Challenge yourself with NCLEX RN Practice Exam 7, a free quiz created to help nursing students and nurses strengthen their knowledge and prepare for the NCLEX-RN exam. This practice test includes NCLEX style nursing questions that allow you to review important concepts while practicing how to analyze and apply nursing knowledge.
Take each question carefully and select the best answer. Once you complete the quiz, use the answer explanations and rationales to review the concepts behind each question. Regular practice can help you recognize areas that need more study and become more confident when approaching NCLEX RN exam questions.
Looking for more NCLEX RN practice test questions? Keep practicing to strengthen your nursing knowledge and improve your test-taking skills. Visit our Free NCLEX-RN Practice Questions Test Bank to find more NCLEX RN practice tests, Free Nursing Questions, Nursing practice questions, Free NCLEX Questions and exam review resources. Regular practice can help you review key nursing concepts and feel more prepared for the NCLEX RN exam.
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Quiz Guidelines
NCLEX-RN Practice Exam 7: Test your nursing knowledge with these NCLEX-RN test questions covering important concepts commonly assessed on the NCLEX-RN. This free practice exam includes NCLEX-RN practice questions designed to help nursing students review key concepts, strengthen test-taking skills, and prepare for the NCLEX-RN.
- Practice and Prepare: Use this NCLEX-RN practice exam to review essential nursing concepts, reinforce your knowledge, and identify areas that need additional study.
- Challenge Yourself: Test your knowledge under timed conditions. You have 2 minutes per question. Click “Start Quiz” to begin.
- Complete the Quiz: Answer all questions to receive your score and review the answer rationales.
- Review Rationales: After completing the quiz, click “View Questions” to review the correct answers and understand why each option is correct or incorrect.
- Free Nursing Practice: Practice with these NCLEX-RN test questions and nursing practice questions for free. No registration or credit card is required.
- Focus on Weak Areas: Review the questions you missed and use the rationales to strengthen your understanding of important nursing concepts and improve your exam preparation.
- Keep Practicing: Take additional NCLEX-RN practice questions and nursing practice quizzes to reinforce your knowledge and build confidence for the NCLEX-RN.
- Share Your Feedback: Share your quiz score, questions, or feedback in the comments to help other nursing students.
Good luck with your NCLEX-RN Practice Exam 7 and your exam preparation!
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Question 1 of 30
1. Question
The nurse employed in the emergency room is responsible for triage of four clients injured in a motor vehicle accident. Which of the following clients should receive priority in care?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: Triage prioritizes actual or potential airway and oxygenation threats before less immediately life-threatening injuries.
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Question 2 of 30
2. Question
Which of the following roommates would be most suitable for the client with myasthenia gravis?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: Roommate selection should promote rest and minimize unnecessary noise, traffic, coughing, and frequent interruptions for a fatigued client.
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Question 3 of 30
3. Question
The nurse is observing a graduate nurse as she assesses the central venous pressure. Which observation would indicate that the graduate needs further teaching?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: CVP measurement must be obtained under standardized conditions because changes in intrathoracic pressure can alter the measured venous pressure.
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Question 4 of 30
4. Question
The nurse is working with another nurse and a patient care assistant. Which of the following clients should be assigned to the registered nurse?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: Delegation should match client acuity and complexity with the RN’s assessment and clinical-judgment responsibilities.
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Question 5 of 30
5. Question
Which of the following roommates would be best for the client newly admitted with gastric resection?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: A postoperative client should be placed with a roommate who minimizes infection exposure and environmental disturbance.
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Question 6 of 30
6. Question
The nurse is preparing a client for mammography. To prepare the client for a mammogram, the nurse should tell the client:
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: Diagnostic imaging preparation is intended to prevent artifacts and improve interpretation of the study.
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Question 7 of 30
7. Question
Which action by the novice nurse indicates a need for further teaching?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: Standard precautions require appropriate barrier protection whenever the nurse may contact blood, body fluids, or contaminated material.
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Question 8 of 30
8. Question
The graduate nurse is assigned to care for the client on ventilator sup- port, pending organ donation. Which goal should receive priority?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: When organs are being preserved for donation, maintaining adequate circulation and perfusion is a central nursing goal.
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Question 9 of 30
9. Question
The nurse is assigned to care for an infant with physiologic jaundice. Which action by the nurse would facilitate elimination of the bilirubin?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: The source links hydration with bilirubin elimination; adequate intake also supports overall neonatal stability.
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Question 10 of 30
10. Question
A home health nurse is planning for her daily visits. Which client should the home health nurse visit first?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: In prioritization, a potential airway problem takes precedence over stable wounds, casts, or chronic conditions without immediate deterioration.
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Question 11 of 30
11. Question
The charge nurse overhears the patient care assistant speaking harshly to the client with dementia. The charge nurse should:
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: When inappropriate staff behavior is observed, the first step is to clarify and explore the interaction before deciding on broader corrective action.
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Question 12 of 30
12. Question
The nurse notes the patient care assistant looking through the personal items of the client with cancer. Which action should be taken by the reg- istered nurse?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: Observed boundary violations should be addressed through the nursing chain of command rather than ignored or escalated prematurely.
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Question 13 of 30
13. Question
Which client can best be assigned to the newly licensed nurse?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: Newly licensed nurses should receive stable clients whose care is within their demonstrated competence and does not require highly specialized monitoring.
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Question 14 of 30
14. Question
The nurse has an order for medication to be administered intrathecally. The nurse is aware that medications will be administered by which method?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: The medication route must be identified precisely because intrathecal administration places medication into cerebrospinal fluid and carries specialized risks.
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Question 15 of 30
15. Question
The client is admitted to the unit after a cholescystectomy. Montgomery straps are utilized with this client. The nurse is aware that Montgomery straps are utilized on this client because:
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: Montgomery straps are designed to facilitate repeated dressing changes while reducing repeated adhesive trauma to the skin.
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Question 16 of 30
16. Question
A client with pancreatitis has been transferred to the intensive care unit. Which order would the nurse anticipate?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: Pancreatitis can involve significant nausea and vomiting, so gastric decompression may be anticipated when indicated by the clinical condition.
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Question 17 of 30
17. Question
The nurse is caring for a client with a diagnosis of hepatitis who is expe- riencing pruritis. Which would be the most appropriate nursing interven- tion?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: Pruritic or dry skin is generally managed with measures that preserve moisture and avoid excessive heat, drying agents, and frequent bathing.
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Question 18 of 30
18. Question
The nurse recognizes that which of the following would be most appro- priate to wear when providing direct care to a client with a cough?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: Respiratory protection should match the expected exposure; among the listed single choices, the source identifies a mask for a coughing client.
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Question 19 of 30
19. Question
A client visits the clinic after the death of a parent. Which statement made by the client’s sister signifies abnormal grieving?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: Grief varies, but the source identifies an apparent absence of sadness as the abnormal response in this question.
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Question 20 of 30
20. Question
The nurse is obtaining a history on an 80-year-old client. Which state- ment made by the client might indicate a potential for fluid and elec- trolyte imbalance?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: Repeated laxative use can cause gastrointestinal fluid and electrolyte losses and therefore warrants attention in an older adult.
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Question 21 of 30
21. Question
A client is admitted to the acute care unit. Initial laboratory values reveal serum sodium of 170meq/L. What behavior changes would be most common for this client?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: The source associates marked hypernatremia with manic behavior and recognizes severe sodium abnormalities as capable of producing neurologic and behavioral changes.
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Question 22 of 30
22. Question
When assessing a client for risk of hyperphosphatemia, which piece of information is most important for the nurse to obtain?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: Parathyroid function is important in calcium-phosphorus regulation, making a history that can damage the glands clinically relevant.
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Question 23 of 30
23. Question
The nurse on the 3–11 shift is assessing the chart of a client with an abdominal aneurysm scheduled for surgery in the morning and finds that the consent form has been signed, but the client is unclear about the surgery and possible complications. Which is the most appropriate action?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: Informed consent requires adequate understanding of the procedure and risks; the responsible provider must clarify information that remains unclear.
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Question 24 of 30
24. Question
The nurse is preparing a client for surgery. Which item is most important to remove before sending the client to surgery?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: Perioperative preparation includes preventing avoidable injury to vulnerable tissues such as the cornea when contact lenses are present.
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Question 25 of 30
25. Question
A client is 2 days post-operative colon resection. After a coughing episode, the client’s wound eviscerates. Which nursing action is most appropriate?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: Evisceration requires protection of exposed abdominal contents; the tissue should be kept sterile and moist while urgent surgical management is obtained.
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Question 26 of 30
26. Question
The nurse is caring for a client with a malignancy. The classification of the primary tumor is Tis. The nurse should plan care for a tumor:
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: In TNM terminology, Tis identifies carcinoma in situ, meaning the tumor is localized at the primary site in the terminology used by the source.
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Question 27 of 30
27. Question
A client with cancer is to undergo an intravenous pyelogram. The nurse should:
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: For the source’s IVP preparation, an empty bladder helps prevent the urinary tract from being obscured during imaging.
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Question 28 of 30
28. Question
A client arrives in the emergency room with a possible fractured femur. The nurse should anticipate an order for:
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: Traction may be used to maintain alignment and reduce muscle spasm and pain associated with a fractured femur.
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Question 29 of 30
29. Question
The nurse is performing an assessment on a client with possible perni- cious anemia. Which data would support this diagnosis?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: The source identifies a red, beefy tongue as the finding supporting pernicious anemia in this question.
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Question 30 of 30
30. Question
A client with suspected renal disease is to undergo a renal biopsy. The nurse plans to include which statement in the teaching session?
Correct 1 / 1 PointsCorrect! Review the detailed rationale and clinical reasoning.
Incorrect / 1 PointsIncorrect. Review why the selected option is not the best response and compare it with the correct clinical principle.
Hint
Clinical tip: Client teaching should accurately prepare the client for expected positioning and possible discomfort during an invasive diagnostic procedure.
NCLEX RN Practice Exam Test 7
This NCLEX RN practice test provides an additional opportunity to assess your nursing knowledge and practice answering questions in an NCLEX-style format. Reviewing questions from different nursing topics can help you develop a stronger understanding of essential concepts and improve your approach to exam-style problems.
Benefits of Practicing NCLEX RN Questions
Consistent practice can make it easier to recognize important information in a question and determine which answer best meets the requirements of the scenario. Be sure to review the rationale for each question so you can learn from both correct and incorrect responses.
With this practice test, you can:
- Reinforce essential nursing concepts
- Practice answering NCLEX style questions
- Strengthen clinical reasoning and decision-making skills
- Identify nursing topics that need additional review
- Improve your test-taking approach
- Build confidence for the NCLEX RN exam
Continue Your NCLEX RN Study
Effective NCLEX RN preparation involves reviewing concepts and practicing questions consistently. After finishing this test, continue with more free NCLEX RN practice tests and nursing questions to expand your knowledge and prepare for different types of exam content.
Visit our Free NCLEX-RN Practice Questions Test Bank to access additional NCLEX RN practice tests, nursing exam questions, detailed rationales, and other resources for your exam preparation.
For additional information about the NCLEX RN examination, exam content, and preparation resources, visit the official NCLEX resources from the National Council of State Boards of Nursing (NCSBN).