This NCLEX practice test (Set-4) includes important nursing exam questions designed to help students prepare for the NCLEX-RN and NCLEX-PN exams. Practice these questions to improve your clinical knowledge, critical thinking, and confidence for the real nursing licensure exam.
Why Take This NCLEX Practice Test?
Preparing with an NCLEX practice test is one of the most effective ways for nursing students to strengthen their knowledge before the real exam. This Set-4 quiz contains carefully selected questions that reflect topics commonly asked in the NCLEX-RN and NCLEX-PN examinations. Practicing these questions helps improve your understanding of important nursing concepts, patient care priorities, and clinical decision-making skills.
How This NCLEX Practice Test Helps Nursing Students
This NCLEX practice test Set-4 is designed to simulate real nursing exam questions and help you identify weak areas in your preparation. As you answer each question, you practice applying nursing knowledge and selecting the most appropriate intervention for patient care. Regular practice like this can improve your clinical reasoning, exam confidence, and problem-solving ability, which are essential for success in the NCLEX exam.
NCLEX Practice Test Questions – Set 4
Below are carefully selected NCLEX practice test questions designed to help nursing students review important concepts from different nursing subjects. Try to answer each question before checking the correct answer to test your clinical knowledge and critical thinking skills, just like you would in the real NCLEX examination.
Question 1: A client has been prescribed guaifenesin (Mucinex) to help loosen respiratory secretions. Which statement by the client indicates correct understanding of how to take this medication?
Question 2: The nurse is preparing to administer intravenous naloxone hydrochloride to a client experiencing an opioid overdose. Which supportive equipment should the nurse ensure is available at the bedside?
Question 3: An infant with heart failure is receiving diuretic therapy, and the nurse needs to monitor the infant’s urine output accurately. Which method should the nurse use to measure the infant’s urinary output most effectively?
Question 4: A mother brings her 3-week-old infant to the clinic for a repeat screening test for phenylketonuria (PKU). The laboratory report shows a serum phenylalanine level of 1 mg/dL. How should the nurse interpret this result?
Question 5: The nurse is educating a postpartum mother about proper breastfeeding practices. Which instruction should the nurse include during the teaching?
Question 6: A nurse is assessing the uterine fundus of a client in the immediate postpartum period and finds the uterus soft and boggy. What is the most appropriate nursing action?
Question 7: The nurse is caring for four clients who are 1 day postpartum. Which client finding would require further nursing intervention?
Question 8: During a postpartum assessment, the nurse observes blood clots in the client's lochia that are larger than 1 cm. What is the most appropriate nursing action?
Question 9: A nurse is assessing the amount of lochia in a client who is 2 hours postpartum and notes that one perineal pad is completely saturated within 1 hour. How should the nurse document this amount of lochia?
Question 10: A stillborn infant has just been delivered, and the family has spent time holding and touching the baby. Which statement by the nurse would be most supportive to the family during this early stage of grief?
Question 11: A nurse is teaching a pregnant client who has recently been diagnosed with gestational diabetes mellitus. Which statement by the client indicates a need for further teaching?
Question 12: The nurse is assessing a pregnant client diagnosed with severe preeclampsia. Which finding would most strongly suggest the development of a serious complication?
Question 13: During a cardiovascular assessment, the nurse hears a blowing or swishing sound over the client’s carotid artery. What should the nurse do next?
Question 14: While preparing to perform a health assessment interview, which action by the nurse will best promote effective communication with the client?
Question 15: During a client interview, the nurse wants to encourage the client to share more detailed information about symptoms. Which communication technique should the nurse use?
Question 16: A nurse is performing cardiopulmonary resuscitation (CPR) on an adult client. According to current guidelines, which compression-to-ventilation ratio should be used?
Question 17: When performing chest compressions during CPR on an adult, how deep should the chest be compressed?
Question 18: While performing CPR, the nurse ensures that the client is lying on a firm surface. What is the reason for this action?
Question 19: A nurse caring for a postpartum client suspects a vulvar hematoma. Which assessment finding would support this suspicion?
Question 20: A postpartum client is diagnosed with cystitis. Which nursing instruction would help prevent bladder distention and reduce infection risk?
Continue learning topic-wise! Tap any subject below to explore detailed Nursing MCQs with answers, explanations, and practice sets — designed for RN, AN, PN, BSc, GNM, ANM, MSc Nursing and for other nursing students.
