NCLEX PN QUESTIONS AND ANSWERS
A+ GRADED
1. An infant weighs 7 pounds at birth. The expected weight by 1 year should
Be:
A. 10 pounds
B. 12 pounds
C. 18 pounds
D. 21 pounds
Answer D: A birth weight of 7 pounds would indicate 21 pounds in 1 year, or triple his birth
weight. Answers A, B, and C therefore are incorrect.
2. A client is admitted with a Ewing’s sarcoma. Which symptoms would be expected due to
this tumor’s location?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone pain
Answer D: Sarcoma is a type of bone cancer; therefore, bone pain would be expected. Answers A,
B, and C are not specific to this type of cancer and are incorrect.
3. A client arrives in the emergency room with a possible fractured femur. The nurse should
anticipate an order for:
A. Trendelenburg position
B. Ice to the entire extremity
C. Buck’s traction
D. An abduction pillow
ALL THE BEST
,Answer C: The client with a fractured femur will be placed in Buck’s traction to realign the leg and
to decrease spasms and pain. The Trendelenburg position is the wrong position for this client, so
answer A is incorrect. Ice might be ordered after repair, but not for the entire extremity, so answer
B is incorrect. An abduction pillow is ordered after a total hip replacement, not for a fractured
femur; therefore, answer D is incorrect.
4. Which action by the novice nurse indicates a need for further teaching?
A. The nurse fails to wear gloves to remove a dressing.
B. The nurse applies an oxygen saturation monitor to the ear lobe.
C. The nurse elevates the head of the bed to check the blood pressure.
D. The nurse places the extremity in a dependent position to acquire a peripheral blood sample.
Answer A: The nurse who fails to wear gloves to remove a contaminated dressing needs further
instruction. Answers B, C, and D are incorrect because they indicate an understanding of the
correct method of completing these tasks.
5. The nurse is preparing a client for mammography. To prepare the client for a mammogram,
the nurse should tell the client:
A. To restrict her fat intake for 1 week before the test
B. To omit creams, powders, or deodorants before the exam
C. That mammography replaces the need for self-breast exams
D. That mammography requires a higher dose of radiation than an x-ray
Answer B: The client having a mammogram should be instructed to omit deodorants or powders
beforehand because powders and deodorants can be interpreted as abnormal. Answer A is incorrect
because there is no need for dietary restrictions before a mammogram. Answer C is incorrect
because the mammogram does not replace the need for self-breast exams. Answer D is incorrect
because a mammogram does not require higher doses of radiation than an x-ray.
6. The nurse employed in the emergency room is responsible for triage of four clients injured
in a motor vehicle accident. Which of the following clients should receive priority in care?
ALL THE BEST
,A. A 10-year-old with lacerations of the face
B. A 15-year-old with sternal bruises
C. A 34-year-old with a fractured femur
D. A 50-year-old with dislocation of the elbow
Answer B: The teenager with sternal bruising might be experiencing airway and oxygenation
problems and, thus, should be seen first. In answer A, the 10-year-old with lacerations might look
bad but is not in distress. The client in answer C with a fractured femur should be immobilized but
can be seen after the client with sternal bruising. The client in answer D with the dislocated elbow
can be seen later as well.
7. The client is receiving peritoneal dialysis. If the dialysate returns cloudy, the nurse should:
A. Document the finding
B. Send a specimen to the lab
C. Strain the urine
D. Obtain a complete blood count
Answer B: If the dialysate returns cloudy, infection might be present and must be evaluated.
Documenting the finding, as stated in answer A, is not enough; straining the urine, in answer C, is
incorrect; and dialysate, in answer D, is not urine at all. However, the physician might order a
white blood cell count.
8. The client with cirrhosis of the liver is receiving Lactulose. The nurse is aware that the
rationale for the order for Lactulose is:
A. To lower the blood glucose level
B. To lower the uric acid level
C. To lower the ammonia level
D. To lower the creatinine level
ALL THE BEST
, Answer C: Lactulose is administered to the client with cirrhosis to lower ammonia levels. Answers
A, B, and D are incorrect because this does not have an effect on the other lab values.
9. The client with diabetes is preparing for discharge. During discharge teaching, the nurse
assesses the client’s ability to care for himself. Which statement made by the client would indicate
a need for follow-up after discharge?
A. “I live by myself.”
B. “I have trouble seeing.”
C. “I have a cat in the house with me.”
D. “I usually drive myself to the doctor.”
Answer B: A client with diabetes who has trouble seeing would require follow-up after discharge.
The lack of visual acuity for the client preparing and injecting insulin might require help. Answers
A, C, and D will not prevent the client from being able to care for himself and, thus, are incorrect.
10. The client is receiving total parenteral nutrition (TPN). Which lab test should be evaluated
while the client is receiving TPN?
A. Hemoglobin
B. Creatinine
C. Blood glucose
D. White blood cell count
Answer C: When the client is receiving TPN, the blood glucose level should be drawn. TPN is a
solution that contains large amounts of glucose. Answers A, B, and Dare not directly related to the
question and are incorrect.
11. The nurse is making assignments for the day. Which client should be assigned to the
nursing assistant?
A. A client with Alzheimer’s disease ALL THE BEST
A+ GRADED
1. An infant weighs 7 pounds at birth. The expected weight by 1 year should
Be:
A. 10 pounds
B. 12 pounds
C. 18 pounds
D. 21 pounds
Answer D: A birth weight of 7 pounds would indicate 21 pounds in 1 year, or triple his birth
weight. Answers A, B, and C therefore are incorrect.
2. A client is admitted with a Ewing’s sarcoma. Which symptoms would be expected due to
this tumor’s location?
A. Hemiplegia
B. Aphasia
C. Nausea
D. Bone pain
Answer D: Sarcoma is a type of bone cancer; therefore, bone pain would be expected. Answers A,
B, and C are not specific to this type of cancer and are incorrect.
3. A client arrives in the emergency room with a possible fractured femur. The nurse should
anticipate an order for:
A. Trendelenburg position
B. Ice to the entire extremity
C. Buck’s traction
D. An abduction pillow
ALL THE BEST
,Answer C: The client with a fractured femur will be placed in Buck’s traction to realign the leg and
to decrease spasms and pain. The Trendelenburg position is the wrong position for this client, so
answer A is incorrect. Ice might be ordered after repair, but not for the entire extremity, so answer
B is incorrect. An abduction pillow is ordered after a total hip replacement, not for a fractured
femur; therefore, answer D is incorrect.
4. Which action by the novice nurse indicates a need for further teaching?
A. The nurse fails to wear gloves to remove a dressing.
B. The nurse applies an oxygen saturation monitor to the ear lobe.
C. The nurse elevates the head of the bed to check the blood pressure.
D. The nurse places the extremity in a dependent position to acquire a peripheral blood sample.
Answer A: The nurse who fails to wear gloves to remove a contaminated dressing needs further
instruction. Answers B, C, and D are incorrect because they indicate an understanding of the
correct method of completing these tasks.
5. The nurse is preparing a client for mammography. To prepare the client for a mammogram,
the nurse should tell the client:
A. To restrict her fat intake for 1 week before the test
B. To omit creams, powders, or deodorants before the exam
C. That mammography replaces the need for self-breast exams
D. That mammography requires a higher dose of radiation than an x-ray
Answer B: The client having a mammogram should be instructed to omit deodorants or powders
beforehand because powders and deodorants can be interpreted as abnormal. Answer A is incorrect
because there is no need for dietary restrictions before a mammogram. Answer C is incorrect
because the mammogram does not replace the need for self-breast exams. Answer D is incorrect
because a mammogram does not require higher doses of radiation than an x-ray.
6. The nurse employed in the emergency room is responsible for triage of four clients injured
in a motor vehicle accident. Which of the following clients should receive priority in care?
ALL THE BEST
,A. A 10-year-old with lacerations of the face
B. A 15-year-old with sternal bruises
C. A 34-year-old with a fractured femur
D. A 50-year-old with dislocation of the elbow
Answer B: The teenager with sternal bruising might be experiencing airway and oxygenation
problems and, thus, should be seen first. In answer A, the 10-year-old with lacerations might look
bad but is not in distress. The client in answer C with a fractured femur should be immobilized but
can be seen after the client with sternal bruising. The client in answer D with the dislocated elbow
can be seen later as well.
7. The client is receiving peritoneal dialysis. If the dialysate returns cloudy, the nurse should:
A. Document the finding
B. Send a specimen to the lab
C. Strain the urine
D. Obtain a complete blood count
Answer B: If the dialysate returns cloudy, infection might be present and must be evaluated.
Documenting the finding, as stated in answer A, is not enough; straining the urine, in answer C, is
incorrect; and dialysate, in answer D, is not urine at all. However, the physician might order a
white blood cell count.
8. The client with cirrhosis of the liver is receiving Lactulose. The nurse is aware that the
rationale for the order for Lactulose is:
A. To lower the blood glucose level
B. To lower the uric acid level
C. To lower the ammonia level
D. To lower the creatinine level
ALL THE BEST
, Answer C: Lactulose is administered to the client with cirrhosis to lower ammonia levels. Answers
A, B, and D are incorrect because this does not have an effect on the other lab values.
9. The client with diabetes is preparing for discharge. During discharge teaching, the nurse
assesses the client’s ability to care for himself. Which statement made by the client would indicate
a need for follow-up after discharge?
A. “I live by myself.”
B. “I have trouble seeing.”
C. “I have a cat in the house with me.”
D. “I usually drive myself to the doctor.”
Answer B: A client with diabetes who has trouble seeing would require follow-up after discharge.
The lack of visual acuity for the client preparing and injecting insulin might require help. Answers
A, C, and D will not prevent the client from being able to care for himself and, thus, are incorrect.
10. The client is receiving total parenteral nutrition (TPN). Which lab test should be evaluated
while the client is receiving TPN?
A. Hemoglobin
B. Creatinine
C. Blood glucose
D. White blood cell count
Answer C: When the client is receiving TPN, the blood glucose level should be drawn. TPN is a
solution that contains large amounts of glucose. Answers A, B, and Dare not directly related to the
question and are incorrect.
11. The nurse is making assignments for the day. Which client should be assigned to the
nursing assistant?
A. A client with Alzheimer’s disease ALL THE BEST
