TEXAS NCLEX-PN QUESTIONS AND ANSWERS | VERIFIED AND WELL
DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST
EXAM UPDATE
Core Domains
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Texas Board of Nursing Professional Standards
Introduction
The purpose of this comprehensive assessment is to evaluate the clinical
readiness and technical proficiency of Practical Nursing candidates. This exam
focuses on the essential skills and knowledge required to provide safe, effective
patient care within the scope of practice defined by the Texas Board of Nursing.
The assessment utilizes a blend of multiple-choice and scenario-based questions
to mirror the complexity of the NCLEX-PN environment. Emphasis is placed on
,real-world application, ethical decision-making, and critical thinking. By simulating
the rigors of the actual licensure exam, this document serves as a vital tool for
validating competency and ensuring candidates are prepared for the diverse
challenges of the healthcare field.
SECTION ONE: QUESTIONS 1–100
1. A licensed practical nurse (LPN) is caring for a client with a history of heart
failure. The client reports a sudden increase in weight of 3 pounds in 24
hours. Which action should the nurse take first?
A. Document the finding in the medical record.
B. Encourage the client to increase fluid intake.
C. Assess the client’s lungs for crackles.
D. Re-weigh the client using a different scale.
🟢✔️ C. Assess the client’s lungs for crackles.
🔴 Explanation: A sudden weight gain in a heart failure client often indicates fluid
volume excess. Assessing lung sounds is the priority to identify pulmonary edema,
which requires immediate intervention.
2. A client is prescribed a clear liquid diet post-surgery. Which item is
appropriate for the nurse to include on the meal tray?
,A. Vanilla pudding
B. Apple juice
C. Orange juice with pulp
D. Cream of mushroom soup
🟢✔️ B. Apple juice
🔴 Explanation: Clear liquids are those that are transparent and liquid at room
temperature. Apple juice fits this criteria, whereas pudding and cream soups are
considered full liquids.
3. The nurse is monitoring a client receiving a blood transfusion. Within the first
15 minutes, the client complains of lower back pain and chills. What is the
nurse's priority action?
A. Slow the infusion rate and notify the physician.
B. Administer diphenhydramine as ordered.
C. Stop the transfusion immediately.
D. Take the client’s temperature and blood pressure.
🟢✔️ C. Stop the transfusion immediately.
🔴 Explanation: Back pain and chills are signs of a hemolytic reaction. The priority
is to stop the infusion to prevent further exposure to the incompatible blood.
, 4. Which laboratory value should the nurse prioritize when caring for a client
taking furosemide?
A. Sodium 138 mEq/L
B. Potassium 3.1 mEq/L
C. Calcium 9.2 mg/dL
D. Magnesium 2.0 mg/dL
🟢✔️ B. Potassium 3.1 mEq/L
🔴 Explanation: Furosemide is a loop diuretic that causes the excretion of
potassium. A level of 3.1 mEq/L is low (hypokalemia), which can lead to cardiac
arrhythmias.
5. A nurse is assigned to a client who is in Buck’s traction. Which intervention is
essential for maintaining the integrity of the traction?
A. Remove the weights once per shift to check skin.
B. Ensure the weights hang freely and do not touch the floor.
C. Keep the client in a high-Fowler’s position.
D. Apply a heating pad to the affected limb.
🟢✔️ B. Ensure the weights hang freely and do not touch the floor.
DETAILED ANSWERS | PLUS RATIONALES | GUARANTEED PASS | LATEST
EXAM UPDATE
Core Domains
Safe and Effective Care Environment
Health Promotion and Maintenance
Psychosocial Integrity
Physiological Integrity
Pharmacological and Parenteral Therapies
Reduction of Risk Potential
Physiological Adaptation
Texas Board of Nursing Professional Standards
Introduction
The purpose of this comprehensive assessment is to evaluate the clinical
readiness and technical proficiency of Practical Nursing candidates. This exam
focuses on the essential skills and knowledge required to provide safe, effective
patient care within the scope of practice defined by the Texas Board of Nursing.
The assessment utilizes a blend of multiple-choice and scenario-based questions
to mirror the complexity of the NCLEX-PN environment. Emphasis is placed on
,real-world application, ethical decision-making, and critical thinking. By simulating
the rigors of the actual licensure exam, this document serves as a vital tool for
validating competency and ensuring candidates are prepared for the diverse
challenges of the healthcare field.
SECTION ONE: QUESTIONS 1–100
1. A licensed practical nurse (LPN) is caring for a client with a history of heart
failure. The client reports a sudden increase in weight of 3 pounds in 24
hours. Which action should the nurse take first?
A. Document the finding in the medical record.
B. Encourage the client to increase fluid intake.
C. Assess the client’s lungs for crackles.
D. Re-weigh the client using a different scale.
🟢✔️ C. Assess the client’s lungs for crackles.
🔴 Explanation: A sudden weight gain in a heart failure client often indicates fluid
volume excess. Assessing lung sounds is the priority to identify pulmonary edema,
which requires immediate intervention.
2. A client is prescribed a clear liquid diet post-surgery. Which item is
appropriate for the nurse to include on the meal tray?
,A. Vanilla pudding
B. Apple juice
C. Orange juice with pulp
D. Cream of mushroom soup
🟢✔️ B. Apple juice
🔴 Explanation: Clear liquids are those that are transparent and liquid at room
temperature. Apple juice fits this criteria, whereas pudding and cream soups are
considered full liquids.
3. The nurse is monitoring a client receiving a blood transfusion. Within the first
15 minutes, the client complains of lower back pain and chills. What is the
nurse's priority action?
A. Slow the infusion rate and notify the physician.
B. Administer diphenhydramine as ordered.
C. Stop the transfusion immediately.
D. Take the client’s temperature and blood pressure.
🟢✔️ C. Stop the transfusion immediately.
🔴 Explanation: Back pain and chills are signs of a hemolytic reaction. The priority
is to stop the infusion to prevent further exposure to the incompatible blood.
, 4. Which laboratory value should the nurse prioritize when caring for a client
taking furosemide?
A. Sodium 138 mEq/L
B. Potassium 3.1 mEq/L
C. Calcium 9.2 mg/dL
D. Magnesium 2.0 mg/dL
🟢✔️ B. Potassium 3.1 mEq/L
🔴 Explanation: Furosemide is a loop diuretic that causes the excretion of
potassium. A level of 3.1 mEq/L is low (hypokalemia), which can lead to cardiac
arrhythmias.
5. A nurse is assigned to a client who is in Buck’s traction. Which intervention is
essential for maintaining the integrity of the traction?
A. Remove the weights once per shift to check skin.
B. Ensure the weights hang freely and do not touch the floor.
C. Keep the client in a high-Fowler’s position.
D. Apply a heating pad to the affected limb.
🟢✔️ B. Ensure the weights hang freely and do not touch the floor.
