lOMoAR cPSD| 56342273
NCLEX-PN® TEST QUESTIONS
®
The following questions are similar to those that may appear on the NCLEX-RN exam.Some questions may have more
than one correct response.During this review,you should select the one best response.
1.1 A client is being discharged and Answer:a
needs instructions on wound care.When Rationale:To provide the most appropriate teaching,the nurse first needs to
planning to teach the client,the nurse identify what the client needs to know and determine the client’s educational
should: level and learning ability.
a.identify the client’s learning needs Comprehension
and learning ability. Implementation
b.identify the client’s learning needs Health Promotion:Prevention and/or Early Detection of Health Problems
and advise him what to do.
c.identify the client’s problems and
make the appropriate referral.
d.provide pamphlets or videotapes for
ongoing learning.
1.2 A client is requesting a second Answer:d
opinion.The nurse who supports and Rationale:The nurse’s role as client advocate involves actively promoting clients’
promotes the client’s rights is acting as rights to make decisions and choices.
the client’s: Comprehension
a.teacher. Assessment
b.adviser. Safe,Effective Care Environment:Coordinated Care
c.supporter. Health Promotion:Prevention and/or Early Detection of Health Problems
d.advocate.
1.3 The client tells the nurse she has Answer:a
been smoking one pack of cigarettes a Rationale:Data collection occurs during the assessment phase;the information
day for the past 20 years.The nurse can be obtained during the initial assessment as well as during ongoing
recognizes this is what part of the assessment.
nursing process? Knowledge
a.assessment Assessment
b.planning Health Promotion:Prevention and/or Early Detection of Health Problems
c.implementation
d.evaluation
1.4 During the assessment step of the Answer:b
nursing process,the nurse collects Rationale:Information obtained during the assessment step is used in planning
subjective and objective data.The nurse and implementing nursing care,based on the problems identified from the
uses the information to identify: assessment data.
a.medical diagnoses. Analysis
b.actual or potential problems. Planning
c.client’s response to illness. Health Promotion:Prevention and/or Early Detection of Health Problem
d.need for community support groups.
1.5 The nurse performs daily,routine Answer:b
equipment checks to detect possible Rationale:Quality of care is evaluated through documentation reviews,
malfunction.This is part of the nurse’s interviews and surveys,observation and equipment checks.
role in the: Application
a.nursing process. Implementation
b.quality assurance plan. Health Promotion:Prevention and/or Early Detection of Health Problems
c.care management.
d.assessment plan.
1.6 The nurse is developing a Answer:a
nursingdiagnosis for a client who Rationale:Nursing diagnoses reflect client problems that the nurse can treat
haspneumonia.The nurse recognizes independently.
the diagnosis describes an actual or Application
potential problem that: Planning
a.the nurse can treat independently. Safe,Effective Care Environment:Coordinated Care
398 NCLEX-PN® Test Bank Questions © 2007 Pearson Education,Inc.
Downloaded by Legit Actualexams ()
, lOMoAR cPSD| 56342273
b. the nurse can treat with a
physician’sorder.
c. requires physician’s intervention.
d. relates to the clients’primarydiagnosis.
1.7 After administering pain Answer:d
medication,the nurse returns to check the Rationale: In the evaluation step the nurse determines if the interventions were effective.
client’s level of comfort.This stage of the Analysis/Diagnosis
nursing process is known as: a. assessment. Evaluation
b. planning. Safe,Effective Care Environment:Coordinated Care
c. implementation.
d. evaluation.
1.8 A client has lost 10 pounds related to Answer:b
nausea and vomiting.The nurse identifies Rationale: Expected outcomes should reflect a goal that is client centered, realistic,and
an appropriate expected outcome:The measurable. Answers a and c are not measurable;d is not realistic. Analysis/Diagnosis
client will: a. gain weight. Planning
b. gain 2 pounds within 1 week. Physiological Integrity:Physiological Adaptation
c. not lose weight.
d. gain 10 pounds in 2 days.
1.9 A problem-solving process that requires Answer:a
empathy,knowledge,divergent Rationale: Critical thinking involves self-directed thinking,combining the nurse’s cognitive
thinking,discipline,and creativity is known skills as well as attitude,experience,empathy,and discipline.
as: Comprehension
a. critical thinking. Analysis/Diagnosis
b. nursing process. Safe,Effective Care Environment:Coordinated Care
c. framework for nurses.
d. care management.
1.10 At the end of the shift,the nurse is Answer:a
ready to leave but has not been relieved by Rationale: The Code of Ethics guides the behavior of nurses. The nurse’s primary
the oncoming shift nurse.The nurse’s commitment is to the client,ensuring he or she receives safe,competent,and continual
responsibility to provide care for clients is care. Comprehension
part of the nurse’s: a. Code of Ethics. Implementation
b. nursing process. Safe,Effective Care Environment:Coordinated Care
c. critical thinking.
d. quality assurance.
CHAPTER2
2.1 According to Havighurst,the Answer:a
developmental tasks that describe adults as Rationale: These tasks occur predominantly in the young adult age group.
learning to live with a mate,have children,and Knowledge
hold a job are found in which of the Assessment
following stages? Health Promotion:Growth and Development
a. young adult (18–35 years of age)
b. middle adult (36–60 years of age)
c. older adult (over 60 years of age)
d. productive adult (18–60 years of age)
2.2 When caring for the middle age adult the Answer:c
nurse recognizes a major risk factor is: Rationale: Due to a decrease in basal metabolic rate and often activity level as well,the middle
a. cigarette smoking. adult is at risk for weight gain and obesity.
b. multiple sex partners. Comprehension
c. decreased physical activity. Integrative process:Assessment
d. obesity. Test plan:Health Promotion:Prevention and/or Early Detection of Health
Problems
© 2007 Pearson Education,Inc. NCLEX-PN® Test Bank Questions 399
GET SIMILAR TESTS @ Legit Actualexams ()
, lOMoAR cPSD| 56342273
400 NCLEX-PN® Test Bank Questions © 2007 Pearson Education,Inc.
, lOMoAR cPSD| 56342273
2.3 Because of the physiologic changes in Answer:b
the gastrointestinal system,the nurse should Rationale: A decrease in peristalsis can lead to constipation;increasing fiber in the diet
encourage the older adult to consume a diet will help to combat this.
high in: a. Na. Comprehension
b. fiber. Planning
c. carbohydrates. Health Promotion:Growth and Development
d. calories.
2.4 Women in the middle adult age group Answer:d
are at risk for cancer of the breast and Rationale: This option gives the most specific recommendations for tests that
reproductive organs.The nurse can suggest should be done to detect cancer.The other options provide more general
the following in health promotion teaching: information. Application
a. “You need to contact your Implementation
physicianabout mammography.” Health Promotion:Prevention and/or Early Detection of Health Problems
b. “If there is not a history of cancer inthe
women of your family,you need not be
concerned.”
c. “An annual physical exam isimportant to
detect early signs and symptoms of
cancer.”
d. “Self-breast exam monthly and anannual
Pap smear are necessary for early
detection of cancer.”
2.5 When teaching the old-old adult (over Answer:a
age 85) who has been diagnosed with a new Rationale: Due to neurovascular and sensory losses,older adults need adjustment in
illness,the nurse recognizes this age group: teaching methods,although they still have the ability to learn.
a. needs client teaching at a Application
slowerpace,with visual aids and Planning
repetition. Health Promotion:Growth and Development
b. does not profit from patientteaching.
c. learns at the same rate as young-
oldadults.
d. is generally cognitively impaired
andunable to learn new information.
2.6 When planning care for elderly clients in Answer:c
long-term care facilities,the nurse gives Rationale: Although all the options are important,maintenance of a safe environment is
highest priority to: always of highest priority.
a. ensuring that they consume at least1,200 Application
calories a day. Implementation
b. providing regular periods of Safe,Effective Care Environment:Safety and Infection Control
exercisedaily.
c. maintaining a safe environment.
d. providing opportunities for
socialinteractions.
2.7 The nurse visits an elderly client who Answer:a
lives alone,is not eating well,and has very Rationale: Assessing the client’s ability to obtain food would be essential to
little food available in the home.The nurse determine why the client isn’t eating and has little food available. Analysis
may also want to assess the client’s: Assessment
a. ability to do her own groceryshopping. Health Promotion:Prevention and/or Early Detection of Health Problems
b. access to local restaurants.
c. number of visits by family.
d. availability of local grocery stores.
© 2007 Pearson Education,Inc. NCLEX-PN® Test Bank Questions 401
GET SIMILAR TESTS @ Legit Actualexams ()
NCLEX-PN® TEST QUESTIONS
®
The following questions are similar to those that may appear on the NCLEX-RN exam.Some questions may have more
than one correct response.During this review,you should select the one best response.
1.1 A client is being discharged and Answer:a
needs instructions on wound care.When Rationale:To provide the most appropriate teaching,the nurse first needs to
planning to teach the client,the nurse identify what the client needs to know and determine the client’s educational
should: level and learning ability.
a.identify the client’s learning needs Comprehension
and learning ability. Implementation
b.identify the client’s learning needs Health Promotion:Prevention and/or Early Detection of Health Problems
and advise him what to do.
c.identify the client’s problems and
make the appropriate referral.
d.provide pamphlets or videotapes for
ongoing learning.
1.2 A client is requesting a second Answer:d
opinion.The nurse who supports and Rationale:The nurse’s role as client advocate involves actively promoting clients’
promotes the client’s rights is acting as rights to make decisions and choices.
the client’s: Comprehension
a.teacher. Assessment
b.adviser. Safe,Effective Care Environment:Coordinated Care
c.supporter. Health Promotion:Prevention and/or Early Detection of Health Problems
d.advocate.
1.3 The client tells the nurse she has Answer:a
been smoking one pack of cigarettes a Rationale:Data collection occurs during the assessment phase;the information
day for the past 20 years.The nurse can be obtained during the initial assessment as well as during ongoing
recognizes this is what part of the assessment.
nursing process? Knowledge
a.assessment Assessment
b.planning Health Promotion:Prevention and/or Early Detection of Health Problems
c.implementation
d.evaluation
1.4 During the assessment step of the Answer:b
nursing process,the nurse collects Rationale:Information obtained during the assessment step is used in planning
subjective and objective data.The nurse and implementing nursing care,based on the problems identified from the
uses the information to identify: assessment data.
a.medical diagnoses. Analysis
b.actual or potential problems. Planning
c.client’s response to illness. Health Promotion:Prevention and/or Early Detection of Health Problem
d.need for community support groups.
1.5 The nurse performs daily,routine Answer:b
equipment checks to detect possible Rationale:Quality of care is evaluated through documentation reviews,
malfunction.This is part of the nurse’s interviews and surveys,observation and equipment checks.
role in the: Application
a.nursing process. Implementation
b.quality assurance plan. Health Promotion:Prevention and/or Early Detection of Health Problems
c.care management.
d.assessment plan.
1.6 The nurse is developing a Answer:a
nursingdiagnosis for a client who Rationale:Nursing diagnoses reflect client problems that the nurse can treat
haspneumonia.The nurse recognizes independently.
the diagnosis describes an actual or Application
potential problem that: Planning
a.the nurse can treat independently. Safe,Effective Care Environment:Coordinated Care
398 NCLEX-PN® Test Bank Questions © 2007 Pearson Education,Inc.
Downloaded by Legit Actualexams ()
, lOMoAR cPSD| 56342273
b. the nurse can treat with a
physician’sorder.
c. requires physician’s intervention.
d. relates to the clients’primarydiagnosis.
1.7 After administering pain Answer:d
medication,the nurse returns to check the Rationale: In the evaluation step the nurse determines if the interventions were effective.
client’s level of comfort.This stage of the Analysis/Diagnosis
nursing process is known as: a. assessment. Evaluation
b. planning. Safe,Effective Care Environment:Coordinated Care
c. implementation.
d. evaluation.
1.8 A client has lost 10 pounds related to Answer:b
nausea and vomiting.The nurse identifies Rationale: Expected outcomes should reflect a goal that is client centered, realistic,and
an appropriate expected outcome:The measurable. Answers a and c are not measurable;d is not realistic. Analysis/Diagnosis
client will: a. gain weight. Planning
b. gain 2 pounds within 1 week. Physiological Integrity:Physiological Adaptation
c. not lose weight.
d. gain 10 pounds in 2 days.
1.9 A problem-solving process that requires Answer:a
empathy,knowledge,divergent Rationale: Critical thinking involves self-directed thinking,combining the nurse’s cognitive
thinking,discipline,and creativity is known skills as well as attitude,experience,empathy,and discipline.
as: Comprehension
a. critical thinking. Analysis/Diagnosis
b. nursing process. Safe,Effective Care Environment:Coordinated Care
c. framework for nurses.
d. care management.
1.10 At the end of the shift,the nurse is Answer:a
ready to leave but has not been relieved by Rationale: The Code of Ethics guides the behavior of nurses. The nurse’s primary
the oncoming shift nurse.The nurse’s commitment is to the client,ensuring he or she receives safe,competent,and continual
responsibility to provide care for clients is care. Comprehension
part of the nurse’s: a. Code of Ethics. Implementation
b. nursing process. Safe,Effective Care Environment:Coordinated Care
c. critical thinking.
d. quality assurance.
CHAPTER2
2.1 According to Havighurst,the Answer:a
developmental tasks that describe adults as Rationale: These tasks occur predominantly in the young adult age group.
learning to live with a mate,have children,and Knowledge
hold a job are found in which of the Assessment
following stages? Health Promotion:Growth and Development
a. young adult (18–35 years of age)
b. middle adult (36–60 years of age)
c. older adult (over 60 years of age)
d. productive adult (18–60 years of age)
2.2 When caring for the middle age adult the Answer:c
nurse recognizes a major risk factor is: Rationale: Due to a decrease in basal metabolic rate and often activity level as well,the middle
a. cigarette smoking. adult is at risk for weight gain and obesity.
b. multiple sex partners. Comprehension
c. decreased physical activity. Integrative process:Assessment
d. obesity. Test plan:Health Promotion:Prevention and/or Early Detection of Health
Problems
© 2007 Pearson Education,Inc. NCLEX-PN® Test Bank Questions 399
GET SIMILAR TESTS @ Legit Actualexams ()
, lOMoAR cPSD| 56342273
400 NCLEX-PN® Test Bank Questions © 2007 Pearson Education,Inc.
, lOMoAR cPSD| 56342273
2.3 Because of the physiologic changes in Answer:b
the gastrointestinal system,the nurse should Rationale: A decrease in peristalsis can lead to constipation;increasing fiber in the diet
encourage the older adult to consume a diet will help to combat this.
high in: a. Na. Comprehension
b. fiber. Planning
c. carbohydrates. Health Promotion:Growth and Development
d. calories.
2.4 Women in the middle adult age group Answer:d
are at risk for cancer of the breast and Rationale: This option gives the most specific recommendations for tests that
reproductive organs.The nurse can suggest should be done to detect cancer.The other options provide more general
the following in health promotion teaching: information. Application
a. “You need to contact your Implementation
physicianabout mammography.” Health Promotion:Prevention and/or Early Detection of Health Problems
b. “If there is not a history of cancer inthe
women of your family,you need not be
concerned.”
c. “An annual physical exam isimportant to
detect early signs and symptoms of
cancer.”
d. “Self-breast exam monthly and anannual
Pap smear are necessary for early
detection of cancer.”
2.5 When teaching the old-old adult (over Answer:a
age 85) who has been diagnosed with a new Rationale: Due to neurovascular and sensory losses,older adults need adjustment in
illness,the nurse recognizes this age group: teaching methods,although they still have the ability to learn.
a. needs client teaching at a Application
slowerpace,with visual aids and Planning
repetition. Health Promotion:Growth and Development
b. does not profit from patientteaching.
c. learns at the same rate as young-
oldadults.
d. is generally cognitively impaired
andunable to learn new information.
2.6 When planning care for elderly clients in Answer:c
long-term care facilities,the nurse gives Rationale: Although all the options are important,maintenance of a safe environment is
highest priority to: always of highest priority.
a. ensuring that they consume at least1,200 Application
calories a day. Implementation
b. providing regular periods of Safe,Effective Care Environment:Safety and Infection Control
exercisedaily.
c. maintaining a safe environment.
d. providing opportunities for
socialinteractions.
2.7 The nurse visits an elderly client who Answer:a
lives alone,is not eating well,and has very Rationale: Assessing the client’s ability to obtain food would be essential to
little food available in the home.The nurse determine why the client isn’t eating and has little food available. Analysis
may also want to assess the client’s: Assessment
a. ability to do her own groceryshopping. Health Promotion:Prevention and/or Early Detection of Health Problems
b. access to local restaurants.
c. number of visits by family.
d. availability of local grocery stores.
© 2007 Pearson Education,Inc. NCLEX-PN® Test Bank Questions 401
GET SIMILAR TESTS @ Legit Actualexams ()
