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NCLEX NCLEX-PN Exam Questions

NCLEX NCLEX-PN Exam Questions Answers

National Council Licensure Examination(NCLEX-PN)

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NCLEX NCLEX-PN Practice Test Questions ( Updated) – Real Exam Questions & Dumps PDF

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NCLEX NCLEX-PN Sample Questions – Free Practice Test & Real Exam Prep

Question #1

A twenty-one year old man suffered a concussion and the MD ordered a MRI. The patientasks, “Will they allow me to sit up during the MRI?” The correct response by the nurseshould be.

  • A. “I will have to talk to the doctor about letting you sit upright during the test.”
  • B. “You will be positioned in the reverse Trendelenburg position to maximizethe view of thebrain.”
  • C. “The radiologist will let you know.”
  • D. “You will have to lie down on your back during the test.”
Answer: D
Explanation:
The MRI will require supine positioning. 
Question #2

A thirty-seven year-old female in room 307 has a diagnosis of acquired immune deficiency syndrome (AIDS). Which of the following situations requires nurse intervention? 

  • A. A certified nursing assistant states, “The patient in 307 is not wearing glovesshaving her legs.” 
  • B. A nursing assistant at the nursing station states, “The patient in 307 has arespiratory rate of 16.”
  • C. A nursing student in the cafeteria states, “Dr.Jones told the patient in room307 that she was going to die.” 
  • D. A certified nursing assistant states, “Dr. Jones hasn’t made rounds thismorning.”
Answer: C
Explanation:
Patient confidentiality should be observed, especially in public places. The nurse should tell the nursing student do not discuss confidential information in public.
Question #3

A nurse is reviewing a patient’s current Lithium levels. Which of the following values isoutside the therapeutic range?

  • A. 1.0 mEq/L
  • B. 1.1 mEq/L
  • C. 1.2 mEq/L
  • D. 1.3 mEq/L
Answer: D
Explanation:
1.0-1.2 mEq/L is considered standard therapeutic range for patient care. 
Question #4

A primigravida begins labor when her family is unavailable and she is alone. She is very upset that her family is not with her. Which approach can the nurse take to meet the client’s needs at this time?

  • A. asking whether another individual wants to be her support person
  • B. assuring her that the nursing triage group will be with her at all times
  • C. telling her you will try to locate her family
  • D. reinforcing the woman’s confidence in her own abilities to cope and maintain a sense of control
Answer: A
Explanation:
Allow the client to select another individual to give support. This allows her to have someone with her until her family can be with her.Safety and Infection Control 
Question #5

A nurse is caring for a patient in the step down unit. The patient has signs of increasedintracranial pressure. Which of the following is not a sign of increased intracranialpressure?

  • A. Bradycardia
  • B. Increased pupil size bilaterally
  • C. Change in LOC
  • D. Vomiting
Answer: B
Explanation:
Unilateral pupil changes indicate changes in ICP. 
Question #6

A nurse has been assigned a patient who has recently been diagnosed with Guillain-Barre’Syndrome. Which of the following statements is the most applicable when discussing theimpairments with Guillain-Barre’ Syndrome with the patient?

  • A. Guillain-Barre’ Syndrome gets better after 5 years in almost all cases.
  • B. Guillain-Barre’ Syndrome causes limited sensation in the abdominal region.
  • C. Guillain-Barre’ Syndrome causes muscle weakness in the legs.
  • D. Guillain-Barre’ Syndrome does not effect breathing in severe cases.
Answer: C
Explanation:
Muscle weakness in the lower extremities is found in acute cases of Guillain-Barre’
Syndrome. 
Question #7

In hanging a parenteral IV fluid that is to be infused by gravity, rather than with an infusion pump, the nurse notes that the IV tubing is available in different drop factors. Which tubing is a microdrop set?

  • A. 15 drops per milliliter
  • B. 60 drops per milliliter
  • C. 20 drops per milliliter
  • D. 10 drops per milliliter
Answer: B
Explanation: 
All microdrop sets are calculated to give 60 drops for each milliliter of IV fluid. Macrodrop sets are calculated to give 10, 15, or 20 drops for each milliliter of IV fluid.Pharmacological Therapies
Question #8

Medical records indicate a patient has developed a condition of respiratory alkalosis. Which of the following clinical signs would not apply to a condition of respiratory alkalosis? 

  • A. Muscle tetany
  • B. Syncope
  • C. Numbness
  • D. Anxiety
Answer: D
Explanation:
Anxiety is a clinical sign associated with respiratory acidosis
Question #9

The nurse sustains a needle puncture that requires HIV prophylaxis. Which of the followingmedication regimens should be used?

  • A. an antibiotic such as Metronidazole and a protease inhibitor (Saquinivir)
  • B. two non-nucleoside reverse transcriptase inhibitors
  • C. one protease inhibitor such as Nelfinavir
  • D. two protease inhibitors
Answer: B
Explanation:
Unless there is drug resistance, the initial prophylaxis based on CDC recommendations is
2 NNRTIs.Safety and Infection Control 
Question #10

How does the ANA define the psychiatric nursing role?

  • A. a specialized area of nursing practice that employs theories of human behavior as its science and the powerful use of self as its art
  • B. assisting the therapist to relieve the symptoms of clients
  • C. to solve clients’ problems and give them the answers
  • D. having a client committed to long-term therapy with the nurse
Answer: A
Explanation:
The ANA sets standards of practice for psychiatric and mental health nursing roles. Quality of care, performance appraisal, education, ethics, collaboration, and research are covered through the use of the Nursing Process.Psychosocial Integrity 
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