A bank of 207 exam style questions for nursing students preparing for the NCLEX RN. Every answer comes with a four part rationale: why the correct answer is right, why the others are wrong, the principle behind it, and the takeaway to remember.
Sample question 1. SAFETY: A nurse moves from one client to the next on a busy unit. Which single action does the MOST to prevent transmission of infection between clients?
A. Placing every client in a private room
B. Performing hand hygiene before and after each client
C. Restricting all visitors to the unit
D. Wearing gloves for every client contact
Answer: B. Correct: Hand hygiene before and after each contact is the single most effective measure to stop transmission, because the hands are the main vehicle for spreading organisms. Why the other choices fall short: wearing gloves does not replace handwashing and can spread germs if reused, private rooms for everyone are impractical and unnecessary, and restricting visitors does not address the staff-to-client route. Principle: hand hygiene is the foundation of infection control. Takeaway: clean hands between every client beat every other single measure.
Sample question 2. SAFETY: A client is admitted with a productive cough, night sweats, and weight loss, and tuberculosis is suspected. Which precaution should the nurse implement?
A. Droplet precautions with a surgical mask
B. Standard precautions only
C. Contact precautions with gown and gloves
D. Airborne precautions with an N95 and a negative-pressure room
Answer: D. Correct: TB spreads through tiny airborne droplet nuclei that stay suspended, so it requires airborne precautions, a fitted N95 respirator, and a negative-pressure room with the door closed. Why the other choices are wrong: contact precautions are for contact-spread organisms, a surgical mask does not filter airborne nuclei, and standard precautions alone are never sufficient for suspected TB. Principle: match the precaution to the route, airborne for TB. Takeaway: suspected TB equals N95 plus negative-pressure room, not a surgical mask.
Sample question 3. SAFETY: A nurse is about to give a scheduled medication. The client is sleepy and there is no armband visible. What should the nurse do FIRST?
A. Administer and check the identity afterward
B. Verify the client's identity using two identifiers before giving anything
C. Ask the client in the next bed to confirm the name
D. Give the medication since it is the right room
Answer: B. Correct: At least two client identifiers (such as name and date of birth) must be confirmed before any medication, so the nurse establishes identity before proceeding. Why the other choices are unsafe: relying on the room number is not an identifier, asking a neighboring client is an unreliable source, and administering first and checking later acts before confirming. Principle: positive client identification with two identifiers precedes every intervention. Takeaway: no armband, no shortcut, confirm two identifiers before you give.
What you get on iKuiz
207 questions for this exam, in Live Test, Study Mode, Flashcards, and MyTutor, a personal AI style tutor that teaches one concept at a time.
A readiness score that tells you honestly whether you are prepared, plus your weak areas by topic.
Every question read aloud if you want it, and a new free Question of the Day every day.
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