100 Original PN Comprehensive Predictor-Style
Practice Questions with Answers and Rationales
for NCLEX-PN Review: Fundamentals,
Pharmacology, Medical-Surgical, Maternal-
Newborn, Pediatrics, Mental Health,
Prioritization, Delegation, Safety, Infection
Control, Nutrition, and Next Generation NCLEX
Clinical Judgment: Complete Study Guide for
Practical Nursing Students
Fundamentals & Basic Care
1. A nurse is caring for a client with
Clostridioides difficile infection. Which action
should the nurse take?
A. Use alcohol-based hand rub before leaving
the room
B. Wash hands with soap and water
,C. Wear a mask only
D. Place client in a positive-pressure room
☑VERIFIED ANSWERS: B
Rationale: C. diff spores are not killed by
alcohol-based hand rub. Soap and water must
be used.
2. A client with a latex allergy should avoid
which fruit?
A. Apple
B. Banana
C. Grape
D. Pear
☑VERIFIED ANSWERS: B
Rationale: Banana, avocado, kiwi, and chestnut
can cross-react with latex.
3. A postoperative client has a dressing
saturated with bright red blood. What should
the nurse do first?
,A. Reinforce the dressing
B. Apply pressure and notify the provider
C. Document the finding
D. Change the dressing
☑VERIFIED ANSWERS: B
Rationale: Bright red saturation indicates
possible hemorrhage. Apply pressure and notify
the provider immediately.
4. Which finding indicates IV infiltration?
A. Warm, red, tender site
B. Cool, pale, swollen site
C. Blood return in the tubing
D. Flushed skin along the vein
☑VERIFIED ANSWERS: B
Rationale: Infiltration causes cool, pale, swollen
tissue due to fluid in surrounding tissue.
5. A client has a fever of 102.2°F (39°C). Which
intervention is appropriate?
, A. Restrict fluids
B. Increase oral fluids
C. Apply a warm blanket
D. Encourage vigorous exercise
☑VERIFIED ANSWERS: B
Rationale: Fever increases fluid loss. Encourage
fluids to prevent dehydration.
6. How often should an immobile client be
repositioned to prevent pressure injuries?
A. Every 30 minutes
B. Every 2 hours
C. Every 6 hours
D. Every 12 hours
☑VERIFIED ANSWERS: B
Rationale: Reposition at least every 2 hours to
relieve pressure.
7. Which action best prevents falls in an older
adult client?
Practice Questions with Answers and Rationales
for NCLEX-PN Review: Fundamentals,
Pharmacology, Medical-Surgical, Maternal-
Newborn, Pediatrics, Mental Health,
Prioritization, Delegation, Safety, Infection
Control, Nutrition, and Next Generation NCLEX
Clinical Judgment: Complete Study Guide for
Practical Nursing Students
Fundamentals & Basic Care
1. A nurse is caring for a client with
Clostridioides difficile infection. Which action
should the nurse take?
A. Use alcohol-based hand rub before leaving
the room
B. Wash hands with soap and water
,C. Wear a mask only
D. Place client in a positive-pressure room
☑VERIFIED ANSWERS: B
Rationale: C. diff spores are not killed by
alcohol-based hand rub. Soap and water must
be used.
2. A client with a latex allergy should avoid
which fruit?
A. Apple
B. Banana
C. Grape
D. Pear
☑VERIFIED ANSWERS: B
Rationale: Banana, avocado, kiwi, and chestnut
can cross-react with latex.
3. A postoperative client has a dressing
saturated with bright red blood. What should
the nurse do first?
,A. Reinforce the dressing
B. Apply pressure and notify the provider
C. Document the finding
D. Change the dressing
☑VERIFIED ANSWERS: B
Rationale: Bright red saturation indicates
possible hemorrhage. Apply pressure and notify
the provider immediately.
4. Which finding indicates IV infiltration?
A. Warm, red, tender site
B. Cool, pale, swollen site
C. Blood return in the tubing
D. Flushed skin along the vein
☑VERIFIED ANSWERS: B
Rationale: Infiltration causes cool, pale, swollen
tissue due to fluid in surrounding tissue.
5. A client has a fever of 102.2°F (39°C). Which
intervention is appropriate?
, A. Restrict fluids
B. Increase oral fluids
C. Apply a warm blanket
D. Encourage vigorous exercise
☑VERIFIED ANSWERS: B
Rationale: Fever increases fluid loss. Encourage
fluids to prevent dehydration.
6. How often should an immobile client be
repositioned to prevent pressure injuries?
A. Every 30 minutes
B. Every 2 hours
C. Every 6 hours
D. Every 12 hours
☑VERIFIED ANSWERS: B
Rationale: Reposition at least every 2 hours to
relieve pressure.
7. Which action best prevents falls in an older
adult client?
