NCLEX-PN Exam Prep Bundle | 100 NGN-
Style Practice Questions, Detailed Rationales,
Prioritization, Pharmacology, and Clinical
Judgment Review
NCLEX-PN Comprehensive Practice
Examination
Professional Exam Preparation Guide
Features
✔ 100 Exam-Style Questions
✔ Detailed Rationales
✔ Clinical Judgment Focus
✔ Prioritization & Delegation Scenarios
✔ Pharmacology Review
✔ Safety & Infection Control Concepts
✔ Maternal-Newborn Nursing
✔ Pediatric Nursing
✔ Mental Health Nursing
✔ Exam Readiness Assessment
NCLEX-PN Examination Blueprint
Overview
Domain 1: Coordinated Care
Questions 1–12
Domain 2: Safety and Infection Control
,Questions 13–24
Domain 3: Health Promotion and Maintenance
Questions 25–36
Domain 4: Psychosocial Integrity
Questions 37–48
Domain 5: Physiological Integrity
Questions 49–100
, Questions 1–100
Domain 1: Coordinated Care
1. A practical nurse is caring for four clients. Which client should the nurse assess first?
A. A client requesting assistance with bathing
B. A client with chronic arthritis reporting joint pain
C. A client with shortness of breath and an oxygen saturation of 86%
D. A client awaiting discharge instructions
Correct Answer: C. A client with shortness of breath and an oxygen saturation of 86%
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, impaired
breathing is the highest priority. An oxygen saturation of 86% indicates significant
hypoxemia requiring immediate assessment and intervention.
Exam Tip: Prioritize airway and breathing concerns before comfort needs or discharge
planning.
Difficulty: Moderate
2. A practical nurse is receiving report on four clients. Which client should be seen
first?
A. A client with diabetes whose blood glucose is 55 mg/dL
B. A client requesting a blanket
C. A client scheduled for discharge later today
D. A client asking for assistance to the bathroom
Correct Answer: A. A client with diabetes whose blood glucose is 55 mg/dL
Rationale: A blood glucose level of 55 mg/dL indicates hypoglycemia, which can rapidly
progress to seizures, loss of consciousness, and neurological injury if untreated.
Exam Tip: Acute physiological instability takes priority over routine care needs.
Difficulty: Moderate
3. A practical nurse is contributing to the plan of care for a client. Which action is
within the PN scope of practice?
, A. Independently establishing nursing diagnoses
B. Performing care according to the established plan
C. Prescribing medications
D. Creating medical treatment plans
Correct Answer: B. Performing care according to the established plan
Rationale: Practical nurses implement care, collect data, and contribute to planning under
the supervision and direction required by state regulations and facility policies.
Exam Tip: Understand the distinction between data collection and comprehensive
assessment responsibilities.
Difficulty: Easy
4. A practical nurse is caring for a postoperative client. Which finding requires
immediate reporting?
A. Incisional pain rated 4/10
B. Respiratory rate of 8/min
C. Mild nausea
D. Temperature of 37.4°C (99.3°F)
Correct Answer: B. Respiratory rate of 8/min
Rationale: A respiratory rate of 8/min suggests respiratory depression, which can lead to
inadequate oxygenation and respiratory arrest if not addressed promptly.
Exam Tip: Respiratory abnormalities often take priority over pain or mild discomfort.
Difficulty: Moderate
5. A practical nurse is caring for a client with heart failure. Which finding should be
reported immediately?
A. Weight gain of 2.5 kg (5.5 lb) in two days
B. Mild fatigue
C. Occasional cough
D. Decreased appetite
Correct Answer: A. Weight gain of 2.5 kg (5.5 lb) in two days
Rationale: Rapid weight gain indicates fluid retention and possible worsening heart failure
that may require medication adjustment or further intervention.
Exam Tip: Sudden weight gain is often an early indicator of fluid overload.
Style Practice Questions, Detailed Rationales,
Prioritization, Pharmacology, and Clinical
Judgment Review
NCLEX-PN Comprehensive Practice
Examination
Professional Exam Preparation Guide
Features
✔ 100 Exam-Style Questions
✔ Detailed Rationales
✔ Clinical Judgment Focus
✔ Prioritization & Delegation Scenarios
✔ Pharmacology Review
✔ Safety & Infection Control Concepts
✔ Maternal-Newborn Nursing
✔ Pediatric Nursing
✔ Mental Health Nursing
✔ Exam Readiness Assessment
NCLEX-PN Examination Blueprint
Overview
Domain 1: Coordinated Care
Questions 1–12
Domain 2: Safety and Infection Control
,Questions 13–24
Domain 3: Health Promotion and Maintenance
Questions 25–36
Domain 4: Psychosocial Integrity
Questions 37–48
Domain 5: Physiological Integrity
Questions 49–100
, Questions 1–100
Domain 1: Coordinated Care
1. A practical nurse is caring for four clients. Which client should the nurse assess first?
A. A client requesting assistance with bathing
B. A client with chronic arthritis reporting joint pain
C. A client with shortness of breath and an oxygen saturation of 86%
D. A client awaiting discharge instructions
Correct Answer: C. A client with shortness of breath and an oxygen saturation of 86%
Rationale: Using the ABC (Airway, Breathing, Circulation) framework, impaired
breathing is the highest priority. An oxygen saturation of 86% indicates significant
hypoxemia requiring immediate assessment and intervention.
Exam Tip: Prioritize airway and breathing concerns before comfort needs or discharge
planning.
Difficulty: Moderate
2. A practical nurse is receiving report on four clients. Which client should be seen
first?
A. A client with diabetes whose blood glucose is 55 mg/dL
B. A client requesting a blanket
C. A client scheduled for discharge later today
D. A client asking for assistance to the bathroom
Correct Answer: A. A client with diabetes whose blood glucose is 55 mg/dL
Rationale: A blood glucose level of 55 mg/dL indicates hypoglycemia, which can rapidly
progress to seizures, loss of consciousness, and neurological injury if untreated.
Exam Tip: Acute physiological instability takes priority over routine care needs.
Difficulty: Moderate
3. A practical nurse is contributing to the plan of care for a client. Which action is
within the PN scope of practice?
, A. Independently establishing nursing diagnoses
B. Performing care according to the established plan
C. Prescribing medications
D. Creating medical treatment plans
Correct Answer: B. Performing care according to the established plan
Rationale: Practical nurses implement care, collect data, and contribute to planning under
the supervision and direction required by state regulations and facility policies.
Exam Tip: Understand the distinction between data collection and comprehensive
assessment responsibilities.
Difficulty: Easy
4. A practical nurse is caring for a postoperative client. Which finding requires
immediate reporting?
A. Incisional pain rated 4/10
B. Respiratory rate of 8/min
C. Mild nausea
D. Temperature of 37.4°C (99.3°F)
Correct Answer: B. Respiratory rate of 8/min
Rationale: A respiratory rate of 8/min suggests respiratory depression, which can lead to
inadequate oxygenation and respiratory arrest if not addressed promptly.
Exam Tip: Respiratory abnormalities often take priority over pain or mild discomfort.
Difficulty: Moderate
5. A practical nurse is caring for a client with heart failure. Which finding should be
reported immediately?
A. Weight gain of 2.5 kg (5.5 lb) in two days
B. Mild fatigue
C. Occasional cough
D. Decreased appetite
Correct Answer: A. Weight gain of 2.5 kg (5.5 lb) in two days
Rationale: Rapid weight gain indicates fluid retention and possible worsening heart failure
that may require medication adjustment or further intervention.
Exam Tip: Sudden weight gain is often an early indicator of fluid overload.
