NCLEX-PN – QUESTIONS AND ANSWERS | VERIFIED AND
WELL DETAILED ANSWERS | PLUS RATIONALES BE IN
ITALICS| GUARANTEED PASS | LATEST EXAM UPDATE
• CORE DOMAINS *
•
• Safety and Infection Control
• Health Promotion and Maintenance
• Psychosocial Integrity
• Basic Care and Comfort
• Pharmacological Therapies
• Reduction of Risk Potential
• Coordinated Care
• Ethical and Legal Responsibilities
• Nursing Fundamentals
• Clinical Decision-Making and Patient Education
• INTRODUCTION *
•
The NCLEX-PN examination evaluates the knowledge, skills, and clinical judgment required for safe
and effective practical/vocational nursing practice. Candidates are assessed across essential nursing
domains including patient care, pharmacology, safety, ethics, communication, and health promotion.
The examination utilizes multiple-choice and scenario-based questions designed to measure the
ability to apply nursing principles in real-world healthcare settings. Emphasis is placed on critical
thinking, prioritization, patient-centered care, legal and ethical responsibilities, and evidence-based
decision-making. Successful performance demonstrates readiness to provide competent nursing care
while supporting positive patient outcomes in a variety of clinical environments.
SECTION ONE (QUESTIONS 1–40)
1. A nurse is caring for a client with a newly inserted urinary catheter. Which action helps
prevent catheter-associated urinary tract infections?
A. Disconnect the drainage bag daily
B. Maintain a closed drainage system
C. Irrigate the catheter routinely
D. Raise the drainage bag above bladder level
Correct Answer: B. Maintain a closed drainage system
Explanation: Maintaining a closed drainage system reduces bacterial entry and lowers the risk of
urinary tract infection.
2. Which pulse site is commonly used during cardiopulmonary resuscitation in an adult?
A. Carotid artery
B. Radial artery
,C. Brachial artery
D. Temporal artery
Correct Answer: A. Carotid artery
Explanation: The carotid pulse is the preferred central pulse assessed during adult CPR because it
is most reliable during low perfusion states.
3. A client with diabetes reports shakiness and sweating. What should the nurse do first?
A. Administer insulin
B. Encourage exercise
C. Check blood glucose level
D. Restrict fluids
Correct Answer: C. Check blood glucose level
Explanation: The symptoms suggest hypoglycemia. Verification of blood glucose guides
immediate treatment.
4. Which electrolyte is most important in cardiac muscle contraction?
A. Sodium
B. Magnesium
C. Chloride
D. Potassium
Correct Answer: D. Potassium
Explanation: Potassium plays a vital role in cardiac electrical activity and abnormalities may
cause dysrhythmias.
5. A nurse observes smoke coming from an electrical outlet. What is the priority action?
A. Evacuate the entire facility immediately
B. Continue patient care
C. Disconnect oxygen equipment nearby
D. Activate the fire response procedure
Correct Answer: D. Activate the fire response procedure
Explanation: Following established fire procedures ensures rapid response and protection of
patients and staff.
6. Which finding is expected in dehydration?
A. Moist mucous membranes
B. Decreased urine output
C. Weight gain
D. Bradycardia
Correct Answer: B. Decreased urine output
Explanation: Fluid volume deficit commonly results in concentrated urine and reduced urinary
output.
, 7. A client states, “I do not want treatment anymore.” What should the nurse do first?
A. Notify security
B. Ignore the statement
C. Assess the client's understanding and decision-making capacity
D. Contact family immediately
Correct Answer: C. Assess the client's understanding and decision-making capacity
Explanation: The nurse should first determine whether the client is informed and capable of
making healthcare decisions.
8. Which isolation precaution is required for pulmonary tuberculosis?
A. Contact precautions
B. Standard precautions only
C. Droplet precautions
D. Airborne precautions
Correct Answer: D. Airborne precautions
Explanation: Tuberculosis spreads through airborne particles requiring airborne isolation
measures.
9. A nurse is preparing to administer medication. Which action follows the rights of medication
administration?
A. Verify the client's identity using two identifiers
B. Ask another patient to confirm identity
C. Skip allergy verification if medication is routine
D. Prepare medications hours in advance
Correct Answer: A. Verify the client's identity using two identifiers
Explanation: Using two identifiers helps prevent medication errors and promotes patient safety.
10. Which nutrient is most important for wound healing?
A. Protein
B. Sodium
C. Cholesterol
D. Fluoride
Correct Answer: A. Protein
Explanation: Protein supports tissue repair, collagen formation, and wound healing.
11. A postoperative client reports calf pain and swelling. What complication should the nurse
suspect?
A. Pneumonia
B. Deep vein thrombosis
C. Constipation
D. Migraine
WELL DETAILED ANSWERS | PLUS RATIONALES BE IN
ITALICS| GUARANTEED PASS | LATEST EXAM UPDATE
• CORE DOMAINS *
•
• Safety and Infection Control
• Health Promotion and Maintenance
• Psychosocial Integrity
• Basic Care and Comfort
• Pharmacological Therapies
• Reduction of Risk Potential
• Coordinated Care
• Ethical and Legal Responsibilities
• Nursing Fundamentals
• Clinical Decision-Making and Patient Education
• INTRODUCTION *
•
The NCLEX-PN examination evaluates the knowledge, skills, and clinical judgment required for safe
and effective practical/vocational nursing practice. Candidates are assessed across essential nursing
domains including patient care, pharmacology, safety, ethics, communication, and health promotion.
The examination utilizes multiple-choice and scenario-based questions designed to measure the
ability to apply nursing principles in real-world healthcare settings. Emphasis is placed on critical
thinking, prioritization, patient-centered care, legal and ethical responsibilities, and evidence-based
decision-making. Successful performance demonstrates readiness to provide competent nursing care
while supporting positive patient outcomes in a variety of clinical environments.
SECTION ONE (QUESTIONS 1–40)
1. A nurse is caring for a client with a newly inserted urinary catheter. Which action helps
prevent catheter-associated urinary tract infections?
A. Disconnect the drainage bag daily
B. Maintain a closed drainage system
C. Irrigate the catheter routinely
D. Raise the drainage bag above bladder level
Correct Answer: B. Maintain a closed drainage system
Explanation: Maintaining a closed drainage system reduces bacterial entry and lowers the risk of
urinary tract infection.
2. Which pulse site is commonly used during cardiopulmonary resuscitation in an adult?
A. Carotid artery
B. Radial artery
,C. Brachial artery
D. Temporal artery
Correct Answer: A. Carotid artery
Explanation: The carotid pulse is the preferred central pulse assessed during adult CPR because it
is most reliable during low perfusion states.
3. A client with diabetes reports shakiness and sweating. What should the nurse do first?
A. Administer insulin
B. Encourage exercise
C. Check blood glucose level
D. Restrict fluids
Correct Answer: C. Check blood glucose level
Explanation: The symptoms suggest hypoglycemia. Verification of blood glucose guides
immediate treatment.
4. Which electrolyte is most important in cardiac muscle contraction?
A. Sodium
B. Magnesium
C. Chloride
D. Potassium
Correct Answer: D. Potassium
Explanation: Potassium plays a vital role in cardiac electrical activity and abnormalities may
cause dysrhythmias.
5. A nurse observes smoke coming from an electrical outlet. What is the priority action?
A. Evacuate the entire facility immediately
B. Continue patient care
C. Disconnect oxygen equipment nearby
D. Activate the fire response procedure
Correct Answer: D. Activate the fire response procedure
Explanation: Following established fire procedures ensures rapid response and protection of
patients and staff.
6. Which finding is expected in dehydration?
A. Moist mucous membranes
B. Decreased urine output
C. Weight gain
D. Bradycardia
Correct Answer: B. Decreased urine output
Explanation: Fluid volume deficit commonly results in concentrated urine and reduced urinary
output.
, 7. A client states, “I do not want treatment anymore.” What should the nurse do first?
A. Notify security
B. Ignore the statement
C. Assess the client's understanding and decision-making capacity
D. Contact family immediately
Correct Answer: C. Assess the client's understanding and decision-making capacity
Explanation: The nurse should first determine whether the client is informed and capable of
making healthcare decisions.
8. Which isolation precaution is required for pulmonary tuberculosis?
A. Contact precautions
B. Standard precautions only
C. Droplet precautions
D. Airborne precautions
Correct Answer: D. Airborne precautions
Explanation: Tuberculosis spreads through airborne particles requiring airborne isolation
measures.
9. A nurse is preparing to administer medication. Which action follows the rights of medication
administration?
A. Verify the client's identity using two identifiers
B. Ask another patient to confirm identity
C. Skip allergy verification if medication is routine
D. Prepare medications hours in advance
Correct Answer: A. Verify the client's identity using two identifiers
Explanation: Using two identifiers helps prevent medication errors and promotes patient safety.
10. Which nutrient is most important for wound healing?
A. Protein
B. Sodium
C. Cholesterol
D. Fluoride
Correct Answer: A. Protein
Explanation: Protein supports tissue repair, collagen formation, and wound healing.
11. A postoperative client reports calf pain and swelling. What complication should the nurse
suspect?
A. Pneumonia
B. Deep vein thrombosis
C. Constipation
D. Migraine
