NCLEX PN practice questions - 200 Free questions 2023

Welcome to our additional NCLEX PN practice questions article. In this article, you will have 2 full practice tests.

Additional NCLEX PN practice tests and quizzes

For the parts that you scored poorly in, make sure to take our Practice Quizzes for the specific section. Here you can navigate all the NCLEX PN practice quizzes sections.

NCLEX practice questions Home
NCLEX PN full practice tests #2 and #3
NCLEX PN Coordinated Care quizzes
NCLEX PN Safety and Infection Control quizzes
NCLEX PN Basic Care and Comfort quizzes
NCLEX PN Reduction of Risk Potential quizzes
NCLEX PN Pharmacological and Parenteral Therapies quizzes
NCLEX PN Physiological Adaptation quizzes
NCLEX PN Psychosocial Integrity quizzes
NCLEX PN Health Promotion and Maintenance quizzes

Let’s get started right away.

NCLEX PN Practice Exam 2

Show session ID

Submit Cancel

Welcome to your NCLEX-PN Practice Exam 2

This test is designed to prepare you mentally for the actual NCLEX-PN Exam with (100 questions) and the time allowed (120 minutes) as the actual exam.

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%

Please click NEXT to start your Free NCLEX-PN PRACTICE EXAM right away.

Best of Luck!

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

A patient with stage IV cancer who refuses further treatment

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

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

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?

Notify the hospital attorney and file a complaint

Float to the obstetrics unit and perform safe and familiar tasks

Call the nursing supervisor and ask to go home

Refuse the assignment and stay in the medical-surgical unit

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

patients receive nursing treatment ordered by a managed care team

a nurse leads a coordinated team of other nurses and staff

one nurse provides total care for a team of patients

patients are assigned to a team according to nursing tasks

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

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

Ask another nurse to swap patients for the shift

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

Ask the charge nurse for a different patient assignment

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

Results of all labs and tests since admission

Total number of all medications given during the shift

Evidence of excellent care by the outgoing nurse

PRN medications given and the outcome

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?

Ask a family member to sign the consent as a proxy

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

Contact the physician at once to cancel the procedure

Review the document with the client and obtain verbal consent

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

People caused effect

Probable cause analysis

Cause and effect

Root cause analysis

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?

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

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

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

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

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?

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

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

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

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

10.

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?

Send the patient to surgery without informed consent

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

Approach the friend who followed the EMS to give informed consent

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

11.

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?

I believe the surgery is better than the other alternatives

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

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

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

12.

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?

Tell the ED physician that the mother refuses

Ask the ED social worker to intervene

Keep trying to contact the husband

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

13.

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

Client who requires wound irrigation

Client with dementia who needs frequent redirection

Client in isolation with airborne precautions

Client with chest pain who is a new admit

14.

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?

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

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

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

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

15.

An infection acquired in a hospital setting is called

prionitic

iatrogenic

nosocomial

noncommunicable

16.

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?

The resident is able to turn from back to side

The restraint does not tighten with force

Restraint straps are attached to the side rails

The restraint is tied with a quick-release knot

17.

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

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

The patient must be placed in a room with negative pressure

MRSA requires frequent contact, so the door should remain open

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

18.

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?

Line up gurneys in the hall and prepare them for admissions

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

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

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

19.

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?

Cereal

Banana

Pudding

Salmon

20.

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?

Call security to help

Use a mechanical lift

Try a blanket lift

Attach a gait belt

21.

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

Gloves

Gown

Goggles

Mask

22.

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?

Hepatitis B immune globulin

Interferon injection

Antiviral medication

Hepatitis B vaccination

23.

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?

Scissors

A hemostat

Sutures

A Yankauer

24.

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?

Report to the emergency department

Put the needle in a biohazard bag for testing

Make an appointment with the infection control department

Wash the area thoroughly with soap and water

25.

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

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

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

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

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

26.

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?

Implement Universal Precautions at once

Use a bedside commode instead of a bedpan

Place a mask on the patient when they are ambulating

Wear a gown and gloves when providing care

27.

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?

Blood clot

Joint dislocation

Nerve damage

Hemorrhage

28.

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

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

Empty the pouch before every meal.

Empty the pouch when it feels heavy.

Empty it at the same time every day.

29.

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

Hypertension

Bradycardia

Oliguria

Hyperglycemia

30.

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

Describe the client's behavior.

Auscultate heart and lungs.

Review laboratory results.

Conduct a client interview.

31.

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?

Bowel sounds are hypoactive in all quadrants.

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

The volume of residual formula is 90 mL.

Breath sounds are decreased in the right lower lobe.

32.

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?

Check the area where the tape is applied qd.

Flush the NG tube q 4 hr with hot water.

Change the tubing from the feeding a 48 hr.

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

33.

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

Gravida 3 – Para 2.

Gravida 2 - Para 1.

Gravida 3 - Para 1.

Gravida 2 - Para 2.

34.

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

fat-restricted diet.

phosphorus-restricted diet.

gluten-free diet.

lactose-free diet.

35.

A client with diabetes insipidus has urine output described as

oliguria

polyuria

anuria

dysuria

36.

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

Use an antibacterial soap every day.

Apply lotion right before each treatment.

Avoid shaving with a straight-edge razor.

Cover the treated area with sterile gauze.

37.

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?

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

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

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

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

38.

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

Apgar Scale

Likert scale

Braden Scale

Misophonia Scale

39.

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

Chill the ear drops before administering them

Pull her earlobe down and back before instilling the drops

Always wear gloves when giving ear drops to a child

Pull her outer ear up and back before instilling the drops

40.

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?

AB negative

AB positive

O positive

O negative

41.

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?

Bananas

Grapefruit

Milk

Eggs

42.

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

It dilates the bronchial airways

It thins secretions from the lungs

It suppresses persistent coughing

It reduces thick sputum production

43.

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?

Increased hepatic glycogenesis

Atrophy of alpha cells in the pancreas

Pancreatic beta cell destruction

Cells becoming resistant to insulin

44.

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

Sulfonamide, such as Bactrim or Septra

Aminoglycoside, such as Gentamicin or Tobramycin

Tetracycline, such as Sumycin or Tetracon

Cephalosporin, such as Ancef or Rocephin

45.

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?

10 capsules

5 capsules

1 capsule

2 capsules

46.

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?

0.5 mL

1.20 mL

0.20 mL

5.0 mL

47.

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?

150 mL

1.5 mL

15 mL

1500 mL

48.

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?

Diphenhydramine, taken for allergies

Dextromethorphan, taken for coughs

Aspirin, taken for osteoarthritis

Milk of magnesia, taken for constipation

49.

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?

0.60 mL

0.75 mL

0.25 mL

0.50 mL

50.

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

0.10%

1.10%

10%

1.00%

51.

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

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

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

Take this medication at dinner with a large glass of water

Stop taking this medication if you start urinating frequently

52.

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

Slow digestion and medication side effects

Eating only foods that appeal to the client

Inadequate diet and limited fluid intake

Poor nutrition and lack of moderate exercise

53.

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

Sims'

Supine

Prone

Fowler's

54.

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?

Vesicular

Bronchial

Alveolar

Bronchovesicular

55.

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

it increases the respiratory rate and oxygenation levels

it will help the client achieve maximum inhalation

it helps keep the small airways open and prevents air trapping

it creates negative pressure in the airways

56.

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

Gait belt

Walker

Cane

Crutches

57.

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

dairy products

fried potatoes

rare steak

red jello

58.

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?

Increased thirst

Loss of gag reflex

Sunken fontanelle

No urine output

59.

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

Carotid

Pedal

Brachial

Radial

60.

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?

Anaphylaxis and respiratory failure

Sudden headache and seizures

Painful raised rash and urticaria

Projectile vomiting and diarrhea

61.

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?

Hypertension Stage 1

Normal blood pressure

Elevated blood pressure

Hypertension Stage 2

62.

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?

Recheck in 15 minutes

Remove the dressings

Loosen the dressings

Elevate the legs

63.

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?

3.7 mEq/L (3.7 mmol/L)

4.7 mEqL(14.7 mmol/L)

3.2 mEq/L (3.2 mmol/L)

4.2 mEq/L (4.2 mmol/L)

64.

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?

Complete blood count (CBC)

Prothrombin time (PT)

Glycated hemoglobin (HbA1c)

Partial thromboplastin time (PTT)

65.

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?

Stage I

Stage III

Stage II

Stage IV

66.

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

Third-degree AV heart block

Second-degree AV heart block

Complete AV heart block

First-degree AV heart block

67.

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

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

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

Stage III: The pressure ulcer has slough and eschar

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

68.

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

Respiratory acidosis

Metabolic alkalosis

Respiratory alkalosis

Metabolic acidosis

69.

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?

Call the Poison Control Center

Call Emergency Medical Services

Go to the Emergency Department

Induce vomiting with syrup of ipecac

70.

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?

Abdominal bloating

Vaginal bleeding

Urinary tract infection

Sharp thoracic pain

71.

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?

The victim is reluctant to move his limbs

The victim states he has a very bad headache

He asks the nurse, "What happened?"

He has clear fluid draining from his ears

72.

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

Fibroblastic sarcoma

Ewing sarcoma

Synovial sarcoma

Kaposi sarcoma

73.

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

Vitamin E

Vitamin K

Vitamin C

Vitamin A

74.

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

Atrial depolarization

Ventricular repolarization

Ventricular depolarization

AV node depolarization

75.

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?

Congestive heart failure

Hyperthyroidism

Cushing's syndrome

Marfan syndrome

76.

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

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

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

The client should have a protein snack before the procedure

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

77.

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

Psychosocial

Genetic

Physiological

Environmental

78.

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?

Application of soft restraints

Frequent reorientation

Behavior modification

Relaxation therapy

79.

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?

Denial

Rationalization

Compensation

Coping

80.

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

Provide pet therapy

Encourage storytelling

Schedule a sing-along

Offer exercise classes

81.

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?

Hope

Trust

Autonomy

Identity

82.

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?

Notify the client's funeral home

Sit and hold the client's hand

Start to gather the client's things

Offer the client sips of herbal tea

83.

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?

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

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

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

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

84.

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?

Ask him about his dietary preferences

Ask him if he was circumcised

Ask him if he wears a yarmulke

Ask him if he reads and speaks Hebrew

85.

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?

Take the resident to a private area to reinforce proper behavior

Redirect him by tuning the TV to his favorite show

Give the resident a new task to help calm his mood

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

86.

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?

She calls me by my grandpa's name

We had to install door latches up high

She deliberately hides my favorite jacket

I have to show her where her bedroom is

87.

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

an auditory hallucination

a loose association

a flight of imagination

a delusion of grandeur

88.

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?

The problem is that my husband always buys ice cream

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

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

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

89.

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

just make sure the diaper area is clean and dry

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

start with the baby's feet and wash upward

only use baby wipes for the first two weeks

90.

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

It means the baby will have hernias

It's an unusual intestinal malformation

It's a serious but treatable heart defect

It means the baby will develop scoliosis

91.

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

placing the client in a supine position after each meal

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

switching the client to a full liquid diet

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

92.

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

plain water

orange juice

whole milk

ginger ale

93.

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

Decreased sensitivity to bright light

Increased sound discrimination

Decreased chronic pain perception

Increased ability to taste spices

94.

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

Indifference

Curiosity

Kindness

Impatience

95.

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

Cheese pizza with a raised-dough crust

Baked chicken breast with a salad

Beef noodle soup with saltine crackers

Hot dog without a bun and chips

96.

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?

Your nasal passages will likely become very irritated

Your stuffiness will feel worse if you use it too often

You can expect to see bleeding from the mucous membranes

Using nasal spray decreases the ability to fight the cold virus

97.

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?

Eliminate between-meat snacks

Avoid all caffeinated beverages

Drink more fluids with each meal

Add more fatty foods to the diet

98.

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?

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

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

I'll change my sitting position every three hours

I’ll wear a surgical stocking on the other leg

99.

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?

I absolutely believe you've made the best decision

Surely your family is worth more than these concerns

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

The palliative care and hospice program can tell you more

100.

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?

Community education

Professional development

School awareness

Personal service

1 out of 100

Time is Up!

Time's up

NCLEX PN Practice Exam 3

Show session ID

Submit Cancel

Welcome to your NCLEX-PN Practice Exam 3

This test is designed to prepare you mentally for the actual NCLEX-PN Exam with (100 questions) and the time allowed (120 minutes) as the actual exam.

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%

Please click NEXT to start your Free NCLEX-PN PRACTICE EXAM right away.

Best of Luck!

Which of the following tasks can be assigned to an experienced certified nursing assistant (CNA) who is helping to care for a patient on a ventilator?

Document lung sounds every 4 hours

Report when the endotracheal tube requires Suctioning

Check ventilator settings with the respiratory therapist

Measure vital signs and pulse oximetry readings every 4 hours

A client presents to the Emergency Department with an oxygen saturation (SaO2) of 78%. The client is able to breathe without assist. What oxygen delivery system will BEST increase the client's SaO2?

Rebreather mask

Simple face mask

Nasal cannula

Venturi mask

When sharing a patient's medical history land care information with another provider, how much can the initiating provider disclose?

Only data related to the other provider's specialty

The minimum information necessary

The patient's entire medical record

Only current test results and progress notes

An adult female client with a severe mental developmental delay will be scheduled for surgery. Which action should the nurse take first to obtain informed consent?

Ask the surgeon to proceed with informed consent

Verify the identity of the client's legal guardian

Check state guidelines for the definition of mental competence

Provide details about consent and advance directives

Before a patient is transported to surgery, the operating room calls the unit nurse to administer the preoperative medication as ordered. After giving the medication, the unit nurse discovers that the patient did not sign the surgical consent. What should the nurse do first?

Ask the patient to sign the consent before transport

Notify the surgeon

Call the OR to cancel the procedure

Notify the nursing supervisor

The Code of Ethics for Nurses was written and published by the

American Nurses Association

National League for Nursing

American Medical Association

National Institutes of Health

The charge nurse is making assignments for the shift. A young client who has remained unresponsive after sustaining a traumatic brain injury will be transferred from the hospital to a long-term care facility. Which staff member is MOST appropriate to provide care for this client today?

Unlicensed assistive personnel

Licensed practical nurse

Registered nurse

Supervised nursing student

The clinic nurse calls a client who has missed two check-up appointments for her baby. The mother states that she has problems with transportation. The nurse should refer the mother to

the local volunteer agency

the client's primary care provider

the clinic social worker

her health insurance company

A new unlicensed assistive personnel (UAP) takes an oral temperature of a client and notes that it is 102 °F (38.9 °C). The UAP quickly approaches the nurse to report the temperature, telling the nurse that the previous reading was 99.2 °F (37.3 °C). The nurse enters the client's room to perform an assessment and sees the client drinking a cup of hot tea. What instruction should the nurse give to the UAP?

In the future, offer the client ice chips instead of a hot beverage

Provide water and juice to bring down the client's temperature

Document both temperatures on the client's record

Remove the tea and retake the client's temperature in 20 minutes

10.

A client is admitted with a diagnosis of central diabetes insipidus, related to insufficient secretion of antidiuretic hormone (ADH). Which urine specific gravity result supports the diagnosis?

1.04

1.01

1.002

1.02

11.

A nurse working in a remote setting relies on telemedicine communication to provide care and education for clients. What is a PRIMARY benefit of using telemedicine from the client's perspective?

Telemedicine removes time and distance barriers to receiving care

Technology costs are high, but access offsets the expense

Clients are more inclined to learn about their conditions

Health care records are automatically standardized

12.

Which type of law deals with felonies and misdemeanors?

Criminal law

Statutory law

Common law

Administrative law

13.

An arterial line may be used for all the following purposes EXCEPT

Arterial blood gas tests

Measuring cardiac output

Continuous blood pressure monitoring

Laboratory test blood draws

14.

The nurse is explaining to a new Certified Nursing Assistant (CNA) the purposes of applying wrist or ankle restraints to clients. Which statement by the CNA indicates to the nurse that further training is needed?

The restraints are necessary to limit arm or leg movement

We put on the restraints to keep the clients in bed all night

Restraints can prevent clients from harming themselves

If we apply restraints, a client can't pull out their Foley catheter

15.

A newly admitted patient has an arteriovenous (AV) fistula for hemodialysis in the left arm. What should the nurse do to prevent injury to the fistula?

Place a large sign above the patient's bed

Instruct the patient to inform all staff

Put an alert bracelet on the patient's left arm

Make a note in the patient's health record

16.

The entire staff attends a mandatory inservice on the use of anthrax in bioterrorism. Which statement by a staff member indicates the need for further instruction?

Anthrax produces a neurotoxin that causes paralysis

Inhaling anthrax spores can be lethal

Anthrax can be treated with antibiotics

Anthrax can be transmitted by eating contaminated meat

17.

The nurse checks a client’s chart for drug allergies before administering an injection of penicillin. The chart states "NKA." She attempts to verify this with the client before giving the injection. The client says that he had a rash after receiving another shot, but he can't recall the medication. What is the nurse's best action?

Hold the penicillin and notify the physician who ordered the drug

Contact the pharmacy to learn whether penicillin reactions include a rash

Administer the penicillin injection and document the client's remark

Notify the nursing supervisor of the error in the client's record

18.

The pediatric nurse is preparing to administer a medication to a 3-year-old patient. Besides checking the child's arm band, the nurse should also

ask a parent to identify the child

ask the parent to step out of the room

ask the child to state their name

ask the child to state their age

19.

While setting up to do a sterile dressing change, the nurse places sterile 4 x 4 gauze pads on the sterile field, but then the nurse accidentally touches the field with an ungloved hand. Which action should the nurse take?

Fold over the area of the field that was touched and continue

Put on fresh sterile gloves and replace the gauze pads

Replace the gauze pads that were on top

Discard the field and gauze pads and start over

20.

As the nurse prepares to administer ampicillin 500 mg PO to a post-op patient, he checks the capsule in the patient's medication box. The dosage of the capsule is not labeled, but the nurse is familiar with the color and shape. The nurse should

ask a second nurse to verify the medication is ampicillin

contact the nursing supervisor to report the error

give the patient the capsule to maintain the schedule and blood level

call the pharmacy to bring properly labeled medication

21.

The nurse is assessing a patient who is recovering from a recent stroke. Which of these problems is the FIRST priority?

Impaired mobility

Impaired communication

Risk of altered coping

Risk of aspiration

22.

Which of the following is the second period or stage of the infection process?

Incubation

Decline

Prodromal

Illness

23.

The nurse in the birthing and maternity unit is training new unlicensed assistive personnel (UAP) on standard precautions. Which of the following observations by the nurse would indicate the need for further instruction?

The UAP disposes of needles in a designated sharps container

The UAP uses sterile gloves to bathe a honate who is 4 hours old

The UAP wears clean gloves to help the mother change her peri-pad

The UAP places soiled sheets in a marked container for contaminated linens

24.

A client is being admitted to the unit with a diagnosis of rule-out Laennec's cirrhosis of the liver. During the initial assessment, the nurse observes that the client is constantly scratching their skin. The nurse knows that this pruritus is the result of

a buildup of ascitic fluid

elevated cholesterol levels

reduced phagocyte activity

accumulation of bile salts

25.

During new employee orientation, the nurse provides information about exposure to bloodborne pathogens and the risk of human immunodeficiency virus (HIV) transmission. Which statement by the nurse is MOST important?

Treatment for exposure may include antiretroviral medications

Report any possible exposure of HIV-containing fluids immediately

Transmission of HIV from clients to health care workers is rare

HIV testing after exposure is done at specific intervals

26.

Which of the following is an early symptom of gonorrhea in males?

Urethral discharge

Penile lesion

Watery stools

Erectile dysfunction

27.

Before a nurse implements a bladder retraining program for an incontinent client, what is the FIRST action that the nurse should take?

Place a commode at the bedside

Gather data on the client's voiding pattern

Limit the client's daily fluid intake

Schedule regular times for urination

28.

A pediatric patient has been diagnosed with right lower lobe pneumonia. Upon auscultation of this lung field, the healthcare provider should expect to hear which breath sounds?

Crackles

Rhonchi

Stridor

Wheezes

29.

A 10-year-old boy is admitted to the pediatric unit with a diagnosis of viral meningitis. He is experiencing a severe headache, a stiff neck, vomiting, photophobia, and drowsiness. The nurse can make him more comfortable by

providing him with a large, soft pillow.

encouraging him to drink fluids.

teaching him deep breathing.

closing the shades and dimming the lights.

30.

A client with chronic renal failure (CRF) is learning to perform peritoneal dialysis at home. The nurse instructs the client to warm the dialyzing solution to 37 degrees Celsius so that it will

remove toxins from the body's cells.

relax the abdominal muscles.

dilate the peritoneal blood vessels.

maintain a constant body temperature.

31.

A client with end-stage renal disease has opted for an arteriovenous (AV) fistula for long-term treatment with hemodialysis. Following the surgical creation of the AV fistula, when will the client be able to use it for hemodialysis?

2-3 months

4–6 weeks

4-6 months

2-3 weeks

32.

The purpose of a splint is to

immobilize and allow for tissue swelling.

wrap around an injury for full protection.

provide permanent support for a fracture.

manage complex or unstable fractures

33.

After emptying a Jackson-Pratt drainage bulb, how does the nurse reestablish negative pressure in the system?

Fill the bulb with sterile saline solution.

Place the bulb lower than the client's body.

Compress the bulb and close the valve.

Open the valve and fill the bulb with air.

34.

A female patient complains of abdominal discomfort. Watery stool has been leaking from her rectum. This could be a sign of

bowel incontinence.

diarrhea.

fecal impaction.

constipation.

35.

A client receives a new order for levothyroxine (Synthroid) 150 mcg PO every day. The pharmacy sends Synthroid 0.1 mg tablets. How many tablets will the nurse administer?

1.5 tablets

1.0 tablet

2 tablets

.5 tablet

36.

76 parts per 100 may be written as all of the following EXCEPT

0.76

76%

100/76

76/100

37.

The health care provider (HCP). prescribes acetaminophen gr VIII PO PRN for headache pain. The client has 500 mg caplets. How many caplets should the client take?

2 caplets

3 caplets

4 caplets

1 caplet

38.

The health care provider (HCP) prescribes heparin 6,789 units subcutaneously q 12 hr. The nurse has a vial of heparin with 10,000 units/mL. How many mL will the nurse draw up and administer? Round the answer to one decimal place.

1.2 mL

0.7 mL

1.5 mL

0.4 mL

39.

The nurse is instructing a client about a newly prescribed medication, furosemide (Lasix). Which adverse effect should the nurse discuss?

Dry mouth

Leg cramps

Poor appetite

Increased energy

40.

A patient who is receiving a unit of blood complains of chills and dizziness. The nurse observes that the patient is dyspneic and the patient's face appears flushed. The nurse immediately notifies the RN. What is the likely cause of these symptoms?

Air embolism

Bacterial sepsis

Fluid overload

Transfusion reaction

41.

A resident has a flare-up of psoriasis, so the physician orders salicylic acid foam to be applied topically. The nurse knows to watch for which sign of systemic toxicity?

Photophobia

Diarrhea

Tinnitus

Seizures

42.

A patient receives a new order for levothyroxine (Synthroid) 150 mcg PO every day. The pharmacy sends Synthroid 0.1 mg tablets. How many tablets will the nurse administer?

1.0 tablet

2 tablets

0.5 tablet

1.5 tablets

43.

The health care provider (HCP) prescribes acetaminophen liquid 160 mg PO q 4-6 hr PRN for a child with a fever. Pharmacy dispenses 80 mg/mL. How many mL should the nurse administer for a dose?

2 mL

3 mL

1.5 mL

2.5 mL

44.

The health care provider (HCP). prescribes a keep vein open (KVO) rate of 10 mL/hr at 0800. There are 135 mL remaining in a bag of 0.9% NS. What time will the bag of solution be infused?

2330 (11:30 pm)

2030 (8:30 pm)

2130 (9:30 pm)

2230 (10:30 pm)

45.

The provider orders furosemide (Lasix) oral solution 0.5 mL stat. Pharmacy sends a bottle marked 10 mg/mL. What dosage will the nurse administer?

0.05 mg

1.5 mg

0.5 mg

5 mg

46.

The health care provider (HCP) prescribes 1/2 strength tube-feeding formula for a client who is restarting enteral nutrition. A standard can of formula contains 240 mL. How much water should the nurse add to obtain 1/2 strength?

240 mL

360 mL

120 mL

480 mL

47.

A client receiving hemodialysis therapy weighs 78 kg today. The nurse notes that the client's previous weight was 76 kg. What is the percent change? Round to two decimal places.

4.40%

0.44%

0.26%

2.63%

48.

The nurse is encouraging a client to increase their daily fluid intake to 2 liters. The client asks, "How much is that?" The nurse then tells the client to drink how many 8-ounce glasses of liquids each day? Round to the nearest whole.

12 glasses

6 glasses

10 glasses

8 glasses

49.

A client has been taking a warfarin 5 mg tablet every day. Following a routine international normalized ratio (INR) test, the health care provider (HCP) increases the client's dose to 7.5 mg PO daily. How many (scored) tablets should the nurse instruct the client to take each day?

3 tablets

2 tablets

1.5 tablets

2.5 tablets

50.

The provider orders "gabapentin 18 mg/kg/day in 3 divided doses" for a child who weighs 28 kg. How many mg will the nurse administer for each dose?

126 mg

252 mg

168 mg

504 mg

51.

The pediatrician orders cephalexin monohydrate 0.5 g PO q8 hrs for a child with a diagnosis of pneumonia. The pharmacy sends the medication with 500 mg per teaspoon. How many mL should the nurse administer?

10 ml

1 mL

5 mL

0.5 mL

52.

When a nurse collects a stool sample to be tested for ova and parasites, which nursing action is correct?

Delivering the stool sample directly to the laboratory

NCLEX PN practice questions – 200 Free questions 2023

Additional NCLEX PN practice tests and quizzes

NCLEX PN Practice Exam 2

NCLEX PN Practice Exam 3