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Free NCLEX (National Council Licensure Examination) Exam Questions and Answers
Last updated: April 28, 2025
Examtopics NCLEX (National Council Licensure Examination) Prepaway Real Exam Questions and dumps free download
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NCLEX (National Council
Licensure Examination)
#Question
A nurse is assessing a patient for signs of dehydration. Which finding is the most concerning?
A.
Low blood pressure
B.
Increased thirst
C.
Elevated heart rate
D.
Dry mouth
Correct Answer:
A
Low blood pressure is a significant indicator of dehydration and may suggest more severe volume depletion.
#Question
A nurse is preparing to discharge a patient after a myocardial infarction. What is the priority discharge instruction?
A.
You can stop taking your medications when you feel fine.
B.
Avoid all forms of exercise for six months.
C.
It's okay to resume all activities immediately.
D.
You should notify your doctor if you experience chest pain.
Correct Answer:
D
Patients should be instructed to notify their healthcare provider if they experience chest pain, as this could indicate a recurrence or complications.
#Question
A patient with a urinary tract infection is prescribed trimethoprim-sulfamethoxazole. What should the nurse instruct the patient to do?
A.
All of the above
B.
Take the medication with food
C.
Avoid sunlight exposure
D.
Increase fluid intake
Correct Answer:
A
Patients should take trimethoprim-sulfamethoxazole with food to reduce gastrointestinal upset, increase fluid intake to help flush the urinary system, and avoid sunlight exposure due to the risk of photosensitivity.
#Question
A nurse is caring for a patient with chronic pain who is prescribed opioids. What is the priority nursing action?
A.
Encourage non-pharmacological pain relief methods
B.
Assess the patient's pain level
C.
Educate the patient about side effects
D.
Monitor respiratory rate
Correct Answer:
D
Monitoring respiratory rate is crucial with opioid use to prevent respiratory depression.
#Question
A nurse is assessing a patient with a history of asthma. What finding indicates a potential exacerbation of the condition?
A.
Normal oxygen saturation
B.
Clear lung sounds
C.
Use of accessory muscles for breathing
D.
Decreased respiratory rate
Correct Answer:
C
The use of accessory muscles for breathing indicates increased respiratory effort and potential exacerbation of asthma.
#Question
A patient is experiencing severe anxiety before a procedure. What is the best nursing intervention?
A.
Tell the patient to calm down
B.
Provide information about the procedure
C.
Encourage the patient to breathe deeply
D.
Offer medication to sedate the patient
Correct Answer:
B
Providing information about the procedure can help alleviate anxiety by addressing the patient's concerns and promoting understanding.
#Question
A nurse is teaching a patient with diabetes about the importance of foot care. Which statement by the patient indicates understanding?
A.
I should check my feet daily for any injuries.
B.
I can wear tight shoes as long as they look nice.
C.
It's okay to soak my feet regularly.
D.
I can ignore any calluses that develop.
Correct Answer:
A
Patients with diabetes should check their feet daily for injuries to prevent complications such as ulcers or infections.
NCLEX (National Council Licensure Examination)
#Question
A nurse is assessing a patient for signs of dehydration. Which finding is the most concerning?
A.
Low blood pressure
B.
Increased thirst
C.
Elevated heart rate
D.
Dry mouth
Correct Answer:
A
Low blood pressure is a significant indicator of dehydration and may suggest more severe volume depletion.
#Question
A nurse is preparing to discharge a patient after a myocardial infarction. What is the priority discharge instruction?
A.
You can stop taking your medications when you feel fine.
B.
Avoid all forms of exercise for six months.
C.
It's okay to resume all activities immediately.
D.
You should notify your doctor if you experience chest pain.
Correct Answer:
D
Patients should be instructed to notify their healthcare provider if they experience chest pain, as this could indicate a recurrence or complications.
#Question
A patient with a urinary tract infection is prescribed trimethoprim-sulfamethoxazole. What should the nurse instruct the patient to do?
A.
All of the above
B.
Take the medication with food
C.
Avoid sunlight exposure
D.
Increase fluid intake
Correct Answer:
A
Patients should take trimethoprim-sulfamethoxazole with food to reduce gastrointestinal upset, increase fluid intake to help flush the urinary system, and avoid sunlight exposure due to the risk of photosensitivity.
#Question
A nurse is caring for a patient with chronic pain who is prescribed opioids. What is the priority nursing action?
A.
Encourage non-pharmacological pain relief methods
B.
Assess the patient's pain level
C.
Educate the patient about side effects
D.
Monitor respiratory rate
Correct Answer:
D
Monitoring respiratory rate is crucial with opioid use to prevent respiratory depression.
#Question
A nurse is assessing a patient with a history of asthma. What finding indicates a potential exacerbation of the condition?
A.
Normal oxygen saturation
B.
Clear lung sounds
C.
Use of accessory muscles for breathing
D.
Decreased respiratory rate
Correct Answer:
C
The use of accessory muscles for breathing indicates increased respiratory effort and potential exacerbation of asthma.
#Question
A patient is experiencing severe anxiety before a procedure. What is the best nursing intervention?
A.
Tell the patient to calm down
B.
Provide information about the procedure
C.
Encourage the patient to breathe deeply
D.
Offer medication to sedate the patient
Correct Answer:
B
Providing information about the procedure can help alleviate anxiety by addressing the patient's concerns and promoting understanding.
#Question
A nurse is teaching a patient with diabetes about the importance of foot care. Which statement by the patient indicates understanding?
A.
I should check my feet daily for any injuries.
B.
I can wear tight shoes as long as they look nice.
C.
It's okay to soak my feet regularly.
D.
I can ignore any calluses that develop.
Correct Answer:
A
Patients with diabetes should check their feet daily for injuries to prevent complications such as ulcers or infections.
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FAQ
Learn More:
Q1: What are Medical and Health Licensing Exams?
A: Medical and Health Licensing Exams are standardized tests that evaluate the knowledge, skills, and competencies of healthcare professionals. These exams are required for licensure or certification to practice in various medical and allied health fields.
Q2: Why should I take a Medical or Health Licensing Exam?
A: Passing a licensing exam is mandatory for practicing medicine, nursing, pharmacy, or other healthcare professions legally. It also ensures that you meet the necessary professional standards to provide safe and effective care.
Q3: What are the benefits of Medical and Health Licensing Exams?
A: Benefits include:
- Legal eligibility to practice in your field.
- Recognition of your professional skills and knowledge.
- Qualification to work in your desired healthcare role or region.
- Opportunities for career advancement and specialization.
Q4: Who should take Medical and Health Licensing Exams?
A: Aspiring healthcare professionals, including doctors, nurses, pharmacists, therapists, and allied health workers, need to take these exams to obtain licensure or certification to practice in their respective fields.
Q5: What types of Medical and Health Licensing Exams are available?
A: Common examples include:
- Physicians: USMLE (United States Medical Licensing Examination), PLAB (UK), AMC (Australia), MCCQE (Canada).
- Nurses: NCLEX-RN/NCLEX-PN (USA), OET (Occupational English Test), NMC CBT (UK).
- Pharmacists: FPGEE (Foreign Pharmacy Graduate Equivalency Examination), NAPLEX (USA).
- Allied Health Professionals: NPTE (Physical Therapists), NBCOT (Occupational Therapists), ARRT (Radiologic Technologists).
Q6: How do I prepare for Medical and Health Licensing Exams?
A: Preparation can include:
- Official study materials and practice tests from the exam provider.
- Online prep courses or tutorials.
- Comprehensive review of medical textbooks and clinical guidelines.
- Participation in mock exams or study groups.
Q7: Where can I take Medical and Health Licensing Exams?
A: Licensing exams are typically administered at authorized testing centers or online. Some exams, like USMLE, are offered globally at Prometric centers, while others are region-specific.
Q8: How do these exams impact my career?
A: These exams are critical for obtaining a license to practice, opening doors to job opportunities, and enabling specialization in your field. They are often a prerequisite for working in specific regions or healthcare settings.
Q9: Are there any prerequisites for Medical and Health Licensing Exams?
A: Prerequisites vary by profession and region. Generally, you need:
- Completion of relevant educational programs (e.g., medical school, nursing school).
- Required clinical training or internships.
- Documentation of academic and professional credentials.
Q10: How often can I retake Medical and Health Licensing Exams?
A: Retake policies vary by exam and governing body. Most exams allow multiple retakes with specific time intervals or limits on the number of attempts. For example, USMLE Step exams have a maximum of six attempts.
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