NCLEX Exam NCLEX-PN NCLEX NCLEX-PN Practice
Test 725 QUESTIONS
1. The charge nurse is making assignments. Which task is appropriate to delegate to an LPN?
A. Perform initial admission assessment on a patient with pneumonia
B. Administer a PRN enema to a constipated patient
C. Develop the nursing care plan for a patient with heart failure
D. Teach a patient how to self-administer insulin
Correct Answer: B
Rationale: LPNs can administer medications (including PRN enemas) and perform stable, routine
treatments. Initial assessment (A) and care plan development (C) require RN-level assessment
and critical thinking. Patient teaching (D) can be reinforced by LPNs, but initial teaching is
typically performed by the RN.
2. The nurse witnesses a nursing assistant hitting a client in the long-term care facility. The
nursing assistant can be charged with:
A. Negligence
B. Tort
C. Assault
D. Malpractice
Correct Answer: C
Rationale: Assault is defined as striking or touching a client inappropriately. A nursing assistant
striking a client could be charged with assault.
3. Which assignment should NOT be performed by the licensed practical nurse?
A. Inserting a Foley catheter
B. Discontinuing a nasogastric tube
C. Obtaining a sputum specimen
D. Initiating a blood transfusion
Correct Answer: D
Rationale: An LPN should not be assigned to initiate a blood transfusion. The LPN can assist with
the transfusion and check ID numbers for the RN. The LPN can insert Foley catheters,
discontinue gastric tubes, and obtain all types of specimens.
4. Which client should the nurse assess first after receiving a change-of-shift report?
A. A client 2 hours post-lobectomy with 150 cc drainage
B. A client 2 days post-gastrectomy with scant drainage
,C. A client with pneumonia with an oral temp of 102°F
D. A client with a fractured hip in Buck's traction
Correct Answer: A
Rationale: The client who is 2 hours post-lobectomy is the most unstable and at the highest risk
for complications like hemorrhage or a tension pneumothorax, requiring the most immediate
assessment.
5. Several clients are admitted to the ER following a three-car vehicle accident. Which clients
can be assigned to share a room in the emergency department during a disaster?
A. The schizophrenic client having hallucinations and the client with ulcerative colitis
B. The client who is 6 months pregnant with abdominal pain and the client with facial
lacerations and a broken arm
C. A child whose pupils are fixed and dilated and his parents, and the client with a frontal head
injury
D. The client who arrives with a large puncture wound to the abdomen and the client with chest
pain
Correct Answer: B
Rationale: Out of all these clients, it is best to hold the pregnant client and the client with a
broken arm and facial lacerations in the same room.
Health Promotion and Maintenance
6. The nurse is providing teaching to a client about breast self-examination (BSE). At what
point in the menstrual cycle should the nurse instruct the client to perform BSE?
A. During menstruation
B. Immediately after menstruation
C. One week before menstruation
D. Mid-cycle
Correct Answer: B
Rationale: Breast self-examination should be performed immediately after menstruation when
breast tissue is least tender and swollen due to hormonal changes.
7. The nurse is providing prenatal teaching to a client in the first trimester. Which instruction
is most important regarding folic acid supplementation?
A. Folic acid helps prevent neural tube defects
B. Folic acid is only needed in the third trimester
C. Folic acid can be discontinued after the first month
D. Folic acid causes birth defects
, Correct Answer: A
Rationale: Folic acid supplementation is crucial in the first trimester to prevent neural tube
defects.
8. The nurse is teaching a client about the importance of immunizations for older adults.
Which vaccine is recommended annually for adults aged 65 and older?
A. Pneumococcal vaccine
B. Influenza vaccine
C. Tetanus-diphtheria vaccine
D. Hepatitis B vaccine
Correct Answer: B
Rationale: The influenza vaccine is recommended annually for all adults, particularly those 65
and older. Pneumococcal vaccine (A) is given once or twice in a lifetime. Tetanus-diphtheria (C)
is given every 10 years.
9. The nurse is providing discharge teaching to a client who had a myocardial infarction.
Which dietary modification should the nurse recommend?
A. Low-sodium, low-fat diet
B. High-sodium, high-fat diet
C. Low-protein, high-carbohydrate diet
D. No dietary restrictions
Correct Answer: A
Rationale: A low-sodium, low-fat diet is recommended for clients with cardiovascular disease to
reduce blood pressure and cholesterol levels.
10. The nurse is teaching a client with diabetes about foot care. Which instruction is correct?
A. Soak feet in hot water daily
B. Cut toenails in a rounded shape
C. Wear well-fitting shoes and inspect feet daily
D. Apply lotion between the toes
Correct Answer: C
Rationale: Clients with diabetes should wear well-fitting shoes and inspect their feet daily for
any cuts, blisters, or signs of infection. Soaking feet (A) can dry out skin, nails should be cut
straight across (B), and lotion should not be applied between the toes (D) as it can promote
fungal growth.
Psychosocial Integrity
Test 725 QUESTIONS
1. The charge nurse is making assignments. Which task is appropriate to delegate to an LPN?
A. Perform initial admission assessment on a patient with pneumonia
B. Administer a PRN enema to a constipated patient
C. Develop the nursing care plan for a patient with heart failure
D. Teach a patient how to self-administer insulin
Correct Answer: B
Rationale: LPNs can administer medications (including PRN enemas) and perform stable, routine
treatments. Initial assessment (A) and care plan development (C) require RN-level assessment
and critical thinking. Patient teaching (D) can be reinforced by LPNs, but initial teaching is
typically performed by the RN.
2. The nurse witnesses a nursing assistant hitting a client in the long-term care facility. The
nursing assistant can be charged with:
A. Negligence
B. Tort
C. Assault
D. Malpractice
Correct Answer: C
Rationale: Assault is defined as striking or touching a client inappropriately. A nursing assistant
striking a client could be charged with assault.
3. Which assignment should NOT be performed by the licensed practical nurse?
A. Inserting a Foley catheter
B. Discontinuing a nasogastric tube
C. Obtaining a sputum specimen
D. Initiating a blood transfusion
Correct Answer: D
Rationale: An LPN should not be assigned to initiate a blood transfusion. The LPN can assist with
the transfusion and check ID numbers for the RN. The LPN can insert Foley catheters,
discontinue gastric tubes, and obtain all types of specimens.
4. Which client should the nurse assess first after receiving a change-of-shift report?
A. A client 2 hours post-lobectomy with 150 cc drainage
B. A client 2 days post-gastrectomy with scant drainage
,C. A client with pneumonia with an oral temp of 102°F
D. A client with a fractured hip in Buck's traction
Correct Answer: A
Rationale: The client who is 2 hours post-lobectomy is the most unstable and at the highest risk
for complications like hemorrhage or a tension pneumothorax, requiring the most immediate
assessment.
5. Several clients are admitted to the ER following a three-car vehicle accident. Which clients
can be assigned to share a room in the emergency department during a disaster?
A. The schizophrenic client having hallucinations and the client with ulcerative colitis
B. The client who is 6 months pregnant with abdominal pain and the client with facial
lacerations and a broken arm
C. A child whose pupils are fixed and dilated and his parents, and the client with a frontal head
injury
D. The client who arrives with a large puncture wound to the abdomen and the client with chest
pain
Correct Answer: B
Rationale: Out of all these clients, it is best to hold the pregnant client and the client with a
broken arm and facial lacerations in the same room.
Health Promotion and Maintenance
6. The nurse is providing teaching to a client about breast self-examination (BSE). At what
point in the menstrual cycle should the nurse instruct the client to perform BSE?
A. During menstruation
B. Immediately after menstruation
C. One week before menstruation
D. Mid-cycle
Correct Answer: B
Rationale: Breast self-examination should be performed immediately after menstruation when
breast tissue is least tender and swollen due to hormonal changes.
7. The nurse is providing prenatal teaching to a client in the first trimester. Which instruction
is most important regarding folic acid supplementation?
A. Folic acid helps prevent neural tube defects
B. Folic acid is only needed in the third trimester
C. Folic acid can be discontinued after the first month
D. Folic acid causes birth defects
, Correct Answer: A
Rationale: Folic acid supplementation is crucial in the first trimester to prevent neural tube
defects.
8. The nurse is teaching a client about the importance of immunizations for older adults.
Which vaccine is recommended annually for adults aged 65 and older?
A. Pneumococcal vaccine
B. Influenza vaccine
C. Tetanus-diphtheria vaccine
D. Hepatitis B vaccine
Correct Answer: B
Rationale: The influenza vaccine is recommended annually for all adults, particularly those 65
and older. Pneumococcal vaccine (A) is given once or twice in a lifetime. Tetanus-diphtheria (C)
is given every 10 years.
9. The nurse is providing discharge teaching to a client who had a myocardial infarction.
Which dietary modification should the nurse recommend?
A. Low-sodium, low-fat diet
B. High-sodium, high-fat diet
C. Low-protein, high-carbohydrate diet
D. No dietary restrictions
Correct Answer: A
Rationale: A low-sodium, low-fat diet is recommended for clients with cardiovascular disease to
reduce blood pressure and cholesterol levels.
10. The nurse is teaching a client with diabetes about foot care. Which instruction is correct?
A. Soak feet in hot water daily
B. Cut toenails in a rounded shape
C. Wear well-fitting shoes and inspect feet daily
D. Apply lotion between the toes
Correct Answer: C
Rationale: Clients with diabetes should wear well-fitting shoes and inspect their feet daily for
any cuts, blisters, or signs of infection. Soaking feet (A) can dry out skin, nails should be cut
straight across (B), and lotion should not be applied between the toes (D) as it can promote
fungal growth.
Psychosocial Integrity
