Comfort

• A nurse is caring for a client who has been receiving continuous enteral tube feeding for 3 days. Th…
• A nurse is caring for an immobile client who is at risk for pressure injury. Which action should the…
• A nurse is caring for a client who has an indwelling urinary catheter. Which action should the nurse…

Assistive Devices

• A client with a weaker left leg is learning to walk with a standard walker and may bear weight as to…
• A client with left-leg weakness is learning to walk with a cane. Which statement by the client indic…
• An older adult with hearing loss repeatedly asks the nurse to repeat discharge instructions. Which a…
• A client receiving chemotherapy has painful oral mucositis. Which instruction should the nurse inclu…
• A client with a tracheostomy has coarse breath sounds, visible secretions in the tube, and an ineffe…
• An older adult with severe knee osteoarthritis is continent at home but has repeated urinary inconti…
• A client with Meniere disease suddenly reports that the room is spinning and begins to lose balance …
• A client with Bell palsy cannot completely close the affected eye. Which instruction is most importa…

Elimination

• A nurse on a geriatric unit is implementing the Hospital Elder Life Program (HELP) bundle to prevent…
• A postoperative client has not voided for 8 hours and reports lower abdominal discomfort. Which acti…
• An immobile older client taking an opioid has passed no formed stool for 5 days but now leaks small …
• The nurse provides oral care for an unconscious client. Which action is safest?
• A client starting opioid therapy asks how to prevent constipation. Which teaching should the nurse i…

Mobility/Immobility

• A client with limited mobility has nonblanchable redness over the sacrum. Which intervention is most…
• A bedbound client has nonblanchable redness over the sacrum. Which nursing intervention is most appr…
• A drowsy client is receiving continuous gastric tube feeding. Which nursing action best reduces the …

Nonpharmacological Comfort

• A 68-year-old client with end-stage pancreatic cancer is receiving morphine 4 mg IV every 4 hours PR…
• A 58-year-old male is on postoperative day 1 following laparoscopic cholecystectomy. He rates his ab…
• A client with a new colostomy is learning pouch care. Which statement indicates correct understandin…
• A client after abdominal surgery says, "I will not cough because my incision might open." Which acti…

Nutrition and Oral Hydration

• A 70-year-old client recovering from a left middle cerebral artery stroke has cleared an SLP bedside…
• A client with severe chronic obstructive pulmonary disease becomes dyspneic and fatigued halfway thr…
• A client recovering from a stroke passed the bedside swallow screen and will now take the first oral…

Rest and Sleep

• A 78-year-old hospitalized client reports difficulty falling asleep. The client drinks 3 cups of cof…

Pharmacological and Parenteral Therapies

• A nurse is reviewing the laboratory results of a client who is receiving intravenous heparin for a d…
• A nurse is caring for a 28-year-old primigravida at 36 weeks' gestation who is receiving intravenous…
• A client with chronic kidney disease is admitted with a serum potassium level of 7.2 mEq/L. The card…
• A nurse is caring for a client receiving patient-controlled analgesia (PCA) with morphine. The clien…

Adverse Effects/Contraindications/Interactions

• A nurse is reviewing the morning lab results for an adult client receiving warfarin for atrial fibri…
• A client is admitted to the emergency department after ingesting an unknown amount of acetaminophen …
• A client with chronic heart failure is prescribed metoprolol 25 mg orally twice daily. Before admini…
• A 28-year-old client with type 1 diabetes receives regular insulin 6 units and NPH insulin 14 units …
• A client receives IV vancomycin 1 g every 12 hours for MRSA bacteremia. Before the next dose, the nu…
• A client with bipolar disorder has been taking lithium carbonate 600 mg orally three times daily for…
• An 80-year-old male with heart failure is prescribed digoxin 0.125 mg daily. During morning assessme…
• A 38-year-old female with rheumatoid arthritis is being discharged with a new prescription for predn…
• A 62-year-old patient is being discharged after a deep vein thrombosis and will continue enoxaparin …
• A 58-year-old patient on long-term atorvastatin 40 mg daily had gemfibrozil added 10 days ago for hy…
• A 32-year-old patient on long-term lithium 900 mg daily for bipolar I disorder presents with a 2-day…
• A patient is being discharged on apixaban for new-onset atrial fibrillation. Which patient statement…
• A 52-year-old patient newly diagnosed with primary hypothyroidism is prescribed levothyroxine 75 mcg…
• The nurse prepares prescribed IV lorazepam for an adult with status epilepticus. Which administratio…
• A client receiving haloperidol develops a temperature of 40°C (104°F), severe muscle rigidity, confu…
• A nurse is caring for a client prescribed Lithium. Which nursing action is most appropriate regardin…
• A client with severe preeclampsia receiving magnesium sulfate has absent patellar reflexes and a res…
• A client with persistent asthma is prescribed salmeterol twice daily but has no inhaled corticostero…
• A client who recently stopped long-term prednisone has vomiting, severe weakness, blood pressure 78/…
• A nurse is caring for a client prescribed Lisinopril. Which nursing action is most appropriate regar…
• A nurse is caring for a client prescribed Levothyroxine. Which nursing action is most appropriate re…
• The nurse prepares a prescribed dose of potassium chloride concentrate for a client with hypokalemia…
• During peripheral IV administration of vincristine, the client reports burning and the nurse observe…
• Which action should the perioperative nurse take?
• A nurse is caring for a client prescribed Metoprolol. Which nursing action is most appropriate regar…
• Immediately before initiating a red blood cell transfusion, which verification should the nurse comp…
• A nurse is caring for a client prescribed Vancomycin. Which nursing action is most appropriate regar…
• During a red blood cell transfusion, an older client with heart failure develops dyspnea, crackles, …
• Before a scheduled dose of metoprolol tartrate, a client reports dizziness. The heart rate is 44/min…
• A client who started lisinopril for hypertension reports swelling of the lips and tongue and difficu…
• A client taking warfarin reports black, tarry stools. The INR is 5.8. Which action should the nurse …
• A client receiving IV vancomycin develops flushing of the face and neck and itching during the infus…
• A client taking furosemide reports muscle weakness and irregular heartbeats. Which laboratory value …
• The nurse teaches a client who is starting levothyroxine. Which statement indicates correct understa…
• A client receiving gentamicin reports new ringing in the ears and dizziness. Which action should the…
• Ten minutes after a vancomycin infusion begins, a client develops flushing, itching, and erythema of…
• A postoperative client who received IV morphine is difficult to arouse and has respirations of 7/min…
• A client taking warfarin has an INR of 5.8 and reports black, tarry stools. Which action should the …
• A client with chest pain has a prescription for sublingual nitroglycerin. Which assessment question …
• A client with severe preeclampsia is receiving IV magnesium sulfate. The nurse notes respirations 10…
• Shortly after an IV vancomycin infusion begins, a client develops diffuse flushing and pruritus of t…
• A client taking clozapine calls the clinic and reports fever, chills, and a sore throat. The next do…
• A client reports ingesting a potentially toxic amount of acetaminophen. The time is unknown, and the…
• A client who takes sertraline has a new prescription for intravenous linezolid. Which action should …
• A client using a transdermal fentanyl patch plans to place a heating pad directly over the patch for…
• A client with rheumatoid arthritis has a new prescription for methotrexate 7.5 mg by mouth every day…
• A client taking oral amiodarone reports a new dry cough and progressively worsening shortness of bre…
• During preadmission teaching for major surgery, a client reports taking dapagliflozin each morning. …
• A client beginning rifampin therapy for tuberculosis uses a combined oral contraceptive. Which teach…
• A client who began taking allopurinol 5 days ago reports a new widespread rash with peeling skin and…
• A client who has taken prednisone daily for several months says, "My joint pain is better, so I will…
• A client taking valproic acid for seizure control says, "I want to become pregnant, so I plan to sto…
• Before a medication pass, the charge nurse notices that a staff nurse has slurred speech, an unstead…
• A client is beginning long-term hydroxychloroquine therapy for systemic lupus erythematosus. Which i…
• 12 hours after induction chemotherapy for acute leukemia, which finding requires the nurse's immedia…
• A client with worsening low back pain is awaiting evaluation. Which new finding should the nurse rep…
• A client is being prepared for abdominal surgery. Hair at the incision site will interfere with the …
• A client with hepatic encephalopathy is receiving lactulose. Which finding best indicates that the m…
• A client with chronic kidney disease has received epoetin alfa for 4 weeks. Which finding best suppo…
• A healthy 42-year-old client reports no prior hepatitis C testing and no known exposure. Which respo…
• The nurse teaches a client with newly diagnosed celiac disease about preventing gluten exposure at h…
• A client enrolled in a clinical study says, "I want to stop participating, but I am afraid the team …
• A client taking propylthiouracil for hyperthyroidism reports a fever and sore throat. Which action s…
• A client is admitted with a wound infection of the lower leg. Which finding should the nurse report …
• A hospitalized client has confirmed crusted scabies. Which action should the nurse include in the in…
• A client with exocrine pancreatic insufficiency takes pancrelipase with meals and snacks. Which find…
• A client with Raynaud phenomenon develops pale, numb fingers after cold exposure. Which action shoul…
• A client is admitted for monitored initiation of dofetilide. Which home medication should the nurse …
• A client with Crohn disease takes azathioprine 150 mg daily. A new order adds allopurinol 300 mg dai…
• A 42 kg adult has an order for acetaminophen injection 1000 mg every 6 hours. Which action should th…
• An 84-year-old client with coronary artery disease has a new prescription for liothyronine 25 mcg da…
• A client taking methimazole reports anorexia, pruritus, and right-upper-quadrant pain. ALT and AST a…
• A 70-year-old client with renal impairment has a prescription for ketorolac 30 mg IV every 6 hours. …
• An 83-year-old client with nonvalvular atrial fibrillation weighs 58 kg and has a serum creatinine o…
• A client who ingested a large amount of extended-release bupropion is awake but agitated and tachyca…
• A client with life-threatening beta-blocker poisoning remains bradycardic and hypotensive despite in…
• A client with suspected antifreeze ingestion has an anion-gap metabolic acidosis, an increased osmol…
• A client rescued from an enclosed-space fire has soot around the mouth, altered mental status, sever…
• A client takes dolutegravir each morning and uses an aluminum-magnesium antacid. Which instruction s…
• Which prescription is consistent with the labeled use of oral fosfomycin tromethamine?
• An older adult with diabetes and chronic renal failure is starting an isoniazid-containing tuberculo…
• A client who takes simvastatin is prescribed a 5-day course of nirmatrelvir with ritonavir. Which ac…
• A client with atrial fibrillation and a mechanical mitral valve asks which oral anticoagulant is exp…
• A client with acute HIT is receiving argatroban. The platelet count is 82,000/mm3 and rising. Which …
• A client is 2 weeks post-drug-eluting stent placement and says, “I stopped ticagrelor yesterday beca…
• A client with post-MI HFrEF has a new eplerenone prescription. Potassium is 5.8 mEq/L and creatinine…
• A dialysis client with CKD-mineral and bone disorder is scheduled for denosumab and reports new peri…
• A client taking chlorthalidone develops confusion, nausea, and a sodium level of 119 mEq/L. Which ac…
• A postpartum client who is actively breastfeeding is scheduled for therapeutic sodium iodide I 131. …
• A dialysis client taking cinacalcet has corrected calcium 7.3 mg/dL, hand spasms, and a prolonged QT…
• A client recently started lamotrigine while taking valproate and now has a spreading rash, fever, an…
• A client taking clozapine has a temperature of 38.7 C, sore throat, and an absolute neutrophil count…
• A client wearing a buprenorphine patch used a heating pad over the site and is now difficult to arou…
• A client with stage 4 chronic kidney disease takes colchicine for gout and receives a new clarithrom…
• A client with chronic constipation receives lubiprostone but now has abdominal distention, vomiting,…
• An 82-year-old client with an eGFR of 22 mL/min takes a standard adult famotidine dose and develops …
• A client with irritable bowel syndrome with diarrhea reports a prior cholecystectomy and receives an…
• A client taking linaclotide reports severe watery diarrhea, dizziness, and near-syncope; blood press…
• An infant scheduled for intramuscular nirsevimab has a platelet count of 18,000/mcL and new petechia…
• A client receiving tezepelumab for severe asthma develops acute wheezing, accessory-muscle use, and …
• Five days after an ovulation-trigger injection following follitropin alfa therapy, a client reports …
• A client with Crohn disease arrives for ustekinumab with fever, productive cough, night sweats, and …
• A 12-year-old taking methimazole develops fever and a severe sore throat. Which action should the nu…
• A parent asks how to use nebulized budesonide for a 4-year-old with asthma. Which instruction is cor…
• Promethazine is prescribed for vomiting in an 18-month-old child. Which action should the nurse take…
• A parent asks whether viscous lidocaine can be rubbed on the gums of a 10-month-old infant for teeth…
• A client receiving 25% albumin develops dyspnea, jugular venous distention, hypertension, and crackl…
• A client is receiving red blood cells through one administration set. A new order is written for 3% …
• A client receiving SMOFlipid has a sharp triglyceride rise and new oxygenation difficulty. Which act…
• A client with severe hypercalcemia of malignancy has received calcitonin for 4 days, but the calcium…
• A newly inserted blind nasogastric feeding tube will be used for the first medication dose. Which ve…
• A client treated for lip and tongue swelling that started after beginning lisinopril is now stable a…
• A client taking ivabradine develops an irregular rhythm at 118/min after diltiazem was added. Which …
• A client with intermittent claudication has heart failure with reduced ejection fraction. Which new …
• A client is scheduled for the first fingolimod dose. Which plan is appropriate?
• A client using mealtime insulin will begin pramlintide. Which instruction is the priority?
• A client taking acarbose with insulin becomes diaphoretic and confused with glucose 48 mg/dL. Which …
• A client taking nitrofurantoin for cystitis develops fever, flank pain, vomiting, and costovertebral…
• Clinical context A 56-year-old with invasive aspergillosis is being evaluated before isavuconazonium…
• Clinical context A pain service is comparing four clients for a fentanyl transdermal system; all his…
• A client develops severe diarrhea, mucositis, neutropenia, and neurotoxicity during the first treatm…
• A client taking alosetron reports new constipation and cramping lower abdominal pain. What should th…
• A client with symptomatic hyponatremia is beginning tolvaptan. Which order should the nurse question…
• A nurse finds a concentrated potassium chloride vial in an unlocked bedside medication drawer. Which…
• A client with a dinoprostone vaginal insert develops uterine tachysystole with recurrent late fetal-…
• A client received idarucizumab for life-threatening bleeding while taking dabigatran. 12 hours later…
• A client taking riociguat for pulmonary arterial hypertension has a new vericiguat prescription afte…
• A client recently started cenobamate and the dose was increased faster than the prescribed titration…
• A client started fezolinetant for menopausal vasomotor symptoms 3 weeks ago. The client now reports …
• A client with plaque psoriasis is scheduled to start deucravacitinib. Which finding requires clarifi…
• A 29-year-old client with recurrent vulvovaginal candidiasis asks about starting oteseconazole and h…
• A client with community-acquired bacterial pneumonia has an oral lefamulin prescription. The medicat…
• A client taking capivasertib develops intense thirst, frequent urination, nausea, abdominal pain, de…

Blood/Blood Products

• A 45-year-old patient stable on sertraline 100 mg daily was prescribed tramadol for acute back pain …
• A 38-year-old patient with epilepsy on long-term phenytoin reports new horizontal nystagmus on later…
• Naloxone has been titrated to a postoperative client with opioid-induced respiratory depression. Whi…
• A client has a prescription for IV potassium chloride replacement. Which nursing action is safe?
• A client receiving an IV unfractionated heparin infusion has oozing from the venipuncture site and a…

Central Venous Access Devices

• The nurse receives a prescription for potassium chloride 40 mEq IV. Which action is safest?
• A client uses an albuterol inhaler for acute wheezing. Which finding is an expected medication effec…

Expected Actions/Outcomes

• A client with acute heart failure received intravenous furosemide for pulmonary congestion. Which fi…

Medication Administration

• Before giving a scheduled dose of digoxin, the nurse obtains an apical pulse of 54/min in an adult w…
• An older adult taking digoxin reports nausea, poor appetite, and yellow-green halos. The apical puls…
• A client with diabetes who uses insulin and takes propranolol reports sudden sweating and difficulty…
• A client with bronchial asthma and current wheezing has a first dose of propranolol prescribed for e…
• Which response by the nurse is most appropriate?
• Before administering spironolactone, the nurse notes a potassium level of 5.8 mEq/L and new muscle w…
• A client taking lisinopril develops sudden swelling of the lips and tongue with hoarseness and diffi…
• A client taking losartan for hypertension reports a positive home pregnancy test. Which instruction …
• A nurse is caring for a client prescribed Lisinopril. Which nursing action is most appropriate regar…
• A client with atrial fibrillation has prescriptions for oral verapamil and metoprolol. Before the mo…
• The nurse reviews follow-up findings for a client taking hydrochlorothiazide. Which finding requires…
• An adult with acute pulmonary edema has a prescription for furosemide 80 mg IV. Which administration…
• A male client with heart failure who takes spironolactone reports painful breast enlargement. Which …
• A nurse is teaching a client who is starting atorvastatin. Which statement by the client indicates a…
• A client taking atorvastatin reports new diffuse muscle pain and weakness. The urine is dark, creati…
• A client taking atorvastatin 40 mg daily receives a new prescription for clarithromycin. Which actio…
• A client with stable regular narrow-complex supraventricular tachycardia is prescribed IV adenosine …
• The nurse teaches a client how to use sublingual nitroglycerin for an acute angina attack. Which sta…
• The nurse teaches a client who is starting a transdermal nitroglycerin patch for prevention of angin…
• A client with chest pain received sublingual nitroglycerin and then reports taking sildenafil 12 hou…
• Norepinephrine is infusing through a peripheral IV. The site becomes pale, cool, swollen, and painfu…
• A client with septic shock remains hypotensive with a mean arterial pressure of 58 mm Hg after initi…
• A nurse is caring for a client prescribed Lithium. Which nursing action is most appropriate regardin…
• A client taking warfarin has gastrointestinal bleeding, hypotension, and an INR of 6.2. Which action…
• A nurse is caring for a client prescribed Spironolactone. Which nursing action is most appropriate r…
• On day 7 of an unfractionated heparin infusion, a client's platelet count has fallen by 55% and the …
• A client receiving an unfractionated heparin infusion develops active bleeding and hypotension. The …
• A nurse is caring for a client prescribed Digoxin. Which nursing action is most appropriate regardin…
• A client receiving therapeutic-dose enoxaparin as perioperative bridging is scheduled for surgery Tu…
• A nurse is caring for a client prescribed Heparin. Which nursing action is most appropriate regardin…
• A client is prescribed rivaroxaban 20 mg once daily for continued treatment of a deep vein thrombosi…
• The nurse is teaching a client who is starting dabigatran capsules. Which statement shows correct un…
• A nurse is caring for a client prescribed Spironolactone. Which nursing action is most appropriate r…
• A nurse is caring for a client prescribed Levothyroxine. Which nursing action is most appropriate re…
• A nurse is teaching a client who takes daily low-dose aspirin after a myocardial infarction. Which s…
• A client taking clopidogrel after coronary stent placement receives a new prescription for omeprazol…
• A client is discharged after acute coronary syndrome treated with a drug-eluting stent and starts ti…
• The nurse reviews a new prasugrel prescription for a 78-year-old client who weighs 55 kg and has a h…
• A nurse is caring for a client prescribed Heparin. Which nursing action is most appropriate regardin…
• A nurse is caring for a client prescribed Lithium. Which nursing action is most appropriate regardin…
• A client with a new deep vein thrombosis has received enoxaparin and warfarin for 3 days. The INR is…
• A client receiving a weight-based unfractionated heparin infusion has an aPTT of 96 seconds. The ins…
• A nurse is caring for a client prescribed Metoprolol. Which nursing action is most appropriate regar…
• A nurse is caring for a client prescribed Lisinopril. Which nursing action is most appropriate regar…
• A nurse is caring for a client prescribed Vancomycin. Which nursing action is most appropriate regar…
• A client receives NPH insulin at 0700. During which time range should the nurse anticipate the great…
• A nurse is caring for a client prescribed Heparin. Which nursing action is most appropriate regardin…
• A nurse is caring for a client prescribed Lithium. Which nursing action is most appropriate regardin…
• A client with diabetes is unconscious, has a blood glucose of 31 mg/dL, and has no intravenous acces…
• A client taking metformin has acute kidney injury, abdominal discomfort, weakness, tachypnea, a pH o…
• An older client taking glipizide is confused and diaphoretic. The blood glucose is 48 mg/dL, and the…
• A client with T2DM who takes empagliflozin reports repeated vomiting and minimal oral intake. Which …
• The nurse teaches a client who is starting weekly semaglutide injections. Which statement shows corr…
• The nurse teaches a family member to use a glucagon emergency injection for an unconscious adult wit…
• The nurse provides discharge teaching to a client beginning levothyroxine who also takes a calcium s…
• A client with coronary artery disease recently had the levothyroxine dose increased. The client now …
• The nurse teaches a client who has taken prednisone daily for several months. Which statement by the…
• A client with primary adrenal insufficiency who takes daily glucocorticoid replacement reports repea…
• A nurse is caring for a client prescribed Lisinopril. Which nursing action is most appropriate regar…
• A client with type 2 diabetes begins long-term prednisone therapy for an inflammatory disorder. Whic…
• A nurse is caring for a client prescribed Digoxin. Which nursing action is most appropriate regardin…
• The nurse provides discharge teaching to a client starting methimazole. Which statement by the clien…
• A client who is 8 weeks pregnant takes methimazole for Graves disease. Which nursing action is most …
• A nurse is caring for a client prescribed Furosemide. Which nursing action is most appropriate regar…
• A nurse is teaching a client with central diabetes insipidus who is prescribed desmopressin. Which s…
• A laboring client receiving oxytocin has 6 contractions in 10 minutes averaged over 30 minutes and r…
• A client is receiving intravenous octreotide for acute variceal bleeding. Which assessment plan best…
• A nurse is caring for a client prescribed Lisinopril. Which nursing action is most appropriate regar…
• A client takes scheduled acetaminophen for pain and plans to add an acetaminophen-containing cold me…
• A nurse is caring for a client prescribed Digoxin. Which nursing action is most appropriate regardin…
• A nurse is teaching a client with hypertension and gastroesophageal reflux disease who will take ibu…
• The nurse reviews a celecoxib prescription for pain control after coronary artery bypass graft surge…
• A nurse is caring for a client prescribed Furosemide. Which nursing action is most appropriate regar…
• A client is starting scheduled opioid therapy for chronic cancer pain. Which intervention is most ap…
• A client receiving intravenous morphine reports itching and facial flushing. Blood pressure and resp…
• A client with metastatic bone pain has taken prescribed morphine for several months. The client now …
• Which statement by a client prescribed extended-release oxycodone indicates correct understanding of…
• The nurse is teaching an opioid-tolerant client how to use a prescribed fentanyl transdermal system.…
• A client is beginning methadone for severe persistent pain and also has hypokalemia and a prescripti…
• A nurse reviews codeine prescriptions for a 10-year-old child after tonsillectomy and for the child'…
• A nurse is caring for a client prescribed Furosemide. Which nursing action is most appropriate regar…
• A postoperative client using morphine patient-controlled analgesia is difficult to arouse and has a …
• A postoperative client receiving IV opioid patient-controlled analgesia is also receiving supplement…
• An opioid-naive 78-year-old client is prescribed morphine PCA with a continuous basal infusion after…
• A morphine PCA order is changed to hydromorphone, and the new bag concentration does not match the c…
• A nurse teaches a family member how to respond to a suspected opioid overdose using naloxone nasal s…
• An opioid-tolerant postoperative client receiving fentanyl by PCA is difficult to arouse and has a r…
• A nurse is caring for a client prescribed Warfarin. Which nursing action is most appropriate regardi…
• A nurse is caring for a client prescribed Heparin. Which nursing action is most appropriate regardin…
• The nurse is teaching a client who is starting gabapentin for neuropathic pain. Which statement show…
• A nurse is evaluating a client who recently started pregabalin for neuropathic pain. Which finding r…
• A client taking duloxetine recently began tramadol. The client is agitated and diaphoretic and has d…
• A 78-year-old client with benign prostatic hyperplasia, narrow-angle glaucoma, and recent falls is p…
• A client with a seizure disorder takes sertraline and bupropion. The prescriber adds tramadol for pa…
• A child receiving IV ampicillin develops generalized hives, facial swelling, wheezing, and hypotensi…
• A preoperative client reports urticaria after penicillin 20 years ago, and cefazolin is prescribed f…
• A nurse is caring for a client prescribed Digoxin. Which nursing action is most appropriate regardin…
• A child with a positive group A streptococcal throat culture is prescribed oral penicillin V for 10 …
• A nurse is caring for a client prescribed Heparin. Which nursing action is most appropriate regardin…
• An older adult receiving intravenous vancomycin and gentamicin has a creatinine increase from 0.9 to…
• A hospitalized client with frequent watery diarrhea tests positive for Clostridioides difficile and …
• A client with serious MRSA bacteremia is receiving intravenous vancomycin. Which nursing action is a…
• A nurse is caring for a client prescribed Levothyroxine. Which nursing action is most appropriate re…
• An older client receiving gentamicin develops rising creatinine, decreased urine output, tinnitus, v…
• A client receiving IV tobramycin has a rising trough level, increasing creatinine, and decreasing ur…
• The nurse teaches a client who is starting oral ciprofloxacin. Which statement shows correct underst…
• A 72-year-old client taking prednisone and levofloxacin reports a sudden pop at the back of the ankl…
• An older adult taking amiodarone and glyburide receives a new levofloxacin prescription. Which nursi…
• A nurse is caring for a client prescribed Furosemide. Which nursing action is most appropriate regar…
• A client taking trimethoprim-sulfamethoxazole develops fever, a painful spreading rash, oral erosion…
• An older adult with an estimated glomerular filtration rate of 32 mL/min takes lisinopril and spiron…
• The nurse is teaching a client who is starting oral doxycycline. Which statement shows correct under…
• A 6-year-old child has fever, severe headache, and a rash after a tick exposure. Rocky Mountain spot…
• A client at 28 weeks of pregnancy receives a new doxycycline prescription for uncomplicated acne. Wh…
• A client taking sertraline receives a new linezolid prescription for a serious infection. Which inst…
• A nurse is providing discharge teaching to a client prescribed oral metronidazole. Which statement b…
• The nurse provides discharge teaching to a client starting rifampin for tuberculosis. Which statemen…
• A client receiving warfarin is prescribed fluconazole for a fungal infection. Which action should th…
• The nurse teaches a client who is starting nitrofurantoin for uncomplicated cystitis. Which statemen…
• A 22-year-old client is starting sertraline for major depressive disorder. Which statement shows cor…
• Which response by the nurse is most appropriate?
• A 78-year-old client began escitalopram 2 weeks ago and now has headache, confusion, and a fall. Ser…
• A nurse is caring for a client prescribed Vancomycin. Which nursing action is most appropriate regar…
• A client's venlafaxine dose was increased last week. Repeated blood pressures are now 168/96 and 170…
• A nurse is caring for a client prescribed Warfarin. Which nursing action is most appropriate regardi…
• A nurse is caring for a client prescribed Lithium. Which nursing action is most appropriate regardin…
• A nurse is caring for a client prescribed Furosemide. Which nursing action is most appropriate regar…
• A client receiving maintenance lithium therapy has no toxicity symptoms and a 12-hour trough level o…
• A client taking maintenance lithium used ibuprofen for several days and now has vomiting, a coarse t…
• Which baseline assessment should the nurse verify before the first dose?
• A nurse is caring for a client prescribed Lisinopril. Which nursing action is most appropriate regar…
• The nurse provides discharge teaching to a client taking maintenance lithium. Which statement by the…
• A client who has taken alprazolam daily for several months says, "I feel better, so I plan to stop i…
• An 82-year-old client receives a new prescription for flurazepam at bedtime and reports recent falls…
• A client in the second month of clozapine therapy reports a temperature of 38.3°C (100.9°F) and a so…
• Which monitoring plan should the nurse reinforce for this client who is beginning olanzapine therapy…
• How should the nurse interpret the client's new galactorrhea and amenorrhea after starting risperido…
• Which interpretation and action are most appropriate for the client's new motor restlessness after s…
• The nurse teaches a client who is starting once-daily mirtazapine. Which statement by the client ind…
• A client taking trazodone reports a painful erection that has lasted more than 4 hours. Which instru…
• The nurse teaches the parent of a school-age child starting immediate-release methylphenidate twice …
• A client taking phenytoin develops new neurologic symptoms. Which cluster is most consistent with ph…
• A nurse is caring for a client prescribed Spironolactone. Which nursing action is most appropriate r…
• A client with ancestry from a population in which HLA-B*1502 is found is prescribed carbamazepine fo…
• A client taking carbamazepine develops confusion and unsteady gait. The serum sodium is 121 mEq/L. W…
• A client taking carbamazepine for focal seizures plans to begin a combined oral contraceptive. Which…
• A client taking valproic acid calls the clinic about new symptoms. Which report requires prompt clin…
• A nurse is caring for a client prescribed Digoxin. Which nursing action is most appropriate regardin…
• A nurse is caring for a client prescribed Warfarin. Which nursing action is most appropriate regardi…
• A client who takes lamotrigine has missed several consecutive days and asks whether to resume the ma…
• A nurse is caring for a client prescribed Furosemide. Which nursing action is most appropriate regar…
• A nurse is caring for a client prescribed Spironolactone. Which nursing action is most appropriate r…
• Which action should the nurse take before administering the prescribed gabapentin regimen?
• A client taking pregabalin 150 mg twice daily for fibromyalgia says, "My pain is controlled, so I am…
• How should the nurse interpret this pattern?
• A client taking carbidopa-levodopa reports that mobility worsens after high-protein breakfasts. Whic…
• A client taking phenelzine asks which nonprescription cold product must be avoided. Which product sh…
• The nurse reviews a client's history before the first dose of donepezil. Which finding requires prio…
• A client taking galantamine is brought to the emergency department with profuse salivation, vomiting…
• The nurse reviews a client's history before administering benztropine for medication-induced extrapy…
• An older client with prostatic enlargement takes trihexyphenidyl and develops confusion, dry mouth, …
• The nurse reviews a client's history before the first dose of sumatriptan for migraine. Which findin…
• A nurse is caring for a client prescribed Metoprolol. Which nursing action is most appropriate regar…
• A nurse is caring for a client prescribed Digoxin. Which nursing action is most appropriate regardin…
• A client receives a prescribed nebulized albuterol treatment for bronchospasm. Which post-treatment …
• The nurse teaches a client who is prescribed levalbuterol inhalation solution for reversible broncho…
• Which demonstration shows correct technique?
• A client receiving frequent nebulized albuterol for a severe asthma exacerbation develops marked tre…
• The nurse teaches a client who is starting inhaled fluticasone for persistent asthma. Which statemen…
• A nurse is caring for a client prescribed Metoprolol. Which nursing action is most appropriate regar…
• A client with narrow-angle glaucoma uses ipratropium by nebulizer. Which instruction should the nurs…
• The nurse teaches a client with COPD how to use tiotropium capsules with a HandiHaler device. Which …
• A client with benign prostatic hyperplasia uses umeclidinium for COPD and now has suprapubic discomf…
• Which teaching is the nurse's priority?
• A client taking zafirlukast reports new fatigue, right upper-quadrant pain, dark urine, pruritus, an…
• A client taking extended-release theophylline develops new symptoms. Which cluster is most concernin…
• A nurse is caring for a client prescribed Metoprolol. Which nursing action is most appropriate regar…
• A nurse is caring for a client prescribed Lisinopril. Which nursing action is most appropriate regar…
• A client with an acute COPD exacerbation has an oxygen saturation of 82% on room air. Which initial …
• A mechanically ventilated client has received an FIO2 of 0.80 for 72 hours. Which new finding is mos…
• A nurse teaches a client who plans to use nonprescription loratadine for allergic rhinitis. Which st…
• A client taking lisinopril has persistent blood pressure readings near 168/96 mm Hg and asks about u…
• A nurse is caring for a client prescribed Spironolactone. Which nursing action is most appropriate r…
• The nurse is teaching an adult with cystic fibrosis who is starting ivacaftor. Which statement shows…
• Which teaching should the nurse include?
• The nurse reviews follow-up findings for a client who has taken omeprazole long term. Which finding …
• Which action should the nurse take?
• A client with a bleeding peptic ulcer has undergone successful endoscopic hemostasis and is receivin…
• A nurse is caring for a client prescribed Heparin. Which nursing action is most appropriate regardin…
• Before giving ondansetron, the nurse notes potassium 3.1 mEq/L and a concurrent methadone prescripti…
• Which action should the nurse take?
• Shortly after receiving prochlorperazine, a client develops painful neck twisting, jaw spasm, and di…
• A client who uses a hormonal contraceptive is prescribed a three-day aprepitant regimen with chemoth…
• A nurse is caring for a client prescribed Metoprolol. Which nursing action is most appropriate regar…
• A client has taken over-the-counter senna every night for two weeks and now reports abdominal pain w…
• Which client statement shows correct understanding?
• A client with hepatic encephalopathy receives lactulose. Which finding indicates that the current re…
• A client develops frequent watery diarrhea, fever, and abdominal cramping after broad-spectrum antib…
• Which client statement shows correct understanding of the prescribed docusate?
• A nurse is caring for a client prescribed Lithium. Which nursing action is most appropriate regardin…
• Which pretreatment results are most important for the nurse to verify?
• Which instruction should the nurse provide?
• Which plan should the nurse expect?
• Which instruction should the nurse provide?
• A nurse is caring for a client prescribed Warfarin. Which nursing action is most appropriate regardi…
• A client with advanced chronic kidney disease takes calcium acetate for hyperphosphatemia. Repeated …
• A client with renal impairment is receiving intravenous magnesium sulfate. Which monitoring plan is …
• A client with chronic kidney disease takes calcitriol for secondary hyperparathyroidism. Which labor…
• A nurse is caring for a client prescribed Levothyroxine. Which nursing action is most appropriate re…
• Which baseline assessment should the nurse verify before treatment begins?
• The nurse prepares a client for the first cycle of cisplatin. Which plan is appropriate?
• Which action should the nurse take?
• After chemotherapy for a high-burden lymphoma, a client develops hyperkalemia, hyperphosphatemia, hy…
• The nurse reviews the monitoring plan for a client starting trastuzumab for HER2-positive breast can…
• A client receiving cetuximab develops a new mild acneiform rash on the face and upper chest without …
• Which action should the nurse anticipate?
• Which action should the nurse take?
• A kidney transplant recipient taking cyclosporine reports new gum overgrowth and increased facial ha…
• The nurse teaches a client of reproductive potential who takes mycophenolate mofetil and uses an ora…
• A kidney-transplant recipient taking sirolimus is scheduled for elective abdominal surgery. Which nu…
• A kidney transplant recipient has no sulfonamide allergy and is at risk for cytomegalovirus infectio…
• Which client has the greatest risk of severe hyperkalemia after succinylcholine?
• Which teaching should the nurse provide?
• A client receiving a prolonged high-dose propofol infusion develops severe metabolic acidosis, hyper…
• The nurse is preparing to administer thawed plasma to a client with active bleeding and multiple coa…
• Which transfusion strategy should the nurse anticipate during initial resuscitation?
• A nurse is caring for a client prescribed Lithium. Which nursing action is most appropriate regardin…
• A nurse is caring for a client prescribed Furosemide. Which nursing action is most appropriate regar…
• A central venous access device has a manufacturer-specific order for heparin locking after an interm…
• An older adult with heart failure is scheduled to receive digoxin. The apical pulse is 54/min and ir…
• A client taking lithium reports vomiting, coarse hand tremors, and new confusion. Which action shoul…
• A client arrives at the emergency department 2 hours after taking a large amount of acetaminophen. T…
• A postoperative client who received IV morphine is difficult to arouse. Respirations are 7/min and o…
• A client uses an albuterol inhaler for wheezing and asks what side effect may occur. Which response …
• The nurse teaches a client about insulin glargine. Which statement by the client indicates correct u…
• A client is prescribed insulin lispro before breakfast. The meal tray has not arrived. Which action …
• A client taking digoxin reports nausea and seeing yellow halos. The apical pulse is 48/min. Which ac…
• A client previously developed flushing and pruritus during a rapid vancomycin infusion but had no wh…
• The nurse reviews laboratory results for a client taking digoxin. Which result increases the risk fo…
• A client with osteoporosis is starting oral alendronate. Which statement by the client shows correct…
• A client taking lithium reports vomiting and diarrhea for 2 days. Which instruction should the nurse…
• Which instruction should the nurse give a client who is starting levothyroxine?
• A client receiving gentamicin reports ringing in the ears, and the serum creatinine has increased. W…
• A new nitroglycerin transdermal patch is scheduled, and the nurse finds the previous patch still att…
• The nurse reviews a prescription for phenytoin 1,000 mg IV to infuse over 10 minutes for an adult wi…
• The nurse is preparing to administer a prescribed subcutaneous insulin lispro dose. The meal tray is…
• A client with a creatinine clearance of 24 mL/min has a new gabapentin order for 600 mg by mouth thr…
• A central venous access device remains occluded 30 minutes after the prescribed Cathflo Activase dos…

Parenteral/IV Therapies

• During a peripheral IV infusion of doxorubicin, a client reports burning at the site. The nurse obse…

Pharmacological Pain Management

• A client is using patient-controlled analgesia after surgery. A family member says, "I press the but…

Reduction of Risk Potential

• A client who had a right subclavian central venous catheter inserted 30 minutes ago suddenly develop…
• A nurse is assessing a client 4 hours after a total thyroidectomy. The client suddenly reports diffi…

Changes in Vital Signs

• A client at a community center suddenly develops facial drooping, right arm weakness, and slurred sp…
• A client with pheochromocytoma is receiving preoperative care. Which finding requires the nurse to t…
• A client reports a severe headache that worsens when sitting up after a lumbar puncture. Which actio…
• A client returns from a percutaneous liver biopsy. Which position should the nurse use initially?

Diagnostic Tests

• A 78-year-old patient with type 2 diabetes is brought to the ED with progressive lethargy and dehydr…
• A patient with acute kidney injury has serum potassium of 7.2 mEq/L. The ECG shows peaked T waves an…
• A 52-year-old patient with severe acute pancreatitis is in the ICU on hospital day 3. The nurse note…
• A newborn is receiving phototherapy for hyperbilirubinemia. Which nursing action is appropriate?

Laboratory Values

• A 56-year-old patient presents to the ED with BP 226/132, severe occipital headache, blurred vision,…
• The nurse receives laboratory results for four clients. Which result requires immediate follow-up?

Potential for Alterations in Body Systems

• Two days after a femur fracture, a client develops sudden hypoxemia, confusion, and a petechial rash…
• A client with a lower-leg fracture in a cast reports rapidly worsening pain despite analgesia. Passi…

Complications of Procedures

• A patient on mechanical ventilation has bilateral infiltrates on chest x-ray, no signs of cardiogeni…
• A 64-year-old patient three days post-MI has BP 84/62, HR 124, distant heart sounds, jugular venous …
• A 64-year-old patient is post-op day 6 from a small bowel resection. The nurse notes the abdomen is …
• A patient is 18 hours post-op from a tracheostomy. The patient suddenly coughs forcefully, the trach…
• Fifteen minutes after a packed red blood cell transfusion begins, a client reports chills, back pain…
• While turning a client with a chest tube, the drainage system disconnects from the chest tube tubing…
• A client with suspected appendicitis is awaiting surgical evaluation. Which instruction is most appr…
• A client is 1 day postoperative after abdominal surgery. Which instruction helps prevent atelectasis…
• Fifteen minutes after a packed red blood cell transfusion begins, a client reports chills and back p…
• A client with a chest tube after thoracic surgery reports sudden shortness of breath. The drainage s…
• A nurse suspects an acute transfusion reaction and has stopped the blood product. Which action shoul…
• At 1 hour after transurethral prostate surgery, a client receiving continuous bladder irrigation has…
• A client has a chest tube connected to a water-seal drainage system. The nurse observes continuous b…

Postsurgical Complications

• A 24-year-old patient is brought to the ED with a generalized tonic-clonic seizure that has been ong…
• A 28-year-old patient with a T4 spinal cord injury 3 months ago is admitted with sudden severe pound…
• A patient who sustained blunt chest trauma 30 minutes ago is now in extreme respiratory distress. Fi…
• Two hours after abdominal surgery, a client has a saturated dressing, heart rate 126/min, and blood …
• A client scheduled for surgery tomorrow says, "I took my warfarin this morning like usual." What is …
• A client receiving a continuous epidural morphine infusion becomes difficult to arouse. Respirations…
• After a packed red blood cell transfusion, a client develops dyspnea, bilateral crackles, jugular ve…
• A child after tonsillectomy becomes restless, swallows frequently, and has a rising pulse. No blood …
• A client 8 hours after thyroidectomy reports tingling around the mouth and has a positive Chvostek s…
• A client returns from cardiac catheterization through the femoral artery. Which finding requires imm…
• Before hemodialysis, the nurse cannot feel a thrill or hear a bruit over a client's arteriovenous fi…
• A client performing peritoneal dialysis reports new abdominal pain, and the drained dialysate is clo…
• A client receiving unfractionated heparin develops a painful swollen leg. The platelet count has dec…
• Enteral nutrition was started yesterday for a severely malnourished client. Today, the client report…
• A 70-kg client with rhabdomyolysis is receiving prescribed isotonic intravenous fluid. Which finding…
• A client with central diabetes insipidus receives desmopressin. Which finding best indicates the int…

System-Specific Assessments

• A nurse on a medical-surgical unit reviews the morning labs for a 67-year-old male client who is pos…
• A 6-year-old client is on the pediatric surgical unit on postoperative day 1 following tonsillectomy…
• A 45-year-old female client with severe iron-deficiency anemia is receiving the first unit of packed…
• A 72-year-old male client is receiving a continuous IV heparin infusion for a left lower-extremity d…

Physiological Adaptation

• A 28-year-old male is brought to the emergency department after a motor vehicle collision. He is tac…
• A 28-year-old client with a T4 spinal cord injury suddenly develops a severe pounding headache, prof…

Alterations in Body Systems

• A client with mild acute pancreatitis reports that nausea has resolved during early recovery. Which …
• A client admitted for observation after a head injury has a Glasgow Coma Scale score that fell from …

Fluid/Electrolyte Imbalances

• A client with a traumatic brain injury becomes increasingly drowsy and vomits. The nurse notes a wid…
• A client with chronic kidney disease is waiting for dialysis. The serum potassium is 6.8 mEq/L, and …

Hemodynamics

• A client with chronic obstructive pulmonary disease is sitting upright, using accessory muscles, and…
• A client with septic shock has received the prescribed crystalloid bolus. The mean arterial pressure…
• A client arrives with sudden right-sided weakness and aphasia. The family states the client was last…
• A client who takes apixaban was admitted after a fall. The abdomen is now firm and tender, the blood…

Illness Management

• A client with suspected urosepsis has a temperature of 39.1 C, blood pressure 86/48 mm Hg, heart rat…
• A client with diabetic ketoacidosis is prescribed IV insulin. The potassium level is 2.9 mEq/L. Whic…
• A client with kidney failure has a potassium level of 6.4 mEq/L. Which finding requires immediate ac…
• A client with adrenal insufficiency has vomiting, severe weakness, blood pressure 78/42 mm Hg, and c…
• A client with suspected infection has temperature 39.2 C, heart rate 126/min, blood pressure 84/46 m…
• A client develops stridor, facial swelling, and hypotension after receiving an antibiotic. Which med…
• A client with type 1 diabetes received the morning insulin dose, and the breakfast tray was delayed.…

Medical Emergencies

• A nurse is caring for an alert adult client with type 1 diabetes who reports tremors, sweating, and …
• A 68-year-old client with COPD is admitted with shortness of breath and SpO2 86% on room air. The pr…
• A 58-year-old client arrives at the emergency department with crushing substernal chest pain that st…
• A 72-year-old client is brought to the emergency department by family who report that the client dev…
• A 79-year-old client is admitted from a long-term care facility with diarrhea, decreased oral intake…
• A nurse is caring for a client prescribed Digoxin. Which nursing action is most appropriate regardin…
• Which action should the nurse take?
• A client with type 1 diabetes is awake, can swallow, and reports shakiness. The point-of-care glucos…
• A client develops wheezing, generalized hives, and blood pressure 78/42 mm Hg after receiving an ant…
• A client with COPD becomes short of breath while walking to the bathroom. Which instruction should t…
• A client with heart failure calls the clinic and reports gaining 2.7 kg in 3 days and sleeping on th…
• A client with a traumatic brain injury has signs of increased intracranial pressure. Which nursing a…
• A postoperative client suddenly develops shortness of breath, sharp chest pain, and oxygen saturatio…
• A client with suspected acute aortic dissection has blood pressure 218/124 mm Hg and heart rate 118/…
• A client with myasthenia gravis develops a weak cough, difficulty swallowing, and can speak only a f…
• A client with heart failure suddenly becomes anxious and has crackles, frothy sputum, and oxygen sat…
• During treatment for an acute asthma exacerbation, a client becomes drowsy and the previously loud w…
• During surgery with a volatile anesthetic, a client develops rapidly rising end-tidal carbon dioxide…
• A client with adrenal insufficiency stopped taking corticosteroids and now has vomiting, severe weak…
• A client with diabetic ketoacidosis has a serum potassium of 3.1 mEq/L before the insulin infusion i…
• Twenty minutes after a vaginal birth, a client has heavy vaginal bleeding, a boggy uterus, and a hea…
• A client with a high thoracic spinal cord injury suddenly reports a pounding headache. The nurse obs…
• A client collapses during outdoor work and is confused with hot skin and a core temperature of 40.3°…
• After a cardiac procedure, a client develops hypotension, jugular venous distention, muffled heart s…
• A client is confused and has a severe headache after using a generator in an attached garage. Pulse …
• A client has had continuous generalized tonic-clonic seizure activity for 6 minutes. Intravenous acc…
• A client with sickle cell disease is hospitalized for a vaso-occlusive pain episode. The client deve…
• A client admitted with Guillain-Barre syndrome has weakness that has progressed from the legs to the…

Unexpected Response to Therapies

• 20 minutes into a packed red blood cell transfusion, a client has chills and a temperature of 38.3 C…

More questions are available in the app.