NCLEX Practice Exam for Foundation of Nursing

Practice Mode

Welcome to your NCLEX Practice Exam for Foundation of Nursing! This exam is carefully curated to help you consolidate your knowledge and gain deeper understanding on the topic.

 

Exam Details

  • Number of Questions: 25 items
  • Mode: Practice Mode

Exam Instructions

  1. Practice Mode: This mode aims to facilitate effective learning and review.
  2. Instant Feedback: After each question, the correct answer along with an explanation will be revealed. This is to help you understand the reasoning behind the correct answer, helping to reinforce your learning.
  3. Time Limit: There is no time limit for this exam. Take your time to understand each question and the corresponding choices.

Remember, this exam is not just a test of your knowledge, but also an opportunity to enhance your understanding and skills. Enjoy the learning journey!

 

Click 'Start Exam' when you're ready to begin. Best of luck!

💡 Hint

Think about the effect of this technique on blood flow, especially when working in the direction of the heart.

1 / 25

1. Nurse Claire is bathing Mr. Peters, paying close attention to proper technique while washing his extremities. She uses long, firm strokes moving from the distal to the proximal areas. This approach is primarily meant to:

💡 Hint

Think about an amino acid found in common foods that is often associated with calming and sleep-inducing effects.

2 / 25

2. Nurse Jessica is advising her patient on natural ways to improve sleep. She explains that certain foods, like milk and meat, contain a natural sedative that can promote sleep. What is this substance?

💡 Hint

Restraints are used to ensure physical safety, but not to manage or prevent mental confusion.

3 / 25

3. Nurse Kelly is reviewing the appropriate use of restraints with her team. She explains that restraints can be used for several safety reasons, but not for which of the following purposes?

💡 Hint

Consider which organization is primarily responsible for setting national guidelines and protocols related to infection control and public health.

4 / 25

4. Nurse Alex is caring for a patient with an infectious disease that requires isolation. To ensure proper infection control measures are followed, Nurse Alex should refer to guidelines published by:

💡 Hint

When mixing insulins, always draw up the clear (regular) insulin before the cloudy (NPH) to avoid contamination of the short-acting insulin.

5 / 25

5. Nurse Sandra is preparing to administer both regular and NPH insulin to her diabetic patient. She knows that combining the insulins correctly in one syringe is crucial for accurate dosing and to prevent contamination. How should she prepare the injection?

💡 Hint

Building trust through collaboration and communication is key when transitioning into a leadership role.

6 / 25

6. Nurse Leah has recently been promoted to assistant nurse manager and now faces the challenge of supervising her former peers. To ease the initial discomfort and foster a positive work environment, what would be the best approach?

💡 Hint

The most helpful strategy is one that allows the nurse to develop a deeper personal connection and understanding of death, which can then be applied in patient care.

7 / 25

7. Nurse Olivia wants to provide better support to terminally ill patients as they move through the stages of dying. She considers which approach would be most beneficial in helping her connect with and assist these patients effectively.

💡 Hint

Use the formula: (Volume × Drop Factor) ÷ Time = Flow Rate. Consider the effect of the drop factor on the result.

8 / 25

8. Nurse Claire is preparing to administer 1 gram of cefazolin sodium (Ancef) in 150 mL of normal saline over 60 minutes for her patient. The IV tubing has a drop factor of 10 drops per milliliter. She needs to determine the correct flow rate to ensure proper medication administration. What flow rate should she use?

💡 Hint

Remember, you need to calculate the volume based on the concentration of 100 units per 1 mL. Divide the number of units needed by the concentration.

9 / 25

9. Nurse Elena is preparing to administer 50 units of Humulin regular insulin to her patient. The vial label indicates that the concentration is 100 units per 1 mL. How many milliliters should Nurse Elena draw up to ensure the correct dosage?

💡 Hint

The most critical step is ensuring that the correct dose of medication is prepared before proceeding with the injection process.

10 / 25

10. Nurse Angela is teaching a patient how to prepare a syringe with 40 units of U-100 NPH insulin for self-injection. The patient's first priority in this situation is to:

💡 Hint

Isolation precautions are primarily based on how the infectious agent spreads from person to person.

11 / 25

11. Nurse Jamie is preparing to institute isolation precautions for a patient with an infectious disease. What is the first piece of information Nurse Jamie needs to ensure the appropriate precautions are taken?

💡 Hint

The first stage involves a refusal to believe the reality of the situation, followed by emotional responses, attempts to negotiate, and ultimately acceptance.

12 / 25

12. Nurse Emma is reviewing Kübler-Ross's model of the stages of death and dying to better support her terminally ill patients. According to this model, the five stages occur in which order?

💡 Hint

The anger stage often involves active, outward emotions rather than a detached or apathetic response.

13 / 25

13. Nurse Lisa is supporting a terminally ill patient going through the anger stage of grief. During this stage, the patient may experience a range of emotions. Which feeling is NOT typically associated with this stage?

💡 Hint

Consider why precise monitoring of urine output might be crucial in certain medical situations, particularly in assessing kidney function or fluid balance.

14 / 25

14. Nurse James is caring for a patient who has a #16 Foley catheter inserted. The main purpose of the catheter is to help determine specific urinary concerns. What is the most likely reason for this catheterization?

💡 Hint

Think about how the body's natural rhythms are affected by stimulants and calming actions before sleep.

15 / 25

15. Nurse Emily is planning interventions to help her patient relax and sleep more restfully. Which of the following actions would NOT promote restful sleep?

💡 Hint

Consider which symptom signals that vital brain function has ceased or is very close to ceasing.

16 / 25

16. Nurse Michelle is caring for a terminally ill patient and monitoring for signs of imminent death. Which of the following symptoms is the clearest indicator that death is near?

💡 Hint

Consider which condition is characterized by inflammation of the vein, often resulting in warmth, redness, and tenderness at the I.V. site.

17 / 25

17. Nurse Karen is assessing a patient’s I.V. site after the patient reports tenderness, burning, and swelling. Upon examination, she finds the site warm and erythematous after 72 hours of having the I.V. in place. These findings typically indicate:

💡 Hint

Think about how the combination of pressure and steam in an autoclave ensures thorough sterilization.

18 / 25

18. Nurse Jessica is preparing hospital supplies for sterilization and chooses to use an autoclave. She knows that the main reason for using an autoclave is:

💡 Hint

Think about the sleep stage associated with rapid brain activity and eye movement, which is when most dreams occur.

19 / 25

19. Nurse Tanya is educating a group of patients about the stages of sleep. When discussing vivid dreaming, she explains that it typically occurs during which stage of sleep?

💡 Hint

The safest way to remove gloves minimizes direct contact with contaminated surfaces while keeping the outer part of the gloves contained.

20 / 25

20. Nurse Maria is removing her contaminated gloves after patient care and wants to minimize the risk of transferring pathogens. What is the best technique for removing the gloves safely?

💡 Hint

Think about measures that directly address hydration, skin care, and comfort while preventing further irritation.

21 / 25

21. Nurse Samantha is caring for Mr. Reyes, a patient experiencing significant skin dryness. She knows that addressing this issue promptly is important for his comfort and overall skin health. What is the most appropriate nursing intervention to help improve his condition?

💡 Hint

The key consideration is maintaining the sterility of the sample to ensure accurate culture and sensitivity results.

22 / 25

22. Nurse Sarah is preparing to collect a sputum specimen from a patient for culture and sensitivity testing. What is the correct procedure for collecting the specimen?

💡 Hint

Before taking further steps, consider assessing whether the medication was absorbed or expelled through vomiting.

23 / 25

23. Nurse Lucy administers 30 mg of codeine by mouth to her patient for pain relief. Shortly after, the patient vomits. Nurse Lucy needs to decide the best immediate action to ensure the patient's comfort and safety. What should she do first?

💡 Hint

Think about all the key steps that ensure both safety and legal compliance when using restraints on a patient.

24 / 25

24. Nurse Jamie is preparing to apply restraints to a patient and knows there are specific legal responsibilities she must follow. Which of the following is her legal obligation?

💡 Hint

The goal is to mix the medication thoroughly while avoiding agitation that could cause foaming or disrupt the solution's consistency.

25 / 25

25. Nurse Tanya is preparing to dilute a powdered medication in a vial. To ensure the medication is mixed evenly without causing bubbles or froth, the nurse should:

Exam Mode

Welcome to your NCLEX Practice Exam for Foundation of Nursing! This exam is carefully designed to provide you with a realistic test-taking experience, preparing you for the pressures of an actual nursing exam.

 

Exam Details

  • Number of Questions: 25 items
  • Mode: Exam Mode

Exam Instructions

  1. Exam Mode: This mode is intended to simulate the environment of an actual exam. Questions and choices will be presented one at a time.
  2. Time Limit: Each question must be answered within 90 seconds. The entire exam should be completed within 37 minutes and 30 seconds.
  3. Feedback and Grading: Upon completion of the exam, you will be able to see your grade and the correct answers to all questions. This will allow you to evaluate your performance and understand areas for improvement.

This exam is not only a measurement of your current understanding, but also a valuable learning tool to prepare you for your future nursing career.

 

Click 'Start Exam' when you're ready to begin. Good luck!

1 / 25

1. Nurse Lucy administers 30 mg of codeine by mouth to her patient for pain relief. Shortly after, the patient vomits. Nurse Lucy needs to decide the best immediate action to ensure the patient's comfort and safety. What should she do first?

2 / 25

2. Nurse Karen is assessing a patient’s I.V. site after the patient reports tenderness, burning, and swelling. Upon examination, she finds the site warm and erythematous after 72 hours of having the I.V. in place. These findings typically indicate:

3 / 25

3. Nurse Elena is preparing to administer 50 units of Humulin regular insulin to her patient. The vial label indicates that the concentration is 100 units per 1 mL. How many milliliters should Nurse Elena draw up to ensure the correct dosage?

4 / 25

4. Nurse Jessica is preparing hospital supplies for sterilization and chooses to use an autoclave. She knows that the main reason for using an autoclave is:

5 / 25

5. Nurse Leah has recently been promoted to assistant nurse manager and now faces the challenge of supervising her former peers. To ease the initial discomfort and foster a positive work environment, what would be the best approach?

6 / 25

6. Nurse James is caring for a patient who has a #16 Foley catheter inserted. The main purpose of the catheter is to help determine specific urinary concerns. What is the most likely reason for this catheterization?

7 / 25

7. Nurse Kelly is reviewing the appropriate use of restraints with her team. She explains that restraints can be used for several safety reasons, but not for which of the following purposes?

8 / 25

8. Nurse Claire is preparing to administer 1 gram of cefazolin sodium (Ancef) in 150 mL of normal saline over 60 minutes for her patient. The IV tubing has a drop factor of 10 drops per milliliter. She needs to determine the correct flow rate to ensure proper medication administration. What flow rate should she use?

9 / 25

9. Nurse Lisa is supporting a terminally ill patient going through the anger stage of grief. During this stage, the patient may experience a range of emotions. Which feeling is NOT typically associated with this stage?

10 / 25

10. Nurse Alex is caring for a patient with an infectious disease that requires isolation. To ensure proper infection control measures are followed, Nurse Alex should refer to guidelines published by:

11 / 25

11. Nurse Angela is teaching a patient how to prepare a syringe with 40 units of U-100 NPH insulin for self-injection. The patient's first priority in this situation is to:

12 / 25

12. Nurse Jessica is advising her patient on natural ways to improve sleep. She explains that certain foods, like milk and meat, contain a natural sedative that can promote sleep. What is this substance?

13 / 25

13. Nurse Michelle is caring for a terminally ill patient and monitoring for signs of imminent death. Which of the following symptoms is the clearest indicator that death is near?

14 / 25

14. Nurse Samantha is caring for Mr. Reyes, a patient experiencing significant skin dryness. She knows that addressing this issue promptly is important for his comfort and overall skin health. What is the most appropriate nursing intervention to help improve his condition?

15 / 25

15. Nurse Tanya is preparing to dilute a powdered medication in a vial. To ensure the medication is mixed evenly without causing bubbles or froth, the nurse should:

16 / 25

16. Nurse Jamie is preparing to institute isolation precautions for a patient with an infectious disease. What is the first piece of information Nurse Jamie needs to ensure the appropriate precautions are taken?

17 / 25

17. Nurse Olivia wants to provide better support to terminally ill patients as they move through the stages of dying. She considers which approach would be most beneficial in helping her connect with and assist these patients effectively.

18 / 25

18. Nurse Sarah is preparing to collect a sputum specimen from a patient for culture and sensitivity testing. What is the correct procedure for collecting the specimen?

19 / 25

19. Nurse Tanya is educating a group of patients about the stages of sleep. When discussing vivid dreaming, she explains that it typically occurs during which stage of sleep?

20 / 25

20. Nurse Jamie is preparing to apply restraints to a patient and knows there are specific legal responsibilities she must follow. Which of the following is her legal obligation?

21 / 25

21. Nurse Emma is reviewing Kübler-Ross's model of the stages of death and dying to better support her terminally ill patients. According to this model, the five stages occur in which order?

22 / 25

22. Nurse Claire is bathing Mr. Peters, paying close attention to proper technique while washing his extremities. She uses long, firm strokes moving from the distal to the proximal areas. This approach is primarily meant to:

23 / 25

23. Nurse Sandra is preparing to administer both regular and NPH insulin to her diabetic patient. She knows that combining the insulins correctly in one syringe is crucial for accurate dosing and to prevent contamination. How should she prepare the injection?

24 / 25

24. Nurse Emily is planning interventions to help her patient relax and sleep more restfully. Which of the following actions would NOT promote restful sleep?

25 / 25

25. Nurse Maria is removing her contaminated gloves after patient care and wants to minimize the risk of transferring pathogens. What is the best technique for removing the gloves safely?