Released NCLEX NCLEX-PN Updated Questions PDF
NCLEX-PN Dumps and Practice Test (725 Exam Questions)
To be eligible to take the NCLEX-PN, candidates must have completed an accredited practical nursing program and meet the requirements set forth by their state board of nursing. These requirements may include criminal background checks, drug screenings, and/or proof of English proficiency. Once a candidate is deemed eligible, they must register for the exam with Pearson VUE, the company that administers the exam on behalf of the NCSBN.
NCLEX-PN exam is an important step in the process of becoming a licensed practical nurse (LPN). In order to be eligible to take the exam, candidates must first complete an accredited practical nursing program, which typically takes around 1-2 years to complete. Once a candidate has completed their program, they can register to take the NCLEX-PN through their state board of nursing. NCLEX-PN exam consists of 85-205 questions, and candidates have up to 5 hours to complete it.
NEW QUESTION # 94
A nursing advocate is one who:
- A. is the legal representative for a person.
- B. makes decisions for others.
- C. encourages persons to make decisions for themselves and acts with or on behalf of the person to support those decisions.
- D. manages the care of others.
Answer: C
Explanation:
Nurse advocates work with clients to provide information and assistance is decision-making. The decisions and care that occur from these decisions are based on the right of the client to self-determination and the work of the nurse advocate supports this right.
Coordinated Care
NEW QUESTION # 95
When teaching a woman about possible side effects of hormone replacement therapy, the nurse should include information about all of the following except __________.
- A. The possible return of monthly menses when taking combination hormones.
- B. Increased risk of breast, cervical, and ovarian cancer with long-term use.
- C. Increased risk of gallbladder disease.
- D. Hypoglycemia in diabetic women.
Answer: D
Explanation:
Section: Health Promotion and Maintenance
Explanation:
When taking estrogen, there is an increased risk of diabetes or hyperglycemia due to lowered glucose tolerance.
It is true that monthly menses might return when taking combination hormones. The progestin is responsible for this.
There is also a risk of gallbladder disease.
It is also true that there is an increased risk of breast, cervical, and ovarian cancer with long-term hormone replacement therapy.
NEW QUESTION # 96
Accurate documentation of assessment findings regarding pressure ulcers is very important because:
- A. the law requires the nurse to document lesions.
- B. the physician requires the nurse to document lesions.
- C. the hospital requires the nurse to document lesions.
- D. the nursing assessment of ulcers is a standard of nursing practice.
Answer: D
Explanation:
Explanation/Reference:
Explanation:
Documentation of assessments by the nurse promotes continuity of care and helps prevent further progression of the ulcer. Basic Care and Comfort
NEW QUESTION # 97
What do the following ABG values indicate:
pH 7.38,
PO2 78 mmHg,
PCO2 36mmHg,
HCO3 24 mEq/L?
- A. respiratory acidosis
- B. homeostasis
- C. metabolic alkalosis
- D. respiratory alkalosis
Answer: B
Explanation:
Section: Physiological Integrity
Explanation:
These ABG values are within normal limits.
Metabolic alkalosis, respiratory acidosis, respiratory alkalosis are incorrect choices because the ABG values indicate none of these acid-base disturbances.
NEW QUESTION # 98
Which of the following syndromes associated with incomplete lesions of the spinal cord is a result of damage to one-half of the spinal cord?
- A. cauda equina syndrome
- B. Brown-Sequard syndrome
- C. posterior cord syndrome
- D. central cord syndrome
Answer: B
Explanation:
Brown-Sequard syndrome is a result of damage to one-half of the spinal cord. The other choices are also incomplete lesions of the spinal cord, but they have different defining characteristics.Reduction of Risk Potential
NEW QUESTION # 99
Which of the following statements by a client with gastroesophageal reflux disease (GERD) indicates adequate understanding?
- A. "I should lie flat after eating."
- B. "I should sit up after eating."
- C. "I should eat right before bedtime."
- D. "I should eat large meals."
Answer: B
Explanation:
Explanation/Reference:
Explanation:
The client with GERD needs to sit up after eating or have the head of the bed elevated to avoid reflux.
Thus, choices 1 and 4 are incorrect. Choice 2 is incorrect because the client needs to eat small, frequent meals. Reduction of Risk Potential
NEW QUESTION # 100
When administering intravenous electrolyte solution, the nurse should take which of the following precautions?
- A. Infuse hypertonic solutions rapidly.
- B. Mix no more than 80 mEq of potassium per liter of fluid.
- C. Prevent infiltration of calcium, which causes tissue necrosis and sloughing.
- D. As appropriate, reevaluate the client's digitalis dosage. He might need an increased dosage because IV calcium diminishes digitalis's action.
Answer: C
Explanation:
Section: Physiological Integrity
Explanation
Explanation:
Preventing tissue infiltration is important to avoid tissue necrosis.
To infuse hypertonic solutions rapidly is incorrect because hypertonic solutions should be infused cautiously and checked with the RN if there is a concern.
To mix no more than 80 mEq of potassium per liter of fluid is incorrect because potassium, mixed in the pharmacy per physician order, is mixed at a concentration no higher than 60 mEq/L.
NEW QUESTION # 101
When administering intravenous electrolyte solution, the nurse should take which of the following precautions?
- A. Infuse hypertonic solutions rapidly.
- B. Mix no more than 80 mEq of potassium per liter of fluid.
- C. Prevent infiltration of calcium, which causes tissue necrosis and sloughing.
- D. As appropriate, reevaluate the client's digitalis dosage. He might need an increased dosage because IV calcium diminishes digitalis's action.
Answer: C
Explanation:
Explanation/Reference:
Explanation:
Preventing tissue infiltration is important to avoid tissue necrosis. Choice 1 is incorrect because hypertonic solutions should be infused cautiously and checked with the RN if there is a concern. Choice 2 is incorrect because potassium, mixed in the pharmacy per physician order, is mixed at a concentration no higher than
60 mEq/L.
Physiological Adaptation
NEW QUESTION # 102
A hospitalized adult client who routinely works from midnight until 8 a.m. has a temperature of 99.1 F at 4 a.m. The nurse determines that this is most likely due to:
- A. pneumonia
- B. delta sleep
- C. slow brain waves
- D. circadian rhythm
Answer: D
Explanation:
Biological rhythms that follow a cycle lasting about 24 hours are termed circadian rhythm. The sleep-wake cycle is closely linked with cardiac rhythms, such as body temperature. While a person sleeps, core body temperature drops, often reaching the 24-hour low at 4
a.m. When the sleep period shifts, temperature fluctuations also shift to match the new sleep patterns.Basic Care and Comfort
NEW QUESTION # 103
Most water leaves the body by way of the __________.
- A. lungs
- B. skin
- C. intestines
- D. kidneys
Answer: D
Explanation:
Section: Health Promotion and Maintenance
Explanation:
The kidneys, via urine, excrete approximately 60% of all water.
Water, in lesser volumes, also leaves the body by way of lung expiration, skin perspiration, and through the intestines.
NEW QUESTION # 104
A young female teenager describes a brutal assault and rape to the nurse on duty. Which of the following actions should the nurse take first?
- A. Provide an environment of concern and emotional stabilization.
- B. Check with case manager on duty about possible police intervention.
- C. Clean the patient's wounds with normal saline and gauze.
- D. Recommend a good attorney to the patient.
Answer: A
Explanation:
Emotional support is what that patient needs most at this point in time.
NEW QUESTION # 105
When assessing a client with early impairment of oxygen perfusion, such as pulmonary embolus, the nurse should expect to find restlessness and which of the following symptoms?
- A. eupnea
- B. warm, dry skin
- C. bradychardia
- D. tachycardia
Answer: D
Explanation:
Explanation/Reference:
Explanation:
The cardinal signs of respiratory problems and hypoxia are restlessness, diaphoresis, tachycardia, and cool skin.
Bradycardia might occur much later in the process when the condition is severe. Eupnea is normal respirations in rate and depth. Physiological Adaptation
NEW QUESTION # 106
The PN is caring for a quadriplegic patient, and the patient begins to experience autonomic dysreflexia.
What is the most appropriate action for the PN to take?
- A. Check the patient's urinary catheter.
- B. Notify the physician.
- C. Administer nitroglycerin sublingually.
- D. Elevate the head of the bed as high as possible.
Answer: D
Explanation:
Section: Physiological Integrity
NEW QUESTION # 107
The LPN is teaching a 28-year-old patient about HPV.
Which statement, if made by the patient, would warrant the need for further teaching?
- A. "It's a bummer that I'm too old for the vaccine."
- B. "It's great that HPV usually just goes away on its own."
- C. "I'm just so confused how I got it; my boyfriend never had any symptoms!"
- D. "I feel a bit better about having HPV now that I know that almost all sexually active people have it at some point."
Answer: C
Explanation:
Section: Health Promotion and Maintenance
NEW QUESTION # 108
A client is having problems with her ankles. To assess her ankles' ROM, which ROM exercises should the nurse have her perform?
- A. flexion, extension, abduction, adduction
- B. external rotation, internal rotation
- C. flexion, extension, hyperextension
- D. extension, flexion, inversion, eversion
Answer: D
Explanation:
Explanation/Reference:
Explanation:
Moving a joint through the full range of motion identifies limitation of movement. Basic Care and Comfort
NEW QUESTION # 109
Light therapy can be effective for:
- A. helping with allergies.
- B. use in alternative medical treatments.
- C. overcoming weight problems.
- D. working with sleep patterns.
Answer: D
Explanation:
Light therapy can be effective in treating problems associated with sleep patterns, stress, moods, jaundice in newborns, and seasonal affective disorders.Nonpharmacological Therapies
NEW QUESTION # 110
Which of the following is the primary force in sex education in a child's life?
- A. media
- B. parents
- C. school nurse
- D. peers
Answer: B
Explanation:
Explanation/Reference:
Explanation:
Parents are the primary force in sex education in a child's life. The school nurse is involved with formal sex education and counseling. Peers become more important in sex education during adolescence but might lack correct information. The media play a powerful role in what children learn about sex through movies, TV, and video games. Health Promotion and Maintenance
NEW QUESTION # 111
A nurse assesses a 83 year-old female's venous ulcer for the second time that is located near the right medial malleolus. The wound is exhibiting purulent drainage and the patient has limited mobility in her home. Which of the options is the best course of action?
- A. Notify the case manager of the purulent drainage.
- B. Determine the patient's pulse in the right ankle.
- C. Recommend increased activity to reduce the purulent drainage.
- D. Encourage warm water soaks to the right foot.
Answer: D
Explanation:
A determination of arterial blood flow should be made, prior to encouraging increased activity, or notifying additional team members.
NEW QUESTION # 112
While repositioning the patient, the LPN notices a shallow, open ulcer on the sacrum with partial-thickness skin loss.
What is the classification stage of this ulcer?
- A. Stage II
- B. Stage III
- C. Stage IV
- D. Stage I
Answer: A
Explanation:
Section: Physiological Integrity
Explanation
NEW QUESTION # 113
A client needs to rapidly achieve a therapeutic plasma drug concentration of a medication.
Rather than wait for steady state to be achieved, the physician might order __________.
- A. a loading dose
- B. a medication with no first-pass effect
- C. the medication to be given intravenously
- D. a maintenance dose
Answer: A
Explanation:
Section: Physiological Integrity
Explanation:
A loading or priming dose rapidly establishes a therapeutic plasma drug level. It can be calculated by multiplying the volume of distribution by the desired plasma drug concentration.
A maintenance dose maintains a therapeutic level after the loading dose.
It takes five drug half-lives to achieve steady state if no loading dose is given.
A medication with no first-pass effect is similar to a maintenance dose. Intravenous administration provides excellent drug bioavailability, but one dose will not achieve a therapeutic plasma level.
NEW QUESTION # 114
On which of the following aspects of the assessment should a nurse who is assessing the health-related physical fitness of a client as part of a health assessment be focused?
- A. speed
- B. risk factors
- C. body composition
- D. agility
Answer: B
Explanation:
Section: Health Promotion and Maintenance
Explanation:
A health assessment should focus on possible risk factors of the client.
A risk factor is something that increases a person's chance for illness or injury.
A health-risk appraisal is an assessment of the total person, including lifestyle and health behaviors.
NEW QUESTION # 115
Light therapy can be effective for __________.
- A. working with sleep patterns
- B. use in alternative medical treatments
- C. helping with allergies
- D. overcoming weight problems
Answer: A
Explanation:
Section: Physiological Integrity
Explanation:
Light therapy can be effective in treating problems associated with sleep patterns, stress, moods, jaundice in newborns, and seasonal affective disorders.
NEW QUESTION # 116
The nurse can promote relief of muscle pain, spasms, and tension by:
- A. having the client continue his activities as usual.
- B. giving as much pain medication as needed to ease the muscle.
- C. applying heat, cold, pressure, or vibration to the painful area.
- D. immobilizing the client.
Answer: C
Explanation:
Superficial heat and cold, massage, pressure, or vibration can be applied to alleviate pain associated with muscle tension, pain, or spasms.Nonpharmacological Therapies
NEW QUESTION # 117
A hospitalized client has just been informed that he has terminal cancer. He says to the nurse, "There must be some mistake in the diagnosis." The nurse determines that the client is demonstrating which of the following?
- A. anger
- B. acceptance
- C. denial
- D. bargaining
Answer: C
Explanation:
Explanation/Reference:
Explanation:
Denial (Kübler-Ross's Stages of Grieving) is the refusal to believe that loss is happening. Psychosocial Integrity
NEW QUESTION # 118
In teaching clients with Buck's Traction, the major areas of importance should be:
- A. elimination, safety, isotonic exercises.
- B. ROM exercises, transportation.
- C. nutrition, ROM exercises.
- D. nutrition, elimination, comfort, safety.
Answer: D
Explanation:
Explanation/Reference:
Explanation:
Nutrition, elimination, comfort, and safety are the major areas of importance. The diet should be high in protein with adequate fluids. Basic Care and Comfort
NEW QUESTION # 119
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NCLEX-PN exam is a rigorous and comprehensive test that requires a significant amount of preparation. Candidates must have a solid foundation in nursing knowledge and skills, as well as the ability to think critically and make sound clinical judgments. Many candidates choose to prepare for the exam by taking review courses or using study materials such as practice tests and study guides. It is also important for candidates to be familiar with the format and structure of the exam to ensure they are adequately prepared for test day.
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