NCLEX-PN/CNA – QUESTIONS AND ANSWERS | VERIFIED AND WELL DETAILED
ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM UPDATE
Core Domains:
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity: Basic Care and Comfort
Physiological Integrity: Pharmacological and Parenteral Therapies
Physiological Integrity: Reduction of Risk Potential
Physiological Integrity: Physiological Adaptation
Introduction:
This comprehensive examination is designed to rigorously evaluate the clinical
competence, foundational knowledge, and practical readiness of candidates pursuing
licensure and certification as professional practical nurses and nursing assistants. The
assessment thoroughly measures essential clinical skills, patient safety protocols, legal
and ethical standards, and effective communication strategies required in diverse
healthcare settings. Featuring a robust combination of direct multiple-choice inquiries and
complex scenario-based clinical problems, the test challenges candidates to apply critical
thinking and clinical judgment to dynamic patient care environments. By emphasizing real-
,world application, prioritized decision-making, and evidence-based interventions, this
assessment ensures that successful candidates are fully prepared to deliver safe, high-
quality care across the healthcare continuum.
Section One: Questions 1–100
A licensed practical nurse is caring for a client with chronic obstructive pulmonary
disease who reports increasing shortness of breath. Which nursing action should the
nurse perform first?
A. Administer the prescribed oral bronchodilator
B. Assist the client into a high-Fowler position
C. Obtain a stat arterial blood gas sample
D. Document the respiratory rate and SpO2 level
🟢 B. Assist the client into a high-Fowler position
🔴 Explanation: The high-Fowler position uses gravity to lower the diaphragm, expand the
thoracic cavity, and instantly relieve respiratory distress before implementing
pharmacologic or diagnostic interventions.
A certified nursing assistant reports that a client with dysphagia is coughing
continuously during breakfast. What is the most appropriate initial action for the
nurse?
A. Stop the feeding immediately and assess the airway
B. Instruct the client to take small sips of water to clear the throat
,C. Tilt the client's head backward to straighten the esophagus
D. Continue feeding at a slower pace with pureed foods
🟢 A. Stop the feeding immediately and assess the airway
🔴 Explanation: Continuous coughing during a meal strongly indicates aspiration or airway
compromise, requiring immediate cessation of oral intake to prevent choking and
aspiration pneumonia.
An adult client scheduled for an open cholecystectomy expresses extreme anxiety
and states they want to cancel the surgery. What is the most appropriate initial
response by the nurse?
A. Explain that surgery is routine and there is nothing to fear
B. Notify the surgeon immediately to cancel the procedure
C. Explore the client's specific fears and concerns regarding the surgery
D. Administer the pre-operative sedative to calm the client down
🟢 C. Explore the client's specific fears and concerns regarding the surgery
🔴 Explanation: Therapeutic communication involves exploring the client's feelings to
address specific concerns before involving the healthcare provider or administering
medications.
A client receives a new prescription for digoxin. Which baseline assessment must the
nurse perform prior to administering the initial dose?
, A. Measure the client's blood pressure in both arms
B. Auscultate the apical pulse for one full minute
C. Check the client's most recent serum potassium level
D. Assess the peripheral pulses in the lower extremities
🟢 B. Auscultate the apical pulse for one full minute
🔴 Explanation: Digoxin has negative chronotropic effects and should be withheld if the
apical heart rate is below 60 beats per minute in adults to prevent severe bradycardia and
toxicity.
A nurse observes a colleague charting a medication administration before actually
giving the medication to the client. What is the professional and legal obligation of
the witnessing nurse?
A. Ignore the action if the colleague administers the medication shortly after
B. Report the documentation violation to the nursing supervisor immediately
C. Document in the client chart that the medication was given late
D. Confront the colleague privately and advise them to change the practice
🟢 B. Report the documentation violation to the nursing supervisor immediately
🔴 Explanation: Charting a medication before administration constitutes falsification of
medical records and compromises patient safety, requiring immediate reporting through
proper institutional channels.
A client with type 1 diabetes mellitus is found unconscious, diaphoretic, and
tachycardic in bed. What is the immediate nursing priority?
ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST EXAM UPDATE
Core Domains:
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity: Basic Care and Comfort
Physiological Integrity: Pharmacological and Parenteral Therapies
Physiological Integrity: Reduction of Risk Potential
Physiological Integrity: Physiological Adaptation
Introduction:
This comprehensive examination is designed to rigorously evaluate the clinical
competence, foundational knowledge, and practical readiness of candidates pursuing
licensure and certification as professional practical nurses and nursing assistants. The
assessment thoroughly measures essential clinical skills, patient safety protocols, legal
and ethical standards, and effective communication strategies required in diverse
healthcare settings. Featuring a robust combination of direct multiple-choice inquiries and
complex scenario-based clinical problems, the test challenges candidates to apply critical
thinking and clinical judgment to dynamic patient care environments. By emphasizing real-
,world application, prioritized decision-making, and evidence-based interventions, this
assessment ensures that successful candidates are fully prepared to deliver safe, high-
quality care across the healthcare continuum.
Section One: Questions 1–100
A licensed practical nurse is caring for a client with chronic obstructive pulmonary
disease who reports increasing shortness of breath. Which nursing action should the
nurse perform first?
A. Administer the prescribed oral bronchodilator
B. Assist the client into a high-Fowler position
C. Obtain a stat arterial blood gas sample
D. Document the respiratory rate and SpO2 level
🟢 B. Assist the client into a high-Fowler position
🔴 Explanation: The high-Fowler position uses gravity to lower the diaphragm, expand the
thoracic cavity, and instantly relieve respiratory distress before implementing
pharmacologic or diagnostic interventions.
A certified nursing assistant reports that a client with dysphagia is coughing
continuously during breakfast. What is the most appropriate initial action for the
nurse?
A. Stop the feeding immediately and assess the airway
B. Instruct the client to take small sips of water to clear the throat
,C. Tilt the client's head backward to straighten the esophagus
D. Continue feeding at a slower pace with pureed foods
🟢 A. Stop the feeding immediately and assess the airway
🔴 Explanation: Continuous coughing during a meal strongly indicates aspiration or airway
compromise, requiring immediate cessation of oral intake to prevent choking and
aspiration pneumonia.
An adult client scheduled for an open cholecystectomy expresses extreme anxiety
and states they want to cancel the surgery. What is the most appropriate initial
response by the nurse?
A. Explain that surgery is routine and there is nothing to fear
B. Notify the surgeon immediately to cancel the procedure
C. Explore the client's specific fears and concerns regarding the surgery
D. Administer the pre-operative sedative to calm the client down
🟢 C. Explore the client's specific fears and concerns regarding the surgery
🔴 Explanation: Therapeutic communication involves exploring the client's feelings to
address specific concerns before involving the healthcare provider or administering
medications.
A client receives a new prescription for digoxin. Which baseline assessment must the
nurse perform prior to administering the initial dose?
, A. Measure the client's blood pressure in both arms
B. Auscultate the apical pulse for one full minute
C. Check the client's most recent serum potassium level
D. Assess the peripheral pulses in the lower extremities
🟢 B. Auscultate the apical pulse for one full minute
🔴 Explanation: Digoxin has negative chronotropic effects and should be withheld if the
apical heart rate is below 60 beats per minute in adults to prevent severe bradycardia and
toxicity.
A nurse observes a colleague charting a medication administration before actually
giving the medication to the client. What is the professional and legal obligation of
the witnessing nurse?
A. Ignore the action if the colleague administers the medication shortly after
B. Report the documentation violation to the nursing supervisor immediately
C. Document in the client chart that the medication was given late
D. Confront the colleague privately and advise them to change the practice
🟢 B. Report the documentation violation to the nursing supervisor immediately
🔴 Explanation: Charting a medication before administration constitutes falsification of
medical records and compromises patient safety, requiring immediate reporting through
proper institutional channels.
A client with type 1 diabetes mellitus is found unconscious, diaphoretic, and
tachycardic in bed. What is the immediate nursing priority?
