NCLEX PN practice questions - 200 Free questions 2024

aaaWelcome to your NCLEX-PN Practice Exam 2

This test is designed to prepare you mentally for the actual NCLEX-PN Exam with (100 questions).

The NCLEX-PN Exam is breakdown into Eight (8) Parts.

Here are the Eight (8) Domains of the NCLEX-PN Exam with the weightage and number of questions in this practice exam:

Domains	Weightage
1- Coordinated Care	18%–24%
2- Safety and Infection Control	10%–16%
3- Basic Care and Comfort	7%–13%
4- Reduction of Risk Potential	10%–16%
5- Pharmacological and Parenteral Therapies	9%–15%
6- Physiological Adaptation	7%–13%
7- Psychosocial Integrity	9%–15%
8- Health Promotion and Maintenance	6%–12%

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Best of Luck!

1.

PN Coordinated Care,NCLEX-PN

The nurse serves on the hospital's Ethics Committee. Which item is appropriate for the committee's agenda? What is the single most effective action that a nurse can perform to avoid spreading an infection?

A. A 92-year-old patient who states he was physically abused

B. A patient with stage IV cancer who refuses further treatment

C. A 16-year-old who elects to place her baby for adoption

D. A nurse who was seen taking a patient's controlled drug

1 out of 100

2.

PN Coordinated Care,NCLEX-PN

When a nurse reports to work in her medical-surgical unit at the hospital, she is told to go to the obstetrics unit for her shift. The nurse has no experience in obstetrics. What is her most appropriate action?

A. Notify the hospital attorney and file a complaint

B. Float to the obstetrics unit and perform safe and familiar tasks

C. Call the nursing supervisor and ask to go home

D. Refuse the assignment and stay in the medical-surgical unit

2 out of 100

3.

PN Coordinated Care,NCLEX-PN

An experienced nurse decides to work at a different hospital because it uses the team nursing model, which means that

A. patients receive nursing treatment ordered by a managed care team

B. a nurse leads a coordinated team of other nurses and staff

C. one nurse provides total care for a team of patients

D. patients are assigned to a team according to nursing tasks

3 out of 100

4.

PN Coordinated Care,NCLEX-PN

After receiving his shift assignment, the nurse realizes that one of his patients is a friend from church. What should the nurse do?

A. Ask the patient's spouse to give the bed bath and help with toileting

B. Ask another nurse to swap patients for the shift

C. Ask the patient if they are uncomfortable receiving care from a friend

D. Ask the charge nurse for a different patient assignment

4 out of 100

5.

PN Coordinated Care,NCLEX-PN

When a nurse writes an end-of-shift report, which piece of information is most important to share with the oncoming nurse?

A. Results of all labs and tests since admission

B. Total number of all medications given during the shift

C. Evidence of excellent care by the outgoing nurse

D. PRN medications given and the outcome

5 out of 100

6.

PN Coordinated Care,NCLEX-PN

The physician talks with a client and gives full details about an upcoming procedure. The client agrees to it, so the nurse asks the client to sign the consent form. The client tells the nurse that he never learned to write. What is the BEST action for the nurse?

A. Ask a family member to sign the consent as a proxy

B. Get two nurses to witness the client sign the consent with an X

C. Contact the physician at once to cancel the procedure

D. Review the document with the client and obtain verbal consent

6 out of 100

7.

PN Coordinated Care,NCLEX-PN

Which process in Quality Improvement helps identify the fundamental problem of an event or trend?

A. People caused effect

B. Probable cause analysis

C. Cause and effect

D. Root cause analysis

7 out of 100

8.

PN Coordinated Care,NCLEX-PN

A nurse watches a new nursing assistant care for a post-stroke patient with left-sided paralysis. Which action by the nursing assistant requires the nurse to intervene?

A. The nursing assistant applies a gait belt around the patient's waist prior to ambulating.

B. The nursing assistant places the patient in the supine position with the head turned to the side

C. The nursing assistant praises the patient for attempting to perform all ADLS with minimal help

D. The nursing assistant tries to move the patient up in bed by placing a hand under the patient's left axilla

8 out of 100

9.

PN Coordinated Care,NCLEX-PN

The brother of a client stops by the nurses' station to ask about the client's recovery from bowel surgery related to Crohn's disease. The brother asks, "How's he doing? Will he get better?" What is the nurse's most appropriate response?

A. He's doing great. The surgery was successful, and he'll be home soon

B. His medical information is private, so I can't share any details with you

C. Since you're a family member, I can let you know he's doing well

D. He has a slight fever, so we'll be starting him on antibiotics today

9 out of 100

10.

PN Coordinated Care,NCLEX-PN

EMS transports a trauma patient to the Emergency Department. On arrival, the patient is unconscious and bleeding profusely from several wounds. Immediate surgery is necessary. What should the nurse do about obtaining informed consent?

A. Send the patient to surgery without informed consent

B. Ask the charge nurse to contact an administrator for a court order

C. Approach the friend who followed the EMS to give informed consent

D. Attempt to reach the patient's next of kin to obtain consent

10 out of 100

11.

PN Coordinated Care,NCLEX-PN

A nurse is witnessing a client's signature on a consent document before the client's surgical procedure. Which statement by the client should make the nurse stop the process?

A. I believe the surgery is better than the other alternatives

B. I can still change my mind if I decide to wait for the operation

C. I'm not sure what this surgery is for, but I'll sign it anyway

D. I know this surgery is risky, but I'm willing to go ahead with it

11 out of 100

12.

PN Coordinated Care,NCLEX-PN

A 22-year old mother from Mexico arrives at the Emergency Department with her 3-month old daughter, who has a temperature of 100.6 °F (38.1 °C) and signs of sepsis. The ED physician orders a lumbar puncture, but the mother is hesitant to consent until her husband arrives. What should the ED nurse do?

A. Tell the ED physician that the mother refuses

B. Ask the ED social worker to intervene

C. Keep trying to contact the husband

D. Contact the Department of Children's Services to report child abuse

12 out of 100

13.

PN Coordinated Care,NCLEX-PN

The nurse is making client assignments for the shift. Which of the following clients is most appropriate for a Certified Nursing Assistant (CNA)?

A. Client who requires wound irrigation

B. Client with dementia who needs frequent redirection

C. Client in isolation with airborne precautions

D. Client with chest pain who is a new admit

13 out of 100

14.

PN Safety and Infection Control,NCLEX-PN

Before their first overnight excursion, a camp nurse instructs a group of campers on how to prevent Lyme disease. Which statement by a camper indicates to the nurse that more teaching is needed?

A. I'll wear long pants and long-sleeved shirts, even if it's hot

B. If I dress properly, I won't need to use that smelly insect repellent

C. I need to get a hat before we go. I didn't bring one

D. It'll look weird, but I'll pull my socks up over my pant legs

14 out of 100

15.

PN Safety and Infection Control,NCLEX-PN

An infection acquired in a hospital setting is called

A. prionitic

B. iatrogenic

C. nosocomial

D. noncommunicable

15 out of 100

16.

PN Safety and Infection Control,NCLEX-PN

After the RN receives an order for a belt restraint for a resident, a Certified Nursing Assistant (CNA) applies the restraint. When the nurse checks the restraint 15 minutes later, which observation would indicate that the restraint is unsafe?

A. The resident is able to turn from back to side

B. The restraint does not tighten with force

C. Restraint straps are attached to the side rails

D. The restraint is tied with a quick-release knot

16 out of 100

17.

PN Safety and Infection Control,NCLEX-PN

A patient hospitalized with MRSA (methicillin-resistant Staphylococcus aureus) is placed on contact precautions. Which statement is true?

A. The risk of transmission is high, so the patient should wear a mask

B. The patient must be placed in a room with negative pressure

C. MRSA requires frequent contact, so the door should remain open

D. Transmission can be prevented by hand hygiene, gloves, and a gown

17 out of 100

18.

PN Safety and Infection Control,NCLEX-PN

During her shift in the medical-surgical unit, a nurse learns that heavy fog has caused a serious multi-car pileup on the nearby highway, resulting in serious trauma injuries. According to standard disaster protocol, what is the nurse's best action?

A. Line up gurneys in the hall and prepare them for admissions

B. Hand over your patient load to another nurse and go to the ED to help

C. Make a list of noncritical patients who can be discharged from the unit

D. Call in other nurses and staff to help handle the incoming patients

18 out of 100

19.

PN Safety and Infection Control,NCLEX-PN

While passing meal trays, the nurse notices that a client with a severe latex allergy has been served a food that the client should not eat. Which food is it?

A. Cereal

B. Banana

C. Pudding

D. Salmon

19 out of 100

20.

PN Safety and Infection Control,NCLEX-PN

While ambulating, a resident has slipped onto the floor and is unable to get up by himself. What is the best way to get him back on his feet?

A. Call security to help

B. Use a mechanical lift

C. Try a blanket lift

D. Attach a gait belt

20 out of 100

21.

PN Safety and Infection Control,NCLEX-PN

According to the CDC, when removing personal protective equipment (PPE), which item should you remove first?

A. Gloves

B. Gown

C. Goggles

D. Mask

21 out of 100

22.

PN Safety and Infection Control,NCLEX-PN

A member of the healthcare team experiences a needlestick from a contaminated needle. Which of the following can provide passive immunity against the hepatitis B virus?

A. Hepatitis B immune globulin

B. Interferon injection

C. Antiviral medication

D. Hepatitis B vaccination

22 out of 100

23.

PN Safety and Infection Control,NCLEX-PN

If a nurse is assigned to care for a patient with a Sengstaken-Blakemore tube, which item MUST be kept at the patient's bedside?

A. Scissors

B. A hemostat

C. Sutures

D. A Yankauer

23 out of 100

24.

PN Safety and Infection Control,NCLEX-PN

When caring for a patient diagnosed with viral hepatitis, the nurse experiences a needlestick from a contaminated needle. Which of the following actions should the nurse perform first?

A. Report to the emergency department

B. Put the needle in a biohazard bag for testing

C. Make an appointment with the infection control department

D. Wash the area thoroughly with soap and water

24 out of 100

25.

PN Safety and Infection Control,NCLEX-PN

During a unit staff meeting, the nursing supervisor reports on a recent infection control audit. Which finding indicates a need for staff training?

A. A lab technician puts on a mask, gown, and gloves before entering the room of a patient on strict isolation

B. A certified nursing assistant does not wear gloves when feeding an elderly patient

C. A patient with active tuberculosis wears a mask when going to another department for testing

D. A nurse with open lesions on her hands puts on gloves before giving direct patient care

25 out of 100

26.

PN Safety and Infection Control,NCLEX-PN

A nurse prepares to care for a newly admitted patient who recently had a cerebrovascular accident (CVA). For this patient, what is the best way to prevent an infection?

A. Implement Universal Precautions at once

B. Use a bedside commode instead of a bedpan

C. Place a mask on the patient when they are ambulating

D. Wear a gown and gloves when providing care

26 out of 100

27.

PN Basic Care and Comfort,NCLEX-PN

A client who just had a right total knee replacement tells the nurse that he can't lift his right ankle, and the top of his right foot feels numb. The nurse suspects which of these postoperative complications?

A. Blood clot

B. Joint dislocation

C. Nerve damage

D. Hemorrhage

27 out of 100

28.

PN Basic Care and Comfort,NCLEX-PN

The nurse is instructing a client with a new ileostomy on when to empty their pouch. Which of the following instructions is correct?

A. Empty it when it is 1/3 to 1/2 full.

B. Empty the pouch before every meal.

C. Empty the pouch when it feels heavy.

D. Empty it at the same time every day.

28 out of 100

29.

PN Basic Care and Comfort,NCLEX-PN

Which of the following assessment findings is consistent with an extracellular fluid volume deficit?

A. Hypertension

B. Bradycardia

C. Oliguria

D. Hyperglycemia

29 out of 100

30.

PN Basic Care and Comfort,NCLEX-PN

During an initial client assessment, which of the following techniques will the nurse use to gather subjective data?

A. Describe the client's behavior.

B. Auscultate heart and lungs.

C. Review laboratory results.

D. Conduct a client interview.

30 out of 100

31.

PN Basic Care and Comfort,NCLEX-PN

An unconscious trauma patient is admitted to the ICU. The health care provider (HCP) prescribes enteral feedings via the nasogastric (NG) tube. Before the nurse administers a formula feeding, which finding by the nurse requires IMMEDIATE action?

A. Bowel sounds are hypoactive in all quadrants.

B. Urine output for the last 8 hours was 40 mL/hr.

C. The volume of residual formula is 90 mL.

D. Breath sounds are decreased in the right lower lobe.

31 out of 100

32.

PN Basic Care and Comfort,NCLEX-PN

One of the nurse's patients has a nasogastric (NG) tube for tube feedings and medications. Which nursing action is appropriate when caring for this patient?

A. Check the area where the tape is applied qd.

B. Flush the NG tube q 4 hr with hot water.

C. Change the tubing from the feeding a 48 hr.

D. Place the bed in the tow Fowler's position for feedings.

32 out of 100

33.

PN Basic Care and Comfort,NCLEX-PN

A pregnant client comes to the prenatal clinic for her first visit. The nurse notes that this is the client's third pregnancy. Four years ago, she delivered a healthy boy at 38 weeks, and two years ago, she delivered a healthy girl at 35 weeks. Using the gravida/para system to record the client's obstetrical history, the nurse will document

A. Gravida 3 – Para 2.

B. Gravida 2 - Para 1.

C. Gravida 3 - Para 1.

D. Gravida 2 - Para 2.

33 out of 100

34.

PN Basic Care and Comfort,NCLEX-PN

A child with a new diagnosis of celiac disease is being discharged. The nurse provides education to the parents, including appropriate nutrition for their child. The nurse will instruct the parents to follow a

A. fat-restricted diet.

B. phosphorus-restricted diet.

C. gluten-free diet.

D. lactose-free diet.

34 out of 100

35.

PN Basic Care and Comfort,NCLEX-PN

A client with diabetes insipidus has urine output described as

A. oliguria

B. polyuria

C. anuria

D. dysuria

35 out of 100

36.

PN Basic Care and Comfort,NCLEX-PN

Which skin care instruction is correct for a male client receiving head and neck radiation therapy?

A. Use an antibacterial soap every day.

B. Apply lotion right before each treatment.

C. Avoid shaving with a straight-edge razor.

D. Cover the treated area with sterile gauze.

36 out of 100

37.

PN Basic Care and Comfort,NCLEX-PN

A nursing home resident tells the nurse on the day shift, "No one answered my call light last night! I called and called, but one of them told me they had other residents to care for. I'm so sick, but no one cares." What is the nurse's best response?

A. Oh, you poor thing! I'll file a negligence report before I leave today.

B. It's hard to have to ask for help and feel that no one helps.

C. You're right. I will let the nursing supervisor know right away.

D. You're being too impatient. Our nursing staff comes as soon as they can.

37 out of 100

38.

PN Basic Care and Comfort,NCLEX-PN

The tool that predicts the risk of developing a hospital- or facility-acquired pressure ulcer or injury is called the

A. Apgar Scale

B. Likert scale

C. Braden Scale

D. Misophonia Scale

38 out of 100

39.

PN Pharmacological and Parenteral Therapies,NCLEX-PN

A nurse is teaching parents how to administer ear drops to their 18-month-old daughter, who has otitis media. Which instruction is correct?

A. Chill the ear drops before administering them

B. Pull her earlobe down and back before instilling the drops

C. Always wear gloves when giving ear drops to a child

D. Pull her outer ear up and back before instilling the drops

39 out of 100

40.

PN Pharmacological and Parenteral Therapies,NCLEX-PN

A gunshot victim who is bleeding profusely is transported to the Emergency Department by EMS. The ED specialist orders an immediate blood transfusion. Without a crossmatch, which blood type will be sent by the blood bank?

A. AB negative

B. AB positive

C. O positive

D. O negative

40 out of 100

41.

PN Pharmacological and Parenteral Therapies,NCLEX-PN

A client is prescribed a calcium channel blocker to treat primary hypertension. When teaching the client about the medication, which of these foods will the nurse advise the client to avoid?

A. Bananas

B. Grapefruit

C. Milk

D. Eggs

41 out of 100

42.

PN Pharmacological and Parenteral Therapies,NCLEX-PN

A client with a diagnosis of emphysema is taking aminophylline PO. What is the reason for this medication?

A. It dilates the bronchial airways

B. It thins secretions from the lungs

C. It suppresses persistent coughing

D. It reduces thick sputum production

42 out of 100

43.

PN Pharmacological and Parenteral Therapies,NCLEX-PN

Parents of a 9-year-old girl with a new diagnosis of type 1 diabetes (T1D) ask the nurse what caused their daughter's disease. The nurse knows the pathology is which of the following?

A. Increased hepatic glycogenesis

B. Atrophy of alpha cells in the pancreas

C. Pancreatic beta cell destruction

D. Cells becoming resistant to insulin

43 out of 100

44.

PN Pharmacological and Parenteral Therapies,NCLEX-PN

If a client has a known allergy to penicillin, which of the following prescriptions is NOT suitable?

A. Sulfonamide, such as Bactrim or Septra

B. Aminoglycoside, such as Gentamicin or Tobramycin

C. Tetracycline, such as Sumycin or Tetracon

D. Cephalosporin, such as Ancef or Rocephin

44 out of 100

45.

PN Pharmacological and Parenteral Therapies,NCLEX-PN

A client with a seizure disorder is prescribed phenytoin 0.2 gm PO bid. The pharmacy sends 100 mg capsules. How many capsules will the nurse administer for each dose?

A. 10 capsules

B. 5 capsules

C. 1 capsule

D. 2 capsules

45 out of 100

46.

PN Pharmacological and Parenteral Therapies,NCLEX-PN

A resident has an order for heparin 5,000 units SC q 12 hrs. The heparin vial is labeled 10,000 units/mL. How many mL should the nurse administer?

A. 0.5 mL

B. 1.20 mL

C. 0.20 mL

D. 5.0 mL

46 out of 100

47.

PN Pharmacological and Parenteral Therapies,NCLEX-PN

The client's physician orders a medication dose of 150 mg. The pharmacy sends the medication in a liquid, 100 mg/10 mL. How many mL will the nurse administer for the correct dose?

A. 150 mL

B. 1.5 mL

C. 15 mL

D. 1500 mL

47 out of 100

48.

PN Pharmacological and Parenteral Therapies,NCLEX-PN

The clinic nurse reviews a new client's over-the-counter (OTC) medications with the client. The client admits to epigastric pain. Which medication is the likely cause?

A. Diphenhydramine, taken for allergies

B. Dextromethorphan, taken for coughs

C. Aspirin, taken for osteoarthritis

D. Milk of magnesia, taken for constipation

48 out of 100

49.

PN Pharmacological and Parenteral Therapies,NCLEX-PN

Post-op orders for a client include 2 mg hydromorphone hydrochloride (Dilaudid) IM 3 hours for pain. The pharmacy sends a vial labeled 4 mg/1 ml. How much will the nurse administer every 3 hours?

A. 0.60 mL

B. 0.75 mL

C. 0.25 mL

D. 0.50 mL

49 out of 100

50.

PN Pharmacological and Parenteral Therapies,NCLEX-PN

A respiratory therapist administers epinephrine in a 1:100 solution by nebulizer inhaler. The nurse knows that the percentage strength of the epinephrine is

A. 0.10%

B. 1.10%

C. 10%

D. 1.00%

50 out of 100

51.

PN Pharmacological and Parenteral Therapies,NCLEX-PN

A nurse is teaching a client with hypertension about taking a thiazide diuretic. Which of the following statements by the nurse is correct?

A. With this medication, you'll need to eat foods that have potassium

B. I'll teach you how to count your pulse before taking this medication

C. Take this medication at dinner with a large glass of water

D. Stop taking this medication if you start urinating frequently

51 out of 100

52.

PN Reduction of Risk Potential,NCLEX-PN

A client with depression should be monitored for constipation and urinary retention. Which of the following factors contribute to these conditions?

A. Slow digestion and medication side effects

B. Eating only foods that appeal to the client

C. Inadequate diet and limited fluid intake

D. Poor nutrition and lack of moderate exercise

52 out of 100

53.

PN Reduction of Risk Potential,NCLEX-PN

Which is the best position for postoperative coughing and deep breathing?

A. Sims'

B. Supine

C. Prone

D. Fowler's

53 out of 100

54.

PN Reduction of Risk Potential,NCLEX-PN

During a routine physical exam, the nurse auscultates the lungs of a client. What type of lung sounds will be auscultated in a healthy client when the nurse listens over the areas indicated by the red X's in this image?

A. Vesicular

B. Bronchial

C. Alveolar

D. Bronchovesicular

54 out of 100

55.

PN Reduction of Risk Potential,NCLEX-PN

The nurse is teaching a client with emphysema how to do pursed-lip breathing. The nurse knows it will help the client because

A. it increases the respiratory rate and oxygenation levels

B. it will help the client achieve maximum inhalation

C. it helps keep the small airways open and prevents air trapping

D. it creates negative pressure in the airways

55 out of 100

56.

PN Reduction of Risk Potential,NCLEX-PN

The nurse is getting ready to help a client ambulate for the first time since his cardiac surgery. Which device will be safest?

A. Gait belt

B. Walker

C. Cane

D. Crutches

56 out of 100

57.

PN Reduction of Risk Potential,NCLEX-PN

A nurse is checking a client's stool for occult blood. However, the nurse knows that ____can cause a false-positive result.

A. dairy products

B. fried potatoes

C. rare steak

D. red jello

57 out of 100

58.

PN Reduction of Risk Potential,NCLEX-PN

The nurse is caring for a 3-month-old infant with infectious gastroenteritis. The infant is lethargic, and the mucous membranes are dry. Which other finding indicates moderate dehydration?

A. Increased thirst

B. Loss of gag reflex

C. Sunken fontanelle

D. No urine output

58 out of 100

59.

PN Reduction of Risk Potential,NCLEX-PN

During a code for an unresponsive infant, which pulse location should the nurse palpate?

A. Carotid

B. Pedal

C. Brachial

D. Radial

59 out of 100

60.

PN Reduction of Risk Potential,NCLEX-PN

A child with a peanut allergy has also been diagnosed with asthma recently. A nurse instructs the parents on ways to prevent the child from coming into contact with peanuts. This is necessary because the child is at increased risk for which of the following?

A. Anaphylaxis and respiratory failure

B. Sudden headache and seizures

C. Painful raised rash and urticaria

D. Projectile vomiting and diarrhea

60 out of 100

61.

PN Reduction of Risk Potential,NCLEX-PN

The results of an adult client's blood pressure screening on three occasions are 120/80 mmHg, 130/76 mmHg, and 118/86 mmHg. How will the client's physician interpret this information?

A. Hypertension Stage 1

B. Normal blood pressure

C. Elevated blood pressure

D. Hypertension Stage 2

61 out of 100

62.

PN Reduction of Risk Potential,NCLEX-PN

A patient with second- and third-degree burns on both legs received an initial treatment of topical antimicrobial agents. Then the legs were wrapped with sterile dressings. On performing a routine assessment, the nurse finds pedal pulses are diminished. What is the FIRST action for the nurse?

A. Recheck in 15 minutes

B. Remove the dressings

C. Loosen the dressings

D. Elevate the legs

62 out of 100

63.

PN Reduction of Risk Potential,NCLEX-PN

Before administering a client's daily dose of furosemide, the nurse checks the client's morning serum potassium level. Which lab value should cause the nurse to hold the dose and report the result to the client's physician?

A. 3.7 mEq/L (3.7 mmol/L)

B. 4.7 mEqL(14.7 mmol/L)

C. 3.2 mEq/L (3.2 mmol/L)

D. 4.2 mEq/L (4.2 mmol/L)

63 out of 100

64.

PN Reduction of Risk Potential,NCLEX-PN

A postoperative patient has developed thrombophlebitis in a leg. The physician has ordered heparin sodium 7500 units SC q 12 hours. Which lab value should the nurse report to the physician before administering the heparin?

A. Complete blood count (CBC)

B. Prothrombin time (PT)

C. Glycated hemoglobin (HbA1c)

D. Partial thromboplastin time (PTT)

64 out of 100

65.

PN Physiological Adaptation,NCLEX-PN

When assessing a sacral pressure ulcer, the nurse observes that the sore has partial thickness, loss of dermis, and a reddish wound bed. No slough is apparent. What stage is this pressure ulcer?

A. Stage I

B. Stage III

C. Stage II

D. Stage IV

65 out of 100

66.

PN Physiological Adaptation,NCLEX-PN

Which atrioventricular (AV) heart block is called Mobitz II?

A. Third-degree AV heart block

B. Second-degree AV heart block

C. Complete AV heart block

D. First-degree AV heart block

66 out of 100

67.

PN Physiological Adaptation,NCLEX-PN

Which option CORRECTLY matches the description of a pressure ulcer with its stage?

A. Stage II: Damaged or loss of epidermis and partial dermis layers

B. Stage IV: Loss of skin layers has exposed some fat tissue

C. Stage III: The pressure ulcer has slough and eschar

D. Stage 1: Significant blanching when pressure is applied to the skin

67 out of 100

68.

PN Physiological Adaptation,NCLEX-PN

A 72-year-old female is admitted with severe diarrhea. The nurse monitors the patient for which acid-base imbalance?

A. Respiratory acidosis

B. Metabolic alkalosis

C. Respiratory alkalosis

D. Metabolic acidosis

68 out of 100

69.

PN Physiological Adaptation,NCLEX-PN

A nurse's neighbor calls in a panic to tell the nurse that her 2-year-old son has just eaten a detergent pod. What should the nurse tell the mother to do FIRST?

A. Call the Poison Control Center

B. Call Emergency Medical Services

C. Go to the Emergency Department

D. Induce vomiting with syrup of ipecac

69 out of 100

70.

PN Physiological Adaptation,NCLEX-PN

A nurse is invited to speak to the local women's club about ovarian cancer. Which sign or symptom of the disease is the most common?

A. Abdominal bloating

B. Vaginal bleeding

C. Urinary tract infection

D. Sharp thoracic pain

70 out of 100

71.

PN Physiological Adaptation,NCLEX-PN

After witnessing a motor vehicle crash, the nurse stops to offer emergency assistance. One victim was thrown from his vehicle. Which finding indicates he may have sustained serious head trauma?

A. The victim is reluctant to move his limbs

B. The victim states he has a very bad headache

C. He asks the nurse, "What happened?"

D. He has clear fluid draining from his ears

71 out of 100

72.

PN Physiological Adaptation,NCLEX-PN

Which opportunistic disease is an HIV/AIDS client at risk for?

A. Fibroblastic sarcoma

B. Ewing sarcoma

C. Synovial sarcoma

D. Kaposi sarcoma

72 out of 100

73.

PN Physiological Adaptation,NCLEX-PN

Cirrhosis of the liver can promote prolonged bleeding. Which of the following should the nurse anticipate administering to counteract this complication?

A. Vitamin E

B. Vitamin K

C. Vitamin C

D. Vitamin A

73 out of 100

74.

PN Physiological Adaptation,NCLEX-PN

In a normal sinus rhythm, what does the P wave of the electrocardiogram (ECG) indicate?

A. Atrial depolarization

B. Ventricular repolarization

C. Ventricular depolarization

D. AV node depolarization

74 out of 100

75.

PN Physiological Adaptation,NCLEX-PN

During a routine visit to the internal medicine clinic, a client tells the nurse that despite having little appetite, the client has gained 6 pounds (2.7 kg) during the past week. When performing a physical assessment, the nurse notes that the client has edema in the feet and ankles. Which of the following conditions is MOST likely to be the cause?

A. Congestive heart failure

B. Hyperthyroidism

C. Cushing's syndrome

D. Marfan syndrome

75 out of 100

76.

PN Physiological Adaptation,NCLEX-PN

For a client scheduled for an angiogram, which of the following nursing considerations is correct?

A. If the client has an iodine allergy, they should be administered an antihistamine

B. If the client is over age 80, they will require more sedation and contrast dye

C. The client should have a protein snack before the procedure

D. If the client has renal dysfunction, they should receive limited fluids

76 out of 100

77.

PN Psychosocial Integrity,NCLEX-PN

Alcohol, caffeine, and smoking are risk factors for which category?

A. Psychosocial

B. Genetic

C. Physiological

D. Environmental

77 out of 100

78.

PN Psychosocial Integrity,NCLEX-PN

The nurse is caring for a client diagnosed with mild cognitive impairment. Which of the following would be the most effective intervention for this client?

A. Application of soft restraints

B. Frequent reorientation

C. Behavior modification

D. Relaxation therapy

78 out of 100

79.

PN Psychosocial Integrity,NCLEX-PN

Following extensive bloodwork, a client is informed that she has cancer. She tells the nurse, "I think these results are wrong. I ate lunch before the blood was drawn, so we should test again." The nurse knows the client is using which defense mechanism?

A. Denial

B. Rationalization

C. Compensation

D. Coping

79 out of 100

80.

PN Psychosocial Integrity,NCLEX-PN

Which of the following activities can help residents in a nursing home to reminisce?

A. Provide pet therapy

B. Encourage storytelling

C. Schedule a sing-along

D. Offer exercise classes

80 out of 100

81.

PN Psychosocial Integrity,NCLEX-PN

A nurse is working with parents whose newborn daughter has a congenital birth defect. Which psychosocial need for their child is most important for the parents to understand now?

A. Hope

B. Trust

C. Autonomy

D. Identity

81 out of 100

82.

PN Psychosocial Integrity,NCLEX-PN

An elderly client with Stage IV lung cancer has a DNR order. When the client's death appears imminent, what is the nurse's most appropriate action?

A. Notify the client's funeral home

B. Sit and hold the client's hand

C. Start to gather the client's things

D. Offer the client sips of herbal tea

82 out of 100

83.

PN Psychosocial Integrity,NCLEX-PN

A 7-year-old girl with a diagnosis of leukemia is admitted for treatment. She asks the nurse, "Am I going to die?" What is the nurse's best response?

A. Don't worry about that. Everyone here is helping you get better

B. How are you feeling today? Tell me what you're thinking

C. As soon as I finish with my other patients, I'll come back with a snack

D. Let's talk about something cheerful. Want to watch television?

83 out of 100

84.

PN Psychosocial Integrity,NCLEX-PN

During the admission process of a male to the unit, he tells the nurse he is Jewish. How can the nurse determine if he follows Jewish Orthodox practices?

A. Ask him about his dietary preferences

B. Ask him if he was circumcised

C. Ask him if he wears a yarmulke

D. Ask him if he reads and speaks Hebrew

84 out of 100

85.

PN Psychosocial Integrity,NCLEX-PN

A 45-year-old man with a traumatic brain injury (TBI) is a resident at a long-term care facility. When his injury causes periods of agitation, what is the most appropriate action?

A. Take the resident to a private area to reinforce proper behavior

B. Redirect him by tuning the TV to his favorite show

C. Give the resident a new task to help calm his mood

D. Show him familiar objects and pictures that he keeps in his room

85 out of 100

86.

PN Psychosocial Integrity,NCLEX-PN

A 78-year-old client with a diagnosis of moderate Alzheimer's disease lives with her 50-year-old daughter and 22-year-old grandson. When the home health nurse visits, which statement by the grandson to the nurse indicates a need for more education about Alzheimer's?

A. She calls me by my grandpa's name

B. We had to install door latches up high

C. She deliberately hides my favorite jacket

D. I have to show her where her bedroom is

86 out of 100

87.

PN Psychosocial Integrity,NCLEX-PN

During an admission intake to the Mental Health Unit, a client tells the nurse that she is Oprah Winfrey. The nurse knows that the client is experiencing

A. an auditory hallucination

B. a loose association

C. a flight of imagination

D. a delusion of grandeur

87 out of 100

88.

PN Psychosocial Integrity,NCLEX-PN

You are discussing health issues with a client whose body mass index (BMI) is 31. Which statement by the client indicates the coping mechanism of rationalization?

A. The problem is that my husband always buys ice cream

B. You probably think I'm disgusting because I can't lose weight

C. I know if I remain obese, I'll have many health risks

D. My mother and aunts were fat, too. It's genetic, I'm sure

88 out of 100

89.

PN Health Promotion and Maintenance,NCLEX-PN

When teaching a mother how to bathe her newborn, the nurse instructs the mother to

A. just make sure the diaper area is clean and dry

B. start with the eyes, face, and neck of the baby

C. start with the baby's feet and wash upward

D. only use baby wipes for the first two weeks

89 out of 100

90.

PN Health Promotion and Maintenance,NCLEX-PN

During a prenatal ultrasound, Tetralogy of Fallot is diagnosed. When the mother asks you what that means, the correct response is

A. It means the baby will have hernias

B. It's an unusual intestinal malformation

C. It's a serious but treatable heart defect

D. It means the baby will develop scoliosis

90 out of 100

91.

PN Health Promotion and Maintenance,NCLEX-PN

During a home health visit, the client's spouse tells the nurse that the client's GERD is not resolving. After more questioning, the nurse recommends

A. placing the client in a supine position after each meal

B. putting 6-inch blocks under the legs of the head of the bed

C. switching the client to a full liquid diet

D. offering the client warm liquids every two hours (q2h) during the day.

91 out of 100

92.

PN Health Promotion and Maintenance,NCLEX-PN

A female teen client has iron-deficiency anemia. The nurse instructs her to take the prescribed oral iron supplement with

A. plain water

B. orange juice

C. whole milk

D. ginger ale

92 out of 100

93.

PN Health Promotion and Maintenance,NCLEX-PN

Which of the following alterations in sensory function is normal for an elderly client?

A. Decreased sensitivity to bright light

B. Increased sound discrimination

C. Decreased chronic pain perception

D. Increased ability to taste spices

93 out of 100

94.

PN Health Promotion and Maintenance,NCLEX-PN

A 3-year-old boy is on the autism spectrum. Which behavior can the nurse tell his parents to expect from him?

A. Indifference

B. Curiosity

C. Kindness

D. Impatience

94 out of 100

95.

PN Health Promotion and Maintenance,NCLEX-PN

A client newly diagnosed with glomerulonephritis is starting a low-sodium diet. Which of the following meals is the best choice?

A. Cheese pizza with a raised-dough crust

B. Baked chicken breast with a salad

C. Beef noodle soup with saltine crackers

D. Hot dog without a bun and chips

95 out of 100

96.

PN Health Promotion and Maintenance,NCLEX-PN

A nurse is instructing a client with a head cold on how to use a nasal decongestant spray. Which statement is true about overuse of the spray?

A. Your nasal passages will likely become very irritated

B. Your stuffiness will feel worse if you use it too often

C. You can expect to see bleeding from the mucous membranes

D. Using nasal spray decreases the ability to fight the cold virus

96 out of 100

97.

PN Health Promotion and Maintenance,NCLEX-PN

During a routine prenatal visit, a client tells the nurse that she is experiencing heartburn. Which is the most appropriate measure to recommend to the client?

A. Eliminate between-meat snacks

B. Avoid all caffeinated beverages

C. Drink more fluids with each meal

D. Add more fatty foods to the diet

97 out of 100

98.

PN Health Promotion and Maintenance,NCLEX-PN

The rehabilitation nurse is instructing a client who is ready to go home after a total hip replacement. Which statement by the client indicates a need for more education?

A. I'll put a pillow between my knees when I'm in bed

B. I know I can't drive my car for six more weeks

C. I'll change my sitting position every three hours

D. I’ll wear a surgical stocking on the other leg

98 out of 100

99.

PN Health Promotion and Maintenance,NCLEX-PN

When a client with Stage IV kidney cancer comes for his appointment, he tells the nurse that he has decided to stop treatment because of the financial and emotional costs. What is the nurse's most appropriate response?

A. I absolutely believe you've made the best decision

B. Surely your family is worth more than these concerns

C. Please don't give up hope. I hope you will reconsider

D. The palliative care and hospice program can tell you more

99 out of 100

100.

PN Health Promotion and Maintenance,NCLEX-PN

A nurse volunteers to help at her children's school health fair. She will hand out samples of hand sanitizer and provide information about avoiding the flu. What type of activity is this nurse engaged in?

A. Community education

B. Professional development

C. School awareness

D. Personal service

100 out of 100

Additional NCLEX PN practice tests and quizzes

NCLEX PN Practice Exam 3

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NCLEX PN practice questions – 200 Free questions 2024

Additional NCLEX PN practice tests and quizzes

NCLEX PN Practice Exam 3

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