NCLEX 10 Practice Questions with Answers

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1. A nurse is reviewing a patient’s medication during shift change. Which of the following medications would be contraindicated if the patient were pregnant? Note: More than one answer may be correct.

  1. Coumadin

  2. Finasteride

  3. Celebrex

  4. Catapres

  5. Habitrol

  6. Clofazimine

A. Coumadin and B. Finasteride. They are both contraindicated with pregnancy.

2. A nurse is reviewing a patient’s PMH. The history indicates photosensitive reactions to medications. Which of the following drugs has not been associated with photosensitive reactions? Note: More than one answer may be correct.

  1. Cipro

  2. Sulfonamide

  3. Noroxin

  4. Bactrim

  5. Accutane

  6. Nitro Dur

F. Nitro Dur. All of the others can cause photosensitivity reactions.

3. A patient tells you that her urine is starting to look discolored. If you believe this change is due to medication, which of the following patient’s medication does not cause urine discoloration?

  1. Sulfasalazine

  2. Levodopa

  3. Phenolphthalein

  4. Aspirin

D. Aspirin . All of the others can cause urine discoloration.

4. You are responsible for reviewing the nursing unit’s refrigerator. If you found the following drug in the refrigerator it should be removed from the refrigerator’s contents?

  1. Corgard

  2. Humulin (injection)

  3. Urokinase

  4. Epogen (injection)

A. Corgard . Corgard could be removed from the refrigerator.

5. A 34 year old female has recently been diagnosed with an autoimmune disease. She has also recently discovered that she is pregnant. Which of the following is the only immunoglobulin that will provide protection to the fetus in the womb?

  1. IgA

  2. IgD

  3. IgE

  4. IgG

D. IgG. IgG is the only immunoglobulin that can cross the placental barrier.

6. A second year nursing student has just suffered a needlestick while working with a patient that is positive for AIDS. Which of the following is the most important action that a nursing student should take?

  1. Immediately see a social worker

  2. Start prophylactic AZT treatment

  3. Start prophylactic Pentamide treatment

  4. Seek counseling

B. Start prophylactic AZT treatment. AZT treatment is the most critical intervention.

7. A thirty five year old male has been an insulin-dependent diabetic for five years and now is unable to urinate. Which of the following would you most likely suspect?

  1. Atherosclerosis

  2. Diabetic nephropathy

  3. Autonomic neuropathy

  4. Somatic neuropathy

C. Autonomic neuropathy. Autonomic neuropathy can cause inability to urinate.

8. You are taking the history of a 14 year old girl who has a (BMI) of 18. The girl reports inability to eat, induced vomiting and severe constipation. Which of the following would you most likely suspect?

  1. Multiple sclerosis

  2. Anorexia nervosa

  3. Bulimia

  4. Systemic sclerosis

B. Anorexia nervosa. All of the clinical signs and symptoms point to a condition of anorexia nervosa.


9. A 24 year old female is admitted to the ER for confusion. This patient has a history of a myeloma diagnosis, constipation, intense abdominal pain, and polyuria. Which of the following would you most likely suspect?

  1. Diverticulosis

  2. Hypercalcaemia

  3. Hypocalcaemia

  4. Irritable bowel syndrome

B. Hypercalcaemia. Hypercalcaemia can cause polyuria, severe abdominal pain, and confusion.

10. Rho gam is most often used to treat____ mothers that have a ____ infant.

  1. RH positive, RH positive

  2. RH positive, RH negative

  3. RH negative, RH positive

  4. RH negative, RH negative

C. RH negative, RH positive. Rho gam prevents the production of anti-RH antibodies in the mother that has a Rh positive fetus.




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