NCLEX Exam NCLEX-PN ACTUAL exam: QUESTION AND ANSWERS
NCLEX-PN
UPDATED 2025 LATEST
Study online at https://quizlet.com/_2kh1hn
1. Abrupt, high-pitched snapping noise heart murmur
2. is normal and represent the S1 (first Lubb-dubb sounds
heart sound) and S2 (second heart
sound)
3. is described as a scratchy, leathery pericardial friction rub
heart sound
4. Vomiting will cause the loss of hydrochloric acid and subsequent metabolic
5. _____ would occur in a child experienc- Metabolic acidosis
ing diarrhea because of the loss of
bicarbonate.
6. An ____ involves insertion of needle electromyogram
electrodes into selected skeletal mus-
cles to evaluate changes & electrical
potential of the muscles & the nerves
that lead to them. The test is useful in
evaluating suspected lumbar or cer-
vical disk disease, myasthenia gravis,
muscular dystrophy, and other mus-
culoskeletal diseases. The needle will
not electrocute him or her, & will ex-
perience sensations comparable to
an injection as the needles are insert-
ed. An informed consent is required,
& no other special preparation is re-
quired for this test.
7. Review the results of the preoperative laboratory
studies.
, NCLEX-PN
Study online at https://quizlet.com/_2kh1hn
The nurse is preparing a client for
surgery. Which would be a compo-
nent of the plan of care?
8. one of the most common skin infec- impetigo
tions among kids, usually produces
blisters or sores on the face, neck,
hands, and diaper area. This conta-
gious superficial skin infection is gen-
erally caused by one of two bacteria:
Staphylococcus aureus or Streptococ-
cus pyogenes
9. a RN in a charge position is reinforcin- improve the quality of care in a proactive manner.
bg goals to the health care team.
which of these itmes best decribes
the goals of continous quality im-
provement (CQI) in a health care set-
ting?
10. the clienbt who recently expericned "have the client lift & move the walker out at arms
a stroke has an order to amublate length then wlak into the walker." the nurse should
with assistanc. which statement by give clear & concise inof to the UAP about what is
the nurse provides the best instruc- expected to safely conmplete any task, which is why
tions to the UAP to assist the client to the optionn about using the walker is correct. the
ambulate? person assisting the client to ambulate should walk
on the client's weak side. UAP cannot assess or eval
a client; only nurses can peform the steps of the
nursing process. if a client gets dizzy, the UAP should
assist the client to sit.
11. the practical nurse (PN) is reassigned an older adult client Dx w/ cystitis who has an in-
to work on an acute care unit. which dwelling urethral catheter
, NCLEX-PN
Study online at https://quizlet.com/_2kh1hn
of these clients would be most appro- =PNs who are reassigned to clients who are stable.
priate for this PN to accept? the older adult Dx w// cystitis is the most stable & the
outcomes for care are failry predictable. the other
clients have more complex problems, as well as a
higher risk for instability. PNs should not accept an
assignment that is beyond their knowledge or skills
12. which nursing practice best reduces use standardized forms for client handoffs.
the chance of communication errors
that might otherwise lead to negative
client outcomes?
13. the clients states to the nurse: "I am encourage the cleint to discuss this decision w/ the
ready to stop all of these Tx. I just health care provider & family.
want to go home & enjoy my family =the cleint has the right to stop Tx & should be sup-
for the little bit of time I have left." ported in clearly communicating this decision w/ the
which action is most appropriate? HCP & family. the nurse needs to act as an advocate
for the client.
14. the nurse, who is caring for a wclient the nurse could be fired for breach of confidentiality.
w/ complex & unique health needs,
describes the nautre of the illness in
an online social forum for nurses. nei-
ther the cleint's real name nor any
other personal identifiers are used.
what, if any, consequence could re-
sult from posting this info online?
15. a 90yr. old is readmitted to the hospi- =poor communication among providers
tal, less than 2wks after being DC, for =client health status
the same health concern. what fac- =family preferences
tors contirbute to hospital readmis-
NCLEX-PN
UPDATED 2025 LATEST
Study online at https://quizlet.com/_2kh1hn
1. Abrupt, high-pitched snapping noise heart murmur
2. is normal and represent the S1 (first Lubb-dubb sounds
heart sound) and S2 (second heart
sound)
3. is described as a scratchy, leathery pericardial friction rub
heart sound
4. Vomiting will cause the loss of hydrochloric acid and subsequent metabolic
5. _____ would occur in a child experienc- Metabolic acidosis
ing diarrhea because of the loss of
bicarbonate.
6. An ____ involves insertion of needle electromyogram
electrodes into selected skeletal mus-
cles to evaluate changes & electrical
potential of the muscles & the nerves
that lead to them. The test is useful in
evaluating suspected lumbar or cer-
vical disk disease, myasthenia gravis,
muscular dystrophy, and other mus-
culoskeletal diseases. The needle will
not electrocute him or her, & will ex-
perience sensations comparable to
an injection as the needles are insert-
ed. An informed consent is required,
& no other special preparation is re-
quired for this test.
7. Review the results of the preoperative laboratory
studies.
, NCLEX-PN
Study online at https://quizlet.com/_2kh1hn
The nurse is preparing a client for
surgery. Which would be a compo-
nent of the plan of care?
8. one of the most common skin infec- impetigo
tions among kids, usually produces
blisters or sores on the face, neck,
hands, and diaper area. This conta-
gious superficial skin infection is gen-
erally caused by one of two bacteria:
Staphylococcus aureus or Streptococ-
cus pyogenes
9. a RN in a charge position is reinforcin- improve the quality of care in a proactive manner.
bg goals to the health care team.
which of these itmes best decribes
the goals of continous quality im-
provement (CQI) in a health care set-
ting?
10. the clienbt who recently expericned "have the client lift & move the walker out at arms
a stroke has an order to amublate length then wlak into the walker." the nurse should
with assistanc. which statement by give clear & concise inof to the UAP about what is
the nurse provides the best instruc- expected to safely conmplete any task, which is why
tions to the UAP to assist the client to the optionn about using the walker is correct. the
ambulate? person assisting the client to ambulate should walk
on the client's weak side. UAP cannot assess or eval
a client; only nurses can peform the steps of the
nursing process. if a client gets dizzy, the UAP should
assist the client to sit.
11. the practical nurse (PN) is reassigned an older adult client Dx w/ cystitis who has an in-
to work on an acute care unit. which dwelling urethral catheter
, NCLEX-PN
Study online at https://quizlet.com/_2kh1hn
of these clients would be most appro- =PNs who are reassigned to clients who are stable.
priate for this PN to accept? the older adult Dx w// cystitis is the most stable & the
outcomes for care are failry predictable. the other
clients have more complex problems, as well as a
higher risk for instability. PNs should not accept an
assignment that is beyond their knowledge or skills
12. which nursing practice best reduces use standardized forms for client handoffs.
the chance of communication errors
that might otherwise lead to negative
client outcomes?
13. the clients states to the nurse: "I am encourage the cleint to discuss this decision w/ the
ready to stop all of these Tx. I just health care provider & family.
want to go home & enjoy my family =the cleint has the right to stop Tx & should be sup-
for the little bit of time I have left." ported in clearly communicating this decision w/ the
which action is most appropriate? HCP & family. the nurse needs to act as an advocate
for the client.
14. the nurse, who is caring for a wclient the nurse could be fired for breach of confidentiality.
w/ complex & unique health needs,
describes the nautre of the illness in
an online social forum for nurses. nei-
ther the cleint's real name nor any
other personal identifiers are used.
what, if any, consequence could re-
sult from posting this info online?
15. a 90yr. old is readmitted to the hospi- =poor communication among providers
tal, less than 2wks after being DC, for =client health status
the same health concern. what fac- =family preferences
tors contirbute to hospital readmis-
