Ready to test your nursing knowledge? Take our free NCLEX-RN practice questions and test to review essential nursing concepts and strengthen your exam preparation. This NCLEX-style practice test is designed for nursing students and nurses who want to prepare for the NCLEX-RN, nursing school exams, and other nursing assessments. Answer practice questions, check your results, and review detailed rationales to understand each answer, identify areas for improvement, and build confidence for the real NCLEX-RN exam.
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Quiz Guidelines
NCLEX-RN Practice Test #3 Nursing Quiz: Test your knowledge with these NCLEX-RN Practice Test 3 questions covering important concepts related to NCLEX-RN. This quiz is designed to help nursing students review key concepts, strengthen clinical knowledge, and prepare for nursing school exams and the NCLEX-RN.
- Practice and Prepare: Use this NCLEX-RN Practice Test 3 quiz to review essential NCLEX-RN nursing concepts 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.
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- Focus on Weak Areas: Review questions you missed and use the rationales to strengthen your understanding of NCLEX-RN questions and improve your exam preparation.
- Keep Practicing: Take additional nursing quizzes and practice questions to reinforce your knowledge and build confidence for nursing school exams and 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 Test #3 nursing quiz and exam preparation!
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Question 1 of 30
1. Question
The nurse is evaluating the client’s pulmonary artery pressure (PAP). The nurse is aware that PAP evaluates:
Correct
The pulmonary artery pressure (PAP) measures the systolic, diastolic, and the mean pressure in the pulmonary artery. It will not measure the pressure in the left ventricle, the pressure in the pulmonary veins, or the pressure in the right ventricle
Incorrect
The pulmonary artery pressure (PAP) measures the systolic, diastolic, and the mean pressure in the pulmonary artery. It will not measure the pressure in the left ventricle, the pressure in the pulmonary veins, or the pressure in the right ventricle
Hint
Recall what PAP directly measures.
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Question 2 of 30
2. Question
A client is being monitored using a central venous pressure monitor. If the CVP is 1 cm of water, the nurse should:
Correct
A CVP reading of 1 cm of water indicates decreased circulating volume and should be reported to the physician immediately. other options indicate CVP readings greater than 8 cm of water and are associated with increased blood volume or right-sided heart failure.
Incorrect
A CVP reading of 1 cm of water indicates decreased circulating volume and should be reported to the physician immediately. other options indicate CVP readings greater than 8 cm of water and are associated with increased blood volume or right-sided heart failure.
Hint
A very low CVP suggests decreased circulating volume.
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Question 3 of 30
3. Question
The nurse identifies ventricular tachycardia on the cardiac monitor. The patient has a pulse rate of 160 with a regular rhythm. The nurse should give priority to:
Correct
Amiodarone is used to slow and correct the abnormal rhythm.
Incorrect
Amiodarone is used to slow and correct the abnormal rhythm.
Hint
For ventricular tachycardia with a pulse, consider an antiarrhythmic.
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Question 4 of 30
4. Question
In preparation for the removal of the client’s chest tubes, the nurse should instruct the client to:
Correct
The client should hold his breath and bear down while the chest tube is removed.
Incorrect
The client should hold his breath and bear down while the chest tube is removed.
Hint
Think about the Valsalva maneuver.
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Question 5 of 30
5. Question
An elderly patient has been taking 80 mg of furosemide (Lasix) twice daily. The nurse notes that the patient’s most recent potassium level is 2.5 mEq/L. The nurse should:
Correct
The nurse should withhold the medication and notify the physician because the potassium level is extremely low.
Incorrect
The nurse should withhold the medication and notify the physician because the potassium level is extremely low.
Hint
The potassium level is extremely low.
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Question 6 of 30
6. Question
Which lab test should be done periodically if the client is being maintained on warfarin sodium (Coumadin)?
Correct
A platelet count should be done periodically to detect the risk of bleeding in a client maintained on Coumadin.
Incorrect
A platelet count should be done periodically to detect the risk of bleeding in a client maintained on Coumadin.
Hint
Think about monitoring for bleeding risk.
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Question 7 of 30
7. Question
Which statement is true regarding therapy with Levemir (insulin detemir)?
Correct
The duration of Levemir is 24 hours.
Incorrect
The duration of Levemir is 24 hours.
Hint
Recall the duration of Levemir.
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Question 8 of 30
8. Question
A client with AIDS tells the nurse that he has been using herbal supplements in addition to prescribed drugs. The nurse should tell the client that:
Correct
The use of herbal supplements may alter the effects of prescription medications.
Incorrect
The use of herbal supplements may alter the effects of prescription medications.
Hint
Consider herb–drug interactions.
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Question 9 of 30
9. Question
The nurse is assessing the vital signs of a client with pancreatic cancer. In addition to routine vital signs, the nurse assesses the fifth vital sign of:
Correct
Pain is the fifth vital sign.
Incorrect
Pain is the fifth vital sign.
Hint
Recall the traditional fifth vital sign.
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Question 10 of 30
10. Question
The physician has prescribed Oxycontin (oxycodone) for a client following an exploratory laparotomy. Which is an adverse effect associated with the medication?
Correct
Pulmonary edema is an adverse effect associated with oxycodone in the source rationale.
Incorrect
Pulmonary edema is an adverse effect associated with oxycodone in the source rationale.
Hint
Identify the option listed as an adverse effect.
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Question 11 of 30
11. Question
A patient with a PCA pump asks if he can become overdosed. Which statement by the nurse is correct?
Correct
The machine has a locking device that prevents overdosing by limiting the amount the client can self-administer.
Incorrect
The machine has a locking device that prevents overdosing by limiting the amount the client can self-administer.
Hint
Think about the PCA safety lockout.
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Question 12 of 30
12. Question
Which information should be given to the client using a TENS unit?
Correct
Skin irritation can occur if the TENS unit is used for prolonged periods.
Incorrect
Skin irritation can occur if the TENS unit is used for prolonged periods.
Hint
Consider local skin effects of prolonged electrode use.
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Question 13 of 30
13. Question
During an intake assessment, the nurse asks if the client has an advance directive. The reason is:
Correct
An advance directive allows the client to make known his wishes regarding care if he becomes unable to act on his own.
Incorrect
An advance directive allows the client to make known his wishes regarding care if he becomes unable to act on his own.
Hint
Think about communicating the client’s wishes regarding care.
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Question 14 of 30
14. Question
Which measure helps reduce nipple soreness associated with breastfeeding?
Correct
Placing a finger between the baby’s mouth and breast to break suction helps reduce nipple soreness.
Incorrect
Placing a finger between the baby’s mouth and breast to break suction helps reduce nipple soreness.
Hint
Think about safely breaking the infant’s suction.
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Question 15 of 30
15. Question
Which assessment finding indicates that an elderly client who had a total hip repair this morning is in pain?
Correct
Facial grimacing is an indication of pain.
Incorrect
Facial grimacing is an indication of pain.
Hint
Look for a direct behavioral sign of pain.
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Question 16 of 30
16. Question
Following administration of epidural anesthesia during labor, the nurse should monitor the client for:
Correct
The nurse should monitor for respiratory depression.
Incorrect
The nurse should monitor for respiratory depression.
Hint
A high epidural block can impair breathing.
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Question 17 of 30
17. Question
Which is a late sign associated with oral cancer?
Correct
Pain is a late sign associated with oral cancer.
Incorrect
Pain is a late sign associated with oral cancer.
Hint
Distinguish late symptoms from early oral findings.
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Question 18 of 30
18. Question
Which complaint is frequently expressed by a client with macular degeneration?
Correct
Difficulty with activities requiring focused or central vision, such as sewing, needlepoint, and reading, is common.
Incorrect
Difficulty with activities requiring focused or central vision, such as sewing, needlepoint, and reading, is common.
Hint
Macular degeneration affects central/focused vision.
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Question 19 of 30
19. Question
Continuous bladder irrigations are ordered following a TURP. The purpose is to:
Correct
Continuous bladder irrigation prevents blood clots from forming and blocking the catheter.
Incorrect
Continuous bladder irrigation prevents blood clots from forming and blocking the catheter.
Hint
Think about preventing catheter obstruction.
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Question 20 of 30
20. Question
Which is an early symptom of hypocalcemia following thyroidectomy?
Correct
Numbness and tingling of the toes and extremities are early symptoms of hypocalcemia.
Incorrect
Numbness and tingling of the toes and extremities are early symptoms of hypocalcemia.
Hint
Early hypocalcemia commonly causes sensory changes.
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Question 21 of 30
21. Question
The patient states, “My stomach hurts about two hours after I eat.” The nurse suspects a:
Correct
Duodenal ulcers typically cause pain 2–3 hours after a meal and at night; eating usually relieves the pain.
Incorrect
Duodenal ulcers typically cause pain 2–3 hours after a meal and at night; eating usually relieves the pain.
Hint
Duodenal ulcer pain commonly occurs several hours after meals.
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Question 22 of 30
22. Question
For suspected diverticulitis, which diagnostic test order should the nurse question?
Correct
A barium enema is contraindicated in diverticulitis because it can cause bowel perforation.
Incorrect
A barium enema is contraindicated in diverticulitis because it can cause bowel perforation.
Hint
Consider the risk of perforation.
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Question 23 of 30
23. Question
For celiac disease, which breakfast food should the patient avoid?
Correct
Puffed wheat should be avoided because wheat contains gluten.
Incorrect
Puffed wheat should be avoided because wheat contains gluten.
Hint
Avoid gluten-containing grains.
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Question 24 of 30
24. Question
When teaching about irritable bowel syndrome (IBS), which is most important?
Correct
The nurse should reinforce the need for a diet balanced in all nutrients and fiber.
Incorrect
The nurse should reinforce the need for a diet balanced in all nutrients and fiber.
Hint
Focus on a balanced diet and fiber.
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Question 25 of 30
25. Question
In planning care for a patient with ulcerative colitis, which nursing diagnosis is the priority?
Correct
Fluid volume deficit is the priority nursing diagnosis.
Incorrect
Fluid volume deficit is the priority nursing diagnosis.
Hint
Prioritize the physiologic problem caused by fluid and electrolyte loss.
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Question 26 of 30
26. Question
The patient is prescribed metronidazole (Flagyl) for adjunct treatment for a duodenal ulcer. Teaching should include:
Correct
Alcohol should be avoided with Flagyl because it can cause extreme nausea.
Incorrect
Alcohol should be avoided with Flagyl because it can cause extreme nausea.
Hint
Remember the alcohol interaction with metronidazole.
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Question 27 of 30
27. Question
Before initiating a feeding via a nasogastric tube, the nurse should:
Correct
Before feedings, tube placement should be checked; aspirating stomach contents and checking pH is the best method described in the source.
Incorrect
Before feedings, tube placement should be checked; aspirating stomach contents and checking pH is the best method described in the source.
Hint
Verify tube placement before feeding.
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Question 28 of 30
28. Question
Which is true regarding administration of antacids?
Correct
Antacids should not be administered with other medications because they can render many medications inactive.
Incorrect
Antacids should not be administered with other medications because they can render many medications inactive.
Hint
Consider medication absorption and interactions.
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Question 29 of 30
29. Question
A patient with a colostomy asks, “Will I ever be able to swim again?” The best response is:
Correct
A client with a colostomy can swim and carry on activities as before the colostomy.
Incorrect
A client with a colostomy can swim and carry on activities as before the colostomy.
Hint
Consider whether a colostomy prevents normal activities.
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Question 30 of 30
30. Question
Two days after a hemorrhoidectomy, the nurse should instruct the patient to:
Correct
A sitz bath helps with pain and swelling associated with hemorrhoidectomy.
Incorrect
A sitz bath helps with pain and swelling associated with hemorrhoidectomy.
Hint
Think about comfort and bowel-movement care after hemorrhoidectomy.
NCLEX-RN Practice Test 3
This NCLEX-RN practice test includes nursing questions designed to help you review important concepts commonly tested on the NCLEX-RN exam. Each question gives you an opportunity to apply your nursing knowledge, improve clinical reasoning, and become more familiar with the style of questions you may encounter on the nursing licensure exam.
Why Practice NCLEX-RN Questions?
Regularly practicing NCLEX-RN questions can help you identify knowledge gaps and improve your ability to analyze nursing scenarios. Reviewing the rationale after each question can also help you understand why an answer is correct and reinforce important nursing concepts.
Use this free practice test to:
- Review essential nursing concepts
- Practice answering NCLEX-style questions
- Improve clinical judgment and test-taking skills
- Identify areas that need additional study
- Strengthen your NCLEX-RN exam preparation
Review Your Answers and Rationales
After completing the quiz, review the answers and detailed rationales carefully. Understanding the reasoning behind each answer is an important part of effective NCLEX-RN preparation. If you miss a question, use the explanation to review the related nursing concept before moving on to another practice test.
Continue Your NCLEX-RN Preparation
One practice test is only one step toward effective exam preparation. Continue working through additional free NCLEX-RN practice questions and nursing test questions to build confidence and reinforce your knowledge across different nursing topics.
Explore our Free NCLEX-RN Practice Questions Test Bank for more NCLEX-style practice tests, nursing questions, answer rationales, and exam review resources.