TheoryFree NCLEX-RN Practice Test PDF
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Free NCLEX-RN PDF with 30 questions
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The PDF includes 30 NCLEX-RN questions with answers and explanations.
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Q1A registered nurse (RN) is making client care assignments for the shift. Which task is most appropriate to delegate to unlicensed assistive personnel (UAP)?
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✓ Correct answer: Assisting a stable client with morning hygiene and ambulation
Assisting a stable client with hygiene and ambulation is within the UAP scope of practice. Assessment, care planning, and client teaching require the clinical judgment of the RN and cannot be delegated.
Q2The nurse receives shift report on four clients. Which client should the nurse assess first?
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✓ Correct answer: A client with new-onset shortness of breath and oxygen saturation of 88%
Airway and breathing take priority (ABCs). New shortness of breath with a saturation of 88% signals a potentially life-threatening problem and must be assessed first. The other needs are important but not immediately life-threatening.
Q3A client is scheduled for surgery and asks the nurse to explain the risks of the procedure. What is the nurse's most appropriate response?
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✓ Correct answer: Notify the surgeon that the client has questions before signing consent
Obtaining informed consent — including explaining risks, benefits, and alternatives — is the surgeon's responsibility. The nurse witnesses the signature and ensures the client understands; unanswered questions must be referred to the surgeon before consent is signed.
Q4Which situation requires the nurse to complete an incident (occurrence) report?
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✓ Correct answer: A client falls while walking to the bathroom unassisted
An incident report documents events that are not consistent with routine care, such as a client fall, regardless of injury. A medication refusal that is documented in the record, a routine transfer, and a family request are part of normal care.
Q5The nurse is caring for a client who has a living will. The client's adult child insists that 'everything be done.' What should guide the nurse's actions?
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✓ Correct answer: The client's documented advance directive
A valid advance directive (living will) expresses the client's own wishes and legally directs care. The client's documented decisions take precedence over family preferences. The nurse should support the family while honoring the client's directive.
Q6An RN is supervising a licensed practical/vocational nurse (LPN/LVN). Which assigned client is most appropriate for the LPN/LVN?
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✓ Correct answer: A stable client receiving a scheduled oral antibiotic
LPNs/LVNs may care for stable clients and administer many routine medications such as scheduled oral antibiotics. Initial assessments, complex first-dose IV chemotherapy, and teaching about a new diagnosis require the RN.
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