NCLEX-RN & NCLEX-PN BrainTrainer QBank -

NCLEX-RN & NCLEX-PN

NCLEX BrainTrainer QBank

The NCLEX BrainTrainer QBank assists NCLEX Test to develop their clinical judgment by learning the simplified nursing concepts developed by Direct Access Learning NCLEX Experts George Montaus MSN/Ed, RN, and Walter Donato BSN, RN, with emphasis on the three pillars to a successful passing of the NCLEX-RN and NCLEX-PN:

Pattern Recognition
Prioritization Logic
Cognitive Stamina

The Result: You stop guessing and start thinking like a nurse who can safely manage a full patient load.

1 / 15

Category: Pediatrics

A child with nephrotic syndrome is receiving corticosteroid therapy. The nurse should teach the parents to observe for which common side effect of this treatment?

Weight loss.

Decreased susceptibility to infection.

Increased appetite.

Hypoglycemia.

2 / 15

Category: Pediatrics

A school-aged child with Type 1 Diabetes Mellitus is sick with a viral infection. The nurse should instruct the parents to:

Decrease fluid intake to prevent nausea.

Discontinue insulin until the child feels better.

Monitor blood glucose levels more frequently.

Switch to a high-fiber, low-sugar diet.

3 / 15

Category: Pediatrics

A child diagnosed with acute glomerulonephritis (AGN) is admitted to the hospital. Which of the following nursing interventions is the priority?

Monitoring blood pressure closely.

Encouraging increased fluid intake.

Providing a high-protein diet.

Administering broad-spectrum antibiotics.

4 / 15

Category: Emergency Nursing

A nurse is receiving report on four post-operative patients. Which patient should the nurse assess first?

A patient 2 days post-appendectomy, ambulating with mild incisional pain.

A patient 4 hours post-thyroidectomy, reporting increasing neck swelling and difficulty breathing.

A patient 1 day post-abdominal surgery, with absent bowel sounds and passing flatus.

A patient 6 hours post-knee arthroscopy, reporting pain 6/10, stable vital signs.

5 / 15

Category: Floating

A nurse is floated to a unit that uses an electronic health record (EHR) system unfamiliar to them. What is the most appropriate action?

Refuse to document until familiar with the system.

Ask another nurse to document for them.

Document only on paper until the end of the shift.

Request a brief orientation to the EHR system's essential functions for documentation from the charge nurse or a designated preceptor.

6 / 15

Category: Floating

When floating to an unfamiliar unit, what is the nurse's primary responsibility regarding patient safety?

To document all care provided accurately and thoroughly.

To familiarize themselves with the location of emergency equipment.

To ensure all patients receive their medications on time.

To identify and communicate any patient care tasks that fall outside their scope of practice or competency.

7 / 15

Category: Nursing Skills

What is the primary purpose of accurate and timely nursing documentation?

To ensure continuity of care and communication among healthcare providers.

To protect the nurse from legal action.

To justify hospital billing.

To fulfill administrative requirements only.

8 / 15

Category: Maternity

A nurse is providing discharge teaching to a client who had a cesarean section. Which statement indicates a need for further teaching?

'I can resume sexual activity as soon as I feel ready.'

'I will check my incision for redness or discharge daily.'

'I should report a fever or severe pain to my doctor.'

'I should avoid lifting anything heavier than my baby for a few weeks.'

9 / 15

Category: Delegation

An RN delegates a task to a Licensed Practical Nurse (LPN). Who retains the ultimate accountability for the patient's outcome?

The LPN performing the task.

The hospital administration.

The delegating Registered Nurse (RN).

The nursing assistant who might assist the LPN.

10 / 15

Category: Maternity

A postpartum client reports feeling sad and overwhelmed, crying frequently, and having difficulty sleeping. These symptoms started 3 days after delivery. What condition does the nurse suspect?

Postpartum psychosis.

Postpartum depression.

Postpartum blues.

Anxiety disorder.

11 / 15

Category: Medical-Surgical - Respiratory Disorders

What is a critical nursing intervention for a patient post-thoracentesis?

Encouraging strenuous activity

Monitoring for signs of pneumothorax

Applying warm compresses to the insertion site

Administering a large bolus of intravenous fluids

12 / 15

Category: Floating

A nurse is floated from a medical-surgical unit to the emergency department. Which action is most appropriate for the nurse to take first upon arrival?

Start assisting with patient care as directed by the nearest staff member.

Review the unit's policies and procedures for common ED emergencies.

Ask the charge nurse for an orientation to the unit and an overview of typical patient acuity.

Request a full patient assignment immediately.

13 / 15

Category: Medical-Surgical - Endocrine Disorders

Following a transsphenoidal hypophysectomy for Cushing's syndrome, a nurse observes clear fluid draining from the patient's nose. What is the nurse's priority action?

Document the finding and continue monitoring.

Test the fluid for glucose.

Elevate the head of the bed.

Apply a nasal packing.

14 / 15

Category: Mental Health

A client is admitted to the psychiatric unit after attempting suicide. The nurse's primary goal during the initial phase of hospitalization should be:

To establish a therapeutic relationship with the client.

To ensure the client's immediate safety.

To help the client identify triggers for their suicidal thoughts.

To educate the client about coping mechanisms.

15 / 15

Category: Delegation

Which task can typically be delegated by an RN to an Unlicensed Assistive Personnel (UAP)?

Administering oral medications.

Performing an initial patient assessment.

Assisting a stable patient with ambulation.

Developing a patient care plan.

Your score is

The average score is 54%

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NCLEX-RN & NCLEX-PN BrainTrainer QBank NCLEX-RN & NCLEX-PN BrainTrainer QBank

NCLEX-RN & NCLEX-PN BrainTrainer QBank