Welcome to our nursing test bank for NCLEX-PN practice questions! These free NCLEX-PN questions will help you enhance your critical thinking skills and can help you review and prepare for the actual exam.
NCLEX-PN Nursing Test Banks
In this section are the practice questions for the NCLEX-PN. This nursing test bank set includes 200 questions divided into eight parts.
Quizzes included in this guide are:
- Part 1: NCLEX-PN Practice Questions (25 Items)
- Part 2: NCLEX-PN Practice Questions (25 Items)
- Part 3: NCLEX-PN Practice Questions (25 Items)
- Part 4: NCLEX-PN Practice Questions (25 Items)
- Part 5: NCLEX-PN Practice Questions (25 Items)
- Part 6: NCLEX-PN Practice Questions (25 Items)
- Part 7: NCLEX-PN Practice Questions (25 Items)
- Part 8: NCLEX-PN Practice Questions (25 Items)
- Read and understand each question before choosing the best answer.
- Since this is a review, answers and rationales are shown after you click on the "Check" button.
- There is no time limit, answer the questions at your own pace.
- Once all questions are answered, you'll be prompted to click the "Quiz Summary" button where you'll be shown the questions you've answered or placed under "Review". Click on the "Finish Quiz" button to show your rating.
- After the quiz, please make sure to read the questions and rationales again by click on the "View Questions" button.
- Comment us your thoughts, scores, ratings, and questions about the quiz in the comments section below!
Part 1: NCLEX-PN Practice Questions (25 Items)
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Looking for the rationales? Please click on the “View Questions” button below to review your answers and read through the rationales for each question.
Question 1 of 25
A 4-year old child is brought by her grandmother in the emergency room due to fever, chills, and difficulty walking. The nurse tries to remove the excessive clothing of the child but is reluctant. After a thorough assessment, the nurse also noted bruises around the genital area. Which of the following interventions should the nurse do first?CorrectIncorrect
Question 2 of 25
A client receiving hydrochlorothiazide is instructed to increase her dietary intake of potassium. The best snack for the client requiring increased potassium is:CorrectIncorrect
Question 3 of 25
The nurse is caring for a client following the removal of the thyroid. Immediately post-op, the nurse should:CorrectIncorrect
Question 4 of 25
A client hospitalized with chronic dyspepsia is diagnosed with gastric cancer. Which of the following is associated with an increased incidence of gastric cancer?CorrectIncorrect
Question 5 of 25
A client is sent to the psychiatric unit for forensic evaluation after he is accused of arson. His tentative diagnosis is antisocial personality disorder. In reviewing the client’s record, the nurse would expect to find:CorrectIncorrect
Question 6 of 25
The licensed vocational nurse may not assume the primary care for a client:CorrectIncorrect
Question 7 of 25
The physician has ordered dressings with Sulfamylon cream for a client with full-thickness burns of the hands and arms. Before dressing changes, the nurse should give priority to:CorrectIncorrect
Question 8 of 25
The nurse is teaching a group of parents about gross motor development of the toddler. Which behavior is an example of the normal gross motor skill of a toddler?CorrectIncorrect
Question 9 of 25
A client hospitalized with a fractured mandible is to be discharged. Which piece of equipment should be kept on the client with a fractured mandible?CorrectIncorrect
Question 10 of 25
The nurse is to administer digoxin elixir to a 6-month-old with a congenital heart defect. The nurse auscultates an apical pulse rate of 100 beats per minute. The nurse should:CorrectIncorrect
Question 11 of 25
A mother of a 3-year-old hospitalized with lead poisoning asks the nurse to explain the treatment for her daughter. The nurse’s explanation is based on the knowledge that lead poisoning is treated with:CorrectIncorrect
Question 12 of 25
An 18-month-old is scheduled for a cleft palate repair. The usual type of restraints for the child with a cleft palate repair are:CorrectIncorrect
Question 13 of 25
A client with glaucoma has been prescribed Timoptic (timolol) eye drops. Timolol should be used with caution in the client with a history of:CorrectIncorrect
Question 14 of 25
An elderly client who experiences nighttime confusion wanders from his room into the room of another client. The nurse can best help decrease the client’s confusion by:CorrectIncorrect
Question 15 of 25
Which of the following is a common complaint of the client with end-stage renal failure?CorrectIncorrect
Question 16 of 25
Which of the following medication orders needs further clarification?CorrectIncorrect
Question 17 of 25
Angela has been experiencing tinnitus, vertigo and ear stuffiness caused by Meniere’s disease. The following food items she is discouraged to eat, except:CorrectIncorrect
Question 18 of 25
Which of the following findings is associated with right-sided heart failure?CorrectIncorrect
Question 19 of 25
An 8-year-old admitted with an upper-respiratory infection has an order for O2 saturation via pulse oximeter. To ensure an accurate reading, the nurse should:CorrectIncorrect
Question 20 of 25
An infant with Tetralogy of Fallot is discharged with a prescription of lanoxin elixir 0.5 mL once a day PO. The nurse should instruct the mother to:CorrectIncorrect
Question 21 of 25
The client scheduled for electroconvulsive therapy tells the nurse, “I’m so afraid. What will happen to me during the treatment?” Which of the following statements is most therapeutic for the nurse to make?CorrectIncorrect
Question 22 of 25
Which of the following skin lesions is associated with Lyme’s disease?CorrectIncorrect
Question 23 of 25
Which of the following snacks would be suitable for the child with gluten-induced enteropathy?CorrectIncorrect
Question 24 of 25
A client with schizophrenia is receiving Thorazine (chlorpromazine) 400mg twice a day. An adverse side effect of the medication is:CorrectIncorrect
Question 25 of 25
Which information should be given to the client taking Dilantin (phenytoin)?CorrectIncorrect
What is an NCLEX-PN Exam?
The National Council Licensure Examination for Practical Nurses (NCLEX-PN) is an examination offered by the National Council of State Board of Nursing (NCSBN) for those who want to work as a licensed practical nurse (LPN) or licensed vocational nurse (LVN) in the USA. It requires test takers to gauge their competencies regarding safe and effective nursing practice.
How many questions are on the NCLEX-PN Exam?
The NCLEX-PN exam uses a computerized adaptive test (CAT) format meaning that no single exam is identical. The number of questions varies from 85 to 205 questions depending on how well an examiner answers. Of these items, 25 are pretest items that do not count towards your score. The time limit for the exam is five (5) hours.
What type of questions can you expect on the NCLEX-PN Exam?
NCLEX-PN examination is divided into four major categories of questions in accordance with their test plan. These areas including the approximate weight percentage are as follows:
1. Safe and Effective Care Environment
- Coordinated Care (16% to 22%): Topics include client rights, advocacy, client care assignments, prioritization, supervisory concepts, informed consent, ethics and confidentiality, continuity of care, legal issues, referral process, quality improvement, and information technology.
- Safety and Infection Control (10% to16%): Covers areas such as an incident report, injury and error prevention, ergonomics, security, and emergency response plans, handling hazardous materials, and home safety.
2. Health Promotion and Maintenance (7% to 13%): Questions are related to the aging process, maternal and child care, developmental stages, disease prevention, community resources, high-risk behaviors, and methods for collecting data.
3. Psychosocial Integrity (8% to 14%): Topics include mental health, drug dependency, crisis intervention, a coping mechanism, support system, therapeutic environment and communication, cultural awareness, behavioral management, abuse and neglect, sensory alterations, grief process, and stress management.
4. Physiological Integrity
- Basic Care and Comfort (13%): Questions are related to hygiene, elimination, nutrition, hydration, sleep, mobility, assistive devices, and comfort intervention.
- Pharmacological Therapies (11% to 17%): Questions focus on drug administration such as dosage calculation, adverse effects, side effects, expected actions and outcomes, and pain management.
- Reduction of Risk Potential (10% to 16%): Topics include vital signs, diagnostic tests, laboratory results, body system alterations, and therapeutic process.
- Physiological Adaptation (7% to 13%): Covers all the different physiological adaptations such as medical emergencies, fluid and electrolyte imbalances, and body system alterations.
For the up-to-date information about the NCLEX-PN test plan, visit the NCSBN website.
Study Tips for the NCLEX-PN
The following are the recommended study tips on how to review for the NCLEX-PN:
- Understand the format of the exam. Familiarize yourself with the structure of the exam so that it will give you an idea on how to effectively deal with the questions.
- Use study materials. Go over your nursing textbooks, review some of your handouts, create some flashcards, or check an online course.
- Create a study plan and schedule. Plan which topic you will study on which days of the week and which day you will take a break.
- Avoid cramming. Study effectively and efficiently by giving yourself ample time to take in and retain the information.
- Don’t rely on past clinical or work experiences. The NCLEX-PN exam is always based on evidence-based practice. Your critical thinking skills and book-based knowledge is essential in choosing the most correct answer.
- Try answering NCLEX-PN Practice Exams. These practice exams will give you a preview of which topics you have mastered and which areas you need to study more.
- Get ready for the exam day. It is important to have at least 8 hours of sleep prior to the exam, eat breakfast on the morning of the exam, dress comfortably, and arrive early.
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