PN NCLEX EXAM PRACTICE QUESTIONS WITH COMPLETE
SOLUTIONS
1) A home health nurse is planning for her daily visits. Which client should the home
health nurse visit first?
A) A client with AIDS being treated with Foscarnet
B) A client with a fractured femur in a long leg cast
C) A client with a laryngeal cancer with a laryngectomy
D) A client with diabetic ulcers to the left foot -- Correct Answer ✔✔
C. A client with a laryngeal cancer with a laryngectomy
- Rationale: The client with laryngeal cancer has a potential airway alteration
and should be seen first.
2) The nurse is assigned to care from infant with physiologic jaundice. Which action
by the nurse would facilitate elimination of the bilirubin?
A) Increase the infant's fluid intake
B) Maintain the infant's body temp at 98.6 F
C) Minimize tactile stimulation
D) Decrease caloric intake -- Correct Answer ✔✔ A. Increase the
infant's fluid intake
, - Rationale: Bilirubin is excreted through the kidneys, thus the need for
increased fluids. Maintaining the body temp is important but will not assist
in eliminating bilirubin.
3) The graduate licensed practical nurse is assigned to care for the client on
ventilator support, pending organ donation. Which goal should receive priority?
A) Maintain the client's systolic blood pressure at 70 mm/Hg or greater
B) Maintain the client's urinary output greater than 300 cc/hr.
C) Maintain the client's body temp of greater than 33 F rectal
D) Maintain the client's hematocrit less than 30% -- Correct Answer
✔✔ A. Maintain the client's systolic blood pressure at 70 mm/Hg or
greater
- Rationale: When the cadaver client is being prepared to donate and organ,
the systolic blood pressure should be maintained at 70 mm/Hg or greater
to ensure a blood supply to the donor organ.
4) Which action by the novice nurse indicates need for further teaching?
A) A nurse fails to wear gloves to remove a dressing
B) The nurse applies the oxygen saturation monitor to the earlobe
C) The nurse elevates the head of the bed to check blood pressure
D) The nurse places the extremity to a dependent position to acquire a
peripheral blood sample -- Correct Answer ✔✔ A. A nurse fails to
wear gloves to remove a dressing
- Rationale: The nurse who fails to wear gloves to remove a contaminated
dressing needs further instruction
,5) The nurse is preparing the client for a mammogram. To prepare the client for a
mammogram, the nurse should tell the client:
A) Restrict her fat intake for one week before the test
B) To omit creams, powders, or deodorants before the exam
C) The mammography replaces the need for self breast exams
D) That mammography requires higher doses of radiation than an x-
ray. -- Correct Answer ✔✔ B. To omit creams, powders, or
deodorants before the exam.
- Rationale: The client having the mammogram should be instructed to omit
deodorants or powders beforehand because powders and deodorants can
be interpreted as abnormal.
6) Which of the following roommates would be best for the client with gastric
resection?
A) A client with Chron's disease
B) A client with pneumonia
C) A client with gastritis
D) A client with phlebitis -- Correct Answer ✔✔ D. A client with
phlebitis
- Rationale: The most suitable roommate for the client with gastric resection
is the client with phlebitis because phlebitis is an inflammation of the blood
vessel and is not infectious.
7) The licensed practical nurse is working with a RN and a patient care assistant.
Which of the following clients should be cared for by the RN?
A) A client two days post-appendectomy
, B) A client one week post-thyroidectomy
C) A client 3 days post- splenectomy
D) A client 2 days post- thoracotomy -- Correct Answer ✔✔ D. A
client 2 days post-thoracotomy
- Rationale: The most critical client should be assigned to the RN; in this
case, that is the client 2 days post-thoracotomy.
8) The LPN is observing a graduate nurse as she assess the central venous pressure.
Which observation indicates that the graduate needs further teaching?
A) The graduate places the client in a supine position to read the
manometer
B) The graduate turns the stopcock to the off position from the IV fluid
to the client
C) The graduate instructs the client to perform the Valsalva maneuver
during the CVP reading
D) The graduate notes the level at the top of the meniscus -- Correct
Answer ✔✔ C. The Graduate instructs the client to perform the
Valsalva maneuver during the CVP reading.
- Rationale: The client should breathe normally during a central venous
pressure monitor reading.
9) Which of the following roommates would be most suitable for the client with
myasthenia gravis?
A) A client with hypothyroidism
B) A client with Chron's disease
C) A client with pyelonephritis
D) A client with bronchitis -- Correct Answer ✔✔ A. A client with
hypothyroidism
SOLUTIONS
1) A home health nurse is planning for her daily visits. Which client should the home
health nurse visit first?
A) A client with AIDS being treated with Foscarnet
B) A client with a fractured femur in a long leg cast
C) A client with a laryngeal cancer with a laryngectomy
D) A client with diabetic ulcers to the left foot -- Correct Answer ✔✔
C. A client with a laryngeal cancer with a laryngectomy
- Rationale: The client with laryngeal cancer has a potential airway alteration
and should be seen first.
2) The nurse is assigned to care from infant with physiologic jaundice. Which action
by the nurse would facilitate elimination of the bilirubin?
A) Increase the infant's fluid intake
B) Maintain the infant's body temp at 98.6 F
C) Minimize tactile stimulation
D) Decrease caloric intake -- Correct Answer ✔✔ A. Increase the
infant's fluid intake
, - Rationale: Bilirubin is excreted through the kidneys, thus the need for
increased fluids. Maintaining the body temp is important but will not assist
in eliminating bilirubin.
3) The graduate licensed practical nurse is assigned to care for the client on
ventilator support, pending organ donation. Which goal should receive priority?
A) Maintain the client's systolic blood pressure at 70 mm/Hg or greater
B) Maintain the client's urinary output greater than 300 cc/hr.
C) Maintain the client's body temp of greater than 33 F rectal
D) Maintain the client's hematocrit less than 30% -- Correct Answer
✔✔ A. Maintain the client's systolic blood pressure at 70 mm/Hg or
greater
- Rationale: When the cadaver client is being prepared to donate and organ,
the systolic blood pressure should be maintained at 70 mm/Hg or greater
to ensure a blood supply to the donor organ.
4) Which action by the novice nurse indicates need for further teaching?
A) A nurse fails to wear gloves to remove a dressing
B) The nurse applies the oxygen saturation monitor to the earlobe
C) The nurse elevates the head of the bed to check blood pressure
D) The nurse places the extremity to a dependent position to acquire a
peripheral blood sample -- Correct Answer ✔✔ A. A nurse fails to
wear gloves to remove a dressing
- Rationale: The nurse who fails to wear gloves to remove a contaminated
dressing needs further instruction
,5) The nurse is preparing the client for a mammogram. To prepare the client for a
mammogram, the nurse should tell the client:
A) Restrict her fat intake for one week before the test
B) To omit creams, powders, or deodorants before the exam
C) The mammography replaces the need for self breast exams
D) That mammography requires higher doses of radiation than an x-
ray. -- Correct Answer ✔✔ B. To omit creams, powders, or
deodorants before the exam.
- Rationale: The client having the mammogram should be instructed to omit
deodorants or powders beforehand because powders and deodorants can
be interpreted as abnormal.
6) Which of the following roommates would be best for the client with gastric
resection?
A) A client with Chron's disease
B) A client with pneumonia
C) A client with gastritis
D) A client with phlebitis -- Correct Answer ✔✔ D. A client with
phlebitis
- Rationale: The most suitable roommate for the client with gastric resection
is the client with phlebitis because phlebitis is an inflammation of the blood
vessel and is not infectious.
7) The licensed practical nurse is working with a RN and a patient care assistant.
Which of the following clients should be cared for by the RN?
A) A client two days post-appendectomy
, B) A client one week post-thyroidectomy
C) A client 3 days post- splenectomy
D) A client 2 days post- thoracotomy -- Correct Answer ✔✔ D. A
client 2 days post-thoracotomy
- Rationale: The most critical client should be assigned to the RN; in this
case, that is the client 2 days post-thoracotomy.
8) The LPN is observing a graduate nurse as she assess the central venous pressure.
Which observation indicates that the graduate needs further teaching?
A) The graduate places the client in a supine position to read the
manometer
B) The graduate turns the stopcock to the off position from the IV fluid
to the client
C) The graduate instructs the client to perform the Valsalva maneuver
during the CVP reading
D) The graduate notes the level at the top of the meniscus -- Correct
Answer ✔✔ C. The Graduate instructs the client to perform the
Valsalva maneuver during the CVP reading.
- Rationale: The client should breathe normally during a central venous
pressure monitor reading.
9) Which of the following roommates would be most suitable for the client with
myasthenia gravis?
A) A client with hypothyroidism
B) A client with Chron's disease
C) A client with pyelonephritis
D) A client with bronchitis -- Correct Answer ✔✔ A. A client with
hypothyroidism
