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    Fundamentals NCLEX-RN Practice Exam — Set 1

    15 NCLEX-style questions covering core nursing fundamentals. Rationales appear after you submit.

    15 questions · Free · Rationales after submit

    Question 1

    Postoperative Care

    A client just returned from PACU after open cholecystectomy with NG tube to low intermittent suction. Which finding requires immediate intervention?

    Question 2

    Ostomy Care

    A client with a new colostomy is being discharged. Which statement indicates a need for further teaching?

    Question 3

    Sterile Technique

    Which action demonstrates correct sterile technique during female indwelling catheter insertion?

    Question 4

    Assignment & Delegation

    Which client should be assigned to the most experienced RN on a med-surg unit?

    Question 5

    IV Therapy

    Which finding indicates phlebitis rather than infiltration?

    Question 6

    Safety / Seizures

    A client begins a generalized tonic-clonic seizure. Which action should the nurse take first?

    Question 7

    Fluid/Electrolytes

    A heart-failure client is on a fluid restriction. Which statement indicates understanding?

    Question 8

    Pain Management

    Postop client reports severe pain. Vitals: BP 180/95, HR 110, RR 24. Which action should the nurse take first?

    Question 9

    Cultural / End-of-Life

    Postmortem care for a client who practiced Orthodox Judaism. Which action demonstrates culturally competent care?

    Question 10

    Pharmacology / Vital Signs

    0900 dose of metoprolol is due. BP 98/62, HR 52. Which action should the nurse take?

    Question 11

    Aspiration / Swallowing

    A client reports difficulty swallowing. Which finding requires immediate intervention?

    Question 12

    Blood Transfusion

    Which IV solution should be used to prime blood transfusion tubing?

    Question 13

    Chest Tubes

    Continuous bubbling is noted in the water seal chamber of a closed chest drainage system. Which action should the nurse take?

    Question 14

    Respiratory / COPD

    Which statement indicates correct understanding of pursed-lip breathing in COPD?

    Question 15

    Pharmacology

    Which finding indicates a paradoxical reaction to a sedative given 30 minutes ago?