Free NCLEX-RN Practice Questions
Five original questions with explanations
These are original educational questions written to exercise NCLEX-RN-relevant reasoning. They are not recalled examination items and do not imply access to confidential test content.
Question 1
A postoperative client becomes restless and has an oxygen saturation of 86%. Which action has the highest priority?
- A. Offer oral fluids
- B. Assess airway and breathing while applying oxygen per protocol
- C. Document the finding
- D. Discuss discharge teaching
Answer and explanation
B. Assess airway and breathing while applying oxygen per protocol Hypoxemia makes airway and breathing the immediate priority.
Question 2
Which client should the nurse assess first?
- A. A client requesting a sleep aid
- B. A client with new unilateral weakness and slurred speech
- C. A client awaiting routine dressing change
- D. A client asking about diet
Answer and explanation
B. A client with new unilateral weakness and slurred speech New focal neurologic deficits may indicate an acute stroke and require immediate assessment.
Question 3
Which task is appropriate to delegate to trained assistive personnel?
- A. Initial pain assessment
- B. Teaching insulin injection
- C. Obtaining routine vital signs for a stable client
- D. Evaluating response to medication
Answer and explanation
C. Obtaining routine vital signs for a stable client Routine data collection for a stable client may be delegated; assessment, teaching, and evaluation remain nursing responsibilities.
Question 4
A client receiving a blood transfusion develops chills and dyspnea. What should the nurse do first?
- A. Slow the infusion
- B. Stop the transfusion
- C. Give an antipyretic
- D. Reassure the client
Answer and explanation
B. Stop the transfusion Stopping the transfusion prevents additional blood product from entering while the reaction is assessed and managed.
Question 5
Which precaution is required for suspected pulmonary tuberculosis?
- A. Contact
- B. Droplet
- C. Airborne
- D. Protective environment
Answer and explanation
C. Airborne Pulmonary tuberculosis requires airborne precautions and appropriate respiratory protection.
How to Review
For every miss, identify the domain, explain the controlling principle, and state why each distractor is less appropriate. Then return to the official outline and your content review.