NCLEX PN Comprehensive Practice Question Bank: 180 Detailed Multiple-Choice Questions
with Rationales, Key Terms, and Answer Explanations
Showing 180 questions (same pool and cap as a student attempt). Correct options are pre-
selected and highlighted as on the results page.
Bank category: NGN NCLEX PN ACTUAL EXAM
,1 Question 1
A nurse in a long-term care facility has received a change-of-shift report on four
clients. Which of the following clients should the nurse attend to first?
☑ A. A client who has COPD and dementia and was agitated during the night
shift
☐ B. A client who needs assistance with breakfast
☐ C. A client requesting a blanket
☐ D. A client waiting for routine vital signs
RATIONALE
Agitation in a client with COPD may indicate hypoxia, which can become life-threatening. Using
priority principles, airway and breathing concerns are addressed first.
KEY TERMS EXPLAINED
COPD = Chronic obstructive pulmonary disease affecting breathing
Hypoxia = Low oxygen supply to body tissues
Priority care = Managing the most urgent problem first
,2 Question 2
A nurse is reinforcing teaching with a new mother on facility security measures.
Which of the following statements by the mother indicates an understanding of
the teaching?
☑ A. I will have an identification band that matches the one my baby wears
☐ B. I can send my baby with any visitor carrying a blanket
☐ C. I should remove the infant’s ID band during sleep
☐ D. Only family members need identification
RATIONALE
Matching identification bands between mother and newborn are a major hospital security
measure to prevent infant abduction and ensure proper identification.
KEY TERMS EXPLAINED
Identification band = Matching security band for mother and infant
Infant security = Measures used to protect newborns in healthcare facilities
Newborn safety = Protection from injury, loss, or abduction
, 3 Question 3
A nurse in an urgent-care facility is collecting data from a client who is scheduled
for a procedure. Which of the following clinical manifestations indicates a possible
latex allergy?
☑ A. Rhinorrhea
☐ B. Bradycardia
☐ C. Hyperglycemia
☐ D. Constipation
RATIONALE
Latex allergy can cause symptoms such as sneezing, rhinorrhea, rash, itching, and in severe
cases anaphylaxis. Rhinorrhea is a common early allergic sign.
KEY TERMS EXPLAINED
Latex allergy = Allergic reaction to rubber latex products
Rhinorrhea = Runny nose
Anaphylaxis = Severe life-threatening allergic reaction