NCLEX-RN — Practice Questions, Part 4 flashcards
6 of 75 questions free to study here · 24 topics · the whole deck is built into Willys
Multiple-choice practice questions, one best answer each, on medication safety, prioritization, delegation, infection control, falls, and skin, burn, eye and ear care.
Practice deck · part of NCLEX-RN · written against: NCSBN 2026 NCLEX-RN Test Plan, in effect from 1 April 2026 (Next Generation NCLEX; client-needs categories and percentages unchanged from 2023, fact-checked 2026-10-11). Updated 2026-10-10.
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The 6 sample questions as a list
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The client with hypertension is due for a morning dose of metoprolol. The apical pulse is below the parameter in the order, and the client denies symptoms. What should the nurse do?
A) Give the dose with food to soften its effect
B) Give the dose and recount the pulse in an hour
C) Have the client walk, then recount the pulse
D) Hold the dose and notify the providerD) Hold the dose and notify the providerCardiovascular
Beta blockers slow the heart further, so a rate below the ordered parameter means the dose is held and reported. Giving it and rechecking later lets the drug act before the problem is addressed. -
The client taking phenelzine, an MAOI, chooses meals from the hospital menu. Which choice shows that more teaching is needed?
A) Aged cheddar and salami on crackers
B) Fresh roast chicken with rice
C) Baked fresh fish with steamed vegetables
D) Scrambled eggs with toastA) Aged cheddar and salami on crackersPsychiatric
Aged cheeses and cured meats are rich in tyramine, which MAOIs prevent the body from breaking down. The norepinephrine surge can cause a hypertensive crisis with a severe headache. -
The client is admitted with pneumonia, and IV piperacillin-tazobactam is ordered. What should the nurse ask before giving the first dose?
A) Whether the client has eaten in the last hour
B) Whether the client drinks grapefruit juice daily
C) Whether the client has had a reaction to penicillin
D) Whether the client has had a recent tetanus boosterC) Whether the client has had a reaction to penicillinAnti-infectives
Piperacillin is a penicillin, and anaphylaxis is the feared reaction, so allergy history is confirmed before the first dose. The other questions do not affect its safety. -
The nurse is leaving the room of a client with Clostridioides difficile infection. Which hand hygiene is correct?
A) Use alcohol-based hand rub after removing gloves
B) Wipe hands with an antiseptic towelette in the hallway
C) Wash with soap and water after removing gloves
D) Use alcohol-based hand rub over the gloves before removalC) Wash with soap and water after removing glovesInfection Control
Alcohol does not kill C. difficile spores; the friction of soap-and-water washing removes them. The room is also cleaned with a sporicidal disinfectant. -
The client rescued from a house fire has facial burns, singed nasal hair, soot in the mouth, and a hoarse voice. What is the nurse's priority?
A) Giving pain medication
B) Maintaining the airway
C) Cleaning the facial burns
D) Starting fluid resuscitationB) Maintaining the airwayBurns
These are signs of inhalation injury, and airway swelling can progress quickly to obstruction. Oxygen, close watch for stridor, and readiness for early intubation come before fluids and wound care. -
The older client has age-related hearing loss. Which approach should the nurse use when giving instructions?
A) Stand at the bedside and speak loudly in a higher pitch
B) Face the client in good light and use a lower pitch
C) Speak from behind the client so their focus stays forward
D) Repeat the same words louder each time they are missedB) Face the client in good light and use a lower pitchSensory Safety
Age-related loss affects high frequencies most, so a lower pitch is easier to hear, and facing the client allows lip-reading. Rephrasing works better than repeating louder.
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About these cards
Review status: Second-reader reviewed, with corrections applied.
Checked against:
- Checked against Open RN Nursing Pharmacology, 2e, Open RN Nursing Management and Professional Concepts and Open RN Nursing Fundamentals (Chippewa Valley Technical College, CC BY 4.0); reference only, no text copied.
- OpenStax Pharmacology for Nurses and OpenStax Medical-Surgical Nursing, consulted as references; no text copied.
- Drug-specific adverse effects and antidotes cross-checked against FDA prescribing information on DailyMed; isolation categories against the CDC Guideline for Isolation Precautions (public domain); delegation principles against the NCSBN and ANA National Guidelines for Nursing Delegation; topic outline from the NCSBN 2026 NCLEX-RN Test Plan (in effect from 1 April 2026); reference only.
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