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NCLEX Practice Exam: 40 Essential Nursing Questions - Prof. Edwards, Study notes of Health sciences

Chamberlain College of NursingHealth sciences
Prof. Peter Edwards

This 40-question NCLEX-style practice exam covers key nursing topics like patient care, nutrition, medication administration, and sleep disorders. Designed to help nursing students prepare for the NCLEX, it tests knowledge and critical thinking through multiple-choice questions. Topics include dysphagia interventions, nutrition types, BMI, nasogastric tubes, insulin, sensory deficits, medication absorption, restless leg syndrome, sleep stages, mineral/vitamin importance, cholesterol reduction, aseptic technique, injection routes, oxygen therapy, lab tests, hypoxia, and medication rights. An answer key is included for self-assessment, making it a valuable resource for exam preparation and identifying areas for improvement.

Typology: Study notes

2024/2025

Uploaded on 08/16/2025

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bedjina-beauzier 🇺🇸

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NCLEX-Style Practice Exam (40 Questions)
1. 1. A nurse is caring for a patient with dysphagia. Which intervention is most appropriate to reduce the risk of
aspiration?
A. Have the patient lie flat while eating
B. Encourage drinking large amounts of water with meals
C. Provide thin liquids only
D. Sit the patient upright during meals
2. 2. Which type of nutrition is delivered through the gastrointestinal tract via a tube?
A. Parenteral nutrition
B. Enteral formula
C. Clear liquid diet
D. Full liquid diet
3. 3. What is the normal range for Body Mass Index (BMI) for an adult?
A. 15-18.5
B. 18.5-24.9
C. 25-29.9
D. 30-35
4. 4. What is the primary use of a nasogastric tube (NGT)?
A. Provide IV medication
B. Administer oxygen
C. Deliver enteral feeding
D. Measure urine output
5. 5. A patient is prescribed insulin for type 1 diabetes. What is the priority nursing action before administration?
A. Shake the vial vigorously
B. Monitor potassium level
C. Check the patients glucose level
D. Check blood pressure
6. 6. Which statement best defines a sensory deficit?
A. Increased sensitivity to external stimuli
B. Temporary loss of cognitive function
C. Impairment in reception or perception of sensory input
D. Involuntary motor movements
7. 7. Which route allows for systemic medication absorption through the skin?
A. Intramuscular
B. Transdermal
C. Subcutaneous
D. Intradermal
8. 8. Restless leg syndrome most often occurs during which part of the day?
A. Morning
B. Afternoon
C. Evening or nighttime
D. After eating
9. 9. Which stage of sleep is associated with dreaming?
A. N1
B. N2
C. N3
D. REM
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NCLEX-Style Practice Exam (40 Questions)

    1. A nurse is caring for a patient with dysphagia. Which intervention is most appropriate to reduce the risk of aspiration? A. Have the patient lie flat while eating B. Encourage drinking large amounts of water with meals C. Provide thin liquids only D. Sit the patient upright during meals
    1. Which type of nutrition is delivered through the gastrointestinal tract via a tube? A. Parenteral nutrition B. Enteral formula C. Clear liquid diet D. Full liquid diet
    1. What is the normal range for Body Mass Index (BMI) for an adult? A. 15-18. B. 18.5-24. C. 25-29. D. 30-
    1. What is the primary use of a nasogastric tube (NGT)? A. Provide IV medication B. Administer oxygen C. Deliver enteral feeding D. Measure urine output
    1. A patient is prescribed insulin for type 1 diabetes. What is the priority nursing action before administration? A. Shake the vial vigorously B. Monitor potassium level C. Check the patients glucose level D. Check blood pressure
    1. Which statement best defines a sensory deficit? A. Increased sensitivity to external stimuli B. Temporary loss of cognitive function C. Impairment in reception or perception of sensory input D. Involuntary motor movements
    1. Which route allows for systemic medication absorption through the skin? A. Intramuscular B. Transdermal C. Subcutaneous D. Intradermal
    1. Restless leg syndrome most often occurs during which part of the day? A. Morning B. Afternoon C. Evening or nighttime D. After eating
    1. Which stage of sleep is associated with dreaming? A. N B. N C. N D. REM
    1. What is the best example of rest? A. Jogging in the morning B. Napping during class C. Reading a book quietly D. Running errands
    1. Which condition is characterized by excessive daytime sleepiness? A. Insomnia B. Narcolepsy C. Sleep apnea D. Hypersomnia
    1. What is a key symptom of narcolepsy? A. Difficulty falling asleep B. Vivid nightmares C. Sudden loss of muscle tone (cataplexy) D. Restless leg movements
    1. Which mineral is essential for strong bones and muscle function? A. Iron B. Zinc C. Calcium D. Sodium
    1. What vitamin is important for immune function and iron absorption? A. Vitamin D B. Vitamin K C. Vitamin C D. Vitamin B
    1. Which diet is recommended to reduce cholesterol levels? A. Low carb diet B. High fat diet C. Low cholesterol diet D. Ketogenic diet
    1. What sleep disorder involves difficulty initiating or maintaining sleep? A. Hypersomnia B. Parasomnia C. Insomnia D. Narcolepsy
    1. What is the purpose of a time out procedure before surgery? A. To allow the surgeon to rest B. To verify the correct patient, procedure, and site C. To reduce infection risk D. To confirm billing information
    1. What is the goal of aseptic technique? A. Prevent falls B. Reduce allergens C. Prevent infection D. Improve digestion
    1. What injection route delivers medication deep into the muscle? A. Intradermal B. Subcutaneous C. Transdermal

C. Oil-soluble D. Lipid-soluble

    1. Which diet includes items such as clear broths and gelatin? A. Full liquid diet B. Pureed diet C. Clear liquid diet D. Regular diet
    1. Which diet consists of smooth-textured foods like pudding and custards? A. Clear liquid B. Full liquid C. Pureed D. Mechanical soft
    1. Which equipment is used to encourage deep breathing post-operatively? A. CPAP B. Inhaler C. Pulse oximeter D. Incentive spirometer
    1. What is a normal oxygen saturation level for a healthy adult? A. 85%-89% B. 90%-92% C. 93%-95% D. 95%-100%
    1. Which condition is characterized by difficulty breathing? A. Bradycardia B. Dyspnea C. Tachypnea D. Apnea
    1. What is a hallmark symptom of COPD? A. Sudden chest pain B. Dry cough C. Chronic productive cough D. Night sweats
    1. What should a nurse verify as part of the 5 rights of medication administration? A. Right lab result B. Right diagnosis C. Right patient D. Right insurance
    1. Which of the following is an appropriate eye drop administration technique? A. Place drop on the cornea B. Instill into outer canthus C. Instill into the conjunctival sac D. Apply directly onto eyelid
    1. Otic drops should be administered to an adult by pulling the ear: A. Up and back B. Down and forward C. Outward D. Down and back
    1. Which is an example of a food-drug interaction? A. Vitamin C with calcium

B. Grapefruit juice with statins C. Milk with antacids D. Orange juice with acetaminophen

    1. What is a common principle in Eastern medicine? A. Prescription medication B. Acupuncture and balance C. Surgery as first option D. Radiation therapy