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 4: 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 client has returned to his room following an esophagoscopy. Before offering fluids, the nurse should give priority to assessing the client’s:CorrectIncorrect
Question 2 of 25
Which instruction should be included in the discharge teaching for the client with cataract surgery?CorrectIncorrect
Question 3 of 25
An 8-year-old is admitted with a sore throat, drooling, muffled phonation, high pitched-sound upon breathing (stridor), and a temperature of 102°F. The nurse should immediately notify the doctor because the child’s symptoms are suggestive of:CorrectIncorrect
Question 4 of 25
Phototherapy is ordered for a newborn with physiologic jaundice. The nurse caring for the infant should:CorrectIncorrect
Question 5 of 25
A teen hospitalized with anorexia nervosa is now permitted to leave her room and eat in the dining room. Which of the following nursing interventions should be included in the client’s plan of care?CorrectIncorrect
Question 6 of 25
According to Erikson’s stage of growth and development, the developmental task of an 8-year old child is:CorrectIncorrect
Question 7 of 25
The nurse should observe for side effects associated with the use of bronchodilators. A common side effect of bronchodilators is:CorrectIncorrect
Question 8 of 25
The 5-minute Apgar of a baby delivered by C-section is recorded as 9. The most likely reason for this score is:CorrectIncorrect
Question 9 of 25
A 5-month-old infant is admitted to the ER with a temperature of 106°F and irritability. The mother states that the child has been listless for the past several hours and that he had a seizure on the way to the hospital. A lumbar puncture confirms a diagnosis of bacterial meningitis. The nurse should assess the infant for:CorrectIncorrect
Question 10 of 25
A client with a bowel resection and anastomosis returns to his room with an NG tube attached to intermittent suction. Which of the following observations indicates that the nasogastric suction is working properly?CorrectIncorrect
Question 11 of 25
The nurse is teaching the client with insulin-dependent diabetes the signs of hypoglycemia. Which of the following signs is associated with hypoglycemia?CorrectIncorrect
Question 12 of 25
Which of the following symptoms is associated with relapse of multiple sclerosis?CorrectIncorrect
Question 13 of 25
Which of the following conditions is most likely related to the development of renal calculi?CorrectIncorrect
Question 14 of 25
A client with AIDS is admitted for the treatment of wasting syndrome. Which of the following dietary modifications can be used to compensate for the limited absorptive capability of the intestinal tract?CorrectIncorrect
Question 15 of 25
The treatment protocol for a client with acute lymphatic leukemia includes prednisone, methotrexate, and cimetidine. The purpose of the cimetidine is to:CorrectIncorrect
Question 16 of 25
Which of the following meal choices is suitable for a 6-month-old infant?CorrectIncorrect
Question 17 of 25
The LPN is preparing to administer an injection of vitamin K to the newborn. The nurse should administer the injection in the:CorrectIncorrect
Question 18 of 25
The physician has prescribed Cytoxan (cyclophosphamide) for a client with nephrotic syndrome. The nurse should:CorrectIncorrect
Question 19 of 25
The nurse is caring for a client with detoxification from alcohol. Which medication is used in the treatment of alcohol withdrawal?CorrectIncorrect
Question 20 of 25
A client with insulin-dependent diabetes takes 20 units of NPH insulin at 7 a.m. The nurse should observe the client for signs of hypoglycemia at:CorrectIncorrect
Question 21 of 25
The licensed practical nurse is assisting the charge nurse in planning care for a client with a detached retina. Which of the following nursing diagnoses should receive priority?CorrectIncorrect
Question 22 of 25
The primary purpose for using a continuous passive motion (CPM) machine for the client with a total knee repair is to help:CorrectIncorrect
Question 23 of 25
Which of the following statements reflects Kohlberg’s theory of the moral development of the preschool-age child?CorrectIncorrect
Question 24 of 25
A toddler with otitis media has just completed antibiotic therapy. A recheck appointment should be made to:CorrectIncorrect
Question 25 of 25
A factory worker is brought to the nurse’s office after a metal fragment enters his right eye. The nurse should: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.
If you need more information or practice quizzes, please do visit the following links:
- NCLEX Questions Nursing Test Bank and Review – Your ultimate guide to the NCLEX-RN. Includes 3,500+ practice questions to help you gain knowledge and confidence during the actual exams!