NCLEX- PN FINAL EXAM 2022 UPDATE
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
1. A 24-year-old female client is scheduled for surgery in the morning. Which of
the following is the primary responsibility of the nurse?
A. Taking the vital signs
B. Obtaining the permit
C. Explaining the procedure
D. Checking the lab work
2. The nurse is working in the emergency room when a client arrives with severe burns
of the left arm, hands, face, and neck. Which action should receive priority?
A. Starting an IV
B. Applying oxygen
C. Obtaining blood gases
D. Medicating the client for pain
3. The nurse is visiting a home health client with osteoporosis. The client has a
new prescription for alendronate (Fosamax). Which instruction should be given to the
client?
A. Rest in bed after taking the medication for at least 30 minutes
B. Avoid rapid movements after taking the medication
C. Take the medication with water only
NCLEX- PN FINAL EXAM 2022 UPDATE
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
, NCLEX- PN FINAL EXAM 2022 UPDATE
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
D. Allow at least 1 hour between taking the medicine and taking other medications
4. The nurse is making initial rounds on a client with a C5 fracture and crutchfield
tongs. Which equipment should be kept at the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair of wire cutters
D. A screwdriver
5. 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
6. A client is admitted with a Ewing’s sarcoma. Which symptoms would be expected due
to this tumor’s location?
A. Hemiplegia
NCLEX- PN FINAL EXAM 2022 UPDATE
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
, NCLEX- PN FINAL EXAM 2022 UPDATE
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
B. Aphasia
C. Nausea
D. Bone pain
7. The nurse is caring for a client with epilepsy who is being treated with
carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this
drug?
A. Uric acid of 5mg/dL
B. Hematocrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter
8. A 6-month-old client is admitted with possible intussuception. Which question during
the nursing history is least helpful in obtaining information regarding this diagnosis?
A. “Tell me about his pain.”
B. “What does his vomit look like?”
C. “Describe his usual diet.”
D. “Have you noticed changes in his abdominal size?”
9. The nurse is assisting a client with diverticulosis to select appropriate foods. Which
food should be avoided?
A. Bran
NCLEX- PN FINAL EXAM 2022 UPDATE
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
, NCLEX- PN FINAL EXAM 2022 UPDATE
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
B. Fresh peaches
C. Cucumber salad
D. Yeast rolls
10. A client has rectal cancer and is scheduled for an abdominal perineal resection.
What should be the priority nursing care during the post-op period?
A. Teaching how to irrigate the illeostomy
B. Stopping electrolyte loss in the incisional area
C. Encouraging a high-fiber diet
D. Facilitating perineal wound drainage
11. The nurse is performing discharge teaching on a client with diverticulitis who has been
placed on a low-roughage diet. Which food would have to be eliminated from this client’s
diet?
A. Roasted chicken
B. Noodles
C. Cooked broccoli
D. Custard
12. 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
NCLEX- PN FINAL EXAM 2022 UPDATE
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
1. A 24-year-old female client is scheduled for surgery in the morning. Which of
the following is the primary responsibility of the nurse?
A. Taking the vital signs
B. Obtaining the permit
C. Explaining the procedure
D. Checking the lab work
2. The nurse is working in the emergency room when a client arrives with severe burns
of the left arm, hands, face, and neck. Which action should receive priority?
A. Starting an IV
B. Applying oxygen
C. Obtaining blood gases
D. Medicating the client for pain
3. The nurse is visiting a home health client with osteoporosis. The client has a
new prescription for alendronate (Fosamax). Which instruction should be given to the
client?
A. Rest in bed after taking the medication for at least 30 minutes
B. Avoid rapid movements after taking the medication
C. Take the medication with water only
NCLEX- PN FINAL EXAM 2022 UPDATE
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
, NCLEX- PN FINAL EXAM 2022 UPDATE
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
D. Allow at least 1 hour between taking the medicine and taking other medications
4. The nurse is making initial rounds on a client with a C5 fracture and crutchfield
tongs. Which equipment should be kept at the bedside?
A. A pair of forceps
B. A torque wrench
C. A pair of wire cutters
D. A screwdriver
5. 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
6. A client is admitted with a Ewing’s sarcoma. Which symptoms would be expected due
to this tumor’s location?
A. Hemiplegia
NCLEX- PN FINAL EXAM 2022 UPDATE
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
, NCLEX- PN FINAL EXAM 2022 UPDATE
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
B. Aphasia
C. Nausea
D. Bone pain
7. The nurse is caring for a client with epilepsy who is being treated with
carbamazepine (Tegretol). Which laboratory value might indicate a serious side effect of this
drug?
A. Uric acid of 5mg/dL
B. Hematocrit of 33%
C. WBC 2,000 per cubic millimeter
D. Platelets 150,000 per cubic millimeter
8. A 6-month-old client is admitted with possible intussuception. Which question during
the nursing history is least helpful in obtaining information regarding this diagnosis?
A. “Tell me about his pain.”
B. “What does his vomit look like?”
C. “Describe his usual diet.”
D. “Have you noticed changes in his abdominal size?”
9. The nurse is assisting a client with diverticulosis to select appropriate foods. Which
food should be avoided?
A. Bran
NCLEX- PN FINAL EXAM 2022 UPDATE
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
, NCLEX- PN FINAL EXAM 2022 UPDATE
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
B. Fresh peaches
C. Cucumber salad
D. Yeast rolls
10. A client has rectal cancer and is scheduled for an abdominal perineal resection.
What should be the priority nursing care during the post-op period?
A. Teaching how to irrigate the illeostomy
B. Stopping electrolyte loss in the incisional area
C. Encouraging a high-fiber diet
D. Facilitating perineal wound drainage
11. The nurse is performing discharge teaching on a client with diverticulitis who has been
placed on a low-roughage diet. Which food would have to be eliminated from this client’s
diet?
A. Roasted chicken
B. Noodles
C. Cooked broccoli
D. Custard
12. 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
NCLEX- PN FINAL EXAM 2022 UPDATE
QUESTIONS WITH COMPLETE SOLUTIONS
GRADED A+
