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NCLEX-PN Comprehensive Study Guide + Practice Questions (2025 Edition)

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The NCLEX-PN (National Council Licensure Examination for Practical Nurses) is a standardized exam that determines whether a candidate is ready to begin practice as an entry-level Licensed Practical Nurse (LPN) or Licensed Vocational Nurse (LVN). This guide covers all key areas tested, offers 200+ practice questions with rationales, and gives tips to pass the exam on your first attempt.

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NCLEX-PN Exam Questions with Detailed Explanations

1. A nurse is caring for a postoperative client who is drowsy and has shallow breathing. What should the

nurse do first?

A. Increase the IV fluid rate

B. Stimulate the client to promote deeper breathing

C. Administer pain medication as prescribed

D. Document the client's status in the medical record

Correct Answer: B. Stimulate the client to promote deeper breathing

Explanation: The client's shallow breathing shows a risk of hypoventilation, which can cause low oxygen

levels. The priority is to stimulate the client to breathe more deeply to avoid complications. Giving more fluids

or pain meds without fixing the breathing may make it worse. Documentation is important but not the first step

in an urgent situation.




Page 1

, NCLEX-PN Exam Questions with Detailed Explanations

2. A nurse is caring for a postoperative client who is drowsy and has shallow breathing. What should the

nurse do first?

A. Increase the IV fluid rate

B. Stimulate the client to promote deeper breathing

C. Administer pain medication as prescribed

D. Document the client's status in the medical record

Correct Answer: B. Stimulate the client to promote deeper breathing

Explanation: The client's shallow breathing shows a risk of hypoventilation, which can cause low oxygen

levels. The priority is to stimulate the client to breathe more deeply to avoid complications. Giving more fluids

or pain meds without fixing the breathing may make it worse. Documentation is important but not the first step

in an urgent situation.




Page 2

, NCLEX-PN Exam Questions with Detailed Explanations

3. A nurse is caring for a postoperative client who is drowsy and has shallow breathing. What should the

nurse do first?

A. Increase the IV fluid rate

B. Stimulate the client to promote deeper breathing

C. Administer pain medication as prescribed

D. Document the client's status in the medical record

Correct Answer: B. Stimulate the client to promote deeper breathing

Explanation: The client's shallow breathing shows a risk of hypoventilation, which can cause low oxygen

levels. The priority is to stimulate the client to breathe more deeply to avoid complications. Giving more fluids

or pain meds without fixing the breathing may make it worse. Documentation is important but not the first step

in an urgent situation.




Page 3

, NCLEX-PN Exam Questions with Detailed Explanations

4. A nurse is caring for a postoperative client who is drowsy and has shallow breathing. What should the

nurse do first?

A. Increase the IV fluid rate

B. Stimulate the client to promote deeper breathing

C. Administer pain medication as prescribed

D. Document the client's status in the medical record

Correct Answer: B. Stimulate the client to promote deeper breathing

Explanation: The client's shallow breathing shows a risk of hypoventilation, which can cause low oxygen

levels. The priority is to stimulate the client to breathe more deeply to avoid complications. Giving more fluids

or pain meds without fixing the breathing may make it worse. Documentation is important but not the first step

in an urgent situation.




Page 4

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