NCLEX RNSG-2130 Licensure Practice Test

These questions are part of the practice quiz. Start practicing

• What defines a reactive NST?
• Which item is NOT part of the Apgar scoring system?
• What is the therapeutic serum range for magnesium sulfate?
• A patient develops fever and chills during a transfusion. What should the nurse do first?
• A patient with CKD has a low-phosphate diet. Which food should be avoided?
• Which statement accurately describes hospice eligibility criteria regarding life expectancy?
• What is the minimum life expectancy criterion for hospice enrollment?
• A 2-year-old demonstrates a typical developmental milestone. Which behavior indicates appropriate development?
• Which action best addresses suicide risk in a patient with expressed intent?
• Magnesium sulfate is used in preeclampsia for what purpose?
• The priority treatment for pathologic hyperbilirubinemia in a newborn?
• Which IV bolus amount is commonly recommended prior to spinal anesthesia to reduce hypotension risk?
• A patient presents with oliguria and elevated BUN/creatinine. What is the likely diagnosis?
• Preeclampsia is defined as new-onset hypertension after 20 weeks with proteinuria or organ dysfunction. Which option correctly describes this?
• What abdominal finding may be palpated in intussusception?
• What is the antidote if magnesium sulfate overdose is suspected?
• Which of the following foods is a good source of folate (Vitamin B9) to help raise levels?
• A patient with chronic kidney disease has hyperphosphatemia. Which dietary modification is appropriate?
• A patient on heparin develops gum bleeding and easy bruising. What is the nurse's immediate action?
• Which feature is more characteristic of serotonin syndrome than NMS?
• This condition occurs when a patient with preeclampsia develops tonic-clonic seizures.
• A nurse reads a study about a new intervention with a small sample size. What is the best criterion to evaluate before implementing it?
• A hospice patient reports persistent pain. What is the priority nursing action?
• Which medication may be given to treat muscle rigidity in NMS?
• Which laboratory change is most suggestive of renal allograft rejection?
• Postoperative pain should be evaluated using what type of tool?
• When a patient expresses fear about chemotherapy side effects, what is an appropriate initial nursing action?
• A pregnancy complication presents with painless, bright red vaginal bleeding after 20 weeks and requires avoidance of vaginal examinations. What is the most likely diagnosis?
• What bilirubin level range is expected at 24 hours of life?
• In cancer patients with fever and neutropenia, which action reduces risk of sepsis?
• A patient presents with tetany and a positive Trousseau sign. What is the immediate treatment?
• A 12-year-old weighing 40 kg requires a medication dose of 0.5 mg/kg. What is the total dose?
• A patient with severe vomiting has metabolic alkalosis. Which clinical finding is expected?
• The primary purpose of reconciliation on admission is:
• A nurse is delegating routine tasks for a stable postoperative patient. Which statement indicates understanding of delegation principles?
• In septic shock, what is the rationale for early oxygen therapy?
• A patient with suspected gastrointestinal (GI) bleeding is tachycardic and pale. What is the priority nursing action?
• Which type of acute kidney injury is most commonly due to decreased renal perfusion?
• Which nutrient enhances iron absorption when consumed with iron-rich foods?
• For a patient with suspected MRSA infection, which room type is appropriate to minimize transmission?
• Which statement correctly describes PPROM?
• In evaluating suspected ectopic pregnancy in a hemodynamically stable patient, which imaging modality is preferred?
• A nurse notes an order was not completed and there is a safety risk. What is the best action to ensure patient safety?
• Which noninvasive test is commonly used to diagnose H. pylori infection in adults?
• A nurse administers a medication and realizes it was given one hour late. Which nursing right was violated?
• Which medication among the following is a beta-adrenergic agonist used as a tocolytic?
• Naegele's Rule is used to estimate the due date by which adjustment?
• A patient with a new-onset seizure. What is the priority nursing action?
• Which class of medications most commonly causes neuroleptic malignant syndrome?
• The highest-priority complication to assess for immediately after birth in a macrosomic newborn is which?
• A client with chronic kidney disease is on a low-sodium, low-potassium diet. Which meal is appropriate?
• Which approach best promotes culturally competent pain management?
• A postop patient reports pain at 8/10 despite opioid. What is the most appropriate next nursing action?
• A pregnant patient with hypertension and proteinuria after 20 weeks gestation has preeclampsia. What is the priority management?
• Which statement best describes the role of a safety sitter in a hospitalized patient at risk for safety events?
• A patient with hyponatremia presents with confusion and seizures. What is the priority management?
• This blood product is given to an Rh-negative mother to prevent antibody formation after exposure to Rh-positive fetal blood, administered at 28 weeks antepartum and within 72 hours postpartum.
• What does the stool look like in a patient with intussusception?
• How does a child with intussusception typically position their body during pain episodes?
• At what gestational age is the NST typically performed?
• A patient with perioral numbness and positive Chvostek/Trousseau signs. Which electrolyte deficiency is indicated?
• Which statement describes the correct management sequence for a patient with neutropenic fever?
• What is the primary purpose of medication reconciliation on admission?
• What is the first-line diagnostic and treatment procedure for intussusception?
• This is the only definitive cure for preeclampsia, eclampsia, and HELLP syndrome.
• What is the definitive management for HELLP syndrome?
• Which intervention best reduces fall risk for an older adult after hip surgery?
• NMS is most often associated with which generation of antipsychotics?
• A patient with a new spinal cord injury has no sensation below the injury. What is the initial nursing focus?
• A patient presents with crushing chest pain and ST elevations on ECG. What is the priority action?
• A patient expresses hopelessness and intent to harm self. The priority action is:
• A cancer patient with fever and neutropenia. What is the priority action?
• Which term describes rupture of membranes before labor at term (≥37 weeks)?
• A dehydrated infant presents with sunken fontanelles and tachycardia. What is the preferred rehydration approach for mild dehydration?
• Why are frequent feedings encouraged in newborns with hyperbilirubinemia?
• In delegation, which statement demonstrates understanding of the RN's role in decision-making for a stable postoperative patient?
• A postoperative patient receiving morphine reports a decreasing respiratory rate of 6 breaths per minute. What is the priority nursing action?
• A patient with a wound infection suspected MRSA requires which type of precautions?
• A patient with CKD is prescribed NSAIDs. Why is this concerning?
• Why are lotions or oils avoided during phototherapy?
• Tetany is most directly associated with which electrolyte abnormality?
• Preeclampsia is diagnosed based on which combination?
• A patient with COPD has PaO2 58 mmHg on room air. What should the nurse do first?
• Apgar scoring is assessed at which times after birth?
• Which action is not part of initial protocol in suspected sepsis management?
• A patient with a history of NSAID use complains of epigastric pain and black stools. What is the likely diagnosis?
• After abdominal surgery, which position improves ventilation and helps prevent atelectasis?
• For anticipatory guidance, when should a child have their first dental visit?
• A patient with suspected small bowel obstruction presents with vomiting, abdominal distension, and absent bowel sounds. What is the initial nursing action?
• A child with asthma presents with wheezing and shortness of breath after exposure to a known trigger. What is the priority intervention?
• In the management of preeclampsia, which route of administration is standard for magnesium sulfate therapy?
• In a neutropenic patient, which step best aligns with the neutropenic fever protocol?
• Which medication is used to treat muscle rigidity in Neuroleptic Malignant Syndrome?
• This delivery complication is most commonly associated with macrosomic infants.
• Which test is commonly used to diagnose Helicobacter pylori infection?
• A patient with type 1 diabetes receives intermediate-acting insulin at 0700. Blood glucose is 58 mg/dL at 0900. Which action is appropriate?
• A patient with a wound infection suspected MRSA. What precautions and therapy?
• Betamethasone therapy in preterm delivery is intended to promote what?
• Jaundice appearing within the first 24 hours of life is classified as which type?
• A postoperative patient who received morphine is given naloxone for respiratory depression. After naloxone administration, what should the nurse do next?
• Before patient contact, the nurse disinfects equipment and performs hand hygiene. Which action demonstrates compliance with hand hygiene?
• In hypovolemic shock, which hemodynamic changes are expected?
• A client with MRSA requires direct contact precautions. What PPE is required for direct care?
• A laboring patient requests epidural analgesia. What must be verified before proceeding?
• Which PPE is required when caring for a patient with active pulmonary tuberculosis?
• When is gestational diabetes mellitus screening typically performed during pregnancy?
• A patient reports a severe egg allergy. Which immunization is contraindicated?
• A patient weighs 60 kg and is 1.65 m tall. Calculate BMI.
• How is neuroleptic malignant syndrome different from serotonin syndrome?
• If a patient has low folic acid intake during pregnancy, which dietary change is most appropriate?
• In Rh incompatibility management, what is the purpose of administering RhoGAM?
• Why are IV fluids given before spinal anesthesia?
• Betamethasone is used to stimulate fetal lung maturity and surfactant production in fetuses between which weeks?
• What is the immediate action in the event of a needlestick exposure to HIV?
• When administering ear drops to a child 4 years or older, how should you position the pinna?
• How is betamethasone administered for fetal lung maturity?
• A patient with terminal illness requests withdrawal of life-sustaining treatment. What is the nurse's primary ethical consideration?
• A patient reports a severe allergic reaction to a previous vaccine. How should the nurse proceed with future vaccines?
• HELLP stands for Hemolysis, Elevated Liver Enzymes, Low Platelets.
• A patient on loop diuretics has muscle weakness and flattened T waves on ECG. What is the priority intervention?
• Which maneuver relieves shoulder dystocia in a macrosomic infant?
• What is the nurse's priority when the fetal NST is non-reactive?
• When is it recommended to screen pregnant women for Group B Streptococcus (GBS)?
• A patient requires a soft wrist restraint after surgery. Which of the following describes the minimum standard precautions for restraint use?
• Which action is the immediate management step for penicillin-induced anaphylaxis?
• An Rh-negative mother delivers an Rh-positive newborn. It has been 24 hours since delivery. What is the next step?
• Which communication framework is recommended to inform a provider about omissions that affect patient safety?
• In pediatric DKA therapy, why is careful potassium replacement essential during insulin therapy?
• In hepatic encephalopathy, which dietary modification is indicated?
• A patient with hypertension asks if they can stop their medication because they feel fine. What is the best response?
• A patient is an organ donor. What is the nurse's role?
• A pregnant patient at 28 weeks asks about gestational diabetes screening. When should screening occur?
• This severe variant of preeclampsia is characterized by hemolysis, elevated liver enzymes, and low platelets.
• Which term describes intentional rupture of membranes by a clinician to induce labor?
• The presentation of epigastric pain with melena in a patient taking NSAIDs most strongly suggests what diagnosis?
• After applying a restraint, which assessment should be documented regularly?
• A patient with confusion and hyponatremia. What safety measure should the nurse implement first?
• The patient with active tuberculosis is admitted. What isolation precautions and mask are required?
• Which statement best describes nifedipine's pharmacologic class when used as a tocolytic?
• Kernig's sign is elicited to indicate irritation of which tissue?
• A patient with active pulmonary tuberculosis is admitted. What precautions should be followed?
• A patient at risk for falls has non-skid socks and a bed alarm. Which intervention most effectively reduces fall risk?
• A patient with type 1 diabetes presents with Kussmaul respirations and acetone breath. What is the priority intervention?
• For chronic kidney disease with hyperphosphatemia, when should phosphate binders be taken?
• In a patient with cirrhosis, liver function tests typically show which pattern?
• What constitutes a reactive NST?
• In hepatic encephalopathy, what is the cornerstone of management?
• A woman with lower quadrant pain, positive pregnancy test, and suspected ectopic pregnancy. What is the initial action?
• Which non-surgical method is used to reduce intussusception?
• For a patient on chronic NSAID therapy with epigastric pain, what is a major risk and a preventive measure?
• A patient with neutropenia following chemotherapy presents with fever of 38.3 C (101 F). What is the priority action?
• If NST is non-reactive, what is the commonly planned next evaluation?
• In stroke protocol activation, what is a critical step to ensure patient safety before imaging?
• A hospitalized patient with agitation and IV lines is at risk for pulling lines. What is the first action the nurse should take to ensure safety?
• In pregnancy care, when should GBS screening be performed to reduce neonatal infection risk?
• During airborne precautions for active tuberculosis, which item is essential for staff protection?
• What is the priority nursing action before spinal anesthesia?
• A patient presents with facial droop and unilateral weakness within 3 hours of onset. What is the ischemic stroke treatment window for tPA?
• An order reads D5 0.45% NS 1000 mL over 8 hours. The IV set delivers 20 gtt/mL. What is the hourly drop rate in gtt/hour?
• During phototherapy, how often should the newborn be repositioned?
• A patient with type 2 diabetes plans to exercise after a meal. What safety consideration should the nurse address?
• A pregnant patient asks about MMR vaccine safety. What is the correct stance?
• How long does betamethasone take to be effective?
• Which medication is used to prevent seizures in severe preeclampsia and eclampsia?
• In diabetic ketoacidosis, which electrolyte abnormality is commonly seen?
• In GBS prophylaxis, intrapartum antibiotics should be administered for at least how many hours before delivery?
• Postoperative patient reports increasing pain despite analgesia. What is the best next action?
• For preventing infection in a non-healing wound, which practice is essential?
• A healthcare worker sustains a needlestick exposure to HIV. What is the immediate standard protocol?
• A patient with fever, tachycardia, hypotension, and elevated lactate. What is the initial management?
• Which option is a correct statement about hyponatremia with seizures and treatment?
• Which obstetric condition requires avoidance of vaginal examinations?
• Which description best characterizes Kussmaul respirations seen in diabetic ketoacidosis?
• Betamethasone is given to promote fetal lung maturity for fetuses between which gestational ages?
• Which of the following foods is high in phosphorus and should be limited in a CKD diet?
• In COPD with chronic respiratory acidosis, what metabolic change accompanies the condition?
• What is the primary purpose of tocolytic therapy in obstetric care?
• What is the first-line treatment for intussusception in a child?
• A patient provides minimal verbal responses and has reduced speech output. What term describes this?
• Which statement supports timely stroke treatment with tPA?
• At well-child visit, which vaccines are typically given at 12-15 months?
• What term describes speech consisting of made-up words that others don’t understand?
• Which room type is required for a patient with active tuberculosis?
• Which vaccine combination is included at a 4-year well-child visit?
• Which imaging or intervention is used as both diagnostic and therapeutic for intussusception?
• The BMI of 22 kg/m^2 falls into which weight category?
• Why are IV fluids critical in the management of NMS?
• For a patient with a non-healing wound, what is essential to prevent infection?
• In pediatric DKA therapy, which electrolyte imbalance requires careful replacement to prevent cerebral edema?
• A patient with end-stage disease requests no resuscitation. The nurse should:
• In a patient with COPD and chronic respiratory acidosis on ABG, what pattern would you expect?
• A patient has a potassium level of 2.8 mEq/L with ECG showing U waves. What is the priority intervention?
• Which newborn complications can result from GBS transmission during delivery?
• Magnesium sulfate in obstetric care is used for what combination?
• A patient with iron-deficiency anemia should increase intake of which foods?
• A patient experiencing anaphylaxis is in respiratory distress. What is the priority nursing action?
• A patient with suspected stroke last seen well within 4 hours. What is the immediate action?
• When caring for a patient who has a seizure, which action best protects the patient?
• For screening gestational diabetes, the test is typically performed during which gestational window?
• If contractions last longer than 60 seconds and are less than 2 minutes apart in a patient on Pitocin, what should the nurse do?
• During an acute asthma attack, what is the priority intervention?
• For IV therapy, which practice most reduces the risk of infiltration?
• A patient on penicillin develops hives and facial swelling. What is the immediate action?
• For MRSA direct contact precautions, which statement accurately reflects PPE removal practice?
• The 4-year well-child visit includes which vaccines?
• How should you position the pinna when administering ear drops to a child under 3 years old?
• What is the priority nursing action if NMS is suspected?
• Which statement correctly describes the onset of NMS compared with serotonin syndrome?
• After a renal transplant, which sign most suggests rejection?
• The Kernig sign indicates irritation of which tissue?
• In a patient with a spinal cord injury, which complication should the nurse be vigilant for due to autonomic dysreflexia risk?
• In sepsis management, why are cultures obtained before starting antibiotics?
• Which obstetric emergency presents with painful, dark red vaginal bleeding, a rigid uterus, and risk of fetal hypoxia and DIC?
• Which description best characterizes the pain pattern in intussusception?
• A patient with COPD uses a rescue inhaler frequently. What is a red flag requiring medical attention?
• Which description of stool is classically associated with intussusception?
• At 12-15 months, which vaccines are typically started?
• A patient on an insulin pump experiences a kinked tubing or pump disconnect. What is the priority action?
• A client with type 1 diabetes presents with polyuria, polydipsia, nausea, vomiting, and Kussmaul respirations. Which acid-base disturbance is most likely?
• Which sign indicates meningeal irritation when neck flexion causes involuntary flexion of the hips and knees?
• Neuroleptic malignant syndrome (NMS) is best described as which of the following?
• In placenta previa, which procedure should be avoided to prevent complications?
• An older adult on multiple medications reports drowsiness and confusion after starting a new medication. What is the next step?
• Which medication among the following is a calcium channel blocker used as a tocolytic to suppress preterm labor?
• A patient with suspected acute kidney injury presents with reduced urine output. What is the initial nursing action?
• A patient with myasthenia gravis presents with respiratory fatigue and ptosis. Which type of crisis is likely?
• For urgent treatment of acute hypocalcemia, which route is preferred for calcium administration?
• In NMS, rhabdomyolysis increases the risk of injury to which organ?
• A patient with a urinary catheter develops fever and cloudy urine. What is the initial nursing action?
• A patient with suspected appendicitis presents with RLQ pain and fever. What is the initial diagnostic test?
• A patient on a PCA reports shallow respirations. What is the priority action?
• A patient in septic shock shows systolic BP 85 mmHg, HR 110, RR 26, SpO2 92% on room air. What is the nurse's first action?
• A patient fears chemotherapy side effects. What is the best initial nursing action?
• Which position helps relieve a spinal headache?
• Which finding is most commonly associated with an upper GI bleed?
• At 32 weeks gestation with contractions and vaginal discharge, what is the priority action?