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NCLEX-RN Practice Exam-4

NCLEX RN 123 Questions 🔒 Premium Content

This test features high-yield, NCLEX questions tailored for RN students.

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Q1: The nurse is taking care of a 7-year-old female patient admitted for cellulitis of the right arm.

A. Fill out an event report and notify the provider.
B. Check and complete orders for the next patient.
C. Deliver meal tray and document intake and output.
D. Obtain a set of vital signs and assess neurological function.
E. Administer acetaminophen and document intake and output.
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Q2: A client seeks medical attention in the emergency department after developing acute abdominal pain two days prior. Which of the following actions by the nurse helps ensure accurate auscultation of the client's bowel sounds?

A. Auscultating the abdomen by utilizing the bell of the stethoscope
B. Listening for one full minute in each quadrant to confirm absence of bowel sounds
C. Pressing the stethoscope gently but deeply into the abdomen
D. Requiring that the client empty his or her bladder prior to auscultating the abdomen
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Q3: A nurse is assigning beds to four new clients being admitted to the cardiac telemetry floor. Which of the following clients would most appropriately be assigned to the bed at the end of the hall, away from the nurses' station?

A. A 27-year-old client with unstable hyperthyroidism who has a heart rate of 110 beats per minute
B. A 55-year-old client in sinus rhythm transferring from the ICU three days post-coronary artery bypass grafting (CABG)
C. A 75-year-old client with sinus tachycardia who is confused and agitated three days following a prostatectomy
D. A 40-year-old client with mitral valve prolapse in sinus rhythm that is newly diagnosed with diabetes
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Q4: A nurse is caring for a client with confusion secondary to a urinary tract infection. The client has just had a central intravenous (IV) line placed by the physician for antibiotic administration. Following the procedure, it is important for the nurse to complete which of the following?

A. Administer Ativan (lorazepam) as needed for agitation and anxiety.
B. Discuss with the client the importance and purpose of the central line.
C. Place soft restraints on the client’s wrists to prevent dislodgement.
D. Secure the line per policy and cover the line with gauze to disguise it.
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Q5: A client being treated in a medical-surgical unit is receiving tube feedings. Over the past two days, the client has developed diarrhea, cramps, and abdominal distention. Which of the following interventions would be most appropriate for the nurse to complete? Select all that apply.

A. Anticipate changing to a lactose-free formula.
B. Change the feeding apparatus every 24 hours.
C. Slow the administration rate.
D. Use a diluted formula, gradually increasing the volume and concentration.
E. Use a higher volume of formula because the formula may be too hypotonic.
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Exam Details
Total Questions: 123 practice questions
Category: NCLEX RN
Subcategory: NCLEX-RN-Practice Exams
Domain: NCLEX RN (Practice Exams)
Last Updated: Dec 09, 2025
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